Actively Recruiting

Phase 3
Age: 18Years - 100Years
All Genders
Healthy Volunteers
ID05851508

Effectiveness of Intratympanic Methylprednisolone Injections Compared to Placebo for Vertigo Attacks in Meniere's Disease: A Multicenter, Double-Blinded, Randomized Trial

Led by Leiden University Medical Center · Updated on 2023-12-04

148

Participants Needed

1

Research Sites

39 weeks

Total Duration

On this page

Sponsors

L

Leiden University Medical Center

Lead Sponsor

Z

ZonMw: The Netherlands Organisation for Health Research and Development

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are investigating the treatment of Meniere's disease, an inner ear disorder causing vertigo attacks, tinnitus, and hearing loss. The study aims to compare the effects of intratympanic injections of the adrenal cortical hormone methylprednisolone against placebo injections. This multicenter, double-blinded, randomized trial seeks to provide clearer evidence on the effectiveness of methylprednisolone for managing vertigo attacks over one year. Participants will receive either methylprednisolone injections at a dose of 62.5 mg/ml or placebo saline injections directly into the middle ear. Each participant will receive two injections, spaced 14 days apart. Follow-up visits are scheduled at six and twelve months, with telephone check-ins at three and nine months to monitor progress and collect data. Throughout the study, participants will be assessed for changes in vertigo frequency, hearing loss, tinnitus severity, quality of life, and use of escape medications. Safety and adverse events will be recorded daily over the year. Additional measurements will include cost-effectiveness and overall function. The total participation lasts one year, with regular evaluations to track treatment impact and participant well-being.

CONDITIONS

Brief Title

The Effecttiveness of Intratympanic Methylprednisolon Injections Compared to Placebo in the Treatment of Vertigo Attacks in Meniere's Disease

Who Can Participate

Age: 18Years - 100Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged over 18 years at the start of the trial
  • Diagnosed with unilateral, definite Meniere's disease according to established diagnostic criteria
  • Experienced at least 4 vertigo attacks in the last 6 months
  • Willing to follow daily trial medications and attend follow-up assessments
Not Eligible

You will not qualify if you...

  • Diagnosis of bilateral Meniere's disease
  • Severe disability or serious illness that may affect treatment or follow-up
  • Active neuro-otologic disorders that mimic Meniere's disease
  • Otitis media with effusion confirmed by tympanogram
  • Intratympanic corticosteroid injections within the past 6 months
  • Previous intratympanic gentamicin treatment or ear surgery for Meniere's disease
  • Pregnant or nursing women

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 14 days

Participants receive intratympanic injections of either methylprednisolone or placebo to treat vertigo attacks associated with Meniere's disease.

2 injection visits over 14 days

Follow-up

Duration - 12 months

Participants attend follow-up visits and receive telephone calls to monitor effectiveness, safety, and quality of life after treatment.

2 in-person visits at 6 and 12 months; 2 telephone follow-ups at 3 and 9 months

Trial Site Locations

Total: 1 location

1

Leiden University Medical Centre

Leiden, South Holland, Netherlands, 2300RC

Actively Recruiting

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Research Team

M

Maud Boreel, MD

B

Babette van Esch, MD, PHD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

The effectiveness of intratympanic injections with methylPREDnisolon versus placebo in the treatment of vertigo attacks in MENière's disease (PREDMEN trial): a study protocol for a phase-3 multicentre, double-blinded, randomised, placebo-controlled trial.

Maud Martina Emilie Boreel, Babette van Esch, Tjard R Schermer...

https://pubmed.ncbi.nlm.nih.gov/39209781