Actively Recruiting

Phase 4
Age: 18Years - 65Years
All Genders
NCT06321341

Efficacy and Safety of Vespireit, Prolonged-release Tablets, in Patients With Autonomic Dysfunction Syndrome Accompanied by Functional Vertigo

Led by Valenta Pharm JSC · Updated on 2025-06-15

160

Participants Needed

4

Research Sites

153 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study aims to evaluate the efficacy and safety of Vespireit, prolonged-release tablets, 15 mg (Valenta Pharm JSC, Russia) in comparison with Arlevert, tablets, 40 mg + 20 mg (Menarini International Operations Luxembourg S.A., Luxembourg) in patients with autonomic dysfunction syndrome accompanied by functional vertigo.

CONDITIONS

Official Title

Efficacy and Safety of Vespireit, Prolonged-release Tablets, in Patients With Autonomic Dysfunction Syndrome Accompanied by Functional Vertigo

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient signed and dated the Informed Consent Form.
  • Males and females aged 18 to 65 years inclusive at the time of consent.
  • Clinical diagnosis of other or unspecified autonomic nervous system disorders (G90.8 or G90.9).
  • Diagnosed chronic functional vertigo per Barani Society criteria: total DHI score of 31 points or higher; mean MVS score of 1.5 points or higher.
  • For women of childbearing potential, negative pregnancy test and consent to use authorized contraception during the study and for 3 weeks after.
  • For men, consent to use authorized contraception during the study and for 3 weeks after.
  • Postmenopausal women (2 or more years of amenorrhea) or surgically sterile women, and men with documented infertility or vasectomy are eligible.
Not Eligible

You will not qualify if you...

  • Known or suspected hypersensitivity to the study drugs or their components.
  • Lactose intolerance, lactase deficiency, or glucose-galactose malabsorption.
  • Suicide Risk Assessment Scale score greater than 2.
  • Chronic heart failure class III-IV or angina pectoris class III-IV.
  • Uncompensated peripheral vestibular hyporeflexia from previous vestibular illnesses.
  • Exacerbation of vestibular diseases with episodic vestibular syndrome at screening.
  • Meniere's disease or bilateral vestibular insufficiency.
  • Syncopal or presyncopal conditions at screening.
  • Acute cardiovascular events or surgeries within 6 months before screening.
  • Acute cerebral circulatory disorders or transient ischemic attacks within 6 months before screening.
  • Significant cardiac rhythm or conduction abnormalities, or artificial pacemaker.
  • Clinically significant ECG abnormalities.
  • Liver failure or elevated liver enzymes beyond specified limits.
  • Renal failure or low creatinine clearance below thresholds.
  • Pyloroduodenal obstruction or prostatic hyperplasia.
  • Thyroid function disorders.
  • Parkinson's disease.
  • Severe ischemic heart disease.
  • Uncontrolled hypertension or diabetes mellitus in decompensation.
  • Myasthenia gravis.
  • Closed-angle glaucoma or suspected elevated intraocular pressure.
  • Systemic connective tissue or autoimmune diseases.
  • History or suspicion of elevated intracranial pressure.
  • Urinary retention due to urethral or prostate disease.
  • Planned surgical or endovascular treatment within 15 months.
  • Epilepsy or history of convulsive seizures.
  • Alcohol, drug dependence, or substance abuse within last 6 months.
  • History of schizophrenia, schizoaffective disorder, or bipolar disorder.
  • Infectious diseases including tuberculosis, hepatitis B and C, HIV, or syphilis.
  • Recent surgical procedures within 6 months.
  • Recent therapy for cognitive impairment, balance disorders, or dizziness within 21 days before Visit 1-1.
  • Use of certain medications including MAO inhibitors, SSRIs, cinnarizine, dimenhydrinate, CYP3A4 inhibitors/inducers, cimetidine, warfarin, phenytoin, propranolol within specified time frames.
  • History of malignant neoplasm except certain cured cancers.
  • Decompensated somatic or neuropsychiatric diseases affecting compliance or assessment.
  • Pregnant or breastfeeding women or planning pregnancy within 15 months.
  • Use of prohibited concomitant medications.
  • Participation in another clinical trial within 3 months prior to screening.
  • Unwillingness or inability to comply with protocol procedures.
  • Other conditions judged by investigator as exclusionary.
  • Diagnosis or symptoms of COVID-19 at screening or within 14 days prior with positive test.
  • Patient decision to discontinue or investigator decision to exclude for best interests.
  • Inclusion violations, poor cooperation, skipping study medication beyond allowed limits.
  • Adverse events requiring withdrawal.
  • Pregnancy during study.
  • Ineffectiveness of therapy as defined by scoring criteria.
  • COVID-19 diagnosis during therapy periods.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 4 locations

1

Central Clinic LLC

Bryansk, Russia, 241050

Actively Recruiting

2

Federal State Budgetary Educational Institution of Higher Education "Kirov State Medical University" of the Ministry of Healthcare of the Russian Federation

Kirov, Russia, 610027

Actively Recruiting

3

State Budgetary Institution of Healthcare of the City of Moscow "V.P. Demikhov City Clinical Hospital of the Department of Healthcare of the City of Moscow"

Moscow, Russia, 109263

Actively Recruiting

4

Private Healthcare Institution "Clinical Hospital "RZD-Medicine" of the city of Smolensk"

Smolensk, Russia, 214025

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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