NCT00000361

Brief Summary

The purpose of this study is to determine whether prednisone, methotrexate, and cyclophosphamide are effective in the treatment of rapidly progressive sensorineural hearing loss in both ears. This condition is called autoimmune inner ear disease (AIED), because it is thought that the hearing loss is triggered by an autoimmune process. Treatment attempts to suppress or control this process with powerful anti-inflammatory drugs. This is a Phase III, outpatient study. All study participants will be assigned to one of four different groups testing the experimental use of drugs. The study is scheduled to run for 18 months, with a minimum of 11 visits per participant.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Timeline
Completed

Started Mar 1998

Longer than P75 for phase_3

Geographic Reach
1 country

9 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 1998

Completed
1.7 years until next milestone

First Submitted

Initial submission to the registry

November 2, 1999

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 3, 1999

Completed
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2002

Completed
Last Updated

April 24, 2006

Status Verified

April 1, 2006

First QC Date

November 2, 1999

Last Update Submit

April 21, 2006

Conditions

Keywords

Autoimmune DiseasesCyclophosphamideHearingLabyrinth DiseasesMethotrexatePrednisone

Interventions

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Have sensorineural (nerve/inner ear) hearing loss of at least 30 dB in each ear, which has rapidly progressed.
  • Are in good general health.
  • Are sterile or use contraception (if a woman of child-bearing age).
  • Are able to speak and understand English or Spanish.

You may not qualify if:

  • Have had any previous reaction to prednisone, or history of psychiatric reaction to corticosteroids.
  • Have used corticosteroids for more than 30 days within the past 90 days. Patients who have been off corticosteroids for at least 30 days may be eligible.
  • Have any significant heart, lung, digestive, blood, or neurologic disorders.
  • Have tuberculosis (TB), brittle or unstable insulin-dependent diabetes mellitus, active malignancy or prior chemotherapy, pancreatitis, active peptic ulcer disease, kidney failure, history of shingles, or known (other) autoimmune disease.
  • Have had a positive test for HIV, hepatitis C or B.
  • Have any type of middle ear disorder.
  • Are breast-feeding or pregnant.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

House Ear Institute

Los Angeles, California, 90057, United States

Location

UCSD Medical Center

San Diego, California, 92103-8895, United States

Location

Univ of Iowa Hosp and Clinic

Iowa City, Iowa, 52242-1078, United States

Location

Johns Hopkins Univ

Baltimore, Maryland, 21287-0008, United States

Location

Massachusetts Eye and Ear Infirmary

Boston, Massachusetts, 02114, United States

Location

Univ of Michigan

Ann Arbor, Michigan, 48109-0005, United States

Location

New York University

New York, New York, United States

Location

Cleveland Clinic Foundation

Cleveland, Ohio, 44195-5245, United States

Location

University of Texas, Southwestern Medical Center at Dallas

Dallas, Texas, United States

Location

MeSH Terms

Conditions

Hearing Loss, SensorineuralAutoimmune DiseasesLabyrinth Diseases

Interventions

Adrenal Cortex HormonesMethotrexate

Condition Hierarchy (Ancestors)

Hearing LossHearing DisordersEar DiseasesOtorhinolaryngologic DiseasesSensation DisordersNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsImmune System Diseases

Intervention Hierarchy (Ancestors)

HormonesHormones, Hormone Substitutes, and Hormone AntagonistsAminopterinPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • Dr. Jeffrey Harris

    STUDY CHAIR
  • Dr. Patrick Brookhouser

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
NIH

Study Record Dates

First Submitted

November 2, 1999

First Posted

November 3, 1999

Study Start

March 1, 1998

Study Completion

November 1, 2002

Last Updated

April 24, 2006

Record last verified: 2006-04

Locations