NCT05322538

Brief Summary

Meniere's disease is a progressive and debilitating inner ear disease characterised by vertigo and hearing loss. Several studies have linked Menierws disease with lower bone density and lower vitamin D levels. In the current prospective study definite Meniere's patients will be followed over a period of 2 year, during which repetitive measurements of bone density, vitamin D plasma levels, blood pressure as well as hearing and vestibular tests will be made. Results will be compared to healthy controls.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
32mo left

Started Oct 2022

Longer than P75 for not_applicable

Status
not yet recruiting

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 Progress58%
Oct 2022Dec 2028

First Submitted

Initial submission to the registry

March 16, 2022

Completed
27 days until next milestone

First Posted

Study publicly available on registry

April 12, 2022

Completed
6 months until next milestone

Study Start

First participant enrolled

October 1, 2022

Completed
5.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2028

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2028

Last Updated

August 3, 2022

Status Verified

August 1, 2022

Enrollment Period

5.8 years

First QC Date

March 16, 2022

Last Update Submit

August 2, 2022

Conditions

Outcome Measures

Primary Outcomes (6)

  • Vitamin D plasma levels

    Vitamin D plasma levels

    baseline

  • Vitamin D plasma levels

    Vitamin D plasma levels

    one year follow up

  • Vitamin D plasma levels

    Vitamin D plasma levels

    two years follow-up

  • Z-score and T-score of femur and lumbur spine

    DEXA exam - bone density. higher score means better resuls. osteopenia is defined as \<-1 score , osteoporosis is defined as \<-2.5 score

    baseline

  • Z-score and T-score of femur and lumbur spine

    DEXA exam - bone density. higher score means better resuls. osteopenia is defined as \<-1 score , osteoporosis is defined as \<-2.5 score

    one year follow up

  • Z-score and T-score of femur and lumbur spine

    DEXA exam - bone density. higher score means better resuls. osteopenia is defined as \<-1 score , osteoporosis is defined as \<-2.5 score

    two years follow-up

Secondary Outcomes (12)

  • positive ortostatic hypotension

    baseline

  • positive ortostatic hypotension

    one year follow up

  • positive ortostatic hypotension

    Two years follow-up

  • cold pressure - autonomous sympatetic nervous system function - normal vs, inadequete

    baseline

  • cold pressure - autonomous sympatetic nervous system function - normal vs, inadequete

    one year follow up

  • +7 more secondary outcomes

Study Arms (2)

Controls

OTHER

Healthy controls with no known vestibular disease

Diagnostic Test: vitamin D plasma levels baselineDiagnostic Test: Dual-energy X-ray absorptiometry at baselineDiagnostic Test: Measuring Orthostatic Blood Pressure at baselineDiagnostic Test: cold pressor test at baseline

Definite Meniere's disease

EXPERIMENTAL

Patients with Definite Meniere's disease

Diagnostic Test: vitamin D plasma levels baselineDiagnostic Test: Dual-energy X-ray absorptiometry at baselineDiagnostic Test: cervical Vestibular evoked myogenic potentials at baselineDiagnostic Test: Audiogram at baselineDiagnostic Test: Measuring Orthostatic Blood Pressure at baselineDiagnostic Test: cold pressor test at baselineDiagnostic Test: vitamin D plasma levels one year after recruitmentDiagnostic Test: vitamin D plasma levels two years after recruitmentDiagnostic Test: Dual-energy X-ray absorptiometry one year after recruitmentDiagnostic Test: Dual-energy X-ray absorptiometry two years after recruitmentDiagnostic Test: cervical Vestibular evoked myogenic potentials one year after recruitmentDiagnostic Test: cervical Vestibular evoked myogenic potentials two years after recruitmentDiagnostic Test: Audiogram one year after recruitmentDiagnostic Test: Audiogram two years after recruitmentDiagnostic Test: Measuring Orthostatic Blood Pressure one year after recruitmentDiagnostic Test: Measuring Orthostatic Blood Pressure two years after recruitmentDiagnostic Test: cold pressor test one year after recruitmentDiagnostic Test: cold pressor test two years after recruitment

Interventions

Measuring vitamin D plasma levels at baseline

ControlsDefinite Meniere's disease

Measuring T-score and Z-score of the femur and lumbar spine at baseline

Also known as: DEXA
ControlsDefinite Meniere's disease

cVEMP is a vestibular test for saccular function, an otolith organ in the inner ear. the electrical response of the stermocledomastoid muscle to saccular stimulation is measured via two distinct waves - P13 and N23. the latency, amplitude and peak to peak amplitude will be measured.

Also known as: cVEMP
Definite Meniere's disease
Audiogram at baselineDIAGNOSTIC_TEST

hearing measurement will be performed. Hearing level in dB will be performed in the 250-8,000 Hz frequency. The test includes Speech reception threshold and word recognition score.

Also known as: Hearing test
Definite Meniere's disease

blood pressure will be measure two minutes after lying supine and repeated 3 minutes after standing. A drop of at least 20mmHg systolic pressure or at least 10mmHg diastolic blood pressure is considered a positive test

Also known as: Orthostatic Hypotension
ControlsDefinite Meniere's disease

The cold pressor test is an indicator for sympathetic system function. A rise of at least 15mmHg of systolic pressure after putting the subject's hand in cold water (4 deg Celsius) is indicative of normal sympathetic function.

ControlsDefinite Meniere's disease

Measuring vitamin D plasma levels one year after recruitment

Definite Meniere's disease

Measuring vitamin D plasma levels two years after recruitment

Definite Meniere's disease

Measuring T-score and Z-score of the femur and lumbar spine one year after recruitment

Also known as: DEXA
Definite Meniere's disease

Measuring T-score and Z-score of the femur and lumbar spine two years after recruitment

Definite Meniere's disease

cVEMP is a vestibular test for saccular function, an otolith organ in the inner ear. the electrical response of the stermocledomastoid muscle to saccular stimulation is measured via two distinct waves - P13 and N23. the latency, amplitude and peak to peak amplitude will be measured one year after recruitment

Also known as: cVEMP
Definite Meniere's disease

cVEMP is a vestibular test for saccular function, an otolith organ in the inner ear. the electrical response of the stermocledomastoid muscle to saccular stimulation is measured via two distinct waves - P13 and N23. the latency, amplitude and peak to peak amplitude will be measured two years after recruitment

Also known as: cVEMP
Definite Meniere's disease

hearing measurement will be performed. Hearing level in dB will be performed in the 250-8,000 Hz frequency. The test includes Speech reception threshold and word recognition score performed one year after recruitment

Also known as: Hearing test
Definite Meniere's disease

hearing measurement will be performed. Hearing level in dB will be performed in the 250-8,000 Hz frequency. The test includes Speech reception threshold and word recognition score performed two years after recruitment

Also known as: Hearing test
Definite Meniere's disease

blood pressure will be measure two minutes after lying supine and repeated 3 minutes after standing. A drop of at least 20mmHg systolic pressure or at least 10mmHg diastolic blood pressure is considered a positive test. The test will be performed one year after recruitment

Also known as: Ortostatic hypostension
Definite Meniere's disease

blood pressure will be measure two minutes after lying supine and repeated 3 minutes after standing. A drop of at least 20mmHg systolic pressure or at least 10mmHg diastolic blood pressure is considered a positive test. The test will be performed two year after recruitment.

Also known as: Ostostatic hypotension
Definite Meniere's disease

The cold pressor test is an indicator for sympathetic system function. A rise of at least 15mmHg of systolic pressure after putting the subject's hand in cold water (4 deg Celsius) is indicative of normal sympathetic function. The test will be performed one year after recruitment.

Definite Meniere's disease

The cold pressor test is an indicator for sympathetic system function. A rise of at least 15mmHg of systolic pressure after putting the subject's hand in cold water (4 deg Celsius) is indicative of normal sympathetic function. The test will be performed two years after recruitment.

Definite Meniere's disease

Eligibility Criteria

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

You may qualify if:

  • Definite Meniere's disease

You may not qualify if:

  • hyperthyroidism
  • hyperparathyroidism
  • acromegaly
  • hypogonadism
  • diabetes melitus
  • chronic renal failure
  • alcoholism
  • cushing syndrome
  • rheumatoid arthritis
  • systemic lupus erythematosus
  • ankylosing spondylitis
  • inflammatory bowel disease
  • obstructive lung disease
  • sarcoidosis
  • amyloidosis
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Meniere DiseaseOsteoporosisBone Diseases, MetabolicVitamin D DeficiencyVestibular Diseases

Interventions

Hearing TestsAbsorptiometry, PhotonVestibular Evoked Myogenic PotentialsAudiometry

Condition Hierarchy (Ancestors)

Endolymphatic HydropsLabyrinth DiseasesEar DiseasesOtorhinolaryngologic DiseasesBone DiseasesMusculoskeletal DiseasesMetabolic DiseasesNutritional and Metabolic DiseasesAvitaminosisDeficiency DiseasesMalnutritionNutrition Disorders

Intervention Hierarchy (Ancestors)

Diagnostic Techniques, OtologicalDiagnostic Techniques and ProceduresDiagnosisRadiographyDiagnostic ImagingDensitometryPhotometryChemistry Techniques, AnalyticalInvestigative TechniquesEvoked Potentials, MotorEvoked PotentialsCortical ExcitabilityElectrophysiological PhenomenaPhysiological Phenomena

Central Study Contacts

Yoni Evgeni Gutkovich, M.D\Ph.D

CONTACT

Miki Peker, M/D

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Attending physician, Otolaryngology head and neck surgery department

Study Record Dates

First Submitted

March 16, 2022

First Posted

April 12, 2022

Study Start

October 1, 2022

Primary Completion (Estimated)

June 30, 2028

Study Completion (Estimated)

December 31, 2028

Last Updated

August 3, 2022

Record last verified: 2022-08

Data Sharing

IPD Sharing
Will not share