Repurposed Use of Allergic Rhinitis and Allergic Asthma Drug to Reduce Vertigo and Hearing Loss in Meniere's Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Sean Lang
- Phone Number: (213) 770-1808
- Email: clinicaltrials@hifla.org
Study Locations
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-
California
-
Los Angeles, California, United States, 90057
- House Ear Clinic
-
Los Angeles, California, United States, 90057
- House Institute Foundation
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults 18 years of age or older
- Must meet all AAO-HNS 2020 criteria for definite or probable Meniere's Disease
- Must have a skin test positive for allergy
- Is already a candidate for treatment with montelukast for allergic rhinitis/failed first line over-the-counter allergy treatments
Exclusion Criteria:
- Had a previous surgical procedure for treatment of vertigo
- Currently receiving any allergy immunotherapy or taking montelukast or a beta-blocker
- Pregnant or recent pregnancy ((≤ 8 weeks postpartum), or lactation)
- Current hospitalization for any reason
- Any active, acute, or chronic pulmonary disorder other than asthma
- History of intubation for asthma
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Montelukast 10 mg
Subjects will be instructed to take one pill at night for 90 days
|
Each subject will be given a drug diary to record when they took the drug and any symptoms that they are experiencing, and will bring this diary and any unused pills to their next clinic visit before receiving the next 30-day supply.
This process will continue for the full 90 days of study involvement, with a final visit 3 months later.
|
|
Placebo Comparator: Placebo
Subjects will be instructed to take one pill at night for 90 days
|
Each subject will be given a drug diary to record when they took the drug and any symptoms that they are experiencing, and will bring this diary and any unused pills to their next clinic visit before receiving the next 30-day supply.
This process will continue for the full 90 days of study involvement, with a final visit 3 months later.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Patients with AAO-HNS Vertigo Control Class A or B
Time Frame: 1 month after treatment initiation
|
Percentage of patients in each group with an AAO-HNS Vertigo Control Class A or B result (from daily diary count of number of attacks)
|
1 month after treatment initiation
|
|
Percentage of Patients with AAO-HNS Vertigo Control Class A or B
Time Frame: 3 months after treatment initiation
|
Percentage of patients in each group with an AAO-HNS Vertigo Control Class A or B result (from daily diary count of number of attacks)
|
3 months after treatment initiation
|
|
Percentage of Patients with AAO-HNS Vertigo Control Class A or B
Time Frame: 6 months after treatment initiation
|
Percentage of patients in each group with an AAO-HNS Vertigo Control Class A or B result (from daily diary count of number of attacks)
|
6 months after treatment initiation
|
|
Difference in Dizziness Between Treatment Arms
Time Frame: 3 months after treatment initiation
|
Difference for each group in AAO-HNS dizziness functional disability scale from pre-treatment to 3 months after treatment initiation.
A score improvement of 1 point on this 6-point scale will be considered significant improvement.
|
3 months after treatment initiation
|
|
Percentage of Subjects Experiencing Significant Hearing Fluctuation
Time Frame: 3 months after treatment initiation
|
Percentage of subjects in each treatment arm demonstrating clinically significant change in air conduction thresholds at > 2 frequencies at 3 months (> 10 dB change from baseline) or WDS (> 15% change from baseline) compared to the worst audiogram and WDS in the 6 months prior to treatment initiation.
|
3 months after treatment initiation
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Mary J Derebery, MD, House Institute Foundation
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neurologic Manifestations
- Nervous System Diseases
- Immune System Diseases
- Respiratory Tract Infections
- Infections
- Respiratory Tract Diseases
- Respiratory Hypersensitivity
- Hypersensitivity, Immediate
- Hypersensitivity
- Nose Diseases
- Otorhinolaryngologic Diseases
- Sensation Disorders
- Ear Diseases
- Endolymphatic Hydrops
- Hearing Disorders
- Labyrinth Diseases
- Vestibular Diseases
- Meniere Disease
- Hearing Loss
- Rhinitis
- Rhinitis, Allergic
- Vertigo
- Dizziness
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Hormone Antagonists
- Respiratory System Agents
- Anti-Asthmatic Agents
- Cytochrome P-450 Enzyme Inducers
- Cytochrome P-450 CYP1A2 Inducers
- Leukotriene Antagonists
- Montelukast
Other Study ID Numbers
Other Study ID Numbers
- 20203338
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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