Short-term Oral Prednisone for Acute Subjective Tinnitus (STOP-FAST)
Investigating the Efficacy of Short-term Oral Prednisone Therapy on Acute Subjective Tinnitus
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Sun
- Phone Number: +86-18917786102
- Email: sunshine7896@126.com
Study Contact Backup
- Name: Peifan Li
- Phone Number: +86-18373151369
- Email: 20211260020@fudan.edu.cn
Study Locations
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-
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Shanghai, China
- Eye and ENT Hospital of Fudan University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18-65 years old;
- a primary complaint of frequent occurrences of subjective tinnitus lasting at least 5 minutes within the past 3 months ;
- a definition of normal hearing in line with the World Report on Hearing (2021), of which the average value of hearing threshold at 500, 1000, 2000, 4000 Hz in better ear was less than 20 decibels;
- a score of more than 16 points on the Tinnitus Handicap Inventory (THI), which indicates that the level of tinnitus exceeds mild severity;
- a state of good general condition.
Exclusion Criteria:
- had previous history of middle ear pathology, apparent history of noise exposure, noise trauma or head injury;
- had received treatment for their current condition before the study;
- taken oral steroids within 3 months before randomization;
- had hearing implants;
- had participated in other clinical trials and have not terminated the trials;
- had a history of known corticosteroid contraindications (including osteoporosis, peptic ulcers, poorly controlled hypertension, diabetes, chronic liver or renal insufficiency, tumorous condition, alcohol abuse, pregnancy, or taking estrogen-containing oral contraceptive steroids);
- auditory hallucinations or other conditions deemed inappropriate for inclusion by the investigator.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: STOP group
a 10mg/d tapering 14-day course of oral prednisone intervention (the initial dose: 1mg/kg/day, max 60mg/day) in combination with ginkgo biloba agent (120mg, three times/day)
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Ginkgo biloba extracts are traditional Chinese medicine, which can improve microcirculation and provide good ameliorating effects for the treatment of tinnitus
Other Names:
The dose selection of oral prednisone is the maximum daily dose based on weight for 4 days, followed by a taper every 2 days, with the maximum duration to 14 days.
Other Names:
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Placebo Comparator: placebol group
Patients took oral standardized Ginkgo biloba extracts (120 mg daily) three times a day.
|
Ginkgo biloba extracts are traditional Chinese medicine, which can improve microcirculation and provide good ameliorating effects for the treatment of tinnitus
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
tinnitus handicap inventory (THI)
Time Frame: two weeks from baseline
|
The THI is a self-administered test, including 25 questions with grades four categories of tinnitus severity: slight corresponding to a score of 0-16, mild (18-36), moderate (38-56), severe (58-100).
The higher the score the more severe the tinnitus.
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two weeks from baseline
|
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tinnitus handicap inventory (THI)
Time Frame: four weeks from baseline
|
The THI is a self-administered test, including 25 questions with grades four categories of tinnitus severity: slight corresponding to a score of 0-16, mild (18-36), moderate (38-56), severe (58-100).
The higher the score the more severe the tinnitus.
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four weeks from baseline
|
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tinnitus handicap inventory (THI)
Time Frame: twelve weeks from baseline
|
The THI is a self-administered test, including 25 questions with grades four categories of tinnitus severity: slight corresponding to a score of 0-16, mild (18-36), moderate (38-56), severe (58-100).
The higher the score the more severe the tinnitus.
|
twelve weeks from baseline
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
the Athens Insomnia Scale-8 (AIS-8)
Time Frame: two weeks from baseline
|
The AIS comprises eight items that commonly measure difficulties in falling asleep or maintaining sleep to quantify the presence of insomnia.
The higher the AIS score, the lower the sleep quality and mental status.
The AIS identifies three types of sleep disorders: no insomnia (score below 4), suspicious (4-6), and insomnia (score between 7-24).
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two weeks from baseline
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the Athens Insomnia Scale-8 (AIS-8)
Time Frame: four weeks from baseline
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The AIS comprises eight items that commonly measure difficulties in falling asleep or maintaining sleep to quantify the presence of insomnia.
The higher the AIS score, the lower the sleep quality and mental status.
The AIS identifies three types of sleep disorders: no insomnia (score below 4), suspicious (4-6), and insomnia (score between 7-24).
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four weeks from baseline
|
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the Athens Insomnia Scale-8 (AIS-8)
Time Frame: twelve weeks from baseline
|
The AIS comprises eight items that commonly measure difficulties in falling asleep or maintaining sleep to quantify the presence of insomnia.
The higher the AIS score, the lower the sleep quality and mental status.
The AIS identifies three types of sleep disorders: no insomnia (score below 4), suspicious (4-6), and insomnia (score between 7-24).
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twelve weeks from baseline
|
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visual analog scale (VAS)
Time Frame: two weeks from baseline
|
The subjective perception of tinnitus loudness will be evaluated using a Visual Analog Scale (VAS).
Participants will be instructed to rate the perceived loudness of their tinnitus on a scale ranging from 0, indicating "no loudness," to 10, representing "maximum imaginable loudness."
Higher scores on this scale will correspond to greater perceived loudness of tinnitus symptoms.
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two weeks from baseline
|
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visual analog scale (VAS)
Time Frame: four weeks from baseline
|
The subjective perception of tinnitus loudness will be evaluated using a Visual Analog Scale (VAS).
Participants will be instructed to rate the perceived loudness of their tinnitus on a scale ranging from 0, indicating "no loudness," to 10, representing "maximum imaginable loudness."
Higher scores on this scale will correspond to greater perceived loudness of tinnitus symptoms.
|
four weeks from baseline
|
|
visual analog scale (VAS)
Time Frame: twelve weeks from baseline
|
The subjective perception of tinnitus loudness will be evaluated using a Visual Analog Scale (VAS).
Participants will be instructed to rate the perceived loudness of their tinnitus on a scale ranging from 0, indicating "no loudness," to 10, representing "maximum imaginable loudness."
Higher scores on this scale will correspond to greater perceived loudness of tinnitus symptoms.
|
twelve weeks from baseline
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Shan Sun, Eye and ENT Hospital of Fudan University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
- Otorhinolaryngologic Diseases
- Sensation Disorders
- Ear Diseases
- Hearing Disorders
- Tinnitus
- Antineoplastic Agents
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Prednisone
Other Study ID Numbers
Other Study ID Numbers
- STOP for AST
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
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