- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03255473
High Dose Oral Steroids in Sudden Sensorineural Hearing Loss
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Kristi Engle Folchert, MA
- Phone Number: 303-724-9528
- Email: kristi.englefolchert@CUAnschutz.edu
Study Locations
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Colorado
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Aurora, Colorado, United States, 80045
- University of Colorado Anschutz Medical Campus
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adults aged 18 to 80 years old
- Present to the Otology or Otolaryngology Clinic at the University of Colorado Hospital with unilateral sudden sensorineural hearing loss (SSNHL)
- Seen within six weeks of initial hearing loss
Unilateral hearing loss at screening as defined by:
- Loss of 30 decibels (dB) HL or greater over 3 continuous frequencies with participants reporting that this hearing loss occurred within 3 days
- Present with primary complaint of sensorineural hearing loss
- Normal tympanometry (Type A)
- Normal tympanic membrane
Exclusion Criteria:
Participants for whom high dose corticosteroids are a contraindicated due to:
- Pregnancy
- Known allergies to corticosteroids
- Other concurrent medical conditions and or medications where high dose oral corticosteroids are not safe to use
- Participants who have Type 1 or Type 2 diabetes
- Participants who have previously received a course of oral steroids for this indication
- Participants who have bilateral SSNHL
- Participants with conductive hearing loss, mixed hearing loss (sensorineural and conductive), or any type of hearing loss that is not SSNHL (i.e. caused by acoustic or physical trauma to the ear)
Participants with the following conditions/situations will be excluded because the possibility that these could cause SSNHL:
- History of previous/recurrent unilateral SSNHL
- History of fluctuating hearing in either ear
- History of Meniere's syndrome
- History of chronic granulomatous or suppurative otitis media or cholesteatoma in either ear
- History of otosclerosis in either ear
Participants with the following conditions/situations will be excluded due to risk of misclassification of diagnosis of idiopathic SSNHL or because these participants are at higher risk for potential steroid side effects due to other comorbidities. If the time line is not otherwise stated, then the participant will be excluded if they experienced these criteria at any point in their lifetime:
- Received oral steroids (for any indication besides SSNHL) for greater than 21 days in the preceding 30 days
- Systemic fungal infections in the last 6 months
- History of tuberculosis or history of prophylactic tuberculosis treatment for positive skin test (PPD)
- History of unstable angina, coronary artery stenting or bypass graft within 3 months
- History of transient ischemic attacks, cardiac arrhythmia, or stroke in the last 4 weeks
- Serious psychiatric disease or history of psychiatric reaction to corticosteroids, specifically bipolar, schizophrenia, episodes of mania or delirium
- Prior treatment with chemotherapy agents, immunosuppressive drugs, cyclosporine, or interferon
- Pancreatitis in the last year
- Active peptic ulcer disease or history of gastrointestinal bleeding in the last year
- History of known HIV, hepatitis C, or hepatitis B infection
- Chronic renal insufficiency requiring dialysis
- Active shingles (herpes zoster infection)
- Advanced/severe osteoporosis or nonsurgical aseptic necrosis of the hip
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Dexamethasone
All subject identification (ID) numbers will be randomly assigned to the dexamethasone or the prednisone arm of the trial prior to the initiation of the study.
|
All subject ID numbers will be randomly assigned to the dexamethasone or the prednisone arm of the trial prior to the initiation of the study.
Other Names:
|
Active Comparator: Prednisone
All subject ID numbers will be randomly assigned to the dexamethasone or the prednisone arm of the trial prior to the initiation of the study.
|
All subject ID numbers will be randomly assigned to the dexamethasone or the prednisone arm of the trial prior to the initiation of the study.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Hearing Threshold (Hearing Improvement)
Time Frame: Baseline, 1 week, 1 month, 3 months
|
Pure tone averages (from pure tone audiometry) will be recorded for participants at each visit, and assessed for changes in pure tone average over time.
Based on a change in pure tone average, participants will be categorized into the different groups.
|
Baseline, 1 week, 1 month, 3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Word Recognition Scores
Time Frame: 1 week, 1 month, 3 months, and assessed for change from baseline score.
|
Word recognition scores from speech audiometry tests will be summarized, by treatment arm, as a continuous variable using the mean, standard deviation, median, 25th percentile, 75th percentile, minimum and maximum.
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1 week, 1 month, 3 months, and assessed for change from baseline score.
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Changes in Pure Tone Averages
Time Frame: 1 week, 1 month, 3 months, and assessed for change from baseline pure tone average..
|
Continuous pure tone averages calculated from pure tone audiometry will be summarized using the mean, standard deviation, median, 25th percentile, 75th percentile, minimum and maximum and will be presented by treatment arm.
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1 week, 1 month, 3 months, and assessed for change from baseline pure tone average..
|
Clinical Frequency Analysis Based on Hearing Improvement
Time Frame: Baseline, 1 week, 1 month, 3 months
|
The frequency of patients presenting in each clinical category of hearing improvement will be presented by treatment arm.
Hypothesis testing will be performed, using a Mantel-Haenszel Chi-Square test, to test for the association between treatment group and the ordered levels of clinical category of hearing improvement.
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Baseline, 1 week, 1 month, 3 months
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Clinical Percentage Analysis Based on Hearing Improvement
Time Frame: Baseline, 1 week, 1 month, 3 months
|
The percentage of patients presenting in each clinical category of hearing improvement will be presented by treatment arm.
Hypothesis testing will be performed, using a Mantel-Haenszel Chi-Square test, to test for the association between treatment group and the ordered levels of clinical category of hearing improvement.
|
Baseline, 1 week, 1 month, 3 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Stephen P Cass, MD, University of Colorado, Denver
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Neurologic Manifestations
- Otorhinolaryngologic Diseases
- Ear Diseases
- Sensation Disorders
- Hearing Disorders
- Hearing Loss
- Deafness
- Hearing Loss, Sensorineural
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Autonomic Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Antiemetics
- Gastrointestinal Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Protease Inhibitors
- Dexamethasone
- Dexamethasone acetate
- BB 1101
- Prednisone
- Dexamethasone 21-phosphate
Other Study ID Numbers
- 16-2342
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.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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