- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03865030
The Inner Ear Function in Psoriatic Patients (MP)
Audiovestibular Manifestations in Patients With Psoriasis
Psoriasis in a systemic disease that effects many systems of the body. few studies examined the hearing function of these patients but the results were inconclusive. No study, however, investigated the vestibular function of psoriatic patients.
In a prospective study, the investigators will compare audiovestibular function between psoriatic patients and healthy volunteers. .
Study Overview
Detailed Description
Whether psoriatic patients have higher risk for developing inner ear dysfunction (hearing loss and dizziness) is an important issue that needs to be elucidated. Awareness to the elevated risk (if there is any) of inner ear impairment, early detection and treatment of the condition may reduce the morbidities resulting from undiagnosed audiovestibular impairment.
In a prospective study the investigators will examine the inner ear function (vestibular and auditory) of psoriatic patients and compare it to an healthy, young control group.
The study will include 2 groups of participants: psoriatic patients and healthy volunteers. psoriatic patients are recruited from the dermatology clinic while the healthy volunteers are members of the hospital staff.
The participants will undergo 2 sets of examinations:
- auditory function examination: hearing test (that includes pure tone audiometry, speech audiometry and discrimination level), tympanometry and otoacoustic emissions.
vestibular function examination:
- Video head impulse test: a ten-minute, non- invasive test that includes a computer and a set of goggles worn by the participant. The participants is sitting in front of a wall while wearing the goggles, the investigator moves the participant's head sideways with short, rapid movements. the computer calculates the accuracy and the velocity of the eyes movements.
- The participants fills a dizziness handicap inventory questionnaire. The participants from the psoriatic group are recruited from the dermatology clinic. The healthy group participants are members of the hospital staff and are recruited from the hospital.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Afula, Israel, 1834111
- Hemek Medical center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Psoriatic patients that are treated in our institute.
Exclusion Criteria:
- Patients suffering from cardiovascular diseases (peripheral vascular disease,congestive heart failure, status post cerebrovascular accident).
- Conditions that are harmful to the inner ear (chronic renal failure,history of noise exposure, usage of ototoxic drugs, chronic otitis media, ear surgery in the past, significant head trauma in the past, ear drum perforation).
- participant that complains of vertigo/ dizziness/ unsteadiness.
- Participant who is/ was suffering from known inner ear disease: meniere disease, acoustic neurinoma, vestibular neuronitis.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: DIAGNOSTIC
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
ACTIVE_COMPARATOR: psoriatic patients
psoriatic patients that are recruited from the dermatology clinic.
This arm will undergo audiovestibular evaluation.
|
Hearing test- includes a pure tone audiometry, speech audiometry and discrimination level. tympanometry- Includes inserting headphones into the participants ears and computer calculation the compliance of the eardrum. otoacoustic emission: Includes headphones insertion and calculation of the inner ear audiological function. Video head impulse test. - Dizziness handicap inventory questionnaire. questionnaire filled by the participants provides a subjective data regarding the severity of the dizziness. |
|
ACTIVE_COMPARATOR: healthy volunteers
Healthy volunteers that are members of the hospital staff and will be recruited from the hospital.
This arm will undergo audiovestibular evaluation.
|
Hearing test- includes a pure tone audiometry, speech audiometry and discrimination level. tympanometry- Includes inserting headphones into the participants ears and computer calculation the compliance of the eardrum. otoacoustic emission: Includes headphones insertion and calculation of the inner ear audiological function. Video head impulse test. - Dizziness handicap inventory questionnaire. questionnaire filled by the participants provides a subjective data regarding the severity of the dizziness. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hearing test
Time Frame: up to 2 weeks after recruitment. estimation time of the outcome is 10 minutes.
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Determining the threshold of each measured tone in decibel units.
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up to 2 weeks after recruitment. estimation time of the outcome is 10 minutes.
|
|
Hearing test
Time Frame: up to 2 weeks after recruitment. estimation time of the outcome is 10 minutes.
|
Determining the speech threshold in decibel units.
|
up to 2 weeks after recruitment. estimation time of the outcome is 10 minutes.
|
|
Tympanometry
Time Frame: up to 2 weeks after recruitment. estimation time of the outcome is 3 minutes.
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Determining the type of tympanometry ( one out of the 3 possible options:A,B,C)
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up to 2 weeks after recruitment. estimation time of the outcome is 3 minutes.
|
|
Otoacoustic emission
Time Frame: up to 2 weeks after recruitment. estimation time of the outcome is 3 minutes.
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Determining existence or abscence of physiologic otoacoustic emissions in 500, 1000, 2000 Herts.
|
up to 2 weeks after recruitment. estimation time of the outcome is 3 minutes.
|
|
Video head impulse test
Time Frame: up to 2 weeks after recruitment. estimation time of the outcome is 10 minutes.
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Measuring the velocity of eye movement compared to velocity of the head while the head is thrusted.
The measured units are degrees/ seconds
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up to 2 weeks after recruitment. estimation time of the outcome is 10 minutes.
|
|
Dizziness handicap inventory
Time Frame: up to 2 weeks after recruitment. estimation time of the outcome is 5 minutes.
|
A questionnaire filled out by the participant, assesses subjectively the level of dizziness from which the patient suffers.
Score varies between 0-100
|
up to 2 weeks after recruitment. estimation time of the outcome is 5 minutes.
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Miki Paker, MD, Haemek Medical Center
Publications and helpful links
General Publications
- Pariser DM, Bagel J, Gelfand JM, Korman NJ, Ritchlin CT, Strober BE, Van Voorhees AS, Young M, Rittenberg S, Lebwohl MG, Horn EJ; National Psoriasis Foundation. National Psoriasis Foundation clinical consensus on disease severity. Arch Dermatol. 2007 Feb;143(2):239-42. doi: 10.1001/archderm.143.2.239.
- Halligan CS, Bauch CD, Brey RH, Achenbach SJ, Bamlet WR, McDonald TJ, Matteson EL. Hearing loss in rheumatoid arthritis. Laryngoscope. 2006 Nov;116(11):2044-9. doi: 10.1097/01.mlg.0000241365.54017.32.
- Bayazit YA, Yilmaz M, Gunduz B, Altinyay S, Kemaloglu YK, Onder M, Gurer MA. Distortion product otoacoustic emission findings in Behcet's disease and rheumatoid arthritis. ORL J Otorhinolaryngol Relat Spec. 2007;69(4):233-8. doi: 10.1159/000101544. Epub 2007 Apr 4.
- Dagli M, Sivas Acar F, Karabulut H, Eryilmaz A, Erkol Inal E. Evaluation of hearing and cochlear function by DPOAE and audiometric tests in patients with ankylosing spondilitis. Rheumatol Int. 2007 Apr;27(6):511-6. doi: 10.1007/s00296-006-0249-6. Epub 2006 Nov 9.
- Yen YC, Lin YS, Weng SF, Lai FJ. Risk of sudden sensorineural hearing loss in patients with psoriasis: a retrospective cohort study. Am J Clin Dermatol. 2015 Jun;16(3):213-20. doi: 10.1007/s40257-015-0117-9.
- Vir D, Sharma P, Mahajan R, Dogra S, Bakshi J, Panda NK. Investigation of high-frequency hearing loss and outer hair cell function of the cochlea in patients with psoriasis: a case-control study. Clin Exp Dermatol. 2019 Jul;44(5):520-523. doi: 10.1111/ced.13805. Epub 2018 Oct 2.
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
Other Study ID Numbers
- 0019-19
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
The individual participant data will be collected in the principal investigator computer for a period of 7 years.
The computer has a personal password and the computer if located inside a locked room.
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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