- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04026516
CAVA: Dizziness Trial (CAVA)
Production of a Device to Obtain Continuous Ambulatory Vestibular Assessment (CAVA) - Dizziness Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Dizziness is a common condition that is responsible for a significant degree of material morbidity and burden on our health service. There are multiple causes of dizziness, and these originate from pathologies affecting a large variety of different organ systems. Dizziness is usually episodic and short-lived, so when a patient presents to their health care provider, examination is often normal. As such, diagnosis is challenging and patients often experience significant delay in receiving a diagnosis.
The investigators have developed a prototype device for monitoring dizziness and have tested it in a group of 17 healthy volunteers. The results showed that their device is capable of accurately, precisely and reliably identifying short periods of induced nystagmus (eye movements produced during dizzy attacks) among days' worth of normal eye movement data.
The overall aim of this trial is to test a fully evolved device for the continuous recording of eye movements over a prolonged period of time, on patients suffering from dizziness. For the purpose of this study, the monitoring period is 23 hours a day, for 30 days. The device is composed of two components: a bespoke single-use sensor array that adheres to the participant's face, and a small reusable module that contains a battery, microcomputer, data storage facility, battery and connection port.
The investigators intend to confirm that the device data can be used to identify any occurrence of nystagmus, as produced during attacks of vertigo. Each trial participant will be provided with the device and enough single-use electrode arrays to allow the array to be changed every 24 hours, for thirty days. Participants will be allowed to remove the sensor array for up to 60 minutes each day to allow them to wash and/or shower. If patients experience an episode of dizziness during the trial, they are required to log the details of the event in a trial diary. The identity of these days will not be revealed to the blinded investigator who will later conduct a formal, blinded analysis of the data. At the end of the thirty-day trial, the sensitivity and specificity of the device will be determined by assessing whether the data can be used to correctly identify the dates that participants reported dizziness.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: John Phillips, Consultant
- Phone Number: +44 1603 593054
- Email: john.phillips@mac.com
Study Contact Backup
- Name: Jacob Newman, Dr
- Phone Number: +44 1603 593054
- Email: jacob.newman@uea.ac.uk
Study Locations
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Norfolk
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Norwich, Norfolk, United Kingdom, NR4 7UY
- Norfolk & Norwich University Hospitals NHS Foundation Trust
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Adults aged 18 and over.
- Patients experiencing episodes of true vertigo, with at least two episodes within the preceding month. Relevant medical conditions include Meniere's disease, Benign Paroxysmal Positional Vertigo (BPPV), recurrent vestibulopathy and vestibular migraine.
- Able to commit to 30 days of continuous wear of the trial device as per the study plan.
- Own a telephone.
Exclusion Criteria:
- Potential participants who have a history of dermatological disease, fragile skin, or damage around the forehead.
- Potential participants who have an allergy to plasters and/or medical adhesives - (similarly to materials used in the device).
- History of hypertension or cardiac problems (uncontrolled, acute or de-compensated - phase).
- History of ear disease, or previous ear surgery.
- History of psychotic/neurotic disorders or epilepsy.
- History of eye disease, or previous eye surgery.
- Pregnant or nursing mothers.
- Potential participants who have taken part in a previous CAVA trial.
- Potential participants who are currently taking part in another trial.
- Unable to follow the testing protocol.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: CAVA Dizziness Trial Arm
All trial participants are within this arm.
All participants will wear the CAVA device for 30 days and follow the same procedures throughout the trial.
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The CAVA device will be worn continuously for thirty days, during which time it will record eye and head movements
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Nystagmus detection sensitivity and specificity of 95%
Time Frame: 30 days
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The investigators will determine the sensitivity and specificity of the results obtained by a bespoke computer algorithm for detecting episodes of nystagmus, from data captured by the CAVA device.
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30 days
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Post-trial participant questionnaire
Time Frame: 30 days
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A questionnaire will be provided to the participants at the end of the trial to gather data on device acceptability and other patient feedback.
A qualitative assessment of this data will be performed.
The device acceptability is measured over 8 questions regarding comfort of wear, ease of wear, self consciousness, effect on sleep with each question having a scale of 1-5.
With 5 being the best outcome and 1 being the worst outcome.
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30 days
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Compliance with wearing the device
Time Frame: 30 days
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Investigators will check the participants compliance of wearing the device by using the data in the participants' trial diaries.
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30 days
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Functionality of the device's accelerometer
Time Frame: 30 days
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Data will be downloaded from the device and manually checked to ensure that valid data has been captured.
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30 days
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Functionality of the device's event marker
Time Frame: 30 days
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Data will be downloaded from the device and manually checked to ensure that the known dates and times of event marker activation match the record stored on the device.
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30 days
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Functionality of the device's timestamping capabilities
Time Frame: 30 days
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The known dates and times of event marker activations will be compared to the record stored on the device.
From this information, clock drift will be calculated (hh:mm:ss).
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30 days
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: John Phillips, Consultant, Dr
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
- Nervous System Diseases
- Neurologic Manifestations
- Otorhinolaryngologic Diseases
- Labyrinth Diseases
- Ear Diseases
- Cranial Nerve Diseases
- Vestibular Diseases
- Sensation Disorders
- Vestibulocochlear Nerve Diseases
- Retrocochlear Diseases
- Endolymphatic Hydrops
- Vertigo
- Benign Paroxysmal Positional Vertigo
- Dizziness
- Vestibular Neuronitis
- Meniere Disease
Other Study ID Numbers
- 261099 (14-02-19)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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