About this trial
Meniere's disease is a progressive and debilitating inner ear disease characterised by vertigo and hearing loss. Several studies have linked Menierws disease with lower bone density and lower vitamin D levels. In the current prospective study definite Meniere's patients will be followed over a period of 2 year, during which repetitive measurements of bone density, vitamin D plasma levels, blood pressure as well as hearing and vestibular tests will be made. Results will be compared to healthy controls.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Definite Meniere's disease
Disqualifiers
hyperthyroidism
hyperparathyroidism
acromegaly
hypogonadism
Trial design
Parallel
Treatments tested in this trial
vitamin D plasma levels baseline
Diagnostic testMeasuring vitamin D plasma levels at baseline
Dual-energy X-ray absorptiometry at baseline
Diagnostic testMeasuring T-score and Z-score of the femur and lumbar spine at baseline
cervical Vestibular evoked myogenic potentials at baseline
Diagnostic testcVEMP is a vestibular test for saccular function, an otolith organ in the inner ear. the electrical response of the stermocledomastoid muscle to saccular stimulation is measured via two distinct waves - P13 and N23. the latency, amplitude and peak to peak amplitude will be measured.
Audiogram at baseline
Diagnostic testhearing measurement will be performed. Hearing level in dB will be performed in the 250-8,000 Hz frequency. The test includes Speech reception threshold and word recognition score.
Measuring Orthostatic Blood Pressure at baseline
Diagnostic testblood pressure will be measure two minutes after lying supine and repeated 3 minutes after standing. A drop of at least 20mmHg systolic pressure or at least 10mmHg diastolic blood pressure is considered a positive test
cold pressor test at baseline
Diagnostic testThe cold pressor test is an indicator for sympathetic system function. A rise of at least 15mmHg of systolic pressure after putting the subject's hand in cold water (4 deg Celsius) is indicative of normal sympathetic function.
vitamin D plasma levels one year after recruitment
Diagnostic testMeasuring vitamin D plasma levels one year after recruitment
vitamin D plasma levels two years after recruitment
Diagnostic testMeasuring vitamin D plasma levels two years after recruitment
Dual-energy X-ray absorptiometry one year after recruitment
Diagnostic testMeasuring T-score and Z-score of the femur and lumbar spine one year after recruitment
Dual-energy X-ray absorptiometry two years after recruitment
Diagnostic testMeasuring T-score and Z-score of the femur and lumbar spine two years after recruitment
cervical Vestibular evoked myogenic potentials one year after recruitment
Diagnostic testcVEMP is a vestibular test for saccular function, an otolith organ in the inner ear. the electrical response of the stermocledomastoid muscle to saccular stimulation is measured via two distinct waves - P13 and N23. the latency, amplitude and peak to peak amplitude will be measured one year after recruitment
cervical Vestibular evoked myogenic potentials two years after recruitment
Diagnostic testcVEMP is a vestibular test for saccular function, an otolith organ in the inner ear. the electrical response of the stermocledomastoid muscle to saccular stimulation is measured via two distinct waves - P13 and N23. the latency, amplitude and peak to peak amplitude will be measured two years after recruitment
Audiogram one year after recruitment
Diagnostic testhearing measurement will be performed. Hearing level in dB will be performed in the 250-8,000 Hz frequency. The test includes Speech reception threshold and word recognition score performed one year after recruitment
Audiogram two years after recruitment
Diagnostic testhearing measurement will be performed. Hearing level in dB will be performed in the 250-8,000 Hz frequency. The test includes Speech reception threshold and word recognition score performed two years after recruitment
Measuring Orthostatic Blood Pressure one year after recruitment
Diagnostic testblood pressure will be measure two minutes after lying supine and repeated 3 minutes after standing. A drop of at least 20mmHg systolic pressure or at least 10mmHg diastolic blood pressure is considered a positive test. The test will be performed one year after recruitment
Measuring Orthostatic Blood Pressure two years after recruitment
Diagnostic testblood pressure will be measure two minutes after lying supine and repeated 3 minutes after standing. A drop of at least 20mmHg systolic pressure or at least 10mmHg diastolic blood pressure is considered a positive test. The test will be performed two year after recruitment.
cold pressor test one year after recruitment
Diagnostic testThe cold pressor test is an indicator for sympathetic system function. A rise of at least 15mmHg of systolic pressure after putting the subject's hand in cold water (4 deg Celsius) is indicative of normal sympathetic function. The test will be performed one year after recruitment.
cold pressor test two years after recruitment
Diagnostic testThe cold pressor test is an indicator for sympathetic system function. A rise of at least 15mmHg of systolic pressure after putting the subject's hand in cold water (4 deg Celsius) is indicative of normal sympathetic function. The test will be performed two years after recruitment.
Treatment groups
Trial outcomes
Primary outcomes
Vitamin D plasma levels
Vitamin D plasma levels
Vitamin D plasma levels
Vitamin D plasma levels
Vitamin D plasma levels
Vitamin D plasma levels
Z-score and T-score of femur and lumbur spine
DEXA exam - bone density. higher score means better resuls. osteopenia is defined as \<-1 score , osteoporosis is defined as \<-2.5 score
Secondary outcomes
positive ortostatic hypotension
drop of 20mmHg systolic blood pressure or drop of 10mmHG diastolic blood pressure after 3 minutes of standing up. all other results - negetive
positive ortostatic hypotension
drop of 20mmHg systolic blood pressure or drop of 10mmHG diastolic blood pressure after 3 minutes of standing up. all other results - negetive
positive ortostatic hypotension
drop of 20mmHg systolic blood pressure or drop of 10mmHG diastolic blood pressure after 3 minutes of standing up. all other results - negetive
cold pressure - autonomous sympatetic nervous system function - normal vs, inadequete
a rise of less then 15mmHg after the test is considered inadequete function, more then 15hhHg - normal function
Locations
Sponsors and contacts
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