About this trial
The purpose of this multi-site research study is to determine if Etanercept, compared to a placebo, significantly reduces the severity of tinnitus (ringing in the ears) associated with history of blast and/or noise exposure or associated with Traumatic Brain Injury (TBI) and/or concussion. Individuals who qualify will be randomized into one of two groups: The group receiving the medication Etanercept or the group receiving a saline solution placebo.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Blast- or noise exposure
Traumatic brain injury (TBI) and/or concussion diagnosed by a health care provider.
Able to provide written informed consent.
Age: Minimum 18 years of age at the time of enrollment.
Disqualifiers
History or evidence of any of the following: Significant brain malformation; cerebral vascular events (such as strokes); neurodegenerative disorders affecting the brain, such as Parkinson's disease, ALS, or Huntington's disease; multiple sclerosis, Guillain-Barré syndrome, or any other disease involving demyelination disorder or any finding suggesting a demyelination disease or disorder; prior brain surgery.
Active malignant neoplasm such as lymphoma or solid tumors or history of malignant neoplasm, excluding successfully treated squamous cell carcinoma or basal carcinoma of the skin or cervical cancer.
Diagnosis of congestive heart failure.
History of diagnosed seizure disorder or epilepsy.
Trial design
Parallel
Treatments tested in this trial
Etanercept
Biological/VaccineTo treat blast or noise induced tinnitus
Saline
Other interventionPlacebo
Treatment groups
Trial outcomes
Primary outcomes
Tinnitus Functional Index (TFI)
Self-report questionnaire used to assess the severity and negative impact of tinnitus (tinnitus distress). It uses an 11 point Likert scale with higher scores indicating more severe tinnitus (For example, "How strong or loud was your tinnitus?", 0 (Not at all strong or loud)-10 (Extremely strong or loud).
Secondary outcomes
Audiometric testing
Pure tone air conduction (AC) testing; Pure tone bone conduction (BC) testing; Speech recognition threshold (SRT); Tympanometry; Word recognition testing
Tinnitus Testing
Tinnitus loudness matching (1 kHz loudness-matching); Minimum Masking Levels (MMLs)
Visual Numeric Rating Scale
Self-rated visual numeric scale that asks respondents to rate the loudness of their tinnitus on a scale from 0 (No Tinnitus) to 10 (Very Loud). Higher scores indicate louder/more severe tinnitus.
Tinnitus Primary Function Questionnaire
Self-report questionnaire assessing primary activities impaired by tinnitus. The questionnaire uses a self report number scale (1-100) asking respondents to indicate their agreement with each statement on a scale from 0 (completely disagree) to 100 (completely agree). Higher scores indicate worse tinnitus/more functional impairment from tinnitus.
Sponsors and contacts
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