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Autoimmunity in Inner Ear Disease



Autoimmunity in Inner Ear Disease

For Condition: Hearing Loss, Sensorineural
Status: No longer recruiting
Sponsor(s): National Institute on Deafness and Other Communication Disorders (NIDCD) ,
Synopsis: The purpose of this study is to determine whether prednisone, methotrexate, and cyclophosphamide are effective in the treatment of rapidly progressive sensorineural hearing loss in both ears. This condition is called autoimmune inner ear disease (AIED), because it is thought that the hearing loss is triggered by an autoimmune process. Treatment attempts to suppress or control this process with powerful anti-inflammatory drugs. This is a Phase III, outpatient study. All study participants will be assigned to one of four different groups testing the experimental use of drugs. The study is scheduled to run for 18 months, with a minimum of 11 visits per participant.
Details:
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 18 Years/70 Years
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Have sensorineural (nerve/inner ear) hearing loss of at least 30 dB in each ear, which has rapidly progressed. - Are in good general health. - Are sterile or use contraception (if a woman of child-bearing age). - Are able to speak and understand English or Spanish. Exclusion Criteria: - Have had any previous reaction to prednisone, or history of psychiatric reaction to corticosteroids. - Have used corticosteroids for more than 30 days within the past 90 days. Patients who have been off corticosteroids for at least 30 days may be eligible. - Have any significant heart, lung, digestive, blood, or neurologic disorders. - Have tuberculosis (TB), brittle or unstable insulin-dependent diabetes mellitus, active malignancy or prior chemotherapy, pancreatitis, active peptic ulcer disease, kidney failure, history of shingles, or known (other) autoimmune disease. - Have had a positive test for HIV, hepatitis C or B. - Have any type of middle ear disorder. - Are breast-feeding or pregnant.
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
Dr.Harris,  Study Chair, 

UCSD Medical Center
San Diego,  California,  92103-8895
United States
 

Massachusetts Eye and Ear Infirmary
Boston,  Massachusetts,  02114
United States
 

New York University
New York City,  New York, 
United States
 

Univ of Iowa Hosp and Clinic
Iowa City,  Iowa,  52242-1078
United States
 

Johns Hopkins Univ
Baltimore,  Maryland,  21287-0008
United States
 

University of Texas, Southwestern Medical Center at Dallas
Dallas,  Texas, 
United States
 

Cleveland Clinic Foundation
Cleveland,  Ohio,  44195-5245
United States
 

Univ of Michigan
Ann Arbor,  Michigan,  48109-0005
United States
 

House Ear Institute
Los Angeles,  California,  90057
United States
 


Additional Information:
Study ID Numbers:
  NIDCD-1158;  UO1 DC 03209
Study Start Date: 
Record last reviewed: October 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00000361

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