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Menier's Disease - Bone Density Study

Not Applicable
Not yet recruiting
Conditions
Osteoporosis
Vitamin D Deficiency
Osteopenia
Vestibular Disorder
Meniere Disease
Interventions
Diagnostic Test: vitamin D plasma levels baseline
Diagnostic Test: Dual-energy X-ray absorptiometry at baseline
Diagnostic Test: cervical Vestibular evoked myogenic potentials at baseline
Diagnostic Test: cold pressor test at baseline
Diagnostic Test: Audiogram at baseline
Diagnostic Test: Measuring Orthostatic Blood Pressure at baseline
Diagnostic Test: vitamin D plasma levels one year after recruitment
Diagnostic Test: vitamin D plasma levels two years after recruitment
Diagnostic Test: Dual-energy X-ray absorptiometry one year after recruitment
Diagnostic Test: Dual-energy X-ray absorptiometry two years after recruitment
Diagnostic Test: cervical Vestibular evoked myogenic potentials one year after recruitment
Diagnostic Test: cervical Vestibular evoked myogenic potentials two years after recruitment
Diagnostic Test: Audiogram one year after recruitment
Diagnostic Test: Audiogram two years after recruitment
Diagnostic Test: Measuring Orthostatic Blood Pressure one year after recruitment
Diagnostic Test: Measuring Orthostatic Blood Pressure two years after recruitment
Diagnostic Test: cold pressor test one year after recruitment
Diagnostic Test: cold pressor test two years after recruitment
Registration Number
NCT05322538
Lead Sponsor
HaEmek Medical Center, Israel
Brief Summary

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.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Definite Meniere's disease
Exclusion Criteria
  • hyperthyroidism
  • hyperparathyroidism
  • acromegaly
  • hypogonadism
  • diabetes melitus
  • chronic renal failure
  • alcoholism
  • cushing syndrome
  • rheumatoid arthritis
  • systemic lupus erythematosus
  • ankylosing spondylitis
  • inflammatory bowel disease
  • obstructive lung disease
  • sarcoidosis
  • amyloidosis
  • celiac disease.
  • chronic treatment with bisphosphonates
  • chronic treatment with glucocorticoids
  • chronic treatment with androgen deprivation therapy
  • chronic treatment with gonadotropin releasing hormone agonist chronic treatment with aromatase inhibitor chronic treatment with loop diuretics chronic treatment with proton pump inhibitors chronic treatment with anti-seizure drugs chronic treatment with warfarin chronic treatment with SSRI chronic treatment with alpha or beta-blockers

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Definite Meniere's diseasevitamin D plasma levels one year after recruitmentPatients with Definite Meniere's disease
Definite Meniere's diseasevitamin D plasma levels baselinePatients with Definite Meniere's disease
Controlsvitamin D plasma levels baselineHealthy controls with no known vestibular disease
ControlsDual-energy X-ray absorptiometry at baselineHealthy controls with no known vestibular disease
Definite Meniere's diseasecervical Vestibular evoked myogenic potentials at baselinePatients with Definite Meniere's disease
Definite Meniere's diseaseMeasuring Orthostatic Blood Pressure at baselinePatients with Definite Meniere's disease
Definite Meniere's diseasevitamin D plasma levels two years after recruitmentPatients with Definite Meniere's disease
Definite Meniere's diseaseAudiogram one year after recruitmentPatients with Definite Meniere's disease
Controlscold pressor test at baselineHealthy controls with no known vestibular disease
Definite Meniere's diseasecold pressor test at baselinePatients with Definite Meniere's disease
ControlsMeasuring Orthostatic Blood Pressure at baselineHealthy controls with no known vestibular disease
Definite Meniere's diseaseDual-energy X-ray absorptiometry at baselinePatients with Definite Meniere's disease
Definite Meniere's diseaseDual-energy X-ray absorptiometry two years after recruitmentPatients with Definite Meniere's disease
Definite Meniere's diseaseAudiogram at baselinePatients with Definite Meniere's disease
Definite Meniere's diseaseMeasuring Orthostatic Blood Pressure two years after recruitmentPatients with Definite Meniere's disease
Definite Meniere's diseasecervical Vestibular evoked myogenic potentials one year after recruitmentPatients with Definite Meniere's disease
Definite Meniere's diseasecervical Vestibular evoked myogenic potentials two years after recruitmentPatients with Definite Meniere's disease
Definite Meniere's diseaseMeasuring Orthostatic Blood Pressure one year after recruitmentPatients with Definite Meniere's disease
Definite Meniere's diseasecold pressor test one year after recruitmentPatients with Definite Meniere's disease
Definite Meniere's diseasecold pressor test two years after recruitmentPatients with Definite Meniere's disease
Definite Meniere's diseaseDual-energy X-ray absorptiometry one year after recruitmentPatients with Definite Meniere's disease
Definite Meniere's diseaseAudiogram two years after recruitmentPatients with Definite Meniere's disease
Primary Outcome Measures
NameTimeMethod
Z-score and T-score of femur and lumbur spinetwo years follow-up

DEXA exam - bone density. higher score means better resuls. osteopenia is defined as \<-1 score , osteoporosis is defined as \<-2.5 score

Vitamin D plasma levelstwo years follow-up

Vitamin D plasma levels

Secondary Outcome Measures
NameTimeMethod
Hearing level (dB), SRT in dB , descrimination in (%) in the audiology examtwo years follow-up

audiology exam

ampitude, latency and peak to peak amplitude of the P13 and N23 waves in the cVEMP testtwo years follow-up

cervical vestibular evoked myogenic potential exam

positive ortostatic hypotensionTwo years follow-up

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, inadequetetwo years follow-up

a rise of less then 15mmHg after the test is considered inadequete function, more then 15hhHg - normal function

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