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Efficacy, Safety, Tolerability of Neramexane in Patients With Subjective Tinnitus

Phase 3
Completed
Conditions
Subjective Tinnitus
Interventions
Registration Number
NCT00955799
Lead Sponsor
Merz Pharmaceuticals GmbH
Brief Summary

The purpose of this study is to investigate the safety and efficacy of neramexane mesylate in the treatment of subjective tinnitus in comparison to placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
455
Inclusion Criteria
  • Patients aged between 18 and 75 years with a clinical diagnosis of first onset, persistent (i.e., tinnitus should never be absent for > 24 hours in a row), subjective, uni- or bilateral subacute tinnitus

Main

Exclusion Criteria
  • Clinical diagnosis of intermittent or pulsatile tinnitus
  • Patients who have tinnitus as a concomitant symptom of an otological/neurological disease (such as otitis media, Menière's disease, otosclerosis, etc)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Neramexane mesylateNeramexane mesylateDouble-blind treatment period of 29 weeks up to 75 mg Neramexane mesylate per day
PlaceboPlaceboPlacebo: identical placebo tablets
Primary Outcome Measures
NameTimeMethod
Absolute Change in TBF-12 (Tinnitus Handicap Inventory-12) Total Score from Baseline.Baseline to week 17 and 29

The TBF-12 is an adapted German version of the original English THI (Tinnitus Handicap Inventory). It is a self-report questionnaire assessing 12 items from 2 dimensions: emotional-cognitive factors and functional-communicational factors. Each item is rated with 0-2 (2= "often"; 1= "sometimes"; 0= "never"). The maximum score is 24 indicating most severe tinnitus impairment.

Hierarchical test procedure: Step 1: week 29 in subjects reporting acute hearing loss; step 2: week 17, ditto; step 3: week 29 in total population; step 4: week 17, ditto.

Absolute Change in TSSw (Tinnitus Severity Scale - One Week Version) Total Score from Baseline.Baseline to week 17 and 29

The TSSw is a measure of tinnitus severity. It will be self-evaluated by the patient at various time points on an 11-point Likert-like scale asking for the past week. The scores range from 0 (indicating no tinnitus) to the maximum score of 10 (characterizing the most severe tinnitus considered).

Hierarchical test procedure: Step 1: week 29 in subjects reporting acute hearing loss; step 2: week 17, ditto; step 3: week 29 in total population; step 4: week 17, ditto.

Secondary Outcome Measures
NameTimeMethod
TBF-12 Total Score: Change from BaselineBaseline to week 5, 17, 23, and 29

See outcome measure #1.

TBF-12 Factorial Scores: Change from BaselineBaseline to week 5, 17, 23, and 29

See outcome measure #1.

TBF-12: Individual Responder RateWeek 5, 17, 23, and 29

See outcome measure #1. A subject is considered responder if TBF-12 decreases at least 4 score points between baseline and respective visit.

Tinnitus Rating Scale (one week version): Change from BaselineBaseline to week 5, 17, 23, and 29

Tinnitus Rating Scale is a self-evaluated 11-point Likert scale assessing tinnitus loudness, annoyance, and impact on life. The scores range from 0 (no impact), to the maximum score of 10 (worst influence of the problem considered). Single scores and sum scores will be analysed.

Tinnitus Severity Scale (one week version): Change from BaselineBaseline to week 5, 17, 23, and 29

See outcome measure #2.

Attention and Performance Self-Assessment (ASPA) Questionnaire: Change from BaselineBaseline to week 5, 17, 23, and 29

The ASPA consists of 30 simple statements for which the patient can determine how regular this happens to him/her. The response options for each statement are "never", "seldom", "sometimes", "often" and "always".

Quality of Life Questionnaire (SF-36™ Health Survey): Change from BaselineBaseline to week 17 and 29

The SF-36 is a multipurpose health survey with 36 questions. It is a generic measure commonly used in general and specific populations, comparing the relative burden of diseases, and in differentiating the health benefits produced by a wide range of different treatments.

Hospital Anxiety and Depression Scale (HADS): Change from BaselineBaseline to week 17 and 29

The HADS is a self-assessment scale with 14 items which has been developed for non psychiatrists to detect states of depression and anxiety in a hospital outpatient population. Every item is rated with a scale (3= very often indeed; 2= quite often; 1= not very often; 0= not at all). Lower total scores indicate "normal", higher total scores "abnormal".

Trial Locations

Locations (74)

Horizon Clinical Research Associates PLLC

🇺🇸

Gilbert, Arizona, United States

Phoenix Clinical

🇺🇸

Phoenix, Arizona, United States

Paradigm Clinical Research

🇺🇸

Tucson, Arizona, United States

Providence Clinical Research

🇺🇸

Burbank, California, United States

Central California Clinical Research

🇺🇸

Fresno, California, United States

UC Davis Health System

🇺🇸

Sacramento, California, United States

Colorado Otolaryngology Associates

🇺🇸

Colorado Springs, Colorado, United States

New West Physicians

🇺🇸

Golden, Colorado, United States

Visions Clinical Research

🇺🇸

Boynton Beach,, Florida, United States

Tampa Bay Medical Research

🇺🇸

Clearwater, Florida, United States

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Horizon Clinical Research Associates PLLC
🇺🇸Gilbert, Arizona, United States

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