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Effects of Vitamin B12 Treatment in Singers

Early Phase 1
Completed
Conditions
Vitamin B 12 Deficiency
Interventions
Registration Number
NCT03437824
Lead Sponsor
University of Southern California
Brief Summary

In this study, the investigators aim to assess if vitamin B12 treatment demonstrates a beneficial effect on voice performance. If so, they wish to examine the relationship between the vitamin B12 treatment and the study participant's general well-being.

Detailed Description

Through the investigators' experience, they have observed that amongst singers and voice professionals, there is a common belief that there are voice benefits from cobalamin treatment. Consequently, some singers and voice professionals tend to ask for cobalamin injections in order to enhance their vocal performance. However, there are no previous reports that illustrate the effects of vitamin B12 deficiency or treatment on voice performance.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Aged 18 to 65 years old
  • An active singer who is presently singing
  • Willing and able to comply with the study requirements
  • Completed and signed an informed consent form.
Exclusion Criteria
  • Known vitamin B12 deficiency
  • Active or recent vitamin B12 treatment (the subject must not receive vitamin B12 treatment for at least 4 weeks)
  • Any known bleeding disorder
  • Any known laryngeal pathology
  • Plans to start any new treatment, oral/parenteral anticoagulant, supplement, or medication during the study period
  • Scored above the highest 10 percentile of performance in all three voice evaluation questionnaires will be withdrawn from the study before the first injection (i.e., scored less than or equal to 7 in the Voice Fatigue Index (VFI), less than or equal to 6 in the Evaluation of the Ability to Sing Easily (EASE), and less than or equal to 4 in the Singing Voice Handicap Index 10 (SVHI-10))

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboNormal Saline Solution (0.9% Sodium Chloride), Once
CyanocobalaminCyanocobalaminVitamin B12, 1,000 mg, Once
Primary Outcome Measures
NameTimeMethod
0-10 Visual Analog Scale (VAS) - ChangeBaseline, 1 Hr Post-Injection, 3 Hrs Post-Injection, 24 Hrs Post-Injection, 72 Hrs Post-Injection, 1 Wk Post-Injection

The scale asks, "How confident are you that your voice will do what you need it to do right now?"; 0 = Not Confident At All, 10 = Extremely Confident

Evaluation of the Ability to Sing Easily (EASE) - ChangeBaseline, 1 Hr Post-Injection, 3 Hrs Post-Injection, 24 Hrs Post-Injection, 72 Hrs Post-Injection, 1 Wk Post-Injection

1 = Not at All, 2 = Mildly, 3 = Moderately, 4 = Extremely

Singing Voice Handicap Index-10 (SVHI-10) - ChangeBaseline, 1 Hr Post-Injection, 3 Hrs Post-Injection, 24 Hrs Post-Injection, 72 Hrs Post-Injection, 1 Wk Post-Injection

0 = Never, 1 = Almost Never, 2 = Sometimes, 3 = Almost Always, 4 = Always

Vocal Fold Swelling (Bastian et al., 2009) - ChangeBaseline, 1 Hr Post-Injection, 3 Hrs Post-Injection, 24 Hrs Post-Injection, 72 Hrs Post-Injection, 1 Wk Post-Injection

Happy Birthday, Staccato, Trill; 1 = Poor, 5 = Average, 10 = Excellent

Voice Fatigue Index (VFI) - ChangeBaseline, 1 Hr Post-Injection, 3 Hrs Post-Injection, 24 Hrs Post-Injection, 72 Hrs Post-Injection, 1 Wk Post-Injection

0 = Never, 1 = Almost Never, 2 = Sometimes, 3 = Almost Always, 4 = Always

Secondary Outcome Measures
NameTimeMethod
Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS) - ChangeBaseline, 1 Hr Post-Injection, 3 Hrs Post-Injection, 24 Hrs Post-Injection, 72 Hrs Post-Injection, 1 Wk Post-Injection

1 = Not at All, 5 = Extremely

Patients Health Questionnaire-9 for Depression - ChangeBaseline, 1 Hr Post-Injection, 3 Hrs Post-Injection, 24 Hrs Post-Injection, 72 Hrs Post-Injection, 1 Wk Post-Injection

0 = Not at All, 3 = Extremely

Trial Locations

Locations (1)

Keck Medicine of USC - Downtown Los Angeles

🇺🇸

Los Angeles, California, United States

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