Effects of Octanoic Acid for Treatment of Essential Voice Tremor

NCT ID: NCT01864525

Last Updated: 2018-08-20

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-07-31

Study Completion Date

2017-03-31

Brief Summary

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Essential voice tremor is a neurological condition that produces a regular, shaking quality in the voice. One form of drug treatment that produces some improvement in tremor of the hands is octanoic acid, which is a food additive that is similar to alcohol. Research suggests that octanoic acid may reduce tremor in the hands/arms with few side effects and no intoxication effects. This study will determine whether octanoic acid may be useful for reducing tremor when it affects the voice. Researchers are hypothesizing that octanoic acid will reduce the effects of tremor on the voice.

Detailed Description

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Background:

* Essential tremor of the voice produces regular shaking and hoarseness in the voice, making it difficult speech difficult to understand
* Several previous studies have found that octanoic acid and octanol, which are related to alcohol, can improve tremor in some people without producing many side effects and without producing intoxication
* Researchers are interested in determining whether octanoic acid can improve tremor that affects the voice

Objectives:

* To determine the effects of octanoic voice using voice recordings and listener ratings of voice
* To determine the effects of octanoic acid on level of voice disability experienced by people with essential voice tremor

Conditions

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Essential Voice Tremor Vocal Tremor Voice Tremor Essential Tremor of Voice

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Inactive capsule

Participants will receive a pill/capsule with an inactive ingredient during the placebo arm of this study.

Group Type PLACEBO_COMPARATOR

Inactive capsule

Intervention Type DRUG

Octanoic acid

Participants will receive a pill/capsule with octanoic acid (amount determined by the participant's weight) during the experimental arm of this study.

Group Type EXPERIMENTAL

Octanoic acid

Intervention Type DRUG

Interventions

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Octanoic acid

Intervention Type DRUG

Inactive capsule

Intervention Type DRUG

Other Intervention Names

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Caprylic acid Placebo

Eligibility Criteria

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Inclusion Criteria

* Participants have a diagnosis of essential voice tremor and show signs of tremor during the endoscopy examination (when pictures of the voice box are obtained)during screening appointment
* Participants show measurable voice tremor from recordings of the voice during screening appointment

Exclusion Criteria

* Participants have a diagnosis or show signs of Parkinson's Disease or another non-essential tremor movement disorder
* Participants have a diagnosis or show signs of spasmodic dysphonia (a different neurological voice disorder)
* Participants have a diagnosis of a severe, non-stable medical condition, such as kidney or liver failure, severe heart disease, severe lung disease, severe metabolic disease, uncontrolled hyperthyroidism, or other life-threatening disease such as active cancer
* Participants have a diagnosis of diabetes mellitus
* Participants are unable to suspend/stop a medication that they are currently taking for tremor or voice disorder for 12 weeks to complete this study
* Participants have a dependence on alcohol or allergy to alcohol
* Participants are pregnant or lactating
* Participants have an allergy to soy
* Participants have Irritable Bowel Syndrome
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Deafness and Other Communication Disorders (NIDCD)

NIH

Sponsor Role collaborator

Syracuse University

OTHER

Sponsor Role lead

Responsible Party

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Soren Lowell

Assistant Professor, Communication Sciences & Disorders

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Soren Y Lowell, PhD

Role: PRINCIPAL_INVESTIGATOR

Syracuse University

Locations

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Syracuse University & Upstate Medical University

Syracuse, New York, United States

Site Status

Countries

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United States

References

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Haubenberger D, McCrossin G, Lungu C, Considine E, Toro C, Nahab FB, Auh S, Buchwald P, Grimes GJ, Starling J, Potti G, Scheider L, Kalowitz D, Bowen D, Carnie A, Hallett M. Octanoic acid in alcohol-responsive essential tremor: a randomized controlled study. Neurology. 2013 Mar 5;80(10):933-40. doi: 10.1212/WNL.0b013e3182840c4f. Epub 2013 Feb 13.

Reference Type RESULT
PMID: 23408867 (View on PubMed)

Nahab FB, Wittevrongel L, Ippolito D, Toro C, Grimes GJ, Starling J, Potti G, Haubenberger D, Bowen D, Buchwald P, Dong C, Kalowitz D, Hallett M. An open-label, single-dose, crossover study of the pharmacokinetics and metabolism of two oral formulations of 1-octanol in patients with essential tremor. Neurotherapeutics. 2011 Oct;8(4):753-62. doi: 10.1007/s13311-011-0045-1.

Reference Type RESULT
PMID: 21594724 (View on PubMed)

Nahab FB, Handforth A, Brown T, Shin C, Quesada A, Dong C, Haubenberger D, Hallett M. Octanoic acid suppresses harmaline-induced tremor in mouse model of essential tremor. Neurotherapeutics. 2012 Jul;9(3):635-8. doi: 10.1007/s13311-012-0121-1.

Reference Type RESULT
PMID: 22454323 (View on PubMed)

Shill HA, Bushara KO, Mari Z, Reich M, Hallett M. Open-label dose-escalation study of oral 1-octanol in patients with essential tremor. Neurology. 2004 Jun 22;62(12):2320-2. doi: 10.1212/wnl.62.12.2320.

Reference Type RESULT
PMID: 15210907 (View on PubMed)

Bushara KO, Goldstein SR, Grimes GJ Jr, Burstein AH, Hallett M. Pilot trial of 1-octanol in essential tremor. Neurology. 2004 Jan 13;62(1):122-4. doi: 10.1212/01.wnl.0000101722.95137.19.

Reference Type RESULT
PMID: 14718713 (View on PubMed)

Other Identifiers

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1R03DC012429-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

370955-3

Identifier Type: -

Identifier Source: org_study_id

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