Metabolic Disorders and Vertigo

NCT ID: NCT04935970

Last Updated: 2021-06-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-12-10

Study Completion Date

2022-08-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of investigation is to assess the levels of metabolic factors (hydroxyvitamin D, homocysteine) between patients with vestibular dysfunction of peripheral origin (BPPV) and central origin (vestibular migraine). Also we will analyse another factors (such as anxiety and depression) and optimize therapeuthical approach accordingly with the data.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Dizziness causes up to 2 to 15% of primary neurological complaints. In some patients who have undergone acute vertigo, postural instability, persistent postural perceptual vertigo (PPPV) develops, while in other similar cases occurs full recovery. So, it is necessary to search for neurophysiological, metabolic and psychophysiological factors and associated premorbid conditions that affect the outcome of neurovestibular compensation.

The case-control study will include 2 groups of patients suffering from vertigo of central and peripherial etiology. First group is recruited with patients were diagnosed with peripherial vestibular disorders, such as benign paroxysmal positional vertigo (BPPV), Meniere disease, vestibular neuritis. The proposal number of subjects in the first group is about forty. The second group will consist of forty patients with central vestibular disfunction: vestibular migraine, central positional vertigo etc. The inclusion of patient with persistent postural perceptual dizziness is discussed. Patients will be tested for hydroxyvitamin D and homocysteine in serum using an enzyme-linked immunosorbent assay (ELISA). The perception of the severity of disability was assessed using the Dizziness scale Handicap Inventory (DHI). All patients will undergo psychological test, including tas-26 scale, Beck's Depression Inventory, Spielberg-Hanin'sscale. Statistical analysis was carried out with the Statistical Analysis System (SAS) package. The relationships will be assessed using the chi squared test and logistic regression. The level of significance is set at p \< 0.05. The methods for small samples (Mann-Whitney U ) will be used. It is presumed that differences in vitamin D levels beetween two groups will be considerable.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Benign Paroxysmal Positional Vertigo (BPPV) Vestibular Migraine Central Positional Vertigo Vestibular Neuritis Meniere Disease

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

CASE_CONTROL

Study Time Perspective

OTHER

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

patients with peripherial vestibular disorder

Forty patients with BPPV, vestibular neuritis or another peripherial vestibular disorder

diagnostic blood test

Intervention Type DIAGNOSTIC_TEST

vitamin D deficiency/insufficiency reveal, hyperhomocysteinaemia reveal

neuropsychological test

Intervention Type DIAGNOSTIC_TEST

neuropsychological test, including tas-26 scale, Beck's Depression Inventory, Spielberg-Hanin'scale.

patients with central vestibular disorder

Forty patients vestibular disorder of central origin

diagnostic blood test

Intervention Type DIAGNOSTIC_TEST

vitamin D deficiency/insufficiency reveal, hyperhomocysteinaemia reveal

neuropsychological test

Intervention Type DIAGNOSTIC_TEST

neuropsychological test, including tas-26 scale, Beck's Depression Inventory, Spielberg-Hanin'scale.

healthy controls

twenty healthy control without balance problems

diagnostic blood test

Intervention Type DIAGNOSTIC_TEST

vitamin D deficiency/insufficiency reveal, hyperhomocysteinaemia reveal

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

diagnostic blood test

vitamin D deficiency/insufficiency reveal, hyperhomocysteinaemia reveal

Intervention Type DIAGNOSTIC_TEST

neuropsychological test

neuropsychological test, including tas-26 scale, Beck's Depression Inventory, Spielberg-Hanin'scale.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Written informed consent of participation in the study;
* Age:over 18 years old
* complaints of dizziness and insteadiness

Exclusion Criteria

* Severe cognitive impairment (dementia)
* Severe depression
* Syncopal paroxysms
* Epileptic seizures
* Orthostatic hypotension
* Severe arrhythmia, unstable angina pectoris, acute myocardial infarction
* Pregnancy 8. Alcoholism, substance abuse and drug addiction
* Organic liver and kidney diseases with the development of functional disorders.
* Anemia (hemoglobin \<10.5 g / dl for women and \<11.5 g / dl for men)
* Active oncological process
* Demyelinating and neurodegenerative diseases.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

I.M. Sechenov First Moscow State Medical University

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Anna Bedenko, PhD student

Role: PRINCIPAL_INVESTIGATOR

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Clinic of Neurology and Neurosurgery of I.M. Sechenov First Moscow State Medical University (Sechenov University)

Moscow, , Russia

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Russia

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Ludmila Antonenko, professor

Role: CONTACT

89265774431

Anna Bedenko, PhD student

Role: CONTACT

89164989851

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Anna Bedenko, PhD student

Role: primary

+79164989851

References

Explore related publications, articles, or registry entries linked to this study.

Bedenko A.S., Antonenko L.М., Barinov A.N. Metabolic disorders in the pathogenesis of various causes of dizziness and instability // Annals of the Russian academy of medical sciences. - 2020. - Vol. 75. - N. 6. - P. 605-608. doi: 10.15690/vramn1244

Reference Type BACKGROUND

Bedenko A.S. Vertigo in neurological practice: rare causes and difficult decisions. Medical alphabet. 2019;2(19):34-36. (In Russ.) https://doi.org/10.33667/2078-5631-2019-2-19(394)-34-36

Reference Type BACKGROUND

Bedenko A.S. Metabolic factors in pathogenesis of migraine and unsteadiness. Medical alphabet. 2020;(33):18-20. (In Russ.) https://doi.org/10.33667/2078-5631-2020-33-18-20

Reference Type BACKGROUND

Bedenko A.S. Vertigo caused by vestibular migraine: current problems of pathogenesis, diagnostics and therapy. Epilepsy and paroxysmal conditions. 2020;12(3):177-181. (In Russ.)https://doi.org/10.17749/2077-8333/epi.par.con.2020.032

Reference Type RESULT

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

16-19

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Acute Glycine Pharmacodynamic Study
NCT01610011 COMPLETED NA