Tizanidine and Acoustic Reflex

NCT ID: NCT07309354

Last Updated: 2025-12-30

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

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-15

Study Completion Date

2026-03-15

Brief Summary

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The goal of this clinical trial is to learn how the muscle relaxant tizanidine affects the acoustic reflex in adults. The acoustic reflex is a natural protection system of the ear that helps reduce the impact of loud sounds. It is not known whether tizanidine changes how this reflex works.

The main question this study aims to answer is:

Does taking tizanidine for 1 week change acoustic reflex thresholds in the same person, when comparing before and after treatment? Participants who receive tizanidine will undergo hearing and acoustic reflex tests before treatment and again at the end of the treatment period.

Detailed Description

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Tizanidine is a commonly used muscle relaxant prescribed for musculoskeletal pain. Its relaxing effect on body muscles is well known. However, it is not clear whether tizanidine also affects the small muscle in the middle ear that is responsible for the acoustic reflex.

The acoustic reflex is a natural protection system of the ear. When a loud sound occurs, a tiny muscle called the stapedius contracts. This contraction reduces the amount of sound energy that reaches the inner ear and helps protect the inner ear and hearing nerve from acoustic damage. If this reflex does not work properly, a person may become more sensitive to loud sounds and may be more vulnerable to noise-related ear injury.

Only a few studies have looked at how muscle relaxant medicines influence the acoustic reflex, and most of them focused on drugs used during anesthesia. There is very little information about tizanidine, which is used in daily clinical practice for muscle and joint pain. Because of this gap, it is important to understand whether tizanidine changes the strength or timing of the acoustic reflex.

This single-arm clinical study will follow adults who are already planned to receive tizanidine as part of their treatment. Participants will take tizanidine 6 mg by mouth once a day for 1 week. Hearing and acoustic reflex tests will be done twice: once before starting tizanidine and again at the end of the treatment period. The same standardized audiological methods will be used at both time points, including tympanometry and acoustic reflex measurements in both ears.

The main goal is to compare the acoustic reflex measurements before and after tizanidine treatment in the same participants. By looking at changes in acoustic reflex thresholds, amplitudes, and response patterns, the study aims to show whether tizanidine has a measurable effect on stapedius muscle function. If the results suggest that tizanidine weakens or delays the acoustic reflex, this could mean that patients taking tizanidine may need to be more careful about exposure to loud noise during treatment. The findings may help clinicians better understand the auditory safety of muscle relaxant therapy and guide practical advice for patients.

Conditions

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Reflex, Acoustic Hearing

Keywords

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tizanidine acıustic reflex hearing

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Tizanidine Pre-Post Evaluation

Participants in this single-arm study will receive tizanidine 6 mg orally once daily for 1 week. Standardized audiological testing, including tympanometry and acoustic reflex measurements, will be performed twice: once before starting tizanidine and again at the end of the treatment period. Pre- and post-treatment acoustic reflex thresholds and response patterns will be compared within the same participants.

Group Type EXPERIMENTAL

Tizanidine

Intervention Type DRUG

Participants will receive tizanidine 6 mg orally once daily for 1 week. Standardized audiological testing, including tympanometry and multifrequency acoustic reflex measurements, will be performed before starting treatment and on day 7 at the end of the treatment period to evaluate changes in acoustic reflex thresholds and response patterns.

Interventions

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Tizanidine

Participants will receive tizanidine 6 mg orally once daily for 1 week. Standardized audiological testing, including tympanometry and multifrequency acoustic reflex measurements, will be performed before starting treatment and on day 7 at the end of the treatment period to evaluate changes in acoustic reflex thresholds and response patterns.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Voluntary participation and ability to provide informed consent
* Age 18 years or older
* Currently receiving tizanidine 6 mg once daily as part of clinical care
* No active middle ear disease that could affect tympanometric or acoustic reflex measurements
* No chronic neuromuscular disease
* Ability to complete audiological testing

Exclusion Criteria

* Refusal to participate
* Withdrawal of consent at any time
* Age under 18 years
* Presence of any ear condition that affects the acoustic reflex (e.g., otitis media, tympanic membrane perforation, otosclerosis)
* Presence of chronic neuromuscular disease
* Current alcohol or substance use disorder
* Any condition preventing completion of acoustic reflex or tympanometry testing
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Uşak University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Uşak University Faculty of Medicine

Uşak, Merkez, Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Faruk Kadri Bakkal, MD, Asistant Professor

Role: CONTACT

Phone: +905059242255

Email: [email protected]

Kağan Özkuk, MD, Professor

Role: CONTACT

Phone: +905055601815

Email: [email protected]

Facility Contacts

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Faruk Kadri Bakkal

Role: primary

Kağan Özkuk

Role: backup

Other Identifiers

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USAKBAP2025671

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

TIZAR470

Identifier Type: -

Identifier Source: org_study_id