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Completed

NCT Number: NCT02112578

Non Inferiority of Meclin® (Meclizine Chlorhydrate) Versus Dramin® (Dimenhydrinate) in Control of Acute Vertigo Symptoms From Peripheral Origin

* Evaluation of the non inferiority of Meclin (meclizine) versus Dramin (Dimenhydrinate) to treat the symptoms of acute vertigo from peripheral origin after up to 4 weeks of treatment; * Evaluation of impact on quality of life in vertigo; * Compare the intensity of daytime sleepiness in the two treatment groups; * Compare the efficacy of drugs in relieving each of the 10 symptoms that make up the VS; * Compare the duration of treatment in both treatment groups; * Compare Adehence; * Compare the level of satisfaction from each group from the investigators and the subjects; * Adverse events;

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Clinilive, Maringá, Paraná, Brazil

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About this study

It is a prospective interventional study arms parallel , active -controlled , non-inferiority . Participants selected for the study should be of both sexes , aged over 18 years and less than 65, which meet all the inclusion criteria and did not fit any exclusion criteria , and agree to all the purposes of the study. Participants are divided into two according to the randomization treatment groups 1:1.

The study should take no longer than 30 days to be completed with the amount of 6 visits (7±2 days): V0 radomization; V1, V2, V3 andV4(FV) are Evaluation visits and One Follow up visit 7±2 days after the Final Visit.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Men and women aged over 18 years and less than 65;
  • Presence of vertigo episodes of vestibular origin (peripheral ) of moderate intensity , strong or very strong according to the VS range ;
  • Participants who are able to swallow tablets / capsules;
  • Participants able to understand the guidance and care of this study and cooperative ;
  • Participants with the requisite understanding, in accordance with Good Clinical Practice Research Document of the Americas.

Exclusion criteria

  • Use of meclizine or dimenidrynate in the actual event or in the past 15 days;
  • Use of alcohol in the past 48 hours;
  • Presence of vomiting which prevent the ingestion of tablets;
  • Pregnancy or breastfeeding;
  • Presence of clinical condition that determines contraindication to the active substances : convulsions , suspected intracranial compressive processes , closed-angle glaucoma , prostatic adenoma with urinary disorders , liver diseases , endocrine , renal, and / or uncontrolled cardiovascular , Parkinson's disease, porphyria, know history of hipersensibility to the Actives or Excipients from the study medications;
  • Malignancies History , even if no evidence of active disease for less than five years . Those without active disease for more than five years may be included;
  • Uncontrolled systemic arterial hypertension ( > 140/90 mmHg );
  • Decompensated diabetes mellitus (blood glucose at any time > 200 mg / dL );
  • Participants with asthma or chronic obstructive pulmonary disease;
  • Participants making use of antihistamines with anti-vertigo effect ( betahistine, meclizine , diphenidol ) , drugs with antagonist calcium channel action ( cinnarizine , flunarizine ) , anticholinergic drugs ( metoclopramide , dimenhydrinate , meclizine , diphenidol , scopolamine, ondansetron, granisetron ) , antiseizure drugs ( diazepam , clonazepam , carbamazepine ) and other central nervous system depressants;
  • Participants with central origin vertigo or non-vestibular;
  • Participants with positional benign positional paroxysmal vertigo (bppv).

Treatment and study plan

Meclizine

Drug

25 mg, 3 times per day up to 30 days

Other names: Meclin

Dimenhydrinate

Drug

50 mg, 3 times per day up to 30 days

Other names: Dramin

Primary outcomes

  1. Vertigo Score (VS)

    Time frame: up to 30 days

    Evaluation of non inferiority by measuring 10 symptoms of vertigo : distasia and instability when walking ; totter ; spinning sensation; tendency to fall; Continuous floating feeling ; floating sensation to change position ; floating sensation to bow down ; floating sensation when standing up ; floating sensation traveling on any means of transport; floating sensation with head movement ; floating sensation with eye movement. Each symptom is graduated in a semi -quantitative 5-point scale : 0 = no symptoms ; 1 = mild symptoms ; 2 = moderate symptoms ; 3 = strong symptoms ; 4 = very strong symptoms in all visits that the subject accomplishes.

Secondary outcomes

  1. Quality of Life Questionnaire DHI - Dizziness Handicap Inventory, validated for the Brazilian population

    Time frame: up to 30 days

    Evaluation of life quality

Other outcomes

  1. Stanford and Epworth Sleepiness Scale

    Time frame: up to 30 days

    Evaluation of somnolence (baseline measurement)

  2. Variation of the intensity of each of the 10 symptoms

    Time frame: up to 30 days

    Evaluation of the variation of the intensity of each of the 10 symptoms that make up VS, along the visits

  3. Duration of treatment (days from V0)

    Time frame: up to 30 days

    Evaluation of the duration of tratement from each group

  4. Adherence rate to treatment

    Time frame: up to 30 days

    Evaluation of adherence rate from each group throughout the study

  5. Visual analogue scale (VAS) for subjects and for investigators

    Time frame: up to 30 days

    For the subjective assessment of the participant and investigator's research on the treatment applied in 1,2,3 visits and final (VF);

  6. Participants Percentage with any symptoms classified as moderate (score ≥2)

    Time frame: Since last Visit

    Evaluation of participants percentage with any symptoms classified as moderate on the VS Scale on the follow-up visit, held 7 ± 2 days after the final inspection (VF).

    through the study.

  7. Analysis of Adverse Events

    Time frame: After the signature of SICF

    Evaluation of any Adverse Event ou Serious Adverse Event recorded after the signing of the Informed Consent ( IC) and until the end of the study

  8. Clinical and Physical findings

    Time frame: After the signature of SICF

    Evaluation of any changes in clinical / physical assessment findings since baseline

Sponsors and collaborators

Lead sponsor

Apsen Farmaceutica S.A.

Industry

Registry information

Official study title

" National, Phase III, Radomized, Double-Blind, Double -Dummy, Controlled, Parallel to Evaluate Non Inferiority of Meclin® (Meclizine Chlorhydrate) Versus Dramin® (Dimenhydrinate) Soft Gel Capsules in the Control of Acute Vertigo Symphtoms From Peripheral Origin"

Important dates

Study start
2016
Primary completion
2017
Study completion
2017
First posted
Apr 14, 2014
Registry last updated
Feb 8, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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