A Phase IIb trial assessing a Chinese Medicine for Dizziness and Vertigo.
A Phase IIb Double-Blind Randomised Placebo-Controlled Trial assessing the efficacy of a Chinese Medicine formulation for Dizziness and Vertigo
Southern Cross University
160 participants
Jun 17, 2024
Interventional
Conditions
Summary
Dizziness is a common but poorly defined condition in people, particularly those over 50 years old. In people 50 years or older, the self-reported prevalence of dizziness and vertigo is over 34 percent. The impact that dizziness and vertigo can have on people over 50 is very relevant as it’s linked with conditions such as isolation, depression, reduced self-autonomy and self-control. It can hamper the social, functional, and psychological well-being of those experiencing dizziness and vertigo which in turn, can reduce quality of life. The trial aims to examine the efficacy and safety of the Chinese formula for preventing and treating dizziness.
Eligibility
Inclusion Criteria2
- Have a diagnosed dizziness/vertigo condition for greater or equal to 3 months (e.g. Meniere’s disease)
- Experiences dizziness/vertigo symptoms greater or equal to once per month
Exclusion Criteria40
- Medical history
- Current, clinically significant acute disease
- Indicators of an unmanaged and clinically significant chronic disease (as per participant self-reporting and investigator review)
- History of a physical head injury that has current, clinically significant sequela
- History of a CVA (stroke) or TIA (mini-stroke) or brain injury that has been diagnosed as the cause of the dizziness/vertigo symptoms
- A diagnosis of diabetes, pre-diabetes or insulin resistance
- Diagnosed bleeding disorder
- Clinically significant history of epistaxis (nose bleeds) that requires medical intervention to achieve haemostasis
- Recent (in the last 3 months) surgery on the eyes, brain or spinal cord
- Planned surgery during the 12 weeks of the trial
- Current stomach ulcer(s) or symptoms of stomach ulcers (e.g. gastritis) or currently taking medication (regular or PRN) to treat/prevent a stomach ulcer
- Any clinical indicators of current, clinically significant dehydration (e.g. oliguria, chronic thirst)
- Unstable or newly diagnosed (in last 3 months) cardiac condition
- Any current condition characterised by severe diarrhoea, severe constipation, excessive sweating or dry cough
- Any condition where the maintenance of fluid balance is important (e.g. may include certain cardiac or kidney conditions. Such conditions may be indicated by the use of potassium or other electrolytes supplements)
- Known history of hypotension (less than 90 systolic or greater than 60 diastolic) or uncontrolled hypertension (as per participant self-reporting)
- Mental health and related conditions
- Diagnosed, severe mental illness (e.g. by a psychiatrist)
- Severe cognitive impairment e.g. dementia
- Lifestyle
- Current or recent (in last 28 days) alcoholism (>14 standard drinks per week) or current or recent (in last 28 days) recreational drug use
- Medications
- Current or foreseeable use of nasal sprays during the trial
- Current use of diabetic medication
- Current use of prescription diuretics (supplements with diuretic action are permissible)
- Current use of any prescription anti-coagulant or anti-platelet medicine including regular aspirin (PRN use of aspirin is permissible)
- Current use (regular or PRN) of pentobarbital
- Current use (regular or PRN) of any benzodiazepine medication
- Concurrent use of any supplement/medication containing any of the ingredients in the IMP
- Other
- Those who are pregnant or breast-feeding
- Unwilling to use contraception throughout the trial
- Concurrent use of any supplement/medication with a known interaction with any IMP ingredient
- Known allergy or intolerance to any of the ingredients in the IMP
- Pathology abnormalities
- Screening pathology testing indicative of clinically significant potassium or sodium below the LLN
- Screening pathology testing indicative of clinically significant abnormal fasted glucose and/or HbA1c
- Screening pathology testing indicative of clinically significant anaemia (e.g. Red blood count, haematocrit or haemoglobin significantly below the LLN) or thrombocytopenia (platelets significantly below LLN)
- Screening pathology indicative of clinically significant abnormal clotting (e.g. prothrombin time (PT) significantly outside normal limits)
- Screening pathology testing of 25-hydroxy-vitamin D less than or equal to 30 nmol/L
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Interventions
A Chinese herbal mix that contains Alismatis Rhizoma 25,000mg, Atractylodes macrocephalia rhizoma 10,000mg, Citri reticulatae Pericarpium peel 3,000mg, Citri reticulatae viride Pericarpium peel 3,000mg and Nelumbinis folium leaf 3,000mg in a capsule. The dose administered is 2 capsules taken once daily. for 14 days initially. After 28 days, if the participant has a dizziness episode, they are able to take the IMP for 7 days for 2 dizziness episode. The participant is enrolled in the trial for 12 weeks; The mode of administration is an oral capsule Adherence to the IMP is via capsule return
Locations(1)
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ACTRN12624000037505