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CompletedNCT03865030MPUpdated Apr 11, 2022

The Inner Ear Function in Psoriatic Patients

An interventional study of audiovestibular function in Psoriasis, sponsored by HaEmek Medical Center, Israel. Completed at 1 site in Israel. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-04-11.

Sponsored by HaEmek Medical Center, Israel · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
63
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
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Study summary

Psoriasis in a systemic disease that effects many systems of the body. few studies examined the hearing function of these patients but the results were inconclusive. No study, however, investigated the vestibular function of psoriatic patients.

In a prospective study, the investigators will compare audiovestibular function between psoriatic patients and healthy volunteers. .

Read the detailed description

Whether psoriatic patients have higher risk for developing inner ear dysfunction (hearing loss and dizziness) is an important issue that needs to be elucidated. Awareness to the elevated risk (if there is any) of inner ear impairment, early detection and treatment of the condition may reduce the morbidities resulting from undiagnosed audiovestibular impairment.

In a prospective study the investigators will examine the inner ear function (vestibular and auditory) of psoriatic patients and compare it to an healthy, young control group.

The study will include 2 groups of participants: psoriatic patients and healthy volunteers. psoriatic patients are recruited from the dermatology clinic while the healthy volunteers are members of the hospital staff.

The participants will undergo 2 sets of examinations:

  1. auditory function examination: hearing test (that includes pure tone audiometry, speech audiometry and discrimination level), tympanometry and otoacoustic emissions.
  2. vestibular function examination:

    • Video head impulse test: a ten-minute, non- invasive test that includes a computer and a set of goggles worn by the participant. The participants is sitting in front of a wall while wearing the goggles, the investigator moves the participant's head sideways with short, rapid movements. the computer calculates the accuracy and the velocity of the eyes movements.
    • The participants fills a dizziness handicap inventory questionnaire. The participants from the psoriatic group are recruited from the dermatology clinic. The healthy group participants are members of the hospital staff and are recruited from the hospital.
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Conditions studied

  • Psoriasis

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03

In context

Psoriasis

1,899 studies on the registry are indexed under Psoriasis; 233 are open to participants now.

This study's enrollment of 63 is close to the median of 70 across 1,447 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

HaEmek Medical Center, Israel is the lead sponsor of 228 studies on the registry; 12 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Psoriatic patients that are treated in our institute.

Exclusion criteria

Exclusion Criteria:

  • Patients suffering from cardiovascular diseases (peripheral vascular disease,congestive heart failure, status post cerebrovascular accident).
  • Conditions that are harmful to the inner ear (chronic renal failure,history of noise exposure, usage of ototoxic drugs, chronic otitis media, ear surgery in the past, significant head trauma in the past, ear drum perforation).
  • participant that complains of vertigo/ dizziness/ unsteadiness.
  • Participant who is/ was suffering from known inner ear disease: meniere disease, acoustic neurinoma, vestibular neuronitis.
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
63 participants (actual)

Study arms

  • Active comparator
    psoriatic patients

    psoriatic patients that are recruited from the dermatology clinic. This arm will undergo audiovestibular evaluation.

    Device: audiovestibular function

  • Active comparator
    healthy volunteers

    Healthy volunteers that are members of the hospital staff and will be recruited from the hospital. This arm will undergo audiovestibular evaluation.

    Device: audiovestibular function

Interventions

  • Deviceaudiovestibular function

    Hearing test- includes a pure tone audiometry, speech audiometry and discrimination level. tympanometry- Includes inserting headphones into the participants ears and computer calculation the compliance of the eardrum. otoacoustic emission: Includes headphones insertion and calculation of the inner ear audiological function. Video head impulse test. - Dizziness handicap inventory questionnaire. questionnaire filled by the participants provides a subjective data regarding the severity of the dizziness.

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What researchers measure

Primary outcomes

  1. Hearing test

    Determining the threshold of each measured tone in decibel units.

    Time frame: up to 2 weeks after recruitment. estimation time of the outcome is 10 minutes.

  2. Hearing test

    Determining the speech threshold in decibel units.

    Time frame: up to 2 weeks after recruitment. estimation time of the outcome is 10 minutes.

  3. Tympanometry

    Determining the type of tympanometry ( one out of the 3 possible options:A,B,C)

    Time frame: up to 2 weeks after recruitment. estimation time of the outcome is 3 minutes.

  4. Otoacoustic emission

    Determining existence or abscence of physiologic otoacoustic emissions in 500, 1000, 2000 Herts.

    Time frame: up to 2 weeks after recruitment. estimation time of the outcome is 3 minutes.

  5. Video head impulse test

    Measuring the velocity of eye movement compared to velocity of the head while the head is thrusted. The measured units are degrees/ seconds

    Time frame: up to 2 weeks after recruitment. estimation time of the outcome is 10 minutes.

  6. Dizziness handicap inventory

    A questionnaire filled out by the participant, assesses subjectively the level of dizziness from which the patient suffers. Score varies between 0-100

    Time frame: up to 2 weeks after recruitment. estimation time of the outcome is 5 minutes.

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Study locations

1 site
  • Hemek Medical center
    Afula, 1834111, Israel
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References and documents

Publications

  • Pariser DM, Bagel J, Gelfand JM, Korman NJ, Ritchlin CT, Strober BE, Van Voorhees AS, Young M, Rittenberg S, Lebwohl MG, Horn EJ; National Psoriasis Foundation. National Psoriasis Foundation clinical consensus on disease severity. Arch Dermatol. 2007 Feb;143(2):239-42. doi: 10.1001/archderm.143.2.239. PubMed 17310004 ↗
  • Halligan CS, Bauch CD, Brey RH, Achenbach SJ, Bamlet WR, McDonald TJ, Matteson EL. Hearing loss in rheumatoid arthritis. Laryngoscope. 2006 Nov;116(11):2044-9. doi: 10.1097/01.mlg.0000241365.54017.32. PubMed 17075400 ↗
  • Bayazit YA, Yilmaz M, Gunduz B, Altinyay S, Kemaloglu YK, Onder M, Gurer MA. Distortion product otoacoustic emission findings in Behcet's disease and rheumatoid arthritis. ORL J Otorhinolaryngol Relat Spec. 2007;69(4):233-8. doi: 10.1159/000101544. Epub 2007 Apr 4. PubMed 17409782 ↗
  • Dagli M, Sivas Acar F, Karabulut H, Eryilmaz A, Erkol Inal E. Evaluation of hearing and cochlear function by DPOAE and audiometric tests in patients with ankylosing spondilitis. Rheumatol Int. 2007 Apr;27(6):511-6. doi: 10.1007/s00296-006-0249-6. Epub 2006 Nov 9. PubMed 17094003 ↗
  • Yen YC, Lin YS, Weng SF, Lai FJ. Risk of sudden sensorineural hearing loss in patients with psoriasis: a retrospective cohort study. Am J Clin Dermatol. 2015 Jun;16(3):213-20. doi: 10.1007/s40257-015-0117-9. PubMed 25687690 ↗
  • Vir D, Sharma P, Mahajan R, Dogra S, Bakshi J, Panda NK. Investigation of high-frequency hearing loss and outer hair cell function of the cochlea in patients with psoriasis: a case-control study. Clin Exp Dermatol. 2019 Jul;44(5):520-523. doi: 10.1111/ced.13805. Epub 2018 Oct 2. PubMed 30280411 ↗

Individual participant data

Plan to share: No — The individual participant data will be collected in the principal investigator computer for a period of 7 years. The computer has a personal password and the computer if located inside a locked room.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03865030
Lead sponsor
HaEmek Medical Center, Israel
Responsible party
Paker Miki (principal investigator, Dr. Miki Paker, HaEmek Medical Center, Israel) — Principal investigator
First posted
Mar 6, 2019
Start date
Mar 1, 2019
Primary completion
Feb 1, 2022
Completion
Apr 1, 2022
Last update
Apr 11, 2022

Study contacts

Miki Paker, MD
principal investigator · haemek medical center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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