Clinical trial NCT04026516: CAVA: Dizziness Trial
Official title: Production of a Device to Obtain Continuous Ambulatory Vestibular Assessment (CAVA) - Dizziness Trial
Study type: INTERVENTIONAL
Overall status: SUSPENDED
Phase: NA
Conditions: Meniere's Disease
Benign Paroxysmal Positional Vertigo
Recurrent Vestibulopathy
Vestibular Migraine
Keywords: eye movements
Electronystagmograpy
nystagmus
electrooculogram
vestibular assessment
ambulatory monitoring
Lead sponsor: Norfolk and Norwich University Hospitals NHS Foundation Trust
Sponsor class: OTHER
Collaborators: name: University of East Anglia
First posted: 2019-07-19
Enrollment: 35
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: Clinical investigation of a medical device (CAVA) for recording eye movements. Patients suffering from diagnosed dizziness conditions will wear the device for 23 hours a day, for 30 days. The device will capture normal eye movement data as well as data corresponding to any dizzy events experienced. At the end of the trial, the data will be downloaded and a scientist will perform a blinded analysis of the data. Specifically, they will attempt to identify the dates on which dizziness was reported.

Detailed description: Dizziness is a common condition that is responsible for a significant degree of material morbidity and burden on our health service. There are multiple causes of dizziness, and these originate from pathologies affecting a large variety of different organ systems. Dizziness is usually episodic and short-lived, so when a patient presents to their health care provider, examination is often normal. As such, diagnosis is challenging and patients often experience significant delay in receiving a diagnosis.

The investigators have developed a prototype device for monitoring dizziness and have tested it in a group of 17 healthy volunteers. The results showed that their device is capable of accurately, precisely and reliably identifying short periods of induced nystagmus (eye movements produced during dizzy attacks) among days' worth of normal eye movement data.

The overall aim of this trial is to test a fully evolved device for the continuous recording of eye movements over a prolonged period of time, on patients suffering from dizziness. For the purpose of this study, the monitoring period is 23 hours a day, for 30 days. The device is composed of two components: a bespoke single-use sensor array that adheres to the participant's face, and a small reusable module that contains a battery, microcomputer, data storage facility, battery and connection port.

The investigators intend to confirm that the device data can be used to identify any occurrence of nystagmus, as produced during attacks of vertigo. Each trial participant will be provided with the device and enough single-use electrode arrays to allow the array to be changed every 24 hours, for thirty days. Participants will be allowed to remove the sensor array for up to 60 minutes each day to allow them to wash and/or shower. If patients experience an episode of dizziness during the trial, they are required to log the details of the event in a trial diary. The identity of these days will not be revealed to the blinded investigator who will later conduct a formal, blinded analysis of the data. At the end of the thirty-day trial, the sensitivity and specificity of the device will be determined by assessing whether the data can be used to correctly identify the dates that participants reported dizziness.

Eligibility criteria: Inclusion Criteria:

Adults aged 18 and over.

* Patients experiencing episodes of true vertigo, with at least two episodes within the preceding month. Relevant medical conditions include Meniere's disease, Benign Paroxysmal Positional Vertigo (BPPV), recurrent vestibulopathy and vestibular migraine.
* Able to commit to 30 days of continuous wear of the trial device as per the study plan.
* Own a telephone.

Exclusion Criteria:

* Potential participants who have a history of dermatological disease, fragile skin, or damage around the forehead.
* Potential participants who have an allergy to plasters and/or medical adhesives - (similarly to materials used in the device).
* History of hypertension or cardiac problems (uncontrolled, acute or de-compensated - phase).
* History of ear disease, or previous ear surgery.
* History of psychotic/neurotic disorders or epilepsy.
* History of eye disease, or previous eye surgery.
* Pregnant or nursing mothers.
* Potential participants who have taken part in a previous CAVA trial.
* Potential participants who are currently taking part in another trial.
* Unable to follow the testing protocol.

Primary outcomes:
measure: Nystagmus detection sensitivity and specificity of 95%
timeFrame: 30 days
Secondary outcomes:
measure: Post-trial participant questionnaire
timeFrame: 30 days
measure: Compliance with wearing the device
timeFrame: 30 days
measure: Functionality of the device's accelerometer
timeFrame: 30 days
measure: Functionality of the device's event marker
timeFrame: 30 days
measure: Functionality of the device's timestamping capabilities
timeFrame: 30 days
Other outcomes:
Locations:
city: Norwich
country: United Kingdom
facility: Norfolk & Norwich University Hospitals NHS Foundation Trust
state: Norfolk
Study officials:
affiliation: Dr
name: John Phillips, Consultant
role: PRINCIPAL_INVESTIGATOR
References: