Steroids for Facial Nerve Function Protection in Post-surgical Vestibular Schwannoma Patients

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-60
SponsorBeijing Tiantan Hospital

About this trial

The purpose of this study is to evaluate the efficacy and safety of steroids treatment compared with placebo in preserving facial nerve function after craniotomy in patients with vestibular schwannoma who have not received preoperative treatment and have good intraoperative facial nerve function.

Eligibility criteria

Qualifiers

Age between 18 and 60 years

Diagnosed with untreated unilateral vestibular schwannoma

No facial palsy before surgery (House-Brackmann grade I)

Intraoperative neurophysiological monitoring confirms good facial nerve function preservation, defined as: a)Post-tumor resection, evoked compound muscle action potential amplitude >420 μV under 0.05 mA stimulation;and b)The amplitude is >60% of baseline value measured before dural opening

Disqualifiers

Contraindications for craniotomy

Patients requiring corticosteroids during the perioperative period, or with known corticosteroid contraindications

Patients or first-degree relatives with a confirmed diagnosis of neurofibromatosis type 2 (NF2)

Karnofsky Performance Status (KPS) score <90 before disease onset

Trial design

Treatments tested in this trial

  • Steroids therapy
  • Placebo

Treatment groups

364 Participants
are divided into 2 treatment groups

Sponsors and collaborators