Status:

COMPLETED

Cochlear Promontory Stimulation for Treatment of Tinnitus

Lead Sponsor:

Mayo Clinic

Collaborating Sponsors:

United States Department of Defense

Conditions:

Tinnitus

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Tinnitus is the perception of sound when no external noise is present. The Center for Disease Control (CDC) estimates over 50 million - nearly 15% of the general public -experience some form of tinnit...

Detailed Description

Candidate subjects will undergo a temporal bone Computed Tomography (CT) scan, contrast enhanced head Magnetic Resonance Imaging (MRI), audiogram with immittance testing, pitch and level matching of t...

Eligibility Criteria

Inclusion

  • Normal to moderate sensorineural hearing loss (based on pure tone audiometry (PTA) of 500, 1000 and 2000 Hz) and a word recognition score equal to or greater than 60%
  • Asymmetric or unilateral subjective tonal tinnitus
  • Tinnitus that is disruptive
  • Determined by THI score (in the severe range i.e. ≥56/100)
  • TFI (in the severe range i.e. ≥52/100)
  • Tinnitus VAS (≥ 5/10 )
  • Tinnitus that is intractable, and has not been ameliorated by conventional measures such as a hearing aid or masking
  • Normal contrast-enhanced MRI of the head

Exclusion

  • Tinnitus present less than 6 months or longer than 12 years; it is permissible to include people who have had intermittent or constant tinnitus longer than 12 years as long as it was not perceived as severe longer than 12 years
  • History of brain or major ear surgery
  • Prior major head trauma
  • Ongoing clinical diagnosis of depression or anxiety; for the purposes of this study, it is permissible to include people who: 1. have a past history of clinically diagnosed depression or anxiety that is no longer currently active; or 2. people who have depressive or anxious symptoms that are thought to primarily result from severe tinnitus
  • a. Determined by screening using the GAD 7, PHQ8, and HAI-S
  • GAD7 \> 9 (indicates clinically significant anxiety)
  • PHQ \> 9 (indicates clinically significant depression)
  • HAI-S \> 25 (hypochondriacal level illness anxiety)
  • Inability to assess, continue or complete trial
  • Currently on regularly scheduled antidepressants, anxiolytics or antipsychotics; for this study, it is permissible to include people who use such medications at lower doses as a sleep aid or for people who intermittently use such medications for situational anxiety (e.g., Ativan before airplane travel)
  • Active use of other tinnitus treatments; for the purposes of this study it is permissible to include people who prefer to use a hearing aid to amplify ipsilateral hearing loss
  • Known pregnancy

Key Trial Info

Start Date :

January 4 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 13 2024

Estimated Enrollment :

25 Patients enrolled

Trial Details

Trial ID

NCT03759834

Start Date

January 4 2018

End Date

August 13 2024

Last Update

September 10 2025

Active Locations (1)

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1

Mayo Clinic in Rochester

Rochester, Minnesota, United States, 55905