AzTrials
AzTrials

Tinnitus, SubjectiveNCT04026932

The Clinical Effects of Modified TRS Treatment

A study testing Listening to unmodified music and Listening to modified tinnitus relieving sound in people with Tinnitus, Subjective, run by Eye & ENT Hospital of Fudan University at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

Objective Tinnitus is one of the most common acoustic disorders by affecting 5-43% people around the world, and tinnitus is harmful to social and individuals, inducing to annoyance, irritability, anxiety, depression, insomnia and concentration difficulties. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Tinnitus, Subjective
What is being tested?
Listening to unmodified music and Listening to modified tinnitus relieving sound
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
68 participants
Where
1 siteChina
Study dates
Aug 2019to Feb 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged between 18 to 80 years old;
  • Diagnosed with subjective tinnitus;
  • Chronic tinnitus: tinnitus course ≥3 months;
  • Be able to understand and communicate with Mandarin;
  • The average pure tone threshold (0.5, 1, 2kHz) ≤ 55dB HL of the worse ear;
  • Subjects are able to understand the purpose of the study, volunteer to participate and cooperate with the instructors to complete the experiment, and be willing to sign the informed consent.

Who cannot join

  • Pulsatile tinnitus and objective tinnitus;
  • Having significant health issues that affect or prevent participation or continue with the follow-up;
  • Diseases requiring other medical intervention first (eg, infections, tumors, otosclerosis, Meniere's disease, the acute stage of sudden sensorineural hearing loss);
  • People with severe hyperacusis, severe anxiety, depression and other psychiatric disorders;
  • Currently participating in other research projects that may affect tinnitus;
  • Subjects who are not considered suitable for this clinical trial by the researchers.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Otorhinolaryngology Department of Affiliated Eye and ENT Hospital, Fudan University, Shanghai, China

    Shanghai, Shanghai Municipality, 200031

    Huawei Li, Phd &MD, hwli@shmu.edu.cn

    Dongmei Tang, MD, tang.dongm@163.com

Other trials in China

About this study

Official title: The Clinical Effects of Modified Tinnitus Relieving Sound Treatment

Objective Tinnitus is one of the most common acoustic disorders by affecting 5-43% people around the world, and tinnitus is harmful to social and individuals, inducing to annoyance, irritability, anxiety, depression, insomnia and concentration difficulties. Many efforts have been made to help tinnitus suffers, however, the curative means are still in absence. This study aims to introduce a novel sound therapy for tinnitus and to evaluate the efficacy of modified tinnitus relieving sound treatment in comparison with unmodified music which served as a control.

Methods and analysis A randomized, triple-blinded, controlled, clinical trial will be carried out. 68 patients with subjective tinnitus will be recruited and randomized into two groups in 1:1 ratio. The primary outcomes will be Tinnitus Handicapped Inventory (THI), Hospital Anxiety and Distress Scale (HADS), and visual analogue scale (VAS) for tinnitus; the secondary outcome measures will be Athens Insomnia Scale (AIS), tinnitus loudness matched by sensation level (LM, SL), and minimum masking level (MML). Assessment will be performed at baseline and at 1, 3, 9, and 12 months post-randomization. The sound stimulus will be persistent until 9 months after randomization, and be interdictory in the last three months.

Being tested
Listening to unmodified music, Listening to modified tinnitus relieving sound
Keywords
subjective tinnitus, tinnitus relieving sound, clinical effects
Medical subject headings
Tinnitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Listening to unmodified musicOther

    Listening to unmodified music for at least 2 hours a day

  • Listening to modified tinnitus relieving soundOther

    Listening to modified tinnitus relieving sound for at least 2 hours a day

Study groups in NCT04026932
Study groupRoleWhat they receive
Unmodified music groupPlacebo comparator34 participants in Group 1 will listen to the music without any modification for at least two hours a day in total.
Receives: Other: Listening to unmodified music
Modified tinnitus relieving sound groupExperimental34 participants in Group 2 will listen to the music modified according to the matched dominant tinnitus pitch for at least two hours a day in total.
Receives: Other: Listening to modified tinnitus relieving sound

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Tinnitus Handicapped Inventory (THI)

    THI is a self-assessment inventory including 25 items with grades four categories of tinnitus severity: slight corresponding to a score 0-16, mild (18-36), moderate (38-56), severe (58-100). The higher the score the more severe the tinnitus.

    Measured: 1 months from baseline

  2. Tinnitus Handicapped Inventory (THI)

    THI is a self-assessment inventory including 25 items with grades four categories of tinnitus severity: slight corresponding to a score 0-16, mild (18-36), moderate (38-56), severe (58-100). The higher the score the more severe the tinnitus.

    Measured: 3 months from baseline

  3. Tinnitus Handicapped Inventory (THI)

    THI is a self-assessment inventory including 25 items with grades four categories of tinnitus severity: slight corresponding to a score 0-16, mild (18-36), moderate (38-56), severe (58-100). The higher the score the more severe the tinnitus.

    Measured: 9 months from baseline

  4. Tinnitus Handicapped Inventory (THI)

    THI is a self-assessment inventory including 25 items with grades four categories of tinnitus severity: slight corresponding to a score 0-16, mild (18-36), moderate (38-56), severe (58-100). The higher the score the more severe the tinnitus.

    Measured: 12 months from baseline

  5. Hospital Anxiety and Distress Scale (HADS)

    HADS includes two subscales for anxiety and depression, each with respective 7 items, and the grades are valued by scoring: negative (0-7), positive (8-21).

    Measured: 1 months from baseline

  6. Hospital Anxiety and Distress Scale (HADS)

    HADS includes two subscales for anxiety and depression, each with respective 7 items, and the grades are valued by scoring: negative (0-7), positive (8-21).

    Measured: 3 months from baseline

  7. Hospital Anxiety and Distress Scale (HADS)

    HADS includes two subscales for anxiety and depression, each with respective 7 items, and the grades are valued by scoring: negative (0-7), positive (8-21).

    Measured: 9 months from baseline

  8. Hospital Anxiety and Distress Scale (HADS)

    HADS includes two subscales for anxiety and depression, each with respective 7 items, and the grades are valued by scoring: negative (0-7), positive (8-21).

    Measured: 12 months from baseline

  9. Visual Analogue Scale (VAS) for tinnitus

    Visual Analogue Scale (VAS) for tinnitus is a universal psychometric scale evaluating subjective tinnintus. A total score is 10, from 0 to 10. The higher the score, the more severe the symptom.

    Measured: 1 months from baseline

  10. Visual Analogue Scale (VAS) for tinnitus

    Visual Analogue Scale (VAS) for tinnitus is a universal psychometric scale evaluating subjective tinnintus. A total score is 10, from 0 to 10. The higher the score, the more severe the symptom.

    Measured: 3 months from baseline

  11. Visual Analogue Scale (VAS) for tinnitus

    Visual Analogue Scale (VAS) for tinnitus is a universal psychometric scale evaluating subjective tinnintus. A total score is 10, from 0 to 10. The higher the score, the more severe the symptom.

    Measured: 9 months from baseline

  12. Visual Analogue Scale (VAS) for tinnitus

    Visual Analogue Scale (VAS) for tinnitus is a universal psychometric scale evaluating subjective tinnintus. A total score is 10, from 0 to 10. The higher the score, the more severe the symptom.

    Measured: 12 months from baseline

Secondary outcomes (12)
  1. Athens Insomnia Scale (AIS)

    AIS grades three categories of sleep disorder: no insomnia scoring below 4, suspicious (4-6), insomnia (7-24)

    Measured: 1 months from baseline

  2. Athens Insomnia Scale (AIS)

    AIS grades three categories of sleep disorder: no insomnia scoring below 4, suspicious (4-6), insomnia (7-24)

    Measured: 3 months from baseline

  3. Athens Insomnia Scale (AIS)

    AIS grades three categories of sleep disorder: no insomnia scoring below 4, suspicious (4-6), insomnia (7-24)

    Measured: 9 months from baseline

  4. Athens Insomnia Scale (AIS)

    AIS grades three categories of sleep disorder: no insomnia scoring below 4, suspicious (4-6), insomnia (7-24)

    Measured: 12 months from baseline

  5. tinnitus loudness matched by sensation level (LM, SL)

    The loudness of tinnitus is reflected in sensation level (dB SL). Sensation level is defined as the loudness value above hearing threshold at the pitch of tinnitus.

    Measured: 1 months from baseline

  6. tinnitus loudness matched by sensation level (LM, SL)

    The loudness of tinnitus is reflected in sensation level (dB SL). Sensation level is defined as the loudness value above hearing threshold at the pitch of tinnitus.

    Measured: 3 months from baseline

  7. tinnitus loudness matched by sensation level (LM, SL)

    The loudness of tinnitus is reflected in sensation level (dB SL). Sensation level is defined as the loudness value above hearing threshold at the pitch of tinnitus.

    Measured: 9 months from baseline

  8. tinnitus loudness matched by sensation level (LM, SL)

    The loudness of tinnitus is reflected in sensation level (dB SL). Sensation level is defined as the loudness value above hearing threshold at the pitch of tinnitus.

    Measured: 12 months from baseline

  9. minimum masking level (MML)

    MML test is presented bilaterally, the noise is raised until tinnitus is just covered in both ears. The higher the value, the more severe the tinnitus.

    Measured: 1 months from baseline

  10. minimum masking level (MML)

    MML test is presented bilaterally, the noise is raised until tinnitus is just covered in both ears. The higher the value, the more severe the tinnitus.

    Measured: 3 months from baseline

  11. minimum masking level (MML)

    MML test is presented bilaterally, the noise is raised until tinnitus is just covered in both ears. The higher the value, the more severe the tinnitus.

    Measured: 9 months from baseline

  12. minimum masking level (MML)

    MML test is presented bilaterally, the noise is raised until tinnitus is just covered in both ears. The higher the value, the more severe the tinnitus.

    Measured: 12 months from baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Jul 2019
  2. Study startAug 2019 (estimated)
  3. Primary completionAug 2021 (estimated)
  4. Study completionFeb 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
68 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04026932
Sponsor's protocol ID
Tinnitus sound therapy RCT
Status last verified
Jul 2019
First submitted
11 Jul 2019
Last updated
19 Jul 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Langguth B, Kreuzer PM, Kleinjung T, De Ridder D. Tinnitus: causes and clinical management. Lancet Neurol. 2013 Sep;12(9):920-930. doi: 10.1016/S1474-4422(13)70160-1.

    PubMed 23948178
  • De Ridder D, Elgoyhen AB, Romo R, Langguth B. Phantom percepts: tinnitus and pain as persisting aversive memory networks. Proc Natl Acad Sci U S A. 2011 May 17;108(20):8075-80. doi: 10.1073/pnas.1018466108. Epub 2011 Apr 18.

    PubMed 21502503
  • Tunkel DE, Bauer CA, Sun GH, Rosenfeld RM, Chandrasekhar SS, Cunningham ER Jr, Archer SM, Blakley BW, Carter JM, Granieri EC, Henry JA, Hollingsworth D, Khan FA, Mitchell S, Monfared A, Newman CW, Omole FS, Phillips CD, Robinson SK, Taw MB, Tyler RS, Waguespack R, Whamond EJ. Clinical practice guideline: tinnitus. Otolaryngol Head Neck Surg. 2014 Oct;151(2 Suppl):S1-S40. doi: 10.1177/0194599814545325.

    PubMed 25273878
  • Cima RF, Maes IH, Joore MA, Scheyen DJ, El Refaie A, Baguley DM, Anteunis LJ, van Breukelen GJ, Vlaeyen JW. Specialised treatment based on cognitive behaviour therapy versus usual care for tinnitus: a randomised controlled trial. Lancet. 2012 May 26;379(9830):1951-9. doi: 10.1016/S0140-6736(12)60469-3.

    PubMed 22633033
  • Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1996 Feb;122(2):143-8. doi: 10.1001/archotol.1996.01890140029007.

    PubMed 8630207
  • Tang D, Wang J, Yu X, Yu H. The clinical effects of modified tinnitus relieving sound (MTRS) for chronic tinnitus: protocol for a randomized controlled trial. Trials. 2023 Jun 2;24(1):372. doi: 10.1186/s13063-023-07389-8.

    PubMed 37268971

Questions about this trial

What is this clinical trial studying?

A study testing Listening to unmodified music and Listening to modified tinnitus relieving sound in people with Tinnitus, Subjective, run by Eye & ENT Hospital of Fudan University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 19 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Dongmei Tang (+86-13023299189, tang.dongm@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Tinnitus Handicapped Inventory (THI) (time frame: 1 months from baseline). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04026932, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Jul 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in