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TinnitusTiniPEANCT06718452

Tinnitus and Treatment With umPEA-LUT

A study testing PEA-LUT 2 sachet day and umPEALUT + Rutin + 5 hTp in people with Tinnitus and Neuroinflammation, run by University of Campania Luigi Vanvitelli at 1 site in Italy.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Tinnitus can have different causes. From a peripheral point of view, the sensation of hearing a not present sound can be indicative of damage in the cells of the cochlea. Damage at this level can arise from traumatic, vascular, toxic origins or be caused by systemic pathologies. Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Tinnitus, Neuroinflammation
What is being tested?
PEA-LUT 2 sachet day and umPEALUT + Rutin + 5 hTp
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
1 siteItaly
Study dates
20 Apr 2026to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Patients with tinnitus not under treatment at least for 30 days

Who cannot join

  • Stroke in the last year
  • Uncontrolled diabetes,
  • Uncontrolled hypertension,
  • Severe psychiatric disorders,
  • Severe cognitive decline,
  • Previous surgery of the brain or audio-vestibular nerves

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Italy1 site
  • Vanvitelli ENT department

    Naples, Campania, 80138

    Giovanni Motta, MD, 081 566 6432, giovannimotta95@yahoo.it

Other trials in Italy

About this study

Official title: Treatment of Tinnitus Targeting Neuroinflammation. umPEALUT as Possible Option

Tinnitus can have different causes. From a peripheral point of view, the sensation of hearing a not present sound can be indicative of damage in the cells of the cochlea. Damage at this level can arise from traumatic, vascular, toxic origins or be caused by systemic pathologies. However, all the previous causes have a common denominator, the presence of reactive oxygen species (ROS), in the cochlea which determines the damage and the consequent death of the hair cells into the ear. The sound (tinnitus) that the patient perceives is generated by the spontaneous movement of the cilia of the hair cells; this phenomenon arises when these cells begin to be damaged.

Tinnitus can be also caused by a retrocochlear disorder such as damage of the auditory nerve (inflammatory and tumor cause). In case of an inflammatory origin, the factors released during inflammation can locally damage the nerves and spread into the cochlea destroying the hair cells.

Read more

Tinnitus can also originate from damage in the central auditory pathway. In this case, the problem persistent. It is important to keep in mind that although initially the tinnitus may originate from a damage inside the cochlea, after 6 months of persistence chronicizes causing an activation (without stimulus) of the upper auditory areas. This zone of "hypersensitivity" is therefore responsible for chronic tinnitus.

In addition to the overmentioned medical causes, tinnitus can also be sign of psychiatric/psychological disorders, in those cases in whom there is an involvement of the hypothalamus, as showed by neuropsychological studies. Tinnitus can be temporary and disappear spontaneously or, in the most of cases, be persistent and extremely annoying/stressful for the patient. At night in particular, in the absence of noise, the patient suffers more the presence of this ghost sound, which in some occasions prevents sleep. Insomnia negatively impacts on tinnitus increasing its duration and intensity, thus establishing a perpetual cycle of stress into the brain. The latter phenomenon worses and chronicizes the symptom .

Stress causes inflammation with ROS increase, which can affect both the peripheral and central auditory pathways. Recently, it has been shown that tinnitus can be a symptom of neuro-inflammatory pathologies such as, for example, Multiple Sclerosis.

The effects of inflammation on the hair cells are identifiable only through electrophysiological studies or from the temporal bone.

Keeping on mind inflammation and neuro-inflammation and considering the exchange between cerebrospinal fluid and perilymph , we speculate that the use of a molecule capable of reducing inflammation and modulating the action of mast cells and microglia, could be an effective tool to resolve tinnitus; moreover, thanks to its powerful action at the level of neuro-inflammation, it could reduce the hyper-activity in the upper auditory tracts, thus reducing/abolishing noise.

umPeaLut combines palmitoylethanolamide, which modulates the activity of mast cells, macrophages and microglia and luteolin, a bioflanoid extracted from fruits with anti-oxidant properties, able to improve microcirculation. Because the alterations of the ear microcirculation can be an additional cause of tinnitus, we believe that luteolin content can be an ulterior benefit.

Although various attempts have been made to use a mono-molecule, recent studies have shown that combination of several elements could reduce tinnitus ; PeaLut, in its ultra-micronized form with high bioavailability, could be the perfect solution.

This study aims at evaluating the efficacy of umPEALUT as a therapeutic treatment of tinnitus in a sample of adults.

Read the detailed description

Longitudinal study on 100 patients

Patients between 18 and 70 years of age, not affected by systemic disorders (hypertension, diabetes, neurological disorders, previous stroke) or known psychological/psychiatric disorders will be included.

The patients will be evaluated at three observation times: T0 before treatment at the time of enrollment, T3 after 3 months and T6 after six months of treatment.

All patients, at each check-point will be screened as following: 1) three questionnaire to evaluate Tinnitus and 2) audiometric examination and acuphenometry.

Patients will be randomized into three groups, one group (CONTROL) that will use placebo, one (TREATMENT1 ) group that will use umPEALUT 2 sachets for day, and the other group (TREATMENT 2) umPEALUT 2 sachets par day combined to 120 mg of Rutin and 100 of 5-hTP.

EXPECTED RESULTS

Patients treated with umPEALUT compared to the control group will present an improvement of the symptom due to the anti-ROS action of luteolin and the neuro-immuno-modulating action of PEA. However the combination of umPEALUt with rutin and 5hTp will have better results than treatment with umPEALUT alone and control.

The changes induced by the treatment will be identifiable through the improvement of the symptom (responses to the questionnaire) and the changes in the subjective auditory test.

Specifically, patients in group 1 will present better final values than group 2, although group 2 will, however, present improvements compared to the control.

Being tested
PEA-LUT 2 sachet day, Placebo, umPEALUT + Rutin + 5 hTp
Keywords
Tinnitus, Neuroinflammation, Palmitoyetanolamide, Luteolin, Ultramicronized, Vascular, Central, Peripheral, Auditory cortex, Inner ear
Medical subject headings
Tinnitus, Neuroinflammatory Diseases

What participants receive

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

  • PEA-LUT 2 sachet dayDietary supplement

    1 sachet two times a day to be sublingually absorbed

  • PlaceboDietary supplement

    Same administration of PEA-LUT

  • umPEALUT + Rutin + 5 hTpCombination product

    People in this group will be treated by 2 sachets par day of umPEALUT associated to 120 mg of rutin and 100 mg of 5 hTp

Study groups in NCT06718452
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPatients in this group will be treated using placebo
Receives: Dietary Supplement: Placebo
Ultramicronized PEALUT Double doseExperimentalumPEALUT 2 sachet/day every day for 60 days
Receives: Dietary Supplement: PEA-LUT 2 sachet day
TREATMENT 2ExperimentalumPEALUT 2 sachets day + 120 mg Rutin +100 mg 5 hTp
Receives: Combination Product: umPEALUT + Rutin + 5 hTp

What is being measured

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

  1. Tinnitus

    Tinnitus questionnaire

    Measured: At Enrollement, after 3 months of treatment, after 6 months of treatment (end of the therapy)

Secondary outcomes (1)
  1. Auditory test

    Pure Tone Auditory test

    Measured: Enrollement (T0) and after 6 months (end of the therapy)

Timeline

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

  1. First posted5 Dec 2024
  2. Study start20 Apr 2026 (estimated)
  3. Primary completion31 Oct 2026 (estimated)
  4. Study completion31 Dec 2026 (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
Model description
Longitudinal study
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06718452
Sponsor's protocol ID
UniLINK2026
Other IDs
University LINK
Acronym
TiniPEA
Status last verified
Feb 2026
First submitted
28 Nov 2024
Last updated
6 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: We are thinking about put everything in a repository

Publications

  • Polanski JF, Soares AD, de Mendonca Cruz OL. Antioxidant therapy in the elderly with tinnitus. Braz J Otorhinolaryngol. 2016 May-Jun;82(3):269-74. doi: 10.1016/j.bjorl.2015.04.016. Epub 2015 Oct 17.

    PubMed 26547700
  • Petridou AI, Zagora ET, Petridis P, Korres GS, Gazouli M, Xenelis I, Kyrodimos E, Kontothanasi G, Kaliora AC. The Effect of Antioxidant Supplementation in Patients with Tinnitus and Normal Hearing or Hearing Loss: A Randomized, Double-Blind, Placebo Controlled Trial. Nutrients. 2019 Dec 12;11(12):3037. doi: 10.3390/nu11123037.

    PubMed 31842394
  • Wicinski M, Socha M, Walczak M, Wodkiewicz E, Malinowski B, Rewerski S, Gorski K, Pawlak-Osinska K. Beneficial Effects of Resveratrol Administration-Focus on Potential Biochemical Mechanisms in Cardiovascular Conditions. Nutrients. 2018 Nov 21;10(11):1813. doi: 10.3390/nu10111813.

    PubMed 30469326
  • Facchinetti R, Valenza M, Bronzuoli MR, Menegoni G, Ratano P, Steardo L, Campolongo P, Scuderi C. Looking for a Treatment for the Early Stage of Alzheimer's Disease: Preclinical Evidence with Co-Ultramicronized Palmitoylethanolamide and Luteolin. Int J Mol Sci. 2020 May 27;21(11):3802. doi: 10.3390/ijms21113802.

    PubMed 32471239
  • Di Stadio A, Ralli M. Inner ear involvement in multiple sclerosis: An underestimated condition? Mult Scler. 2018 Aug;24(9):1264-1265. doi: 10.1177/1352458517750010. No abstract available.

    PubMed 30015600
  • Albanese M, Di Girolamo S, Silvani L, Ciaschi E, Chiaramonte B, Conti M, Passali FM, Di Gioia B, Mercuri NB, Di Stadio A. Distortion Product Otoacoustic Emissions and Their Suppression as Predictors of Peripheral Auditory Damage in Migraine: A Case-Control Study. J Clin Med. 2021 Oct 27;10(21):5007. doi: 10.3390/jcm10215007.

    PubMed 34768526
  • Cronlein T, Langguth B, Geisler P, Hajak G. Tinnitus and insomnia. Prog Brain Res. 2007;166:227-33. doi: 10.1016/S0079-6123(07)66021-X.

    PubMed 17956787
  • Mazurek B, Szczepek AJ, Hebert S. Stress and tinnitus. HNO. 2015 Apr;63(4):258-65. doi: 10.1007/s00106-014-2973-7.

    PubMed 25862619
  • Xu Y, Shi Y, Yao J, Yang H, Ding Z, Chen QQ, Liu Y, Chen W. Altered brain functional connectivity and correlation with psychological status in patients with unilateral pulsatile tinnitus. Neurosci Lett. 2019 Jul 13;705:235-245. doi: 10.1016/j.neulet.2019.04.046. Epub 2019 Apr 28.

    PubMed 31042571
  • Andersson G. Psychological aspects of tinnitus and the application of cognitive-behavioral therapy. Clin Psychol Rev. 2002 Sep;22(7):977-90. doi: 10.1016/s0272-7358(01)00124-6.

    PubMed 12238249
  • Shulman A, Wang W, Luo H, Bao S, Searchfield G, Zhang J. Neuroinflammation and Tinnitus. Curr Top Behav Neurosci. 2021;51:161-174. doi: 10.1007/7854_2021_238.

    PubMed 34282564
  • Galazyuk AV, Wenstrup JJ, Hamid MA. Tinnitus and underlying brain mechanisms. Curr Opin Otolaryngol Head Neck Surg. 2012 Oct;20(5):409-15. doi: 10.1097/MOO.0b013e3283577b81.

    PubMed 22931904
  • Savastano M, Brescia G, Marioni G. Antioxidant therapy in idiopathic tinnitus: preliminary outcomes. Arch Med Res. 2007 May;38(4):456-9. doi: 10.1016/j.arcmed.2006.12.004. Epub 2007 Mar 12.

    PubMed 17416295
  • Naunton RF, Proctor L, Elpern BS. The audiologic signs of ninth nerve neurinoma. Arch Otolaryngol. 1968 Mar;87(3):222-7. doi: 10.1001/archotol.1968.00760060224002. No abstract available.

    PubMed 5642369
  • Di Stadio A, Dipietro L, Ralli M, Meneghello F, Minni A, Greco A, Stabile MR, Bernitsas E. Sudden hearing loss as an early detector of multiple sclerosis: a systematic review. Eur Rev Med Pharmacol Sci. 2018 Jul;22(14):4611-4624. doi: 10.26355/eurrev_201807_15520.

    PubMed 30058696

Questions about this trial

What is this clinical trial studying?

A study testing PEA-LUT 2 sachet day and umPEALUT + Rutin + 5 hTp in people with Tinnitus and Neuroinflammation, run by University of Campania Luigi Vanvitelli at 1 site in Italy.

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 1 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: opening soon, as of the sponsor's last update on 6 Feb 2026. 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 Italy. 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?

This study is still under way. Results are not available in the source record yet.

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

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Tinnitus (time frame: At Enrollement, after 3 months of treatment, after 6 months of treatment (end of the therapy)). 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 NCT06718452, which also lists 22 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 6 Feb 2026.

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