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Tinnitus, SubjectiveNITESGON-ADTNCT07393880

Bimodal Electrical-Sound Stimulation and Auditory Training for Chronic Tonal Tinnitus

A study testing Real NITESGON and Active Listening in people with Tinnitus, Subjective and Tinnitus, run by University of Dublin, Trinity College at 1 site in Ireland.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study tests whether pairing non-invasive stimulation of the greater occipital nerve (NITESGON) with an attentionally demanding auditory frequency discrimination training task reduces tinnitus loudness and tinnitus-related distress. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Tinnitus, Subjective, Tinnitus, Chronic Tinnitus
What is being tested?
Real NITESGON and Active Listening
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
1 siteIreland
Study dates
30 Jan 2026to 30 Jan 2029
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged 18-80 years
  • Continuous subjective tinnitus for >3 months and ≤5 years
  • Predominantly tonal tinnitus (unilateral or bilateral)
  • Screening THI score 28-76
  • Minimum Masking Level (MML) 20-80 dB HL
  • No prior tinnitus neuromodulation treatment
  • Able to comply with eight sessions over four weeks and follow-up assessments

Who cannot join

  • Objective tinnitus or predominantly somatic tinnitus
  • Pulsatile tinnitus
  • Evidence of conductive hearing loss (abnormal otoscopy or tympanometry)
  • Pure-tone audiometry exclusions: >40 dB HL at any frequency 250 Hz-1 kHz OR >80 dB HL at any frequency 2-8 kHz in either ear
  • Hearing aid use initiated within the past 90 days
  • Active implantable medical device (e.g., pacemaker, DBS, cochlear implant)
Show all 17Show fewer
  • LDL <30 dB SL at 500 Hz in either ear
  • Diagnosis of temporomandibular joint disorder or occipital neuralgia
  • Severe anxiety (STAI >120/160)
  • Cognitive impairment (MMSE <25)
  • Severe depressive symptoms (BDI ≥30)
  • Diagnosis of Menière's disease
  • Current pregnancy
  • Involvement in medicolegal cases
  • History of auditory hallucinations
  • Current prescription of central nervous system drugs likely to alter neuromodulatory function (e.g., noradrenergic, dopaminergic, serotonergic, benzodiazepine, cholinergic, or other psychoactive medications)
  • Currently enrolled in another interventional study

Trial locations and contacts

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

Sven Vanneste, PhD contact

+353 87 470 2835.

sven.vanneste@tcd.ie

Anusha Mohan, PhD contact

anusha.mohan@tcd.ie

Ireland1 site, 1 recruiting
  • Trinity College Institute of Neuroscience (TCIN)

    Dublin, Dublin, D02

    Fabian Broecker, +353 087 470 2835., broeckef@tcd.ie

    Recruiting

Other trials in Ireland

About this study

Official title: Non-Invasively Re-Training the Tinnitus Brain Using Bimodal Electrical-Sound Stimulation (NITESGON-ADT): Protocol for a Prospective, Double-Blind, Randomised Controlled Trial

This study tests whether pairing non-invasive stimulation of the greater occipital nerve (NITESGON) with an attentionally demanding auditory frequency discrimination training task reduces tinnitus loudness and tinnitus-related distress. One hundred adults with chronic tonal tinnitus will be randomised to one of four groups in a 2×2 factorial design: real versus sham NITESGON and active versus passive listening during auditory stimulation. Participants complete eight sessions across four weeks, with outcomes assessed at baseline, end of treatment, 28 days post-treatment, and 6 months post-treatment.

Read the detailed description

This is a single-centre, prospective, double-blind, placebo-controlled, 2×2 factorial randomised controlled trial conducted at Trinity College Dublin. The intervention combines transcutaneous electrical stimulation targeting the greater occipital nerve (NITESGON) with auditory stimulation delivered during a structured training paradigm. The two between-subjects factors are stimulation condition (real NITESGON vs sham NITESGON) and listening condition (active listening: auditory frequency discrimination training vs passive listening: visual distractor task while auditory stimuli are presented). One hundred adults with chronic tonal tinnitus will be randomised 1:1:1:1 to one of four arms. Participants complete eight sessions (two per week for four weeks). Primary outcomes-tinnitus loudness (VAS 0-100), tinnitus-related functional impact (TFI 0-100), and tinnitus handicap (THI 0-100)-and secondary outcomes are assessed at baseline (T0), end of treatment (T1), 28 days after treatment completion (T2), and 6 months after treatment completion (T3). Secondary outcomes include tinnitus psychoacoustics, extended high-frequency audiometry, speech-in-noise performance, EEG (resting-state and auditory oddball), autonomic/biomarker measures (pupillometry, heart rate, saliva), patient global impression of change, quality of life, and safety/blinding assessments.

Being tested
Real NITESGON, Sham NITESGON, Active Listening, Passive Listening (Control)
Keywords
Tinnitus
Medical subject headings
Tinnitus

What participants receive

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

  • Real NITESGONDevice

    Real NITESGON is delivered transcutaneously via two saline-soaked sponge electrodes (35 cm² each) positioned bilaterally over the C2 dermatomes to target the greater occipital nerve. Stimulation consists of a 20 Hz sinusoidal current at 1.5 mA peak-to-peak, ramped up over 30 seconds and ramped down over 5 seconds. It is administered concurrently with the task for ~45 minutes per session, across eight sessions (2/week) over 4 weeks.

  • Sham NITESGONDevice

    Sham NITESGON is delivered using two saline-soaked sponge electrodes (35 cm² each) positioned bilaterally over the C2 dermatomes. The sham condition mimics real stimulation sensations via a 30-second ramp-up followed by a brief ramp-down, with no sustained current thereafter. Sham is administered concurrently with the task for ~45 minutes per session, across eight sessions (2/week) over 4 weeks.

  • Active ListeningBehavioural

    Also called Auditory frequency discrimination training (ADT)

    ADT is delivered using a three-interval, three-alternative forced-choice (3I-3AFC) frequency discrimination task. Standard tone frequencies are individually selected using ERB/critical-band spacing, centered one octave below each participant's dominant tinnitus pitch and extending to lower frequencies; the highest standard is kept below the tinnitus pitch region. Tones are presented binaurally via headphones, with presentation levels calibrated to individual audiometric thresholds and matched for equal SPL in both ears.

  • Passive Listening (Control)Behavioural

    Also called Visual distractor task (VisDT)

    VisDT uses a three-interval, three-alternative forced-choice (3I-3AFC) paradigm with Gabor patches (sinusoidal gratings windowed by a Gaussian envelope) of fixed spatial frequency (6 cycles/degree) and fixed spatial spread; on each trial, one interval contains an orientation deviant relative to the standard. During VisDT, participants attend to the visual task while concurrent binaural tones are presented passively using a predetermined, non-adaptive schedule. Auditory tones are individually calibrated to audiometric thresholds and drawn from ERB-spaced frequencies centered one octave below the dominant tinnitus pitch and extending to lower frequencies, with the highest frequency kept below the tinnitus pitch region.

Study groups in NCT07393880
Study groupRoleWhat they receive
Real Stimulation + Active Listening (ADT)ExperimentalReal stimulation delivered during active auditory frequency discrimination training.
Receives: Device: Real NITESGON; Behavioral: Active Listening
Real Stimulation + Passive ListeningActive comparatorReal stimulation delivered while participants perform a visual distractor task and are instructed to ignore auditory stimuli.
Receives: Device: Real NITESGON; Behavioral: Passive Listening (Control)
Sham Stimulation + Active Listening (ADT)Sham comparatorSham stimulation delivered during active auditory frequency discrimination training.
Receives: Device: Sham NITESGON; Behavioral: Active Listening
Sham Stimulation + Passive ListeningSham comparatorSham stimulation delivered while participants perform a visual distractor task and are instructed to ignore auditory stimuli.
Receives: Device: Sham NITESGON; Behavioral: Passive Listening (Control)

What is being measured

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

  1. Tinnitus Loudness (Visual Analogue Scale, VAS 0-100)

    0-100 mm VAS anchored from "not audible" to "extremely loud"; higher scores indicate greater perceived tinnitus loudness.

    Measured: Baseline visit, end of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.

  2. Tinnitus Functional Index (TFI, 0-100)

    25-item self-report measure of tinnitus-related functional impact; total score 0-100, higher scores indicate greater impairment.

    Measured: Baseline visit, end of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.

  3. Tinnitus Handicap Inventory (THI, 0-100)

    25-item measure of tinnitus-related handicap; total score 0-100, higher scores indicate greater handicap.

    Measured: Baseline visit, end of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.

Secondary outcomes (15)
  1. Audiometry (Extended High-Frequency Thresholds up to 13 kHz)

    Air-conduction pure-tone audiometry thresholds will be measured from 250 Hz up to 13 kHz (extended high-frequency audiometry) to characterise hearing status and support calibration of stimulus sensation levels.

    Measured: Baseline visit, end of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.

  2. Speech-in-Noise Performance (e.g., QuickSIN)

    Speech perception in noise will be assessed using a standardised speech-in-noise test administered in a controlled environment.

    Measured: Baseline visit, end of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.

  3. Patient Global Impression of Change (PGIC)

    Participant-rated global change since baseline using the Patient Global Impression of Change (PGIC) scale (-3 = very much worse to +3 = very much improved; higher scores indicate greater improvement).

    Measured: End of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.

  4. Quality of Life (World Health Organization Quality of Life-BREF questionnaire)

    Quality of life assessed using the World Health Organization Quality of Life-BREF (WHOQOL-BREF), yielding domain scores and an overall score (0-100; higher scores indicate better quality of life).

    Measured: Baseline visit, end of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.

  5. Adverse Events (Stimulation Side-Effects Questionnaire)

    Stimulation tolerability assessed each visit using a Stimulation Side-Effects Questionnaire recording presence and severity of side effects (e.g., tingling, itching, headache) rated on a numeric severity scale (0-10; higher scores indicate worse side effects), plus event frequency.

    Measured: Up to 4 weeks (Sessions 1-8)

  6. Tinnitus Pitch Matching

    Dominant tinnitus pitch estimated by psychoacoustic pitch matching and recorded as frequency in hertz (Hz).

    Measured: Baseline, end of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.

  7. Tinnitus Loudness Matching and Discomfort Levels

    Loudness matching and discomfort levels: Tinnitus loudness matching recorded in decibels sensation level (dB SL; dB above audiometric threshold) at the matched frequency, and loudness discomfort levels recorded in decibels sensation level (dB SL; dB above threshold) at tested frequencies.

    Measured: Baseline visit, end of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.

  8. Minimum Masking Level (MML)

    Broadband noise level required to fully mask tinnitus, recorded in decibels hearing level (dB HL).

    Measured: Baseline visit, end of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.

  9. Resting-State EEG Spectral Power (Eyes Closed)

    Resting-state eyes-closed electroencephalography (EEG) spectral power averaged within prespecified frequency bands and electrode/network regions, reported in decibels (dB); higher values indicate greater spectral power.

    Measured: Baseline visit, end of treatment (4 weeks), 28 days post-treatment, and 6 months post-treatment.

  10. Resting-State EEG Functional Connectivity (Eyes Closed)

    Resting-state eyes-closed EEG functional connectivity within prespecified networks, quantified as phase-locking value (PLV; unitless, 0-1); higher values indicate stronger phase synchronization.

    Measured: Baseline visit, end of treatment (4 weeks), 28 days post-treatment, and 6 months post-treatment.

  11. Auditory Oddball Task-Evoked Response Amplitude

    Auditory oddball event-related potential (ERP) amplitude (e.g., P300) averaged over prespecified electrodes/time windows, reported in microvolts (µV); higher absolute amplitude indicates larger task-evoked response.

    Measured: Baseline visit, end of treatment (4 weeks), 28 days post-treatment, and 6 months post-treatment.

  12. Auditory Oddball Task-Evoked Response Latency

    Auditory oddball ERP component latency (e.g., P300 peak latency) within prespecified time windows, reported in milliseconds (ms); lower values indicate faster evoked responses.

    Measured: Baseline visit, end of treatment (4 weeks), 28 days post-treatment, and 6 months post-treatment.

  13. Pupillometry

    Task-related pupil diameter during pupillometry, summarized as mean (or peak) pupil size change from baseline, reported in millimeters (mm); larger values indicate greater pupil dilation.

    Measured: Baseline visit, end of treatment (4 weeks), 28 days post-treatment, and 6 months post-treatment.

  14. Heart Rate

    Electrocardiography (ECG)-derived heart rate, reported in beats per minute (bpm); higher values indicate faster heart rate.

    Measured: Baseline visit, end of treatment (4 weeks), 28 days post-treatment, and 6 months post-treatment.

  15. Saliva Biomarkers

    Concentration of prespecified salivary biomarkers of arousal/neuromodulatory engagement, reported in nanograms per milliliter (ng/mL) (or assay-specific units); higher values indicate higher biomarker concentration.

    Measured: Baseline visit, end of treatment (4 weeks), 28 days post-treatment, and 6 months post-treatment.

Timeline

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

  1. First posted6 Feb 2026
  2. Study start30 Jan 2026
  3. Primary completion30 Sep 2028 (estimated)
  4. Study completion30 Jan 2029 (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
Factorial
Model description
2×2 factorial randomised controlled trial with two between-subjects factors: stimulation condition (real vs sham NITESGON) and listening condition (active auditory discrimination training vs passive listening during a visual task). Participants are assigned 1:1:1:1 to four parallel arms.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07393880
Sponsor's protocol ID
NITESGON-SPREC102020-46
Other IDs
DRG2332
Acronym
NITESGON-ADT
Status last verified
Apr 2026
First submitted
23 Jan 2026
Last updated
3 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Real NITESGON and Active Listening in people with Tinnitus, Subjective and Tinnitus, run by University of Dublin, Trinity College at 1 site in Ireland.

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 7 inclusion and 17 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: looking for participants now, as of the sponsor's last update on 3 Apr 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 Ireland. 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?

Contact Sven Vanneste, PhD (+353 87 470 2835., sven.vanneste@tcd.ie), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Tinnitus Loudness (Visual Analogue Scale, VAS 0-100) (time frame: Baseline visit, end of treatment at 4 weeks, 28 days post-treatment, and 6 months post-treatment.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Apr 2026.

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