Evidence map›Paper›PMID 19712015›Full record

ReviewExpert opinion on emerging drugs2009

Emerging pharmacotherapy of tinnitus.

Berthold Langguth, Richard Salvi, Ana Belén Elgoyhen

Open access · greenAbstract readReview
In one paragraph

Review in Expert opinion on emerging drugs, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 5 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 5 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Guideline
  2. Systematic Review on Healthcare and Societal Costs of Tinnitus.International journal of environmental research and public health · 2021
    Pooled it
  3. Pooled it
  4. Antidepressants for patients with tinnitus.The Cochrane database of systematic reviews · 2012
    Pooled it
  5. Pooled it
  6. Efficacy of Nortriptyline-Topiramate and Verapamil-Paroxetine in Tinnitus Management: A Randomized Placebo-Controlled Trial.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Trial
  7. Ginkgo biloba extract EGb 761International journal of clinical pharmacy · 2018
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Observational
  17. Is Transcutaneous Electrical Nerve Stimulation Therapy the Answer for Tinnitus: A Prospective Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 3 countries.

Berthold LangguthUniversity of Regensburg, Interdisciplinary Tinnitus Clinic, Department of Psychiatry and Psychotherapy, Universitaetsstrabetae 84, 93053 Regensburg, Germany. Berthold.Langguth@medbo.de
Richard Salvi
Ana Belén Elgoyhen
Consejo Nacional de Investigaciones Científicas y Técnicas · ARWeatherford College · US

Funding

Animal Models of Tinnitus, Brain Imaging & TherapyR01DC009091 · NIDCD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI SALVI, RICHARD J · 2007 to 2011
$2.9M
Neural Aspects of TinnitusR01DC009219 · NIDCD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI SALVI, RICHARD J · 2008 to 2012
$1.6M
Howard Hughes Medical InstituteNIDCD NIH HHS R01 DC009091NIDCD NIH HHS R01DC0090910NIDCD NIH HHS R01 DC009219NIDCD NIH HHS R01DC009219
6 · The paper itself

Abstract

Tinnitus, the perception of sound in the absence of an auditory stimulus, is perceived by about 1 in 10 adults, and for at least 1 in 100, tinnitus severely affects their quality of life. Because tinnitus is frequently associated with irritability, agitation, stress, insomnia, anxiety and depression, the social and economic burdens of tinnitus can be enormous. No curative treatments are available. However, tinnitus symptoms can be alleviated to some extent. The most widespread management therapies consist of auditory stimulation and cognitive behavioral treatment, aiming at improving habituation and coping strategies. Available clinical trials vary in methodological rigor and have been performed for a considerable number of different drugs. None of the investigated drugs have demonstrated providing replicable long-term reduction of tinnitus impact in the majority of patients in excess of placebo effects. Accordingly, there are no FDA or European Medicines Agency approved drugs for the treatment of tinnitus. However, in spite of the lack of evidence, a large variety of different compounds are prescribed off-label. Therefore, more effective pharmacotherapies for this huge and still growing market are desperately needed and even a drug that produces only a small but significant effect would have an enormous therapeutic impact. This review describes current and emerging pharmacotherapies with current difficulties and limitations. In addition, it provides an estimate of the tinnitus market. Finally, it describes recent advances in the tinnitus field which may help overcome obstacles faced in the pharmacological treatment of tinnitus. These include incomplete knowledge of tinnitus pathophysiology, lack of well-established animal models, heterogeneity of different forms of tinnitus, difficulties in tinnitus assessment and outcome measurement and variability in clinical trial methodology.

Indexed as

Cognitive Behavioral TherapyQuality of LifeAntineoplastic Combined Chemotherapy ProtocolsAnxietyBody Mass IndexCannabinoid Receptor AntagonistsCognition DisordersDepressionDepressive DisorderHealth StatusHumansIrritable MoodLung NeoplasmsRadiographyRandomized Controlled Trials as TopicRisk FactorsCannabinoid Receptor Antagonists

Identifiers

PMID19712015
PMCPMC2832848
OpenAlexW2141479011

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.