Evidence map›Paper›PMID 28931943›Full record

Trial reportScientific reports2017

Vagus Nerve Stimulation Paired with Tones for the Treatment of Tinnitus: A Prospective Randomized Double-blind Controlled Pilot Study in Humans.

Richard Tyler, Anthony Cacace, Christina Stocking, Brent Tarver, Navzer Engineer, Jeffrey Martin, Aniruddha Deshpande, Nancy Stecker, Melissa Pereira, Michael Kilgard and 4 more

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 90 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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.

NCT01962558 nacompletednot on this map

A Blinded Randomized Pilot Study Assessing Vagus Nerve Stimulation (VNS) Paired With Tones for Tinnitus vs. VNS With Unpaired Tones

TypeinterventionalSponsorMicroTransponder Inc.Ran2014 to 2016Enrolled30ConditionsTinnitusArmsVNS Treatment, VNS Control
NCT05417711 nanot yet recruitingnot on this mapstarted 2023, after this paper: background citation

Efficacy of Transcutaneous Vagus Nerve Stimulation Paired With Tailor-Made Notched Music Therapy Versus Tailor-made Notched Music Training for Chronic Subjective Tinnitus: A Multicenter, Randomized, Double-blind, Controlled Clinical Trial

TypeinterventionalSponsorSun Yat-Sen Memorial Hospital of Sun Yat-Sen UniversityRan2023 to 2026Enrolled388ConditionsTinnitus, Subjective, Vagus Nerve Stimulation, Music Therapy, Double-Blind MethodArmsTranscutaneous Vagus Nerve Stimulation Paired with Tailor-Made Notched Music Therapy, Tailor-made Notched Music Training
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Vagus Nerve Stimulation in Movement Disorders, from Principles to a Systematic Review of Evidence.Movement disorders : official journal of the Movement Disorder Society · 2025
    Pooled it
  3. Guideline
  4. Pooled it
  5. Guideline
  6. Trial
  7. Estimation of Minimal Clinically Important Difference for Tinnitus Handicap Inventory and Tinnitus Functional Index.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Tinnitus.Nature reviews. Disease primers · 2026
    Review
  15. Article
  16. Review
  17. Neuroscientific therapies for subjective tinnitus.Journal of Zhejiang University. Science. B · 2026
    Review
  18. Article
  19. Inhibition of Cortical Evoked Responses to Sound Pulses by Preceding Silent Gaps.Journal of the Association for Research in Otolaryngology : JARO · 2025
    Article
  20. Article

30 more citing papers are in PubMed but not listed here.

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

14 authors.

Richard TylerUniversity of Iowa Department of Otolaryngology-Head and Neck Surgery and Communication Sciences and Disorders, The University of Iowa, Iowa City, IA, USA. rich-tyler@uiowa.edu.
Anthony CacaceDepartment of Communication Sciences & Disorders, Wayne State University, Detroit, MI, USA.
Christina StockingDepartment of Communicative Disorders and Sciences, University at Buffalo, Buffalo, NY, USA.
Brent TarverMicroTransponder, Inc., 2802 Flintrock Trace, Suite 226, Austin, TX, USA.
Navzer EngineerMicroTransponder, Inc., 2802 Flintrock Trace, Suite 226, Austin, TX, USA.
Jeffrey MartinCallier Center for Communication Disorders, School for Behavioral and Brain Sciences, University of Texas at Dallas, Richardson, TX, USA.
Aniruddha DeshpandeDepartment of Speech-Language-Hearing Sciences, Hofstra University, Hempstead, NY, USA.
Nancy SteckerDepartment of Communicative Disorders and Sciences, University at Buffalo, Buffalo, NY, USA.
Melissa PereiraDepartment of Communicative Disorders and Sciences, University at Buffalo, Buffalo, NY, USA.
Michael KilgardTexas Biomedical Device Center, University of Texas at Dallas, Richardson, TX, USA.
Chester BurressMicroTransponder, Inc., 2802 Flintrock Trace, Suite 226, Austin, TX, USA.
David PierceMicroTransponder, Inc., 2802 Flintrock Trace, Suite 226, Austin, TX, USA.
Robert RennakerTexas Biomedical Device Center, University of Texas at Dallas, Richardson, TX, USA.
Sven VannesteLab for Clinical and Integrative Neuroscience, School for Behavioral and Brain Sciences, University of Texas at Dallas, Richardson, TX, USA.

Funding

Targeted Neural Plasticity for the Treatment of TinnitusU44DC010084 · NIDCD · MICROTRANSPONDER, INC. · PI TARVER, BRENT, TYLER, RICHARD S. · 2012 to 2013
$2.6M
NIDCD NIH HHS U44 DC010084
6 · The paper itself

Abstract

The aim of the pilot study was to evaluate the effect of Vagus Nerve Stimulation (VNS) paired with sounds in chronic tinnitus patients. All participants were implanted and randomized to a paired VNS (n = 16) or control (n = 14) group. After 6 weeks of home therapy, all participants received paired VNS. The device was used on 96% of days with good compliance. After 6 weeks, the paired VNS group improved on the Tinnitus Handicap Inventory (THI) (p = 0.0012) compared to controls (p = 0.1561). The between-group difference was 10.3% (p = 0.3393). Fifty percent of the participants in the paired VNS group showed clinically meaningful improvements compared to 28% in controls. At one year, 50% of participants had a clinically meaningful response. The therapy had greater benefits for participants with tonal and non-blast induced tinnitus at the end of 6 (24.3% vs. 2%, p = 0.05) and 12 weeks (34% vs. 2%, p = 0.004) compared to controls with 80% and 70% responding at 6 months and 1 year, respectively. Adverse effects were mild and well-tolerated and the therapy had a similar safety profile to VNS for epilepsy. VNS paired with tones may be effective for a subgroup of tinnitus patients and provides impetus for a larger pivotal study.

Indexed as

SoundDouble-Blind MethodFemaleHumansMaleMiddle AgedPilot ProjectsProspective StudiesTinnitusTreatment OutcomeUnited StatesVagus Nerve Stimulation

Identifiers

PMID28931943
PMCPMC5607328

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.