Evidence map›Paper›PMID 36648926›Full record

ArticleAudiology research2022

A Protocol to Investigate Deep Brain Stimulation for Refractory Tinnitus: From Rat Model to the Set-Up of a Human Pilot Study.

Gusta van Zwieten, Jana V P Devos, Sonja A Kotz, Linda Ackermans, Pia Brinkmann, Lobke Dauven, Erwin L J George, A Miranda L Janssen, Bernd Kremer, Carsten Leue and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Audiology research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03976908 (Deep Brain Stimulation for Refractory Tinnitus), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 33% 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.

NCT03976908 nacompletednot on this map

Deep Brain Stimulation for Refractory Tinnitus

TypeinterventionalSponsorMaastricht University Medical CenterRan2021 to 2024Enrolled6ConditionsTinnitusArmsDeep Brain Stimulation
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. Translational Research in Audiology.Audiology research · 2023
    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

14 authors at 2 institutions in 1 country.

Gusta van ZwietenSchool for Mental Health and Neuroscience (MHeNS), Maastricht University, 6229 ER Maastricht, The Netherlands.
Jana V P DevosSchool for Mental Health and Neuroscience (MHeNS), Maastricht University, 6229 ER Maastricht, The Netherlands.ORCID 0000-0003-3394-2865
Sonja A KotzFaculty of Psychology and Neuroscience, Department of Neuropsychology & Psychopharmacology, Maastricht University, 6229 ER Maastricht, The Netherlands.
Linda AckermansSchool for Mental Health and Neuroscience (MHeNS), Maastricht University, 6229 ER Maastricht, The Netherlands.
Pia BrinkmannFaculty of Psychology and Neuroscience, Department of Neuropsychology & Psychopharmacology, Maastricht University, 6229 ER Maastricht, The Netherlands.
Lobke DauvenDepartment of Ear Nose and Throat/Head and Neck Surgery, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.
Erwin L J GeorgeSchool for Mental Health and Neuroscience (MHeNS), Maastricht University, 6229 ER Maastricht, The Netherlands.ORCID 0000-0002-6311-6866
A Miranda L JanssenDepartment of Methodology and Statistics, School for Public Health and Primary Care, Maastricht University, 6229 HA Maastricht, The Netherlands.
Bernd KremerDepartment of Ear Nose and Throat/Head and Neck Surgery, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.
Carsten LeueDepartment of Psychiatry and Psychology, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.
Michael SchwartzeFaculty of Psychology and Neuroscience, Department of Neuropsychology & Psychopharmacology, Maastricht University, 6229 ER Maastricht, The Netherlands.
Yasin TemelSchool for Mental Health and Neuroscience (MHeNS), Maastricht University, 6229 ER Maastricht, The Netherlands.
Jasper V SmitDepartment of Ear Nose and Throat/Head and Neck Surgery, Zuyderland, 6419 PC Heerlen, The Netherlands.
Marcus L F JanssenSchool for Mental Health and Neuroscience (MHeNS), Maastricht University, 6229 ER Maastricht, The Netherlands.ORCID 0000-0003-0030-7224
Maastricht University · NLZuyderland Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic tinnitus can have an immense impact on quality of life. Despite recent treatment advances, many tinnitus patients remain refractory to them. Preclinical and clinical evidence suggests that deep brain stimulation (DBS) is a promising treatment to suppress tinnitus. In rats, it has been shown in multiple regions of the auditory pathway that DBS can have an alleviating effect on tinnitus. The thalamic medial geniculate body (MGB) takes a key position in the tinnitus network, shows pathophysiological hallmarks of tinnitus, and is readily accessible using stereotaxy. Here, a protocol is described to evaluate the safety and test the therapeutic effects of DBS in the MGB in severe tinnitus sufferers.

methodsBilateral DBS of the MGB will be applied in a future study in six patients with severe and refractory tinnitus. A double-blinded, randomized 2 × 2 crossover design (stimulation ON and OFF) will be applied, followed by a period of six months of open-label follow-up. The primary focus is to assess safety and feasibility (acceptability). Secondary outcomes assess a potential treatment effect and include tinnitus severity measured by the Tinnitus Functional Index (TFI), tinnitus loudness and distress, hearing, cognitive and psychological functions, quality of life, and neurophysiological characteristics. DISCUSSION: This protocol carefully balances risks and benefits and takes ethical considerations into account. This study will explore the safety and feasibility of DBS in severe refractory tinnitus, through extensive assessment of clinical and neurophysiological outcome measures. Additionally, important insights into the underlying mechanism of tinnitus and hearing function might be revealed.

trial registrationClinicalTrials.gov NCT03976908 (6 June 2019).

Indexed as

auditory thalamusdeep brain stimulationMGBrandomized controlled trialtinnitus

Identifiers

PMID36648926
PMCPMC9844413
OpenAlexW4313472960

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.