UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062440
Receipt number R000071342
Scientific Title Exploratory Clinical Trial of vagal nerve stimulation for Dizziness
Date of disclosure of the study information 2026/09/01
Last modified on 2026/08/02 16:30:32

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Basic information

Public title

Exploratory Clinical Trial of vagal nerve stimulation for Dizziness

Acronym

Exploratory Clinical Trial of vagal nerve stimulation for Dizziness

Scientific Title

Exploratory Clinical Trial of vagal nerve stimulation for Dizziness

Scientific Title:Acronym

Exploratory Clinical Trial of vagal nerve stimulation for Dizziness

Region

Japan


Condition

Condition

peripheral vestibular disorders

Classification by specialty

Oto-rhino-laryngology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to evaluate the efficacy, safety, and incidence of adverse events of vagal nerve stimulation targeting the auricular branch of the vagal nerve in patients with peripheral vestibular disorders who remain symptomatic or experience recurrent attacks despite standard medical therapy, as well as its impact on inflammatory control, including immune system responses.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Improvement in symptoms evaluated by comparing Dizziness Handicap Inventory (DHI) and Vertigo Symptom Scale (VSS) scores at baseline and 20 weeks after initiating low-frequency vagal nerve stimulation

Key secondary outcomes

1. Safety and the incidence of adverse events associated with vagal nerve stimulation
2. Changes in quality of life (QoL) before and after vagal nerve stimulation, assessed by the Visual Analogue Scale (VAS) and EuroQol 5-Dimension questionnaire (EQ-5D)
3. Occurrence of vertigo attacks during vagal nerve stimulation
4. Immune cell localization before and after vagal nerve stimulation, positivity and intensity of inflammation-induced molecular expression, presence or absence of disease-associated gene variants, and their association with pathophysiology, as well as correlations between inflammatory status and expression profiles of other analyzed molecules
5. Correlation between MRI-derived brain activity data and the expression profiles of various analyzed molecules


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

During a run-in period of up to 8 weeks, baseline evaluations including disease activity will be performed. Following the initiation of vagal nerve stimulation, various clinical parameters will be evaluated at Week 4 and every 8 weeks thereafter over a 20-week intervention period. Auricular stimulation using a Class II controlled medical device will be administered once daily for 1 hour for 20 weeks.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Aged 18 years or older at the time of obtaining informed consent.
2. Clinically diagnosed with peripheral vestibular disorders that is refractory to medical therapy.
3. Presenting with symptoms such as nystagmus or unsteadiness.
4. Capable of fully understanding the study details and providing voluntary written informed consent after receiving a thorough explanation.

Key exclusion criteria

1. History of acute heart failure, myocardial infarction, pulmonary edema, or acute exacerbation of interstitial pneumonia within the past 3 months.
2. History of progressive brain lesions.
3. Vertigo symptoms caused by acoustic neuroma.
4. Concurrent use of vagal nerve stimulation therapy.
5. History of epilepsy.
6. History of severe cardiovascular disease.
7. Presence of pneumothorax.
8. Uncontrolled infection.
9. History of hypersensitivity to glycerin.
10. Pregnant or lactating women.
11. Skin hypersensitivity or a history of skin reactions triggered by metals or other substances.
12. Difficulty with oral intake.
13. Severe renal impairment (estimated glomerular filtration rate [eGFR] < 30 mL/min).
14. Use of a cardiac pacemaker or implantable cardioverter-defibrillator (ICD).
15. Any other condition deemed unsuitable for study participation by the principal investigator or co-investigators.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Akihiro
Middle name
Last name Homma

Organization

Faculty of Medicine and Graduate School of Medicine, Hokkaido University

Division name

Department of Otolaryngology-Head & Neck Surgery

Zip code

0608638

Address

Kita-Ku, N15W7, Sapporo

TEL

011-706-5958

Email

ak-homma@med.hokudai.ac.jp


Public contact

Name of contact person

1st name Keishi
Middle name
Last name Fujiwara

Organization

Faculty of Medicine and Graduate School of Medicine, Hokkaido University

Division name

Department of Otolaryngology-Head & Neck Surgery

Zip code

0608638

Address

Kita-Ku, N15W7, Sapporo

TEL

011-706-5958

Homepage URL


Email

boron700@med.hokudai.ac.jp


Sponsor or person

Institute

Hokkaido University

Institute

Department

Personal name



Funding Source

Organization

Japan Science and Technology Agency

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hokkaido University Hospital Clinical Research Administration Center

Address

Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido

Tel

011-716-1161

Email

crjimu@huhp.hokudai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道大学病院(北海道)


Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 07 Month 07 Day

Date of IRB


Anticipated trial start date

2026 Year 09 Month 01 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 08 Month 02 Day

Last modified on

2026 Year 08 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071342