| 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 |
Exploratory Clinical Trial of vagal nerve stimulation for Dizziness
Exploratory Clinical Trial of vagal nerve stimulation for Dizziness
Exploratory Clinical Trial of vagal nerve stimulation for Dizziness
Exploratory Clinical Trial of vagal nerve stimulation for Dizziness
| Japan |
peripheral vestibular disorders
| Oto-rhino-laryngology |
Others
NO
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.
Safety,Efficacy
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
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
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
| Device,equipment |
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.
| 18 | years-old | <= |
| Not applicable |
Male and Female
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.
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.
40
| 1st name | Akihiro |
| Middle name | |
| Last name | Homma |
Faculty of Medicine and Graduate School of Medicine, Hokkaido University
Department of Otolaryngology-Head & Neck Surgery
0608638
Kita-Ku, N15W7, Sapporo
011-706-5958
ak-homma@med.hokudai.ac.jp
| 1st name | Keishi |
| Middle name | |
| Last name | Fujiwara |
Faculty of Medicine and Graduate School of Medicine, Hokkaido University
Department of Otolaryngology-Head & Neck Surgery
0608638
Kita-Ku, N15W7, Sapporo
011-706-5958
boron700@med.hokudai.ac.jp
Hokkaido University
Japan Science and Technology Agency
Japanese Governmental office
Hokkaido University Hospital Clinical Research Administration Center
Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido
011-716-1161
crjimu@huhp.hokudai.ac.jp
NO
北海道大学病院(北海道)
| 2026 | Year | 09 | Month | 01 | Day |
Unpublished
Preinitiation
| 2026 | Year | 07 | Month | 07 | Day |
| 2026 | Year | 09 | Month | 01 | Day |
| 2029 | Year | 03 | Month | 31 | Day |
| 2026 | Year | 08 | Month | 02 | Day |
| 2026 | Year | 08 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071342