Electrical Vestibular Nerve Stimulation (VeNS) as a Method of Sleep Management in People With PTSD
A Randomized, Double Blind Sham Controlled, Pilot Study to Evaluate the Efficacy of Vestibular Nerve Stimulation (VeNS) for Sleep Management in People With Post- Traumatic Stress Disorder (PTSD).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria:
- Signed informed consent
- Diagnosed PTSD by a medical practitioner
- Post-Traumatic Checklist (PCL-5) score of 31 or above
- Insomnia Severity Index (ISI) score of 15 or above
- Male or female, age ≥ 18 years and ≤ 80 years at the time of signing informed consent
- Ability and willingness to complete all study visits and procedures, including completion of mental health questionnaires
- Ability and willingness to adhere to 30 minutes usage of the device daily for the duration of the study
- No change to PTSD, mental health or insomnia medication within the past 3 months (regimen should be stable)
- Agreement not to change usage of prescription or over the counter PTSD, mental health or insomnia medications for the duration of the study
- Agreement not to undergo any significant lifestyle changes that may affect sleep (e.g., excessive exercise, sleep interventions etc.) for the duration of the study
- Agreement not to use sleep trackers (e.g., Fitbit) for the duration of the study
- Agreement not to travel across different time zones for the duration of the study
- Access to Wi-Fi (to enable the study app to upload usage data)
- Access to computer, laptop, iPad or tablet (to conduct remote study visits and complete study questionnaires remotely)
- Willing to download and use Zoom (to conduct remote study visits)
Exclusion criteria:
- History of skin breakdown, eczema, or other dermatological condition (e.g., psoriasis) affecting the skin behind the ears
- Previous diagnosis of HIV infection or AIDS (HIV is known to cause vestibular neuropathy which would prevent VeNS from working)
- Use of beta-blockers within 1 month of starting the study
- A history of stroke or severe head injury as defined by a head injury that required a craniotomy or endotracheal intubation (in case this damaged the neurological pathways involved in vestibular stimulation)
- Presence of permanently implanted battery powered medical device or stimulator (e.g., pacemaker, implanted defibrillator, deep brain stimulator, vagal nerve stimulator etc.)
- Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using an adequate contraceptive method
- Diagnosis of epilepsy
- Diagnosis of active migraines
- Previous use of Modius device
- Participation in other research studies sponsored by Neurovalens
- Participation in any other sleep or PTSD studies
- Not fluent in English language
- Have a member of the same household who is currently participating in this study
- Failure to agree to use of device daily during study participation
- History of vestibular dysfunction or other inner ear disease
- Any other medical condition, or medication use, that in the opinion of the PI is likely to make the subject refractory to VeNS.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Active VeNS
|
The device utilizes a technology called vestibular nerve stimulation (VeNS).
The device will be placed on the head in a manner analogous to headphones and will deliver a small electrical current to the skin behind the ears, over the mastoid processes.
Participants will be advised to use the device at home for 30 minutes per day.
|
|
Sham Comparator: Sham VeNS
|
The device utilizes a technology called vestibular nerve stimulation (VeNS).
The device will be placed on the head in a manner analogous to headphones and will deliver a small electrical current to the skin behind the ears, over the mastoid processes.
Participants will be advised to use the device at home for 30 minutes per day.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Insomnia Severity Index (ISI) score
Time Frame: 4 weeks
|
To evaluate the effect of the Modius Sleep device, relative to control group on participants with insomnia.
ISI is a self-report rating scale assessing the severity of insomnia symptoms (range 0-28) with higher scores indicating a more severe insomnia.
|
4 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
PCL-5 Score
Time Frame: 4 weeks
|
To evaluate the effect of the Modius Sleep device, relative to control group, on the symptoms of PTSD, quantified by change in the PCL-5 Score.
|
4 weeks
|
|
SF-36 Score
Time Frame: 4 weeks
|
To evaluate the effect of the Modius Sleep device, relative to control group, on quality of life, quantified by change in the SF-36 Score.
|
4 weeks
|
|
Generalised Anxiety Disorder (GAD-7) Scores
Time Frame: 4 weeks
|
To evaluate the effect of the Modius Sleep device, relative to control group, on anxiety, quantified by change in the GAD-7 score.
GAD-7 is a self-report rating scale assessing the severity of anxiety (range 0-21), with higher score indicating more severe anxiety.
|
4 weeks
|
|
Prescription reduction
Time Frame: 4 weeks
|
To evaluate the effect of the Modius Sleep device, relative to control group, on prescription reduction, quantified by change in medication.
|
4 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: David Wilson, MD, Clinical Trial Mentors
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- NIPTSD01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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