SENSE-VM: Safety and Effectiveness of a Novel Medical Device for Symptom Ease in Vestibular Migraines

The goal of this virtual clinical trial is to compare the effectiveness of two study devices in providing temporary relief to adults aged 18-75 who suffer from symptoms of chronic Vestibular Migraines (VM), also known as Migraine Associated Vertigo.

Participants will be:

• Enrolled up to 50 days; enrollment, 14 days in Baseline Phase (no device), 7 days in Transition Phase, 28 days in Treatment Phase (study device)
• Randomized and stratified into groups based on the referring clinic to be assigned one study device
• Asked to use the study device as instructed by the study coordinator
• Asked to submit daily diaries reporting their symptoms and use of device, and to participate in tele-health visits with study coordinators
• Asked to provide their vertigo diagnosis from their physician
• Compensated for their participation

Researchers will compare the randomized groups to determine which group responds better to which device.

Study Overview

• Status: Completed
• Conditions: Vestibular Migraine; Migraine Associated Vertigo
• Intervention / Treatment: Device: Otoband Experimental; Device: Otoband Sham

Detailed Description

This study is a decentralized clinical trial. This study uses technology and virtual meetings to communicate with study participants and collect study data. This study seeks to enroll until 200 participants have completed the study per protocol.

Study participants that meet all of the inclusion, none of the exclusion criteria, and sign the informed consent form will be enrolled in the study. Participants will complete a one day enrollment meeting and a 14 day Baseline Phase.

If a participant is eligible to remain in the study for the Treatment Phase at day 15, they will be randomized within their assigned group at a 1:1 ratio to an Active arm or Sham arm to begin the Treatment Phase of the study. Participants will be sent a study device to use when they have a vertigo episode.

Participants that enroll in the study are expected to participate up to 50 days with virtual meetings at the approximate intervals:

Day 5, Day 15, Day 22, Day 25, Day 35, and Day 51

Participants will be required to complete the DHI (Dizziness Handicap Inventory), VM-PATHI (Vestibular Migraine Patient Assessment Tool and Handicap Inventory), General Vertigo History, Global Impression of Change, "Most Bothersome Symptom", Relief from "Most Bothersome Symptom", and Net promoter score questionnaires.

Otolith Labs received Therapeutic Breakthrough Device designation by the FDA in May 2021.

• Study Type: Interventional
• Enrollment (Actual): 322
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • District of Columbia
    • Washington, District of Columbia, United States, 20001
      • Otolith Labs

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

To be eligible to participate in this study, an individual must meet all the following criteria:

- Diagnosed as having Vestibular Migraine (VM) (aka Migraine Associated Vertigo) The participant's diagnosis must be provided by a physician, Board certified in Otolaryngology or Neurology, from one of the study's approved clinics.

Diagnosis for VM must follow Bárány Society's "International Classification of Vestibular Disorders", which contains the Society's consensus diagnostic criteria for VM [Lempert 2022, sect. 3].

• Male or female subjects, age 18 to 75 years old inclusive on day of enrollment
• Residing in the United States
• Vestibular migraines that have been recurrent for at least 90 days
• Score from 36 to 90 inclusive on the Dizziness Handicap Inventory (DHI) (corresponding to moderate to severe vertigo)
• A smartphone, computer or tablet and access to internet to complete study procedures and study meetings
• Willing and able to comply with study procedures
• Willingness to use Venmo or Paypal for study stipend

Exclusion Criteria:

• Females who are pregnant or trying to become pregnant
• Enrolled in previous Otolith Lab-sponsored clinical trial
• Currently taking part in another interventional trial
• Surgery to the skull base within the last 6 months or plans for surgery to the skull during enrollment period
• Skull or neck implants
• History of vitreous detachment in the last 90 days
• Superior canal dehiscence or otic capsule dehiscence
• Diagnosed hyperacusis
• Planning to start vestibular rehabilitation therapy during the study
• History of cerebrovascular disorders
• Posterior fossa tumors, vestibular schwannoma
• Cerebellar degeneration (progressive worsening of neurons behind the brain stem)
• Initiation of calcitonin gene-related peptide inhibitor treatment within 4 weeks prior to beginning of trial
• Cognitive impairment or inability to follow study procedures

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 1. Moderate or Worse (MoW) Arm; Participants will be randomized to use the Otoband as instructed by clinical coordinator per study protocol. These participants will receive the experimental treatment device.	Device: Otoband Experimental; Participants will be randomly assigned to use the Otoband Experimental device to determine effectiveness in providing temporary relief to symptoms of vertigo.
Sham Comparator: 2. Moderate or Worse (MoW) Arm; Participants will be randomized to use the Otoband as instructed by clinical coordinator per study protocol. These participants will receive the sham device.	Device: Otoband Sham; Participants will be randomly assigned to use the Otoband Sham device to determine effectiveness in providing temporary relief to symptoms of vertigo.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
DHI Change in Scores	Reduction in final "Dizziness Handicap Inventory" (DHI) score by at least 12 points, compared to transition DHI score	Day 23 - Day 51

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in number of vestibular migraine episodes weekly	Assessment of the number of vestibular migraine episodes each week	Day 1 - Day 51
Global Impression of Change (severity of episodes)	Assessment of the results of Global Impression of Change questionnaire and impacts on the severity of episodes	Day 51
DHI change from transition to end of study	Assessment of overall changes in DHI score from transition time point to the end of the study	Day 23 - Day 51
Device responder rate	Assessment of the responder rate of the study arms and their device usage	Day 23 - Day 51
Number of related adverse events	Assessment of any adverse events related to device usage	Day 23 - Day 51

Collaborators and Investigators

• Sponsor: Otolith Labs
• Collaborators: MCRA
• Investigators: Principal Investigator: Didier Depireux, PhD, Otolith Labs

Study record dates

Study Major Dates

• Study Start (Actual): March 6, 2024
• Primary Completion (Actual): December 9, 2024
• Study Completion (Actual): January 8, 2025

Study Registration Dates

• First Submitted: February 12, 2024
• First Submitted That Met QC Criteria: February 12, 2024
• First Posted (Actual): February 20, 2024

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 28, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Neurologic Manifestations; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Headache Disorders, Primary; Headache Disorders; Otorhinolaryngologic Diseases; Ear Diseases; Labyrinth Diseases; Vestibular Diseases; Migraine Disorders; Vertigo
• Other Study ID Numbers: Olith10703

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: De-identified data will be made available to other researchers in an aggregate fashion upon publication of this study.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: Yes
• product manufactured in and exported from the U.S.: No