30.06.2022,
9303 Zeichen
Dublin (ots/PRNewswire) - - Second large-scale trial shows greater
reduction in tinnitus symptom severity using bimodal neuromodulation
device, Lenire®
- 91% of treatment compliant participants experienced improvement in
tinnitus symptoms that sustained 12 months after treatment
- 87.8% said they would recommend treatment to others with tinnitus
Neuromod Devices Limited, the Irish medical device company
specialising in the treatment of tinnitus, has published the results
of the company's TENT-A2 (Treatment Evaluation of Neuromodulation for
Tinnitus – Stage A2) clinical trial in the highly regarded scientific
journal, Nature – Scientific Reports in a paper titled: "Different
bimodal neuromodulation settings reduce tinnitus symptoms in a large
randomized trial."
The full paper is available here: TENT-A2 results[1].
Tinnitus, commonly referred to as "ringing in the ears" is thought to
affect between 10 – 15% of the global adult population[2,3]. The
TENT-A2 trial, which included 191 participants, is the company's
second large-scale clinical trial and sought to replicate and further
enhance the results demonstrated in the company's TENT-A1 trial, a
study that evaluated the safety and efficacy of Lenire®, the
company's non-invasive bimodal neuromodulation device in 326
participants.
The publication of the TENT-A2 results in Nature – Scientific Reports
follows on from the publication of the TENT-A1 results as the cover
story in Science – Translational Medicine in 2020 (the full TENT-A1
results paper is available here: TENT-A1 results)[4]. This second
major publication continues Neuromod's strategy to establish the
clinical credibility of bimodal neuromodulation through publishing
large-scale clinical trials in top-tier peer-reviewed journals.
The TENT-A2 study investigated if changing treatment stimuli after
six weeks of treatment would result in greater improvement in
tinnitus symptoms than observed in the TENT-A1 study, during which
participants were treated with the same stimuli for the entire
12-week treatment period.
In the TENT-A1 study, treatment compliant participants demonstrated a
mean improvement that was more than twice the published clinically
important improvement. In the TENT-A2 study, 95% of treatment
compliant participants achieved a greater average improvement in
symptoms compared to TENT-A1[1,4,5] and almost three times the
published clinically important improvement. 91% of treatment
compliant participants achieved an improvement that sustained 12
months after treatment concluded[1,5].
TENT-A2 is the second large-scale clinical trial validating the
safety, with high patient satisfaction and tolerability, of bimodal
neuromodulation as a treatment for tinnitus while also demonstrating
greater efficacy in reducing tinnitus symptoms through optimised
treatment regimens compared to the first large-scale trial.
Bimodal neuromodulation is the stimulation of nerves with two paired
stimuli for therapeutic purposes. The tinnitus treatment device that
was used in the study, known as Lenire and available commercially
throughout Europe, was developed by Neuromod. It consists of wireless
(Bluetooth®) headphones that deliver sequences of audio tones to both
ears, combined with electrical stimulation pulses delivered to the
surface of the tongue via 32 electrodes on a proprietary device
trademarked as Tonguetip®. The device's settings can be configured to
provide treatment with different combinations of audio and electrical
stimuli.
The timing, intensity and delivery of the stimuli are controlled by
an easy-to-use handheld controller that each participant is trained
to use prior to continuing treatment from home. Before using the
treatment for the first time, the device is configured to the
patient's hearing profile and optimised to the patient's sensitivity
level for tongue stimulation.
Similarly to TENT-A1, participants in the TENT-A2 trial were
instructed to use Lenire for 60 minutes each day for 12 weeks.
However, after an initial six weeks of treatment, the timing and
delivery of the audio and tongue stimuli were changed for
participants of the TENT-A2 trial for their remaining six weeks of
treatment. In TENT-A1, the stimulation setting remained the same for
the full 12 weeks of treatment. This change in treatment regimen
resulted in a greater average reduction in tinnitus symptom severity
achieved by treatment compliant participants[1,4,5].
The study was conducted at the Wellcome Trust-HRB Clinical Research
Facility, St. James's Hospital, Dublin, Ireland with no
treatment-related Serious Adverse Events (SAEs) reported and a high
treatment compliance. Out of 191 enrolled participants, 83.8% used
the device at or above the minimum compliance level over the 12-week
treatment period[1].
When treatment was completed, participants returned their devices and
were assessed at three follow-up appointments up to 12 months. 70.3%
of the 172 participants who filled out the exit survey said they had
benefited from using the treatment and 87.8% said they would
recommend other people with tinnitus to try the treatment[1].
Participants were screened and selected based on a pre-defined list
of inclusion and exclusion criteria that enrolled a representative
sample of the wider tinnitus population. Further information about
the criteria can be found using identifier NCT03530306 at
https://www.clinicaltrials.gov.
Speaking on the news, Dr Ross O'Neill, Founding CEO of Neuromod,
said, "We're delighted to announce the publication of positive
results from the TENT-A2 clinical trial which show greater
improvement in tinnitus symptoms from treatment with Lenire. Tinnitus
remains one of the largest unmet clinical needs globally and I'm
proud that Neuromod is at the forefront of developing bimodal
neuromodulation technology to treat chronic tinnitus. Publishing two
large-scale clinical trials in internationally-recognised
peer-reviewed journals with positive results for a tinnitus treatment
device is a historic milestone, and we're committed to continuing our
research in this area to further improve patient outcomes."
Hubert Lim, Chief Scientific Officer at Neuromod, commented, "I am
proud of our company's ability to build on our prior research by
enrolling 191 participants in another large-scale clinical trial that
showed even greater improvements in tinnitus symptoms compared to our
previous large-scale study when adjusting the stimulation regimen
over time. The successful completion of two large-scale trials is a
major milestone in our continuing work to develop a treatment to help
as many people living with tinnitus and in further demonstrating
bimodal neuromodulation as a safe and effective intervention for
people living with the condition."
About Neuromod Devices Ltd
Founded in 2010, Neuromod Devices Ltd. is a medical technology
company headquartered in Dublin, Ireland. Neuromod specialises in the
design and development of neuromodulation technologies to address the
clinical needs of underserved patient populations who live with
chronic and debilitating conditions. The lead application of
Neuromod's technology is in the field of tinnitus, where Neuromod has
completed extensive clinical trials to confirm the efficacy of its
non-invasive neuromodulation platform in this common disorder.
Neuromod's tinnitus treatment device, Lenire, is currently available
throughout Europe. For more information, visit
www.neuromoddevices.com.
About Lenire
Lenire is the first non-invasive bimodal neuromodulation tinnitus
treatment device shown to soothe and relieve tinnitus in a
large-scale clinical trial4. Lenire has CE-mark certification for the
treatment of tinnitus under the supervision of an appropriately
qualified healthcare professional in Europe. Further details about
Lenire including a list of providers can be found at www.lenire.com.
About Nature – Scientific Reports
Scientific Reports is an open access journal publishing original
research from across all areas of the natural sciences, psychology,
medicine and engineering and a member of the Nature family of
research journals. Scientific Reports is the 6th most-cited journal
in the world, with more than 540,000 citations in 20206, and receives
widespread attention in policy documents and the media.
Connect with Neuromod Devices Ltd:
LinkedIn: linkedin.com/company/neuromod Twitter:
twitter.com/NeuromodDevices Neuromod Devices website:
neuromoddevices.com
Lenire website: lenire.com
References
1. Conlon et al., Different bimodal neuromodulation settings reduce
tinnitus symptoms in a large randomized trial, Sci Rep,
https://doi.org/10.1038/s41598-022-13875-x (2022).
2. Baguely et al., Tinnitus, The Lancet (2013),
https://www.sciencedirect.com/science/article/pii/S014067361...
3. McCormack, A., Edmondson-Jones, M., Somerset, S. & Hall, D. A
systematic review of the reporting of tinnitus prevalence and
severity. Hear Res. 337, 70–79.
https://doi.org/10.1016/j.heares.2016.05.009 (2016).
4. Conlon et al., Sci. Transl. Med. 12, eabb2830 (2020).
5. As measured by Tinnitus Handicap Inventory (THI).
6. 2020 Journal Citation Reports® Science Edition (Clarivate
Analytics, 2021).
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neil.doyle@neuromoddevices.com
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