Trial Outcomes & Findings for Evaluation of Vestibular Stimulation to Help Occasional Sleeplessness (NCT NCT00594022)

NCT ID: NCT00594022

Last Updated: 2019-01-07

Results Overview

Latency to Persistent Sleep is how long does it take for a person to fall asleep and stay asleep. This is measured in minutes. This is different from sleep onset latency as participants fall asleep, but may wake back up.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

349 participants

Primary outcome timeframe

Treatment Night

Results posted on

2019-01-07

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1- "VirtuSom" - Stim
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with active device (electric stimulation of the Vestibular nerve). Electric stimulation of the Vestibular Nerve - "VirtuSom": This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. A small electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes.
Group 2- "VirtuSom"- Sham
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with placebo / sham device (NO electric stimulation of the Vestibular nerve). Electric stim of the Vestibular Nerve - "VirtuSom" - SHAM: This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. For the Sham Group, NO electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes. This is a sham / placebo device only.
Overall Study
STARTED
176
173
Overall Study
COMPLETED
176
173
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation of Vestibular Stimulation to Help Occasional Sleeplessness

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1- "VirtuSom" - Stim
n=176 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT (multiple sleep latency test) \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with active device (electric stimulation of the Vestibular nerve). Electric stimulation of the Vestibular Nerve - "VirtuSom": This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. A small electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes.
Group 2- "VirtuSom"- Sham
n=173 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with placebo / sham device (NO electric stimulation of the Vestibular nerve). Electric stim of the Vestibular Nerve - "VirtuSom" - SHAM: This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. For the Sham Group, NO electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes. This is a sham / placebo device only.
Total
n=349 Participants
Total of all reporting groups
Age, Continuous
31.53 years
STANDARD_DEVIATION 7.56 • n=99 Participants
31.91 years
STANDARD_DEVIATION 7.74 • n=107 Participants
31.76 years
STANDARD_DEVIATION 7.63 • n=206 Participants
Sex: Female, Male
Female
119 Participants
n=99 Participants
118 Participants
n=107 Participants
237 Participants
n=206 Participants
Sex: Female, Male
Male
57 Participants
n=99 Participants
55 Participants
n=107 Participants
112 Participants
n=206 Participants
Region of Enrollment
United States
176 participants
n=99 Participants
173 participants
n=107 Participants
349 participants
n=206 Participants
Body Mass Index
25.42 kg/m^2
STANDARD_DEVIATION 5.04 • n=99 Participants
26.00 kg/m^2
STANDARD_DEVIATION 5.42 • n=107 Participants
25.71 kg/m^2
STANDARD_DEVIATION 5.23 • n=206 Participants
Diastolic Blood Pressure
71.62 mmHg
STANDARD_DEVIATION 8.86 • n=99 Participants
72.84 mmHg
STANDARD_DEVIATION 9.00 • n=107 Participants
72.23 mmHg
STANDARD_DEVIATION 8.94 • n=206 Participants
Systolic Blood Pressure
113.57 mmHg
STANDARD_DEVIATION 12.39 • n=99 Participants
115.64 mmHg
STANDARD_DEVIATION 11.91 • n=107 Participants
114.60 mmHg
STANDARD_DEVIATION 12.18 • n=206 Participants
Respiration
16.49 breaths per minute
STANDARD_DEVIATION 2.19 • n=99 Participants
16.82 breaths per minute
STANDARD_DEVIATION 1.88 • n=107 Participants
16.65 breaths per minute
STANDARD_DEVIATION 2.05 • n=206 Participants
Pulse
70.14 beats per minute
STANDARD_DEVIATION 9.99 • n=99 Participants
69.43 beats per minute
STANDARD_DEVIATION 9.60 • n=107 Participants
69.79 beats per minute
STANDARD_DEVIATION 9.79 • n=206 Participants
Sleep Onset Latency on Multiple Sleep Latency Test
17.79 minutes
STANDARD_DEVIATION 1.90 • n=99 Participants
17.93 minutes
STANDARD_DEVIATION 1.81 • n=107 Participants
17.86 minutes
STANDARD_DEVIATION 1.86 • n=206 Participants

PRIMARY outcome

Timeframe: Treatment Night

Population: Only 282 of the Polysomnography results were scorable. 132 for the treatment (stim group) and 150 for the sham group.

Latency to Persistent Sleep is how long does it take for a person to fall asleep and stay asleep. This is measured in minutes. This is different from sleep onset latency as participants fall asleep, but may wake back up.

Outcome measures

Outcome measures
Measure
Group 1- "VirtuSom" - Stim
n=132 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with active device (electric stimulation of the Vestibular nerve). Electric stimulation of the Vestibular Nerve - "VirtuSom": This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. A small electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes.
Group 2- "VirtuSom"- Sham
n=150 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with placebo / sham device (NO electric stimulation of the Vestibular nerve). Electric stim of the Vestibular Nerve - "VirtuSom" - SHAM: This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. For the Sham Group, NO electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes. This is a sham / placebo device only.
Latency to Persistent Sleep (LPS)
48.14 minutes
Standard Deviation 70.41
58.84 minutes
Standard Deviation 87.03

SECONDARY outcome

Timeframe: Treatment night

Population: Site 6 indicate that there are properties of either the population or the study site that make it different from the remaining sites. For this reason, the analysis of the primary and secondary endpoints of the trial were done with Site 6 excluded. Not all participants answered this question the following morning, participants analyzed is less

Subjective sleep onset latency is how long it took a person to fall asleep once lights out. For subjective SOL this is a question to a participant the next morning asking how long they felt it took them to fall asleep in minutes.

Outcome measures

Outcome measures
Measure
Group 1- "VirtuSom" - Stim
n=102 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with active device (electric stimulation of the Vestibular nerve). Electric stimulation of the Vestibular Nerve - "VirtuSom": This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. A small electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes.
Group 2- "VirtuSom"- Sham
n=118 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with placebo / sham device (NO electric stimulation of the Vestibular nerve). Electric stim of the Vestibular Nerve - "VirtuSom" - SHAM: This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. For the Sham Group, NO electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes. This is a sham / placebo device only.
Subjective Sleep Onset Latency (SOL)
79.16 minutes
Standard Deviation 97.78
87.91 minutes
Standard Deviation 101.16

SECONDARY outcome

Timeframe: Treatment night

Population: It was noted on initial evaluation of the results, that Site 6 indicate that there are properties of either the population or the study site that make it different from the remaining sites. For this reason, the analysis of the primary and secondary endpoints of the trial were done with Site 6 excluded.

Total sleep time is the total amount of sleep a person gets in minutes over the course of the night. For this outcome measure it is for the 2 hours after lights out.

Outcome measures

Outcome measures
Measure
Group 1- "VirtuSom" - Stim
n=113 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with active device (electric stimulation of the Vestibular nerve). Electric stimulation of the Vestibular Nerve - "VirtuSom": This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. A small electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes.
Group 2- "VirtuSom"- Sham
n=129 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with placebo / sham device (NO electric stimulation of the Vestibular nerve). Electric stim of the Vestibular Nerve - "VirtuSom" - SHAM: This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. For the Sham Group, NO electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes. This is a sham / placebo device only.
Total Sleep Time (TST) in the First 2 Hours After Lights Out
66.65 minutes
Standard Deviation 32.81
64.17 minutes
Standard Deviation 36.75

SECONDARY outcome

Timeframe: Treatment night

Population: It was noted on initial evaluation of the results, that Site 6 indicate that there are properties of either the population or the study site that make it different from the remaining sites. For this reason, the analysis of the primary and secondary endpoints of the trial were done with Site 6 excluded.

Total sleep time is the total amount of sleep a person gets in minutes over the course of the night. For this outcome measure it is the total amount of sleep a participant gets over the first hour of sleep after lights out.

Outcome measures

Outcome measures
Measure
Group 1- "VirtuSom" - Stim
n=113 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with active device (electric stimulation of the Vestibular nerve). Electric stimulation of the Vestibular Nerve - "VirtuSom": This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. A small electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes.
Group 2- "VirtuSom"- Sham
n=129 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with placebo / sham device (NO electric stimulation of the Vestibular nerve). Electric stim of the Vestibular Nerve - "VirtuSom" - SHAM: This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. For the Sham Group, NO electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes. This is a sham / placebo device only.
Total Sleep Time (TST) in the First Hour After Lights Out
33.84 minutes
Standard Deviation 16.01
30.51 minutes
Standard Deviation 18.15

SECONDARY outcome

Timeframe: Treatment Night

Population: It was noted on initial evaluation of the results, that Site 6 indicate that there are properties of either the population or the study site that make it different from the remaining sites. For this reason, the analysis of the primary and secondary endpoints of the trial were done with Site 6 excluded.

Sleep onset latency is the amount of time it takes to fall asleep after the lights have been turned off. For this outcome measure it is as measured by the scored PSG.

Outcome measures

Outcome measures
Measure
Group 1- "VirtuSom" - Stim
n=113 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with active device (electric stimulation of the Vestibular nerve). Electric stimulation of the Vestibular Nerve - "VirtuSom": This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. A small electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes.
Group 2- "VirtuSom"- Sham
n=129 Participants
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with placebo / sham device (NO electric stimulation of the Vestibular nerve). Electric stim of the Vestibular Nerve - "VirtuSom" - SHAM: This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. For the Sham Group, NO electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes. This is a sham / placebo device only.
Scored Sleep Onset Latency (SOL on PSG)
27.50 minutes
Standard Deviation 49.79
31.28 minutes
Standard Deviation 50.03

Adverse Events

Group 1- "VirtuSom" - Stim

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Group 2- "VirtuSom"- Sham

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group 1- "VirtuSom" - Stim
n=176 participants at risk
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with active device (electric stimulation of the Vestibular nerve). Electric stimulation of the Vestibular Nerve - "VirtuSom": This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. A small electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes.
Group 2- "VirtuSom"- Sham
n=173 participants at risk
Normal sleepers (7.5 - 9.0 hours), MSLT \>=14 min; phase-advance 5-hours studied under full polysomnogram (PSG) with placebo / sham device (NO electric stimulation of the Vestibular nerve). Electric stim of the Vestibular Nerve - "VirtuSom" - SHAM: This device is similar to a Tens or Micro-Current electrical stimulator with respect to current levels deliver; however, because of the location of the stimulation it is similar to a Cranial Electrical Stimulator. For the Sham Group, NO electric stimulation (100 uA - 1000 uA) will be provided at the mastoids (bi-laterally) via small hydrogel electrodes. This is a sham / placebo device only.
Nervous system disorders
Headache
5.1%
9/176 • Number of events 10 • 1 year
6.4%
11/173 • Number of events 14 • 1 year

Additional Information

R.P. Chiacchierini & Associates

R.P. Chiacchierini & Associates

Phone: (240) 683-3738

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place