An interventional study of Labyrinth Devices MVI™ Multichannel Vestibular Implant in Other Disorders of Vestibular Function, Bilateral, Bilateral Vestibular Deficiency (BVD) and Gentamicin Ototoxicity, sponsored by Johns Hopkins University. Active, not recruiting at 1 site in United States. Open to participants aged 22 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-03-09.
Sponsored by Johns Hopkins University · Not applicable, Interventional, and Device feasibility
Although cochlear implants can restore hearing to individuals who have lost cochlear hair cell function, there is no adequately effective treatment for individuals suffering chronic imbalance, postural instability and unsteady vision due to loss of vestibular hair cell function. Preclinical studies have demonstrated that electrical stimulation of the vestibular nerve via a chronically implanted multichannel vestibular prosthesis can partially restore vestibular reflexes that maintain steady posture and vision. This pilot clinical feasibility study of a multichannel vestibular implant system will evaluate this approach in up to ten human subjects with bilateral vestibular deficiency due to gentamicin ototoxicity or other causes of inner ear dysfunction.
The system used in this study is the (MVI)™ Multichannel Vestibular Implant System produced by Labyrinth Devices, LLC. It is similar to commercially available cochlear implants in that it includes an implanted stimulator powered and controlled by an external unit, which communicate with the implant across the skin via an inductive link. Unlike a cochlear implant, the implanted stimulator's electrode array is designed for implantation near the ends of the vestibular nerve. The implanted stimulator also includes additional magnets to help facilitate retention of the external unit on the scalp over the implant. The external unit includes a head-worn unit (for sensing head motion and delivering power and signals to the implanted stimulator) and a power and control unit containing a battery and microprocessor. Participants in this trial who meet candidacy criteria and who choose to proceed with implantation surgery, device activation and device deactivation will be asked to participate in a series of post-operative monitoring visits over a ≥1 year period.
170 studies on the registry are indexed under Vestibular Diseases; 41 are open to participants now.
This study's planned enrollment of 30 is below the median of 46 across 127 interventional studies indexed under Vestibular Diseases.
Browse Vestibular Diseases studies →Johns Hopkins University is the lead sponsor of 1,815 studies on the registry; 315 are open to participants now.
Of its 208 completed or terminated interventional studies of FDA-regulated products, 144 (69%) have results posted.
Compared within Vestibular Diseases, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Labyrinth Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Hearing status: (1) Hearing in the candidate ear for implantation is equivalent to or worse than that in the contralateral ear; and (2) hearing in the contralateral ear is good enough to allow functional communication in case hearing in the implanted ear is lost after implantation. Specifically, the contralateral ear must satisfy all of the following criteria:
Exclusion Criteria:
Ability to become pregnant combined with failure or refusal to consistently use a highly effective method of from at least 1 month prior to implantation to not before 1 month after both device deactivation and conclusion of study participation. Highly effective contraception methods include:
Total abstinence. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post ovulation methods) and withdrawal are not acceptable methods of contraception for purposes of defining exclusion criteria for this study
Female sterilization (surgical bilateral oophorectomy with or without hysterectomy) or tubal ligation at least six weeks before entering the study. A woman who has undergone oophorectomy without hysterectomy may participate in the study only after her reproductive status has been confirmed by subsequent hormone level assessment
For female subjects of , study participation is not excluded if the study candidate's male partner is the sole partner of the study candidate and has been vasectomized.
Combination of any two of the following:
Use of oral, injected or implanted hormonal methods of contraception or other forms of hormonal contraception that have comparable efficacy (failure rate \<1%), for example, hormone vaginal ring or transdermal hormone contraception
Placement of an intrauterine device (IUD) or intrauterine system (IUS)
Barrier methods of contraception: Condom or Occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/vaginal suppository In case of use of oral contraception, women should have been stabile on the same pill for a minimum of 3 months before taking study treatment.
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².
Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.
The New York Heart Association’s four classes of how much heart failure limits physical activity.
Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.
A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Investigational drug or device
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraindication
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
GFR and eGFR (kidney filtering)
GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².
Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
NYHA class (heart failure)
The New York Heart Association’s four classes of how much heart failure limits physical activity.
Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Child-Pugh class
A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraception
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Childbearing potential
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Up to 30 participants will undergo implantation, activation and deactivation of a Labyrinth Devices MVI™ Multichannel Vestibular Implant System
Device: Labyrinth Devices MVI™ Multichannel Vestibular Implant
Identified adverse events to assess the safety and tolerability of the Labyrinth Devices Multichannel Vestibular Implant (MVI™)
Number of participants with treatment-related adverse events as assessed by Common Terminology Criteria for Adverse Events v4.3 (CTCAE v4.3)
Time frame: Through study completion, an average of 1 year, that is: in visits 0 through 10
Assess the feasibility of the MVI, as determined by changes in 3-dimensional vestibulo-ocular reflex (3D VOR) gain and alignment compared to pre-intervention values and published data from subjects with normal vestibular function
3D VOR gain (eye velocity / -head velocity)
Time frame: Through study completion, an average of 1 year, that is: in visits 0, and 3 through 10
Assess the preliminary efficacy of the MVI, as determined by changes in 3-dimensional vestibulo-ocular reflex (3D VOR) gain and alignment compared to pre-intervention values and published data from subjects with normal vestibular function
3D VOR gain (eye velocity / -head velocity)
Time frame: Through study completion, an average of 1 year, that is: in visits 0, and 3 through 10
Assess the effects of MVI implantation on cochlear function, as indicated by changes in pure tone audiometry
Pure tone audiometry (decibels \[dB\])
Time frame: through study completion, an average of 1 year, that is: in visits 0, and 3 through 10
Assess the effects of MVI use on cochlear function, as indicated by changes in pure tone audiometry
Pure tone audiometry (decibels \[dB\])
Time frame: through study completion, an average of 1 year, that is: in visits 0, and 3 through 10
Assess the effects of MVI implantation on cochlear function, as indicated by changes in Consonant-vowel nucleus-consonant (CNC) speech recognition scores
CNC speech recognition score (0-100% correct), higher scores means better outcome
Time frame: through study completion, an average of 1 year, that is: in visits 0, and 3 through 10
Assess the effects of MVI use on cochlear function, as indicated by changes in Consonant-vowel nucleus-consonant (CNC) speech recognition scores
CNC speech recognition score (0-100% correct), higher scores means better outcome
Time frame: through study completion, an average of 1 year, that is: in visits 0, and 3 through 10
Assess the effects of MVI implantation on cochlear function, as indicated by changes in Arizona Biomedical (AzBio) sentence recognition scores
AzBio sentence recognition score (0-100% correct), higher scores means better outcome
Time frame: through study completion, an average of 1 year, that is: in visits 0, and 3 through 10
Assess the effects of MVI use on cochlear function, as indicated by changes in Arizona Biomedical (AzBio) sentence recognition scores
AzBio sentence recognition score (0-100% correct), higher scores means better outcome
Time frame: through study completion, an average of 1 year, that is: in visits 0, and 3 through 10
Change in Vestibulo-ocular reflex (VOR) three-dimensional (3D) alignment to assess the preliminary efficacy of the MVI
Measured in degrees
Time frame: In a period of up to 24 weeks, in visits 0, and 3 through 10
Change in Ocular Vestibular Evoked Myogenic Potentials (oVEMP) to assess the effects of MVI implantation and use on utricular function
oVEMP peak-to-peak amplitude in microvolts
Time frame: In a period of up to 24 weeks, in visits 0, and 3 through 10
Change in Cervical Vestibular Evoked Myogenic Potentials (cVEMP) to assess the effects of MVI implantation and use on saccular function
cVEMP peak-to-peak amplitude in microvolts
Time frame: In a period of up to 24 weeks, in visits 0, and 3 through 10
Changes in utility scores on 36-Item Short Form Health Survey (SF-36) to assess the effects of MVI implantation and use on activities of daily living and quality of life
SF-36 Utility (No scale)
Time frame: In a period of up to 24 weeks, in visits 0, 6, 8, and 10
Changes in scores on Tinnitus Handicap Inventory (THI) to assess the effects of MVI implantation and use on activities of daily living and quality of life
THI score (0-100), higher scores means worse outcome
Time frame: In a period of up to 24 weeks, in visits 0, 6, 8, and 10
Changes in scores on Dizziness Handicap Inventory (DHI) to assess the effects of MVI implantation and use on activities of daily living and quality of life
DHI score (0-100), higher scores means worse outcome
Time frame: In a period of up to 24 weeks, in visits 0, 6, 8, and 10
Changes in scores on the Health Utilities Index 3 (HUI3) to assess the effects of MVI implantation and use on activities of daily living and quality of life
HUI3 scores (0-1), higher scores means better outcome
Time frame: In a period of up to 24 weeks, in visits 0, 6, 8, and 10
Changes in scores on the Vestibular Activities of Daily Living (VADL) to assess the effects of MVI implantation and use on activities of daily living and quality of life
VADL score (1-10), higher scores means worse outcome
Time frame: In a period of up to 24 weeks, in visits 0, 6, 8, and 10
Changes in scores on the Autophony Index (AI) to assess the effects of MVI implantation and use on activities of daily living and quality of life
AI score (0-104), higher scores means worse outcome
Time frame: In a period of up to 24 weeks, in visits 0, 6, 8, and 10
Changes in scores on the bilateral vestibular deficiency BVD-case definition subset of questions to assess the effects of MVI™ implantation and use on activities of daily living and quality of life
BVD-case definition subset of questions from the National Health Interview Survey 2008 Balance Questions (NHIS) score (no scale)
Time frame: In a period of up to 24 weeks, in visits 0, 6, 8, and 10
Change in Dynamic visual acuity (DVA) to assess the feasibility and preliminary efficacy of the MVI
DVA test score in log10 of the Minimum Angle Resolvable (LogMAR) units, as the difference between raw DVA LogMAR and static visual acuity LogMAR
Time frame: In a period of up to 24 weeks, in visits 0 and 3 through 10
Change in Bruininks-Oseretsky test of motor proficiency- balance subtest 2 (BOT2) score
BOT2 score (0-36), higher scores means better outcome
Time frame: In a period of up to 24 weeks, in visits 0, and 3 through 10
Change in Dynamic Gait Index (DGI)
DGI score (0-24), higher scores means better outcome
Time frame: In a period of up to 24 weeks, in visits 0, and 3 through 10
Change in gait characteristics using the GaitRite™ system
Gait speed analysis in meters per second
Time frame: In a period of up to 24 weeks, in visits 0, and 3 through 10
Plan to share: Yes — publication of de-identified data via peer-reviewed journals
Supporting information: Study protocol, Statistical analysis plan, Informed consent form
Time frame: Beginning 6 months after publication and ending 36 months after publication.
Access criteria: Data will be shared with researchers who provide a methodologically sound proposal and signed data access agreement. Proposals should be directed to vestibularimplant@jhmi.edu.
This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.
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