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CompletedNCT05446194VESTUpdated Feb 17, 2026

Vestibulopathy, Imbalance, and Gait Disturbances in Parkinson Disease

An interventional study of Non invasive neuromodulation device pattern 1 and Non invasive neuromodulation device pattern 2 in Parkinson Disease, sponsored by University of Michigan. Completed at 1 site in United States. Open to participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2026-02-17.

Sponsored by University of Michigan · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jul 2025, 1 year 2 months ago, and no results have been posted to the registry.
  • Registered 8 months after the study started (first participant enrolled Oct 2021, registered Jul 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
72
Allocation
Randomized
Ages
45 Years and older
Sex
All
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Study summary

This study investigates whether vestibular (inner ear) dysfunction is a cause for poor balance in Parkinson Disease (PD), and whether inner ear stimulation with a small device may improve balance. This study will involve clinical testing, brain imaging, and an interventional treatment device for symptoms.

Read the detailed description

Basic testing of participants began in November 2021, but using the device or sham will not begin prior to July 2022.

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Conditions studied

  • Parkinson Disease

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In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 72 is above the median of 40 across 3,294 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

University of Michigan is the lead sponsor of 1,475 studies on the registry; 196 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 128 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
45 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

1. Parkinson disease duration of 5 years or more or Hoehn \& Yahr stage 1.5-4

Exclusion criteria

Exclusion Criteria:

  1. History of Meniere disease or recent onset of acute vestibular dysfunction, such as otolith disorders (BBPV etc).
  2. Other disorders which may resemble PD, such as progressive supranuclear palsy (PSP), vascular dementia, normal pressure hydrocephalus, multiple system atrophy (MSA), corticobasal ganglionic degeneration, or toxic causes of parkinsonism. Prototypical cases have distinctive clinical profiles, like early and severe dysautonomia (MSA) or appendicular apraxia, which may differentiate them from idiopathic PD and PSP. The use of the UKPDSBRC clinical diagnostic criteria for PD will mitigate the inclusion of subjects with atypical parkinsonism.
  3. Evidence of a stroke or mass lesion on structural brain imaging (MRI).
  4. Participants in whom MRI is contraindicated including, but not limited to, those with a pacemaker, presence of metallic fragments near the eyes or spinal cord, or cochlear implant.
  5. Severe claustrophobia precluding MR or PET imaging.
  6. Subjects limited by participation in research procedures involving ionizing radiation.
  7. Pregnancy (test within 48 hours of each PET session) or breastfeeding.
  8. Subjects with active and unstable mood or anxiety disorders
  9. Subjects with active ear infections or perforated eardrums
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
72 participants (actual)

Study arms

  • Experimental
    Investigational Treatment 1

    Investigational treatment stimulation pattern 1

    Device: Non invasive neuromodulation device pattern 1

  • Experimental
    Investigational Treatment 2

    Investigational treatment stimulation pattern 2

    Device: Non invasive neuromodulation device pattern 2

Interventions

  • DeviceNon invasive neuromodulation device pattern 1

    The study device consists of a headset, which looks like a music earphone headset, and a base station that powers the headset. The headset has metallic earpieces that fit into the ear canals. When activated, the study device will deliver a prescribed stimulation pattern for approximately 20 minutes.

  • DeviceNon invasive neuromodulation device pattern 2

    The study device consists of a headset, which looks like a music earphone headset, and a base station that powers the headset. The headset has metallic earpieces that fit into the ear canals. When activated, the study device will deliver a prescribed stimulation pattern for approximately 20 minutes.

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What researchers measure

Primary outcomes

  1. Freezing of Gait

    Freezing of Gait is measured by the New Freezing of Gate Questionnaire, the current gold standard for assessment of FoG in Parkinsons Disease. Measured on a scale of 0 - 28 points with higher numbers representing more severe freezing of gait

    Time frame: after a week of treatment

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Study locations

1 site
  • University of Michigan
    Ann Arbor, Michigan 48106, United States
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References and documents

Study documents

  • Protocol and statistical analysis plan · May 15, 2025
  • Informed consent form · Dec 18, 2025
  • Informed consent form · Nov 13, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Per the informed consent, which allows for opt-out of data sharing, some of the observational research data and brain images collected in this study (collectively referred to as "research data") may be shared with University of Michigan investigators, investigators from outside of the University of Michigan, or may be submitted to data repositories with permission from the participant. Representatives of the Study Device Sponsor may have access to participant data but will not share it.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05446194
Lead sponsor
University of Michigan
Collaborators
US Department of Veterans Affairs
Responsible party
Chatkaew Pongmala (Research Investigator, University of Michigan) — Principal investigator
First posted
Jul 6, 2022
Start date
Oct 12, 2021
Primary completion
Jul 24, 2025
Completion
Jul 24, 2025
Last update
Feb 17, 2026

Study contacts

Chatkaew Pongmala, PhD
principal investigator · University of Michigan

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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