ClinicalTrials.gg
RecruitingNCT06961864VPVSSUpdated Jan 14, 2026

Investigating Brain Function in People With and Without Visual Snow Syndrome Using Adaptation to Visual Stimuli

An interventional study of Visual Adaptation and Assessments and Questionnaires in Visual Snow Syndrome, Migraine and Healthy, sponsored by University of Minnesota. Recruiting at 1 site in United States. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-14.

Sponsored by University of Minnesota · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The goal of this study is to learn more about the brain pathways and activity involved in creating Visual Snow Syndrome (VSS). The main questions it aims to answer are:

  • Does VSS arise from spontaneous activity in brain pathways?
  • Where in the brain does the activity contributing to VSS arise?
  • How does brain activity contribute to VSS?

Participants will:

  1. Undergo assessments and questionnaires to understand visual and mental symptoms, cognitive, and sensory function.
  2. Make visual judgements based on images presented to them both inside and outside a magnetic resonance imaging (MRI) machine.
  3. Undergo scanning of their brain while inside of an MRI machine.
02

Conditions studied

  • Visual Snow Syndrome
  • Migraine
  • Healthy

Keywords

  • Visual Snow Syndrome
  • Visual Snow
  • Migraine
  • Floaters
  • Palinopsia
  • Photophobia
  • Nyctalopia
  • Entoptic phenomena
  • Visual trailing
  • Adaptation
  • Magnetic resonance spectroscopy
  • MRS
  • Magnetic resonance imaging
  • MRI
  • University of Minnesota
  • Afterimages
  • Poor night vision
  • Light sensitivity
  • Persistent positive visual phenomena
  • Static
03

In context

Migraine Disorders

1,657 studies on the registry are indexed under Migraine Disorders; 339 are open to participants now.

This study's planned enrollment of 100 is above the median of 80 across 1,269 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

University of Minnesota is the lead sponsor of 1,216 studies on the registry; 197 are open to participants now.

Of its 136 completed or terminated interventional studies of FDA-regulated products, 95 (70%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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.

Inclusion Criteria for People with Visual Snow Syndrome:

  • Between the ages of 18 and 60 years old
  • Normal (20/25 or better in each eye) or corrected-to-normal vision (MR-compatible glasses will be provided as needed)
  • Ability to comply with study instructions
  • Individuals who have a current diagnosis of VSS from a neuro-ophthalmologist or meet diagnostic criteria of VSS (experience of dynamic dots across the visual field persisting longer than 3 months and at least 2 of the following additional visual symptoms: palinopsia, entoptic phenomena, trails behind moving objects, photophobia, or nyctalopia)
  • Individuals living in Minnesota within 2 hours of the study site

Inclusion criteria

Inclusion Criteria for Non-snow Controls:

  • Between the ages of 18 and 60 years old
  • Normal (20/25 or better in each eye) or corrected-to-normal vision (MR-compatible glasses will be provided as needed)
  • Ability to comply with study instructions
  • Individuals living in Minnesota within 2 hours of the study site

Exclusion Criteria for People with Visual Snow Syndrome:

  • Not being fluent in English or another language for which interpretation/translation services are available
  • A diagnosed or self-reported intellectual disability
  • Current substance dependence (besides nicotine), or drug dependence with tolerance or withdrawal within past 12 months
  • Hallucinogenic substance use within the past 12 months or hallucinogenic substance use within 12 months prior to onset of VSS symptoms
  • Severe central nervous system disease
  • Head injury with skull fracture or loss of consciousness for more than thirty minutes
  • Presence of a physical problem that would render study measures difficult or impossible to administer or interpret (e.g., visual field loss)
  • Age less than 18 years or greater than 60 years
  • MRI exclusions (for MR visits only):

    • Metal in the body that cannot be approved by the CMRR safety committee
    • Pregnancy
    • Conditions that affect neuro-hemodynamic coupling
    • Claustrophobia
    • Inability to lie still for at least an hour
    • Weight in excess of 440 lbs
    • CT scan exclusion only: Research-related radiation exposure within the last 12 months
  • Any vision anomaly aside from VS or refractive error (e.g., strabismus/ crossed eyes, lazy eyes, color blindness)
  • Current psychotic episode

Exclusion criteria

Exclusion Criteria for Non-snow Controls:

  • Not being fluent in English or another language for which interpretation/translation services are available
  • A diagnosed or self-reported intellectual disability
  • Current substance dependence (besides nicotine), or drug dependence with tolerance or withdrawal within past 12 months
  • Hallucinogenic substance use within the past 12 months
  • Severe central nervous system disease
  • Head injury with skull fracture or loss of consciousness for more than thirty minutes
  • Presence of a physical problem that would render study measures difficult or impossible to administer or interpret (e.g., visual field loss)
  • Age less than 18 years or greater than 60 years
  • MRI exclusions (for MR visits only):

    • Metal in the body that cannot be approved by the CMRR safety committee
    • Pregnancy
    • Conditions that affect neuro-hemodynamic coupling
    • Claustrophobia
    • Inability to lie still for at least an hour
    • Weight in excess of 440 lbs
    • CT scan exclusion only: Research-related radiation exposure within the last 12 months
  • Any vision anomaly or refractive error (e.g. strabismus/ crossed eyes, lazy eyes, color blind)
  • A personal history of VSS symptoms or a diagnosis with VSS
  • Current psychotic episode
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Active comparator
    People with Visual Snow Syndrome

    Behavioral: Visual Adaptation · Behavioral: Assessments and Questionnaires · Device: Functional Magnetic Resonance Imaging (fMRI) · Device: Magnetic Resonance Imaging (MRS)

  • Placebo comparator
    Non-snow Controls

    Behavioral: Visual Adaptation · Behavioral: Assessments and Questionnaires · Device: Functional Magnetic Resonance Imaging (fMRI) · Device: Magnetic Resonance Imaging (MRS)

Interventions

  • BehavioralVisual Adaptation

    Presentation of visual stimuli to quantify the appearance of visual snow or its effects in the visual system of the brain.

  • BehavioralAssessments and Questionnaires

    Administration of clinical assessments and questionnaires to gather information about visual and mental symptoms, cognitive, and sensory function.

  • DeviceFunctional Magnetic Resonance Imaging (fMRI)

    7 tesla fMRI data will be acquired during visual paradigms designed to measure neural responses with and without adaptation.

  • DeviceMagnetic Resonance Imaging (MRS)

    7 tesla MRS data will be acquired to quantify the concentrations of different brain chemicals in brain regions including visual cortex.

06

What researchers measure

Primary outcomes

  1. Psychophysical Adaptation Task Performance

    Visual tasks will consist of perceptual judgments following adaptation (e.g., subject will report when internal or external / simulated visual snow appears the same on the left or right side of the screen). Measures will be compared for visual target stimuli in different task conditions and experiments, with the goal of understanding the neural basis of visual snow.

    Time frame: 1.5-2 hours per session, with experiments divided across multiple (e.g., 3) sessions

  2. Functional Magnetic Resonance Imaging (fMRI) Measures

    7 tesla fMRI data will be acquired during visual paradigms designed to measure neural responses with and without adaptation. FMRI data will be processed and analyzed to quantify the effect of adaptation across different regions in visual cortex.

    Time frame: 1-2 hours per session, with experiments split across multiple (e.g., 3) sessions

  3. Magnetic Resonance Spectroscopy (MRS)

    7 telsa MRS data will be acquired to quantify the concentration of different brain chemicals in brain areas including visual cortex.

    Time frame: 1-2 hours

Secondary outcomes

  1. Clinical Symptom Scores

    Measures of visual and mental symptoms, cognitive, and sensory function (e.g., Visual Snow Questionnaire), will be collected using self-report and interview methods. Scores will be compared across groups to differences in visual and mental symptoms in people with and without visual snow syndrome (VSS).

    Time frame: 1-2 hours

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Montoya SA, Mulder CB, Allison KD, Lee MS, Engel SA, Schallmo MP. What does visual snow look like? Quantification by matching a simulation. J Vis. 2024 Jun 3;24(6):3. doi: 10.1167/jov.24.6.3. PubMed 38837169 ↗
  • Montoya SA, Hillstrom AJ, Allison KD, Mulder CB, Moser HR, Lee MS, Schallmo MP, Engel SA. Visual Snow Is Susceptible to the Motion Aftereffect. Invest Ophthalmol Vis Sci. 2025 Oct 1;66(13):23. doi: 10.1167/iovs.66.13.23. PubMed 41085357 ↗
  • Montoya SA, Mulder CB, Lee MS, Schallmo MP, Engel SA. Adapting to Visual Noise Alleviates Visual Snow. Invest Ophthalmol Vis Sci. 2023 Dec 1;64(15):23. doi: 10.1167/iovs.64.15.23. PubMed 38117246 ↗

Related links

Individual participant data

Plan to share: Yes — De-identified data will be shared to a public repository at the end of the study. Data that will be shared include the study protocol, informed consent form, analytic code, behavioral data, and brain imaging data. OpenNuero.org will be used for data and Github.com will be used to share code.

Supporting information: Study protocol, Informed consent form, Analytic code

Time frame: Data will be shared within 12 months of the completion of our study or publication of a relevant manuscript, whichever comes first.

Access criteria: Everyone will be able to access the data shared to the repositories.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2025 (actual). Primary completion is estimated for Mar 2030, 59 months after the start.

Of 309 non-industry interventional studies with no phase under Migraine Disorders, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 36. This study's planned 59 months is above that.

Counting every sponsor, half of 358 studies reached it within 15 months; a quarter within 7 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 29, 2025
First posted
May 8, 2025
StartActual
Apr 11, 2025
Primary completionEst.
Mar 31, 2030
CompletionEst.
Mar 31, 2030
Last update
Jan 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06961864
Responsible party
Sponsor
First posted
May 8, 2025
Start date
Apr 11, 2025
Primary completion
Mar 31, 2030 (estimated)
Completion
Mar 31, 2030 (estimated)
Last update
Jan 14, 2026

Study contacts

Michael-Paul Schallmo, Ph.D.
Contact
schallmolab@umn.edu
(612) 273-9130
Hannah Moser, Ph.D.
Contact
schallmolab@umn.edu
Michael-Paul Schallmo, Ph.D.
principal investigator · University of Minnesota, Department of Psychiatry and Behavioral Sciences
Stephen A Engel, Ph.D.
study chair · University of Minnesota, Department of Psychology
Michael S Lee, M.D.
study chair · University of Minnesota, Department of Ophthalmology and Visual Neurosciences
Abby Metzler, M.D.
study chair · University of Minnesota, Department of Neurology
Malgorzata Marjanska, Ph.D.
study chair · University of Minnesota, Department of Radiology
Carrie E Robertson, M.D.
study chair · Mayo Clinic, Rochester, Department of Neurology

Oversight

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

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