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WithdrawnNCT07302373Updated Dec 24, 2025

Closed-loop Rehabilitation for Hyperactive Hearing

An interventional study of Sound Therapy 1 and Sound therapy 2 in Tinnitus and Hyperacusis, sponsored by Massachusetts Eye and Ear Infirmary. Withdrawn. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2025-12-24.

Sponsored by Massachusetts Eye and Ear Infirmary · Not applicable, Interventional, and Treatment

Why this study was withdrawn
Funding for this study ended prior to enrollment of any participants.
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 89 Years
Sex
All
01

Study summary

There are no widely available treatments for the underserved populations with tinnitus, hyperacusis, and hearing-in-noise deficits. Left unmanaged, these disorders can lead to a wide range of negative psychosocial and emotional sequelae including anxiety, depression, fear, and social isolation. The proposed research will investigate a novel closed-loop sound therapy designed to address the mutual basis of these disorders.

Read the detailed description

Upwards of 700 million people are projected to require rehabilitative services for hearing disorders by the year 2050 (Chadha, Kamenov, \& Cieza, 2021). Many will suffer not from what is inaudible but from the presence of insuppressible sound. Individuals may be overwhelmed by phantom sounds that do not exist external to the auditory system (tinnitus) (Henry, Dennis, \& Schechter, 2005). Moderate intensity sounds may have malformed percepts that induce loudness, annoyance, fear, or pain (hyperacusis) (Tyler et al., 2014). Sounds may also appear engulfed by other noises in the environment (Plack, Barker, \& Prendergast, 2014). These hearing disorders are co-morbid with one another with roughly 80% of tinnitus patients reporting reduced sound level tolerance (Anari et al., 1999). Hyperacusis, tinnitus, and hearing-in-noise deficits are common chronic disorders within middle-aged/older adults but can also affect younger ages, with noise exposure history and traumatic brain injuries as key predictors. The outlined hearing disorders are complicated and heterogeneous making them challenging to treat. Consequently, despite a clear demand for rehabilitative services, there are no widely accepted nor effective treatments available (Baguley and Hoare, 2018). The result of this is typified in tinnitus patients, of whom 84.8% have never attempted any form of remedy (Bhatt, Lin, \& Bhattacharyya, 2016).

We propose a therapeutic strategy that is founded upon the most beneficial aspects of previously conducted randomized controlled trials (RCTs). Namely, the therapy will employ a closed-loop system. The research capitalizes on promising findings from current studies in animal models, seeking to take advantage of the neuroscience principles thought to operationalize paired plasticity. The therapy is entirely non-invasive, posing minimal risk to the patient, and is translatable to widely available hardware. The research will use a "gold-standard" randomized, double-blinded, placebo-controlled clinical trial to objectively evaluate its worth.

02

Conditions studied

  • Tinnitus
  • Hyperacusis
03

In context

Tinnitus

444 studies on the registry are indexed under Tinnitus; 98 are open to participants now.

Browse Tinnitus studies →

Lead sponsor

Massachusetts Eye and Ear Infirmary is the lead sponsor of 100 studies on the registry; 23 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 7 (54%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Normal audiometric thresholds
  • Subjects with tinnitus will have self-reported chronic tinnitus that has persisted for the duration of at least 6 months
  • Subjects with hyperacusis will have a clinical diagnosis of hyperacusis and/or self-reported sound tolerance complaints that have persisted for the duration of at least 6 months

Exclusion criteria

Exclusion Criteria:

  • Conductive hearing loss (as assessed by audiologist)
  • Active otologic disease (as assessed by audiologist)
  • Significant cognitive decline ( score > 25)
Terms in these criteria, in plain language(1)

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.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Sound Therapy Group 1

    Closed-loop sound therapy. Weekly sessions over 6 weeks.

    Behavioral: Sound Therapy 1

  • Placebo comparator
    Sound Therapy Group 2

    Placebo sound therapy. Weekly sessions over 6 weeks.

    Behavioral: Sound therapy 2

Interventions

  • BehavioralSound Therapy 1

    Closed-loop sound therapy.

  • BehavioralSound therapy 2

    Placebo sound therapy.

06

What researchers measure

Primary outcomes

  1. Change in Score on the Tinnitus Reaction Questionnaire

    Time frame: Pre-test / Post-test (6 weeks) / Follow-up (14 weeks)

  2. Reduction in Loudness Discomfort Levels

    The intensity of pulsated pure tones of 55 ms reported to be uncomfortably loud (test commonly employed in hearing aid fitting).

    Time frame: Pre-test / Post-test (6 weeks) / Follow-up (14 weeks)

  3. Change in Speech Recognition in Noise Performance Accuracy

    Keyword recognition accuracy for sentences in noise will be assessed with a clinical test, the QuickSiN. Signal to noise ratios vary from 25 to 0 dB in 5 dB steps.

    Time frame: Pre-test / Post-test (6 weeks) / Follow-up (14 weeks)

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07302373
Responsible party
Daniel Brandon Polley (Daniel Polley, Professor in Department of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Massachusetts Eye and Ear Infirmary) — Principal investigator
First posted
Dec 24, 2025
Start date
Sep 21, 2022 (estimated)
Primary completion
Sep 21, 2023 (estimated)
Completion
Sep 21, 2023 (estimated)
Last update
Dec 24, 2025

Study contacts

Daniel B Polley, Ph.D.
principal investigator · Massachusetts Eye and Ear Infirmary

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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