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Effect of VeSTAL Device in Type 2 Diabetes Mellitus

Primary Purpose

Type 2 Diabetes, Metabolic Syndrome

Status
Completed
Phase
Not Applicable
Locations
Ireland
Study Type
Interventional
Intervention
Vestal Device
Placebo device
Sponsored by
Neurovalens Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Type 2 DM
  2. HbA1c ≥7.0% and ≤10.0%
  3. If on oral anti-diabetic medication should be stable dosage regime last 3 months
  4. Males or Females. Note females of child-bearing potential must have a negative urine pregnancy test.
  5. 18-80 years of age inclusive on starting the study.
  6. Ability and willingness to complete all study visits and procedures; in particular an agreement to engage with: trying to use the device on a daily basis; the hypocaloric diet weight loss program; and this provided weight loss support and mentoring.
  7. Agreement not to use of prescription, or over-the-counter, weight loss preparations for the duration of the trial.
  8. Agreement not to start smoking tobacco or marijuana for the duration of the study.
  9. Access to Wi-Fi (to connect iPod to internet)

Exclusion Criteria:

  1. History of vestibular dysfunction or other inner ear disease as indicated by the screening questions.
  2. History of skin breakdown, eczema or other dermatological condition (e.g. psoriasis) affecting the skin behind the ears.
  3. History of weight loss device implantation (e.g. VBloc Maestro or Abiliti).
  4. Use of a non-invasive weight loss device (e.g. Modius)
  5. Hypothyroidism requiring current treatment with levothyroxine (e.g. Levo-T, Synthroid, Thyroxine) (Other thyroid disorder patients on stable treatment for at least 3 months are acceptable).
  6. Other endocrinological causes of weight gain (e.g. Cushing's disease, Cushing's syndrome or acromegaly)
  7. Previous diagnosis of HIV infection or AIDS (HIV is known to cause a vestibular neuropathy which would prevent VeNS from working).
  8. Diagnosis of liver, kidney or heart failure.
  9. Tobacco or marijuana smoking in the 3 months before starting and for the duration of the study.
  10. Known genetic cause of type 2 DM (e.g., Prader-Willi Syndrome).
  11. Current, active member of an organized weight loss program.
  12. Diagnosis of Type 1 DM.
  13. Use of insulin.
  14. Diagnosis of epilepsy or use of anti-epileptic medication within 3 months of starting the study (e.g. for the treatment of peripheral neuropathy)
  15. Use of oral or intravenous corticosteroid medication within 3 months of starting the study.
  16. Use of the beta-blockers within 3 months of starting the study.
  17. Current alterations in treatment regimens of anti-depressant medication for whatever reason (including tricyclic antidepressants) (Note: stable treatment regimen for prior 6 months acceptable).
  18. A myocardial infarction within the preceding year.
  19. A history of stroke or severe head injury (as defined by a head injury that required craniotomy or endotracheal intubation). (In case this damaged the neurological pathways involved in vestibular stimulation).
  20. Presence of permanently implanted battery powered medical device or stimulator (e.g., pacemaker, implanted defibrillator, deep brain stimulator, vagal nerve stimulator etc.).
  21. Untreated severe depression, schizophrenia, substance abuse, and eating disorder.
  22. Current participant in another clinical trial.
  23. Have a family member who is currently participating or is planning to participate in this study.
  24. Pregnancy.
  25. Blood transfusion within 4 months, or need for recurrent transfusions.
  26. Hemolytic anemias including sickle cell, thalassemia and autoimmune varieties.
  27. Hemochromatosis.
  28. Use of dietary/ herbal supplements to assist with diabetic control.
  29. History of migraine headaches.

Sites / Locations

  • St Vincents Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Active

Control

Arm Description

Randomized to active device use plus lifestyle modification (500kcal deficit hypocaloric diet and 150 min of exercise per week for each subject).

Randomized to sham device use plus lifestyle modification (500kcal deficit hypocaloric diet and 150 min of exercise per week for each subject).

Outcomes

Primary Outcome Measures

Glycated Hemoglobin (HbA1c)
Percentage

Secondary Outcome Measures

Difference in mean weight loss between the active-product and sham-treated groups.
Grams
Daily caloric intake
Two day 24 hour recall
Blood pressure
mmHg
Waist circumference
cm
Hip circumference
cm
Body mass index
kg/m2
Appetite
Rating from -1 to 1
Cravings
Rating from -1 to 1
Fullness
Rating from -1 to 1

Full Information

First Posted
October 31, 2019
Last Updated
March 29, 2021
Sponsor
Neurovalens Ltd.
Collaborators
Compliance Solutions Ltd., University College Dublin, Exploristics Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04149951
Brief Title
Effect of VeSTAL Device in Type 2 Diabetes Mellitus
Official Title
Randomized, Double Blind Controlled Trial to Evaluate Efficacy of Vestibular Nerve Stimulation (VeNS), With Lifestyle Modification, Compared to Control and Lifestyle Modification, as a Means of Lowering HbA1c in Adults With Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
June 3, 2020 (Actual)
Primary Completion Date
January 22, 2021 (Actual)
Study Completion Date
January 22, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Neurovalens Ltd.
Collaborators
Compliance Solutions Ltd., University College Dublin, Exploristics Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this study is to evaluate the efficacy of non-invasive electrical vestibular nerve stimulation (VeNS), together with a lifestyle modification program, as a method of reducing HbA1c, as compared to a sham control with both study arms incorporating a lifestyle modification program. Allocation: Randomized Endpoint classification: Efficacy Study Intervention Model: Parallel Assignment in 1:1 active to control allocation
Detailed Description
There is an ongoing and worsening problem with type 2 diabetes mellitus (DM) in the developed, and much of the developing world. Although it has long been realized that Western diets that are rich in sugar and fat play an important role in this, it has only recently been realized that exposure to these diets, particularly in childhood, can damage the part of the brain that determines how much fat there is in the body, which may well play a role in the development of metabolic syndrome, deranged glycemic control and type 2 DM. It is believed, based on animal and human work, that VeNS pushes the set-point for fat downwards to cause fat loss, possibly because this indicates to the brain a state of increased physical activity. VeNS may additionally have other direct, yet to be quantified, effects on glycemic control. The sponsors have unpublished pilot data from Dr Saisailesh Kumar at RDG Medical College in India that show an improvement in glycemic control can be achieved by one hour a day of VeNS over a three month period. Both groups received a hypocaloric diet tailored to diabetics. The aim of this study is to determine whether this effect can be replicated in a slightly larger European based population.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes, Metabolic Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Parallel Assignment in 1:1 active to control allocation
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double blind
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Active
Arm Type
Experimental
Arm Description
Randomized to active device use plus lifestyle modification (500kcal deficit hypocaloric diet and 150 min of exercise per week for each subject).
Arm Title
Control
Arm Type
Placebo Comparator
Arm Description
Randomized to sham device use plus lifestyle modification (500kcal deficit hypocaloric diet and 150 min of exercise per week for each subject).
Intervention Type
Device
Intervention Name(s)
Vestal Device
Intervention Description
Vestibular nerve stimulator
Intervention Type
Device
Intervention Name(s)
Placebo device
Intervention Description
Sham nerve stimulator
Primary Outcome Measure Information:
Title
Glycated Hemoglobin (HbA1c)
Description
Percentage
Time Frame
4 months
Secondary Outcome Measure Information:
Title
Difference in mean weight loss between the active-product and sham-treated groups.
Description
Grams
Time Frame
4 months
Title
Daily caloric intake
Description
Two day 24 hour recall
Time Frame
4 months
Title
Blood pressure
Description
mmHg
Time Frame
4 months
Title
Waist circumference
Description
cm
Time Frame
4 months
Title
Hip circumference
Description
cm
Time Frame
4 months
Title
Body mass index
Description
kg/m2
Time Frame
4 months
Title
Appetite
Description
Rating from -1 to 1
Time Frame
4 months
Title
Cravings
Description
Rating from -1 to 1
Time Frame
4 months
Title
Fullness
Description
Rating from -1 to 1
Time Frame
4 months
Other Pre-specified Outcome Measures:
Title
Mentorship support usage
Description
Average hours per week
Time Frame
4 months
Title
Dose response analysis
Description
Average hours per week
Time Frame
4 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Type 2 DM HbA1c ≥7.0% and ≤10.0% If on oral anti-diabetic medication should be stable dosage regime last 3 months Males or Females. Note females of child-bearing potential must have a negative urine pregnancy test. 18-80 years of age inclusive on starting the study. Ability and willingness to complete all study visits and procedures; in particular an agreement to engage with: trying to use the device on a daily basis; the hypocaloric diet weight loss program; and this provided weight loss support and mentoring. Agreement not to use of prescription, or over-the-counter, weight loss preparations for the duration of the trial. Agreement not to start smoking tobacco or marijuana for the duration of the study. Access to Wi-Fi (to connect iPod to internet) Exclusion Criteria: History of vestibular dysfunction or other inner ear disease as indicated by the screening questions. History of skin breakdown, eczema or other dermatological condition (e.g. psoriasis) affecting the skin behind the ears. History of weight loss device implantation (e.g. VBloc Maestro or Abiliti). Use of a non-invasive weight loss device (e.g. Modius) Hypothyroidism requiring current treatment with levothyroxine (e.g. Levo-T, Synthroid, Thyroxine) (Other thyroid disorder patients on stable treatment for at least 3 months are acceptable). Other endocrinological causes of weight gain (e.g. Cushing's disease, Cushing's syndrome or acromegaly) Previous diagnosis of HIV infection or AIDS (HIV is known to cause a vestibular neuropathy which would prevent VeNS from working). Diagnosis of liver, kidney or heart failure. Tobacco or marijuana smoking in the 3 months before starting and for the duration of the study. Known genetic cause of type 2 DM (e.g., Prader-Willi Syndrome). Current, active member of an organized weight loss program. Diagnosis of Type 1 DM. Use of insulin. Diagnosis of epilepsy or use of anti-epileptic medication within 3 months of starting the study (e.g. for the treatment of peripheral neuropathy) Use of oral or intravenous corticosteroid medication within 3 months of starting the study. Use of the beta-blockers within 3 months of starting the study. Current alterations in treatment regimens of anti-depressant medication for whatever reason (including tricyclic antidepressants) (Note: stable treatment regimen for prior 6 months acceptable). A myocardial infarction within the preceding year. A history of stroke or severe head injury (as defined by a head injury that required craniotomy or endotracheal intubation). (In case this damaged the neurological pathways involved in vestibular stimulation). Presence of permanently implanted battery powered medical device or stimulator (e.g., pacemaker, implanted defibrillator, deep brain stimulator, vagal nerve stimulator etc.). Untreated severe depression, schizophrenia, substance abuse, and eating disorder. Current participant in another clinical trial. Have a family member who is currently participating or is planning to participate in this study. Pregnancy. Blood transfusion within 4 months, or need for recurrent transfusions. Hemolytic anemias including sickle cell, thalassemia and autoimmune varieties. Hemochromatosis. Use of dietary/ herbal supplements to assist with diabetic control. History of migraine headaches.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Carel Le Roux, MD PhD
Organizational Affiliation
UCD
Official's Role
Principal Investigator
Facility Information:
Facility Name
St Vincents Hospital
City
Dublin
Country
Ireland

12. IPD Sharing Statement

Plan to Share IPD
No

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Effect of VeSTAL Device in Type 2 Diabetes Mellitus

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