Skip to main content

Clinical Pharmacology of Tinnitus: Design and Evaluation

  • Reference work entry
  • First Online:
Drug Discovery and Evaluation: Methods in Clinical Pharmacology

Abstract

Tinnitus – the perception of phantom sound – is estimated to seriously affect the quality of life of about 3% of the entire world population, making it an attractive target for pharmacotherapy. However, none of the so far conducted clinical trials with the use of pharmacological substances could be called a thrilling success. There are multiple reasons for this, which are discussed in this chapter. Moreover, a comprehensive overview of factors that should be taken under consideration when designing clinical pharmacological study for tinnitus is presented in an anticipation to help design trials producing meaningful clinical data and identifying clinically relevant substances effective in tinnitus treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 699.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 999.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References and Further Reading

  • Arnold W, Bartenstein P, Oestreicher E et al (1996) Focal metabolic activation in the predominant left auditory cortex in patients suffering from tinnitus: a PET study with [18F]deoxyglucose. ORL J Otorhinolaryngol Relat Spec 58:195–199

    Article  CAS  Google Scholar 

  • Baguley D, Mcferran D, Hall D (2013) Tinnitus. Lancet 382:1600–1607

    Article  Google Scholar 

  • Beebe Palumbo D, Joos K, De Ridder D et al (2015) The management and outcomes of pharmacological treatments for tinnitus. Curr Neuropharmacol 13:692–700

    Article  Google Scholar 

  • Brüggemann P, Szczepek AJ, Kleinjung T, Ojo M, Mazurek B (2017) [Validation of the German Version of Tinnitus Functional Index (TFI)]. Laryngorhinootologie 96(9):615–619

    Google Scholar 

  • Crummer RW, Hassan GA (2004) Diagnostic approach to tinnitus. Am Fam Physician 69:120–126

    PubMed  Google Scholar 

  • Georgiewa P, Szczepek AJ, Rose M et al (2016) Cerebral processing of emotionally loaded acoustic signals by tinnitus patients. Audiol Neurootol 21:80–87

    Article  Google Scholar 

  • Guest H, Munro KJ, Prendergast G et al (2017) Tinnitus with a normal audiogram: relation to noise exposure but no evidence for cochlear synaptopathy. Hear Res 344:265–274

    Article  Google Scholar 

  • Haider HF, Hoare DJ, Costa RFP et al (2017) Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review. Front Neurosci 11:207

    Article  Google Scholar 

  • Hall DA, Szczepek AJ, Kennedy V et al (2015) Current-reported outcome domains in studies of adults with a focus on the treatment of tinnitus: protocol for a systematic review. BMJ Open 5:e009091

    Article  Google Scholar 

  • Hall DA, Haider H, Szczepek AJ et al (2016) Systematic review of outcome domains and instruments used in clinical trials of tinnitus treatments in adults. Trials 17:270

    Article  Google Scholar 

  • Hallam RS, Jakes SC, Hinchcliffe R (1988) Cognitive variables in tinnitus annoyance. Br J Clin Psychol 27(Pt 3):213–222

    Article  CAS  Google Scholar 

  • Henry JA, Roberts LE, Caspary DM et al (2014) Underlying mechanisms of tinnitus: review and clinical implications. J Am Acad Audiol 25:5–22. quiz 126

    Article  Google Scholar 

  • Hesser H, Weise C, Westin VZ et al (2011) A systematic review and meta-analysis of randomized controlled trials of cognitive-behavioral therapy for tinnitus distress. Clin Psychol Rev 31:545–553

    Article  Google Scholar 

  • Hiller W, Goebel G (1992) A psychometric study of complaints in chronic tinnitus. J Psychosom Res 36:337–348

    Article  CAS  Google Scholar 

  • Hoare DJ, Kowalkowski VL, Kang S et al (2011) Systematic review and meta-analyses of randomized controlled trials examining tinnitus management. Laryngoscope 121:1555–1564

    Article  Google Scholar 

  • Hoff M, Kahari K (2017) A Swedish cross-cultural adaptation and validation of the Tinnitus Functional Index. Int J Audiol 56:277–285

    Article  Google Scholar 

  • Jastreboff PJ (1990) Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurosci Res 8:221–254

    Article  CAS  Google Scholar 

  • Koelsch S (2014) Brain correlates of music-evoked emotions. Nat Rev Neurosci 15:170–180

    Article  CAS  Google Scholar 

  • Langguth B, Biesinger E, Del Bo L et al (2011) Algorithm for the diagnostic and therapeutic management of tinnitus. In: Møller AR, Langguth B, De Ridder D, Kleinjung T (eds) Textbook of tinnitus. Springer, New York, pp 381–385

    Chapter  Google Scholar 

  • Leaver AM, Seydell-Greenwald A, Rauschecker JP (2016) Auditory-limbic interactions in chronic tinnitus: challenges for neuroimaging research. Hear Res 334:49–57

    Article  Google Scholar 

  • Liberman MC, Kujawa SG (2017) Cochlear synaptopathy in acquired sensorineural hearing loss: manifestations and mechanisms. Hear Res 349:138–147

    Article  Google Scholar 

  • Martinez-Devesa P, Perera R, Theodoulou M et al (2010) Cognitive behavioural therapy for tinnitus. Cochrane Database Syst Rev:CD005233

    Google Scholar 

  • Mazurek B, Olze H, Haupt H et al (2010) The more the worse: the grade of noise-induced hearing loss associates with the severity of tinnitus. Int J Environ Res Public Health 7:3071–3079

    Article  Google Scholar 

  • Meikle MB, Stewart BJ, Griest SE et al (2007) Assessment of tinnitus: measurement of treatment outcomes. Prog Brain Res 166:511–521

    Article  CAS  Google Scholar 

  • Meikle MB, Henry JA, Griest SE et al (2012) The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus. Ear Hear 33:153–176

    Article  Google Scholar 

  • Newman CW, Jacobson GP, Spitzer JB (1996) Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg 122:143–148

    Article  CAS  Google Scholar 

  • Olze H, Szczepek AJ, Haupt H et al (2011) Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity. Laryngoscope 121:2220–2227

    Article  Google Scholar 

  • Pattyn T, Van Den Eede F, Vanneste S et al (2016) Tinnitus and anxiety disorders: a review. Hear Res 333:255–265

    Article  CAS  Google Scholar 

  • Plein CT, Harounian J, Floyd E et al (2016) A systematic review of eligibility and outcomes in tinnitus trials: reassessment of tinnitus guideline. Otolaryngol Head Neck Surg 154:24–32

    Article  Google Scholar 

  • Rabau S, Wouters K, Van De Heyning P (2014) Validation and translation of the Dutch tinnitus functional index. B-ENT 10:251–258

    CAS  PubMed  Google Scholar 

  • Ramos Macias A, Falcon Gonzalez JC, Manrique M et al (2015) Cochlear implants as a treatment option for unilateral hearing loss, severe tinnitus and hyperacusis. Audiol Neurootol 20(Suppl 1):60–66

    Article  Google Scholar 

  • Sakat MS, Kilic K, Bercin S (2016) Pharmacological agents used for treatment and prevention in noise-induced hearing loss. Eur Arch Otorhinolaryngol 273:4089–4101

    Article  Google Scholar 

  • Savage J, Waddell A (2012) BMJ Clin Evid. (0506)

    Google Scholar 

  • Savage J, Waddell A (2014) BMJ Clin Evid. (0506)

    Google Scholar 

  • Seymour ML, Pereira FA (2015) Survival of auditory hair cells. Cell Tissue Res 361:59–63

    Article  Google Scholar 

  • Tunkel DE, Bauer CA, Sun GH et al (2014) Clinical practice guideline: tinnitus executive summary. Otolaryngol Head Neck Surg 151:533–541

    Article  Google Scholar 

  • Vona B, Nanda I, Shehata-Dieler W et al (2017) Genetics of tinnitus: still in its infancy. Front Neurosci 11:236

    Article  Google Scholar 

  • Weise C, Kleinstauber M, Hesser H et al (2013) Acceptance of tinnitus: validation of the tinnitus acceptance questionnaire. Cogn Behav Ther 42:100–115

    Article  Google Scholar 

  • Wrzosek M, Szymiec E, Klemens W et al (2016) Polish translation and validation of the tinnitus handicap inventory and the tinnitus functional index. Front Psychol 7:1871

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Agnieszka J. Szczepek .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Szczepek, A.J. (2020). Clinical Pharmacology of Tinnitus: Design and Evaluation. In: Hock, F., Gralinski, M. (eds) Drug Discovery and Evaluation: Methods in Clinical Pharmacology. Springer, Cham. https://doi.org/10.1007/978-3-319-68864-0_61

Download citation

Publish with us

Policies and ethics