New University of Michigan Tinnitus Discovery — Signal Timing

There has been a drop in the number of FDA approvals. While the decrease could be due to many factors, the rate of delays in meeting review deadlines has risen from 4 percent to 11 percent.

I'm really disappointed that Auricle didn't submit sooner. I wish I understood better why they didn't. I'm afraid that when they finally do submit, the approval process will take longer, and the FDA will have an even larger backlog of applications to work through. :(

 
I personally also have ETD and spasm issues so I hesitate to get on an airplane. But who knows in 10 years' time lol.
I haven't been on a plane since I developed tinnitus and hyperacusis. Flying to the USA simply wouldn't be an option for me unless I experienced major improvement.
I'm glad your tinnitus doesn't cause major issues when it comes to international travel or planning weekends with friends.
My despair made me look a while ago for ways to travel to the US via boat.

It goes from Southampton to New York. Expensive, takes a long time, and inconvenient, yes, but maybe it's an option.
 
I have always wondered what would happen to this device if, unfortunately, Susan Shore were to pass away before it was brought to market.

Now that we have learned that more tests need to be carried out, which will take many more years, and given Shore's advanced age, this is a legitimate question.

However, in ten years' time, my "young" life will already be behind me, so the hope I had for this device has largely faded, as it has for many of us.

Fun fact, if I may say so: while rereading my old posts on Tinnitus Talk, I remembered that I wrote a few years ago in this thread that there would be peace between Palestine and Israel before the device was released.

I didn't imagine that peace would come so quickly, but here we are.
 
Now that the dust has settled a little further over these past few days, I would like to say that the thing that still p*sses me off perhaps the most about the way this whole situation has played out is the chart below (which I'm finding increasingly difficult to locate online - but maybe that's just me).

The moment UMich released this chart, and then announced that the device worked so well on the Treatment 1 arm that they needed to scrap the Treatment 2 arm, they got themselves clean out of having to answer why it was that those patients who received the sham on Treatment 1 experienced practically no benefit at all receiving the active treatment on the 2nd arm.

In fact, if anything, the chart shows that the loudness level began to tick back up at the end of the active treatment phase on those patients. I mean, it's literally the elephant in the room, and to date, Susan Shore has said nothing (to the best of my knowledge) to actually address this fact.

Umich Crossover.jpg
 
Now that the dust has settled a little further over these past few days, I would like to say that the thing that still p*sses me off perhaps the most about the way this whole situation has played out is the chart below (which I'm finding increasingly difficult to locate online - but maybe that's just me).

The moment UMich released this chart, and then announced that the device worked so well on the Treatment 1 arm that they needed to scrap the Treatment 2 arm, they got themselves clean out of having to answer why it was that those patients who received the sham on Treatment 1 experienced practically no benefit at all receiving the active treatment on the 2nd arm.

In fact, if anything, the chart shows that the loudness level began to tick back up at the end of the active treatment phase on those patients. I mean, it's literally the elephant in the room, and to date, Susan Shore has said nothing (to the best of my knowledge) to actually address this fact.

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@UKBloke, for context, that is one of the figures accompanying Dr. Shore's journal article published after the most recent human study. It is easy to find online; it is eFigure 5 in the supplement to the article.

I have attached a PDF of the full text of her article, along with the supplement that contains the chart you mentioned. I acknowledge your keen observation, but it is important to view it in the context of all the other data.

Also, you will notice in eFigure 4 that the TFI scores went down quite consistently. Lastly, for those who have not read the first ten or so pages of this thread, I encourage you to look back at linearb's observations as a participant in Dr. Shore's first human study. His description was that the loudness did not seem to decrease much subjectively, but he reported that the treatment still helped.
 

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Not sure where the sass is coming from, but okay.

I'm glad your tinnitus doesn't cause major issues when it comes to international travel or planning weekends with friends. Appreciate that.
It's wordings like "probably" and the generic "you" that I have a problem with if you are trying to point out that these deterrents are of a relatively exclusive kind. Besides, why shouldn't the vast majority be able to take the necessary time off work, including planning ahead? Why shouldn't most people be able to schedule appointments across the globe with relative ease, except for those who would put themselves at considerable risk by flying?
 
What strikes me the most is that no other research groups seem to be pursuing the same approach or attempting to replicate these findings, even though this procedure has long been shown to be effective.

This should be standard practice in the scientific community. When a breakthrough is reported, it should—indeed, it must—be replicable, not only in principle but also in practice.

That is good science, and it is what allows new discoveries to emerge. It seems to me that they have only scratched the surface of what can be achieved with somatosensory stimulation, but now all their efforts are being diverted toward bureaucracy and meeting FDA approval requirements (to be clear, I do not blame them for this).

As far as I can see, all the articles are open source, and Dr. Shore has given many talks explaining the science behind the work in detail.

Why is Tinnitus Quest not funding further research on this topic?
 
In any case, even if the device becomes available only in a few years, we should acknowledge the extensive research and remarkable career of Dr. Susan Shore. I truly hope her work will inspire other researchers and laboratories to continue exploring this path, whether through new molecules or other ways to reduce the abnormal brain hyperactivity in the auditory pathways.

When you take a step back, it becomes clear that there are not many researchers truly dedicated to understanding and treating our conditions, including hyperacusis. That is why it is so important to recognize and support the few teams, like Dr. Shore's, who are genuinely advancing the understanding and management of these disorders.

Let us hope that Tinnitus Quest will bring new momentum to research. It is also up to us to support these efforts and share them across our networks.
 
Why is Tinnitus Quest not funding further research on this topic?
For one thing, no one has applied to research this area. Even if we wanted a specific topic to be explored, we cannot compel researchers to pursue it. Our entire process depends on researchers taking the initiative to submit grant applications to us.

(That said, we certainly hope that through our events, such as last week's Tinnitus Hackathon in Germany, the dialogue and brainstorming will inspire new ideas or encourage revisiting past ones that may have been overlooked.)
Let us hope that Tinnitus Quest will bring new momentum to research. It is also up to us to support these efforts and share them across our networks.
That's our goal. Follow Tinnitus Quest on Instagram, where we share regular updates. We're already the largest tinnitus organization there in terms of followers. We also hope more people will consider becoming monthly supporters, as even $3/month helps our cause more than most realize. Every contribution adds up.
 
That's our goal. Follow Tinnitus Quest on Instagram, where we share regular updates. We're already the largest tinnitus organization there in terms of followers. We also hope more people will consider becoming monthly supporters, as even $3/month helps our cause more than most realize. Every contribution adds up.
Thank you very much for your message and for all the work you are doing with Tinnitus Quest.

I already follow your Instagram page closely and regularly share your updates on X, BlueSky, Threads, and other platforms. I really like the spirit of the project and do what I can to help spread the word.
 
For one thing, no one has applied to research this area. Even if we wanted a specific topic to be explored, we cannot compel researchers to pursue it. Our entire process depends on researchers taking the initiative to submit grant applications to us.

(That said, we certainly hope that through our events, such as last week's Tinnitus Hackathon in Germany, the dialogue and brainstorming will inspire new ideas or encourage revisiting past ones that may have been overlooked.)

That's our goal. Follow Tinnitus Quest on Instagram, where we share regular updates. We're already the largest tinnitus organization there in terms of followers. We also hope more people will consider becoming monthly supporters, as even $3/month helps our cause more than most realize. Every contribution adds up.
Would Tinnitus Quest ever consider creating a separate account, for example, an endowment, that people can donate to where only the income would be used to fund research while the principal balance remains untouched? This would create a permanent source of funding for the charity.

Thank you for all that you, Hazel, and all of the volunteers do.
 
I acknowledge your keen observation, but it is important to view it in the context of all the other data.
I couldn't disagree more with this point.

We ought to be way past contextualizing tinnitus science in this way.

Providers of tinnitus treatment devices really should position themselves to complete the following most basic question with a binary answer:

Does your device reduce the volume of a person's tinnitus?

Yes or no?
 
Besides, why shouldn't the vast majority be able to take the necessary time off work, including planning ahead? Why shouldn't most people be able to schedule appointments across the globe with relative ease, except for those who would put themselves at considerable risk by flying?
I would assume cost is the main factor. Beyond the price of travel and lodging, I am willing to bet the treatment itself will be very expensive. I imagine that even those of us in the United States will struggle to afford it.
 
Would Tinnitus Quest ever consider creating a separate account, for example, an endowment, that people can donate to where only the income would be used to fund research while the principal balance remains untouched? This would create a permanent source of funding for the charity.
Yes, it's something we've talked about. An endowment would be a great way to create steady, long-term funding for research. The challenge is that it only really makes sense once there's a big enough starting amount. For example, a $1 million fund earning around 4 to 5 percent per year would generate about $40,000 to $50,000 annually for research. With smaller amounts, the yearly return just isn't enough to make a real impact. For now, we're focused on growing our donor base, but once we reach that level, it's definitely something we'd like to set up.

Help us find that big initial donor 😉
 

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