80 Participants Needed

Auricular Stimulation for Healthy Subjects

(NIRAS Trial)

CR
AM
Overseen ByAmy Monroe, MPH, MBA
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how auricular stimulation affects brain activity in healthy adults. Researchers will use a special cap with sensors to track brain responses while gently touching specific points on the ears. The study requires only a single visit, so there is no long-term commitment. Candidates should be healthy and have not used pain medications frequently or any drugs recently. As an unphased study, this trial offers a unique opportunity to contribute to groundbreaking research without long-term involvement.

Will I have to stop taking my current medications?

The trial requires that you do not use opioids, marijuana, or psychoactive prescription medications regularly. If you are using these, you would need to stop before participating.

What prior data suggests that auricular stimulation is safe for healthy subjects?

A previous study found ear stimulation generally safe, with only mild side effects. Common issues included ear pain, headache, and dizziness. Another review found tenderness or minor bleeding might occur at the stimulation site. These effects are usually mild and resolve quickly. Importantly, this type of stimulation doesn't use needles, so the risk of infection remains low. Overall, most people tolerate ear stimulation well.12345

Why are researchers excited about this trial?

Researchers are excited about auricular stimulation because it offers a non-invasive approach to stimulating specific points on the ear that correspond to different body areas, like the shoulder, thumb, and lumbar spine. Unlike traditional treatments that might involve medication or invasive procedures, this method uses flexible plastic filaments to gently stimulate these points, potentially offering relief without the need for drugs. Additionally, the use of a functional near-infrared spectroscopy (fNIRS) cap to record brain responses during stimulation provides valuable insights into how the brain reacts, which could pave the way for new therapeutic applications.

What evidence suggests that auricular stimulation is effective for brain activity measurement?

Research has shown that stimulating specific points on the ear, known as auricular stimulation, can influence brain activity. Studies have found that this type of stimulation can change brain function, particularly in areas related to relaxation and pain relief. For instance, auricular vagus nerve stimulation (aVNS) effectively treats pain and sleep problems. Other research indicates that auricular acupuncture can enhance the brain's ability to adapt and respond to changes, a process called neuroplasticity. These findings suggest that auricular stimulation may improve brain function and certain health conditions. In this trial, participants will undergo auricular stimulation while researchers record brain responses using functional near-infrared spectroscopy (fNIRS).678910

Who Is on the Research Team?

KV

Keith Vogt, MD, PhD

Principal Investigator

University of Pittsburgh

Are You a Good Fit for This Trial?

This clinical trial is open to healthy volunteers who want to participate in a single-visit study. There are no specific inclusion or exclusion criteria provided, which suggests that the trial may have broad eligibility.

Exclusion Criteria

I have active skin issues on one or both ears.
History of substance misuse/abuse
Current or recent (<1 month) opioid or marijuana use
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 week

Single-visit Study

Participants undergo a single session where brain activity is measured using fNIRS while auricular points are stimulated

1 day
1 visit (in-person)

Follow-up

Participants are monitored for any immediate adverse effects post-study

1 week

What Are the Treatments Tested in This Trial?

Interventions

  • Auricular Stimulation
Trial Overview The study is testing how brain activity responds to auricular stimulation (gentle stimulation of both ears with plastic filaments) while measuring it using Near-InfraRed Spectroscopy sensors attached to a cap.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Auricular stim with fNIRSExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Pittsburgh

Lead Sponsor

Trials
1,820
Recruited
16,360,000+

Published Research Related to This Trial

The auricular branch of the vagus nerve (ABVN), located in the ear, has potential for non-invasive electrical stimulation to improve heart function, offering a simpler alternative to traditional vagus nerve stimulation (VNS) that requires surgery.
This review highlights the growing interest and evidence supporting the use of ABVN stimulation as a cost-effective method for modulating cardiac activity, which could lead to new treatment options for heart failure.
The strange case of the ear and the heart: The auricular vagus nerve and its influence on cardiac control.Murray, AR., Atkinson, L., Mahadi, MK., et al.[2018]
In a study of 156 healthy volunteers undergoing 24-hour ambulatory cardiac monitoring, only 13% showed normal sinus rhythm, highlighting a significant prevalence of cardiac abnormalities in this population.
The most common finding was supraventricular ectopics (83%), with other issues like ventricular ectopics and sinus pauses also noted, suggesting the need for clear guidelines to evaluate cardiac health before trials of new drugs.
Use of 24 h ambulatory ECG recordings in the assessment of new chemical entities in healthy volunteers.Stinson, JC., Pears, JS., Williams, AJ., et al.[2020]
Auricular stimulation (AS) significantly reduces preoperative anxiety scores compared to sham controls and no intervention, based on a systematic review of 15 studies involving 1603 patients, indicating its potential effectiveness in managing anxiety before surgery.
There were no serious adverse effects reported from AS, suggesting it is a safe option; however, its efficacy is comparable to benzodiazepines, and further research is needed to confirm its benefits due to varying levels of evidence quality.
Auricular stimulation for preoperative anxiety - A systematic review and meta-analysis of randomized controlled clinical trials.Usichenko, TI., Hua, K., Cummings, M., et al.[2022]

Citations

Effects of auricular acupuncture stimulation on healthy adults ...The aim of this study was to determine whether auricular acupuncture has neuromodulatory effects on the motor cortex of healthy adults.
Effect of auricular acupuncture on neuroplasticity of stroke ...It was found that: 1) after auricular acupuncture treatment, the patients in the auricular acupuncture group showed significantly greater peak ...
Brain Functional Mechanisms Determining the Efficacy of ...Transcutaneous auricular vagus nerve stimulation (taVNS) has been reported to be effective in the treatment of primary insomnia (PI); ...
Clinical Efficacy of Auricular Vagus Nerve Stimulation in the ...The aim of this systematic review and meta-analysis is to evaluate the clinical efficacy and safety of aVNS in treating chronic and acute pain conditions.
a randomized, double-blinded, sham-control trial - NatureIn healthy subjects, active taVNS selectively induces changes in the resting-state frontal brain oscillations. Our results suggest that taVNS ...
Adverse Events of Auricular Therapy: A Systematic ReviewThe most frequently reported adverse events were tenderness or pain at insertion, dizziness, local discomfort, minor bleeding and nausea, and so forth.
Safety of transcutaneous auricular vagus nerve stimulation ...Based on our analysis, the three most common adverse events in consideration to the cumulative exposure time to taVNS were ear pain, headache, ...
8.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/32430505/
Risks and Safety of Extended Auricular Therapy: A Review ...The primary AE risks is infection, perichondritis, and chondritis stemming from embedded or indwelling needles or potential inadvertent needlesticks.
A pooled analysis of the side effects of non-invasive ...Effects of transcutaneous auricular vagus nerve stimulation (taVNS) on the processing and recognition of emotional and neutral faces [ ...
Safety of transcutaneous auricular vagus nerve stimulation ...Although taVNS is generally considered safe with only mild and transient adverse effects (AEs), those specifically caused by taVNS have not yet ...
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