tVNS for Stroke Survivors

MS
Overseen ByMinoru Shinohara, Ph.D.
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Georgia Institute of Technology
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 2 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to study how transcutaneous vagus nerve stimulation (tVNS), a non-invasive therapy, affects pupil size in stroke survivors and healthy adults. It will compare the pupil response when stimulating one side of the ear versus both sides. Participants will receive both real and placebo treatments to determine any differences in pupil reactions. Individuals who have experienced a stroke and have weakness in one arm, but still retain some movement, might be eligible for this study. As an unphased trial, this study offers participants the chance to contribute to groundbreaking research that could enhance future therapies.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that transcutaneous vagus nerve stimulation (tVNS) is safe for stroke survivors?

Research has shown that transcutaneous vagus nerve stimulation (tVNS) is generally safe. Patients in studies have tolerated it well, with no reports of serious side effects. Any negative effects are typically mild and temporary. Specifically, for stroke patients, tVNS has helped improve arm movement. Overall, the treatment appears safe, with few safety concerns.12345

Why are researchers excited about this trial?

Researchers are excited about transcutaneous vagus nerve stimulation (tVNS) for stroke survivors because it offers a novel approach compared to standard treatments like physical therapy and medications that manage symptoms or prevent further strokes. Unlike these traditional methods, tVNS works by directly stimulating the vagus nerve through the skin of the outer ear, potentially enhancing brain recovery and neuroplasticity. This non-invasive technique could provide a new avenue for improving motor and cognitive functions in stroke patients, offering hope for enhanced recovery outcomes. The bilateral and unilateral applications of tVNS could also give insights into the most effective stimulation method, potentially leading to personalized treatment plans.

What evidence suggests that this trial's treatments could be effective for stroke survivors?

Research has shown that transcutaneous vagus nerve stimulation (tVNS) may aid stroke recovery. In animal studies, tVNS reduced the size of the damaged brain area during a stroke, potentially lessening brain damage. Another study found that combining tVNS with rehabilitation improved recovery of movement, senses, and emotions. In this trial, participants will receive different forms of tVNS—unilateral left, unilateral right, or bilateral—to assess its effectiveness. Beyond aiding stroke recovery, tVNS has also reduced symptoms of depression and anxiety, as reflected in improved mood test scores. Overall, tVNS appears to enhance recovery after a stroke by improving both physical and emotional functions.23678

Who Is on the Research Team?

MS

Minoru Shinohara, Ph.D.

Principal Investigator

Georgia Institute of Technology

Are You a Good Fit for This Trial?

This trial is for stroke survivors and healthy adults interested in how a non-invasive nerve stimulation technique affects pupil size. Participants must be eligible based on specific criteria set by the study, which are not detailed here.

Inclusion Criteria

I have lasting weakness in one side of my body but can still move my arm a little.

Exclusion Criteria

I am taking or plan to take muscle relaxant drugs during the study.
Implanted devices such as a neurostimulator or cochlear implant
I have or had a ruptured eardrum.
See 29 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive unilateral and bilateral tVNS and sham stimulation to assess acute pupil response

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

1-2 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • tVNS
Trial Overview The study tests the acute response of pupil size to transcutaneous vagus nerve stimulation (tVNS). It compares the effects of stimulating both sides of the outer ear versus just one side while participants are at rest.
How Is the Trial Designed?
6Treatment groups
Experimental Treatment
Placebo Group
Group I: Unilateral Right tVNSExperimental Treatment1 Intervention
Group II: Unilateral Left tVNSExperimental Treatment1 Intervention
Group III: Bilateral tVNSExperimental Treatment1 Intervention
Group IV: Unilateral Left ShamPlacebo Group1 Intervention
Group V: Unilateral Right ShamPlacebo Group1 Intervention
Group VI: Bilateral ShamPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Georgia Institute of Technology

Lead Sponsor

Trials
53
Recruited
5,600+

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Trials
2,103
Recruited
2,760,000+

Emory University

Collaborator

Trials
1,735
Recruited
2,605,000+

Published Research Related to This Trial

Non-invasive transcutaneous vagus nerve stimulation (tVNS) has shown promise in improving neurological recovery after stroke, potentially reducing infarct size and enhancing motor function through mechanisms like anti-inflammatory effects and neuroplasticity.
Pilot clinical trials suggest that auricular tVNS, when combined with rehabilitation, may significantly improve upper limb motor and sensory functions in chronic stroke patients, indicating its potential as a viable alternative to invasive vagus nerve stimulation.
Transcutaneous vagus nerve stimulation (tVNS) in stroke: the evidence, challenges and future directions.Baig, SS., Kamarova, M., Ali, A., et al.[2022]
In a study involving 12 chronic stroke patients, noninvasive transcutaneous auricular vagus nerve stimulation (taVNS) combined with repetitive motor practice showed potential to improve sensory recovery, with 64% of participants regaining some sensation after treatment.
The results suggest that taVNS may enhance sensory recovery alongside motor rehabilitation, but further research with a larger group is needed to fully understand its effects on overall functional recovery.
Transcutaneous Auricular Vagus Nerve Stimulation with Upper Limb Repetitive Task Practice May Improve Sensory Recovery in Chronic Stroke.Baig, SS., Falidas, K., Laud, PJ., et al.[2020]
In a pilot study involving 40 acute stroke patients, transcutaneous auricular electrical vagus nerve stimulation (ta-VNS) significantly improved swallowing function compared to a sham treatment, with benefits observed immediately after treatment and lasting for at least 4 weeks.
The study found no serious adverse events associated with ta-VNS, indicating it is a safe and noninvasive option for treating dysphagia in stroke patients.
Effect of transcutaneous auricular vagus nerve stimulation on post-stroke dysphagia.Wang, Y., He, Y., Jiang, L., et al.[2023]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38452937/
Transcutaneous auricular vagus nerve stimulation for post- ...Results: The concomitant application of ta-VNS demonstrated a remarkable reduction in HAMD-17 and SDS scores, leading to noteworthy enhancements ...
tVNS in Stroke: A Narrative Review on the Current State ...Transcutaneous vagus nerve stimulation (tVNS) has shown promising evidence as a tool to reduce infarct size in animal models of hyperacute stroke.
Transcutaneous auricular vagus nerve stimulation with task ...The effectiveness of taVNS was assessed using HRV examination. Our current results demonstrated significant decreases in HR, LF/HF ratio, and a ...
Efficacy and safety of transcutaneous auricular vagus ...ta-VNS combined with conventional rehabilitation training greatly improved the recovery of motor and sensory functions and emotional responses.
Transcutaneous vagus nerve stimulation (tVNS) in strokeData from trials demonstrate that invasive vagus nerve stimulation (VNS) paired with rehabilitation improves upper limb impairment in people with long term arm ...
6.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/32802039/
Effect and Safety of Transcutaneous Auricular Vagus Nerve ...This study revealed that taVNS appeared to be beneficial to the recovery of upper limb motor function in subacute ischemia stroke patients ...
taVNS Paired With Motor Training for Upper-extremity ...A recent meta-analysis has shown that the efficacy of taVNS in upper extremity rehabilitation for stroke patients can be comparable to that of VNS. Therefore, ...
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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