Efficacy of Trans-auricular Vagus Nerve Stimulation on Upper Extremity Motor Recovery in Stroke Survivors

NCT ID: NCT07132021

Last Updated: 2025-08-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-01

Study Completion Date

2026-12-01

Brief Summary

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The aim of this clinical trial is to determine if trans-auricular vagus nerve stimulation (taVNS) is effective in improving upper extremity function in stroke survivors. The primary objectives include: Investigating whether taVNS improves motor function in stroke survivors. The secondary objectives include: Assessing any potential side effects associated with the method. Investigating taVNS effects on daily routine functions and spasticity Researchers will conduct a comparative analysis between taVNS and a sham procedure (which mimics the stimulation without any actual effect) to assess its effectiveness. Participants in the trial will: Undergo taVNS combined with physical therapy or a sham procedure with physical therapy daily over a two-week period.

Detailed Description

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Conditions

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Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Active transcutaneous vagus nerve stimulation stimulation

Group Type EXPERIMENTAL

Active taVNS

Intervention Type DEVICE

Protocol uses a 25 Hz frequency with 500 μs pulse width in biphasic configuration, operating at a 1:1 duty cycle with current intensity set to the maximum tolerable level without inducing pain. The total stimulation duration is 60 minutes. The stimulation is combined with physical therapy focused on upper extremity function.

Sham transcutaneous vagus nerve stimulation stimulation

Group Type SHAM_COMPARATOR

Sham taVNS

Intervention Type DEVICE

Physical therapy focused on upper extremity function with masking for transcutaneous vagus nerve stimulation

Interventions

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Active taVNS

Protocol uses a 25 Hz frequency with 500 μs pulse width in biphasic configuration, operating at a 1:1 duty cycle with current intensity set to the maximum tolerable level without inducing pain. The total stimulation duration is 60 minutes. The stimulation is combined with physical therapy focused on upper extremity function.

Intervention Type DEVICE

Sham taVNS

Physical therapy focused on upper extremity function with masking for transcutaneous vagus nerve stimulation

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Patients aged between 18 and 75 years, with motor impairment in the upper extremity caused by unilateral ischemic or hemorrhagic stroke with stroke onset within the last five years.

Exclusion Criteria

* Patients with any contraindication to taVNS, peripheral upper extremity injuries, use of medication affecting cortical excitability in the past 3 months, use of botulinum toxin in the past 3 months, presence of any other neurological disorder, or significant cognitive deficits.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundação de Amparo à Ciência e Tecnologia de Pernambuco

OTHER

Sponsor Role collaborator

Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

Universidade Federal de Pernambuco

OTHER

Sponsor Role lead

Responsible Party

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Kátia Monte-Silva

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kátia Monte-Silva, PhD in Neurosciences

Role: STUDY_DIRECTOR

Universidade Federal de Pernambuco

Locations

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Federal University of Pernambuco

Recife, Pernambuco, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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DANIEL G DE MELO, MsC

Role: CONTACT

+5581995173332 ext. +55

Gabriel Barreto, PhD

Role: CONTACT

83996106134 ext. +55

Facility Contacts

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DANIEL G DE MELO, MsC

Role: primary

81995173332 ext. + 55

Other Identifiers

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taVNS_UpperExtremity

Identifier Type: -

Identifier Source: org_study_id

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