NCT05487664

Brief Summary

In this one-visit, randomized, double-blind, sham-controlled trial, we plan to use a novel concurrent transcutaneous auricular neurostimulation (tAN) paradigm during functional magnetic resonance imaging (fMRI) paradigm in 96 individuals to determine whether tAN administered to two cranial nerves simultaneously produces greater neurophysiologic effects than stimulating solely to the auricular branch of the vagus nerve (ABVN) or the auriculotemporal nerve (ATN; branch of trigeminal nerve) alone. Within the MRI scanner, each participant will be connected to a series of electrodes that stimulate 4 targets (ABVN only, ATN only, ABVN plus ATN, and Sham).

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
96

participants targeted

Target at P50-P75 for not_applicable

Timeline
14mo left

Started Mar 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress75%
Mar 2023Oct 2027

First Submitted

Initial submission to the registry

August 2, 2022

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 4, 2022

Completed
8 months until next milestone

Study Start

First participant enrolled

March 17, 2023

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2027

Expected
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2027

Last Updated

December 18, 2025

Status Verified

December 1, 2025

Enrollment Period

3.8 years

First QC Date

August 2, 2022

Last Update Submit

December 10, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • BOLD signal changes during stimulation relative to no stimulation

    . tAN will will be administered to participants within the bore of the MRI scanner while we acquire high resolution functional neuroimaging. Both a general linear model and SNM approach will be used to examine BOLD signal changes during stimulation relative to rest blocks, comparing each of the four stimulation targets within- and between subjects to determine whether stimulating two cranial nerves produces a more robust neurophysiological effect than either single nerve or sham stimulation alone.

    During tAN

Study Arms (5)

Auricular Neurostimulation (Active 1)

ACTIVE COMPARATOR

•Within the MRI scanner, each participant will be connected to a series of tAN electrodes that stimulate the following ear target -ABVN Only stimulation (15Hz stimulation of cymba conchae)

Device: Transcutaneous Auricular Neruostimulation (tAN)

Auricular Neurostimulation (Active 2)

ACTIVE COMPARATOR

•Within the MRI scanner, each participant will be connected to a series of tAN electrodes that stimulate the following ear target -ATNS Only stimulation (100Hz stimulation of the tragus)

Device: Transcutaneous Auricular Neruostimulation (tAN)

Auricular Neurostimulation (Active 3)

ACTIVE COMPARATOR

•Within the MRI scanner, each participant will be connected to a series of tAN electrodes that stimulate the following ear target -Combo stimulation (stimulation of both the 15Hz cymba conchae and 100HZ tragus)

Device: Transcutaneous Auricular Neruostimulation (tAN)

Auricular Neurostimulation (Sham 1)

SHAM COMPARATOR

•Within the MRI scanner, each participant will be connected to a series of tAN electrodes that stimulate the following ear target -Sham (15Hz stimulation of the earlobe)

Device: Transcutaneous Auricular Neruostimulation (tAN)

Auricular Neurostimulation (Sham 2)

SHAM COMPARATOR

•Within the MRI scanner, each participant will be connected to a series of tAN electrodes that stimulate the following ear target -Sham (100Hz stimulation of the earlobe)

Device: Transcutaneous Auricular Neruostimulation (tAN)

Interventions

The intervention we are studying is called transcutaneous auricular neurostimulation (tAN). tAN is simply electrical nerve stimulation administered at the ear which targets both the auricular branch of the vagus nerve (ABVN) and the auriculotemporal nerve (ATN, a branch of the trigeminal nerve).

Auricular Neurostimulation (Active 1)Auricular Neurostimulation (Active 2)Auricular Neurostimulation (Active 3)Auricular Neurostimulation (Sham 1)Auricular Neurostimulation (Sham 2)

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-65
  • Have the capacity and ability to provide one's own consent and sign the informed consent document

You may not qualify if:

  • Contraindicated for MRI.
  • Any current or recent untreated medical, neurological, or psychiatric conditions
  • Metal implant devices in the head, heart or neck.
  • History of brain surgery.
  • History of myocardial infarction or arrhythmia, bradycardia.
  • Personal or family history of seizure or epilepsy or personal use of medications that substantially reduce seizure threshold (e.g., olanzapine, chlorpromazine, lithium).
  • Personal history of head injury, concussion, or self-report of moderate to severe traumatic brain injury.
  • Individuals suffering from frequent/severe headaches.
  • Individuals with a reported history of psychosis or mania, or individuals who are actively manic or psychotic.
  • Moderate to severe alcohol or substance use disorder.
  • Pregnancy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Medical University of South Carolina Institute of Psychiatry

Charleston, South Carolina, 29425, United States

RECRUITING

Central Study Contacts

Bashar Badran, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

August 2, 2022

First Posted

August 4, 2022

Study Start

March 17, 2023

Primary Completion (Estimated)

January 1, 2027

Study Completion (Estimated)

October 1, 2027

Last Updated

December 18, 2025

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will not share

Locations