Activating the Cholinergic Anti-Inflammatory Pathway in Healthy Volunteers and People With Inflammatory Arthritis
1 other identifier
interventional
16
1 country
2
Brief Summary
This study is designed to investigate whether non-invasive ultrasound (US) that is optimized for stimulation and can elicit an anti-inflammatory response in people with Inflammatory Arthritis as compared to a sham intervention. The primary endpoint is the change in pro-inflammatory cytokines in blood drawn before and after US. Each participant receives 4 experimental US sessions, one of which is randomly assigned to be placebo.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Oct 2025
Shorter than P25 for not_applicable
2 active sites
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
First Submitted
Initial submission to the registry
August 3, 2024
CompletedFirst Posted
Study publicly available on registry
August 15, 2024
CompletedStudy Start
First participant enrolled
October 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 5, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
January 5, 2026
CompletedJanuary 7, 2026
November 1, 2025
3 months
August 3, 2024
January 6, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Tumor Necrosis Factor Alpha Concentration Differences
Measure the change before and after ultrasound stimulation by immunoassay of blood plasma after challenge with LPS.
Baseline to 2 hours post therapy
Secondary Outcomes (3)
Interleuken 1b Concentration Difference
Baseline to 2 hours and 24 hours post therapy
Interleuken IL-6 Concentration Difference
Baseline to 2 hours and 24 hours post therapy
Tumor Necrosis Factor Alpha Concentration Differences
Baseline to 24 hours post therapy
Study Arms (2)
Treatment
EXPERIMENTALParticipants will receive active treatment during the visit. There will be a total of 5 visits involving ultrasound, with 2 being a sham and 3 being active. Patient is blinded to the treatment. The visit in which the sham is administered will be determined according to the Randomization Table
Control
SHAM COMPARATORParticipants will receive a non-active treatment during the visit. There will be a total of 5 visits involving ultrasound, with 2 being a sham and 3 being active. Patient is blinded to the treatment. The visit in which the sham is administered will be determined according to the Randomization Table
Interventions
Ultrasound therapy will be administered to the appropriate target.
Non-active ultrasound therapy will be administered to the appropriate target
Eligibility Criteria
You may qualify if:
- years of age
- Weigh at least 40 kg
You may not qualify if:
- Any physical disabilities, conditions, or diseases that limit the capacity to participate in study procedures or increase the risk of harm as determined by the study PI
- Unable to provide informed consent
- Active bacterial or viral infection
- Class II obesity with a BMI of 35 or higher
- Pregnant women or those trying to become pregnant
- Active use of tobacco/nicotine products
- History of substance use disorder or active regular use of substances (nicotine, marijuana, cocaine, psychedelics, stimulants, etc.)
- Splenomegaly, asplenia, or splenectomy
- Inflammatory Arthritis Population
- years of age
- Weigh at least 40 kg
- Diagnosis of Rheumatoid Arthritis, Psoriatic Arthritis, or Axial Spondyloarthritis of at least 6 months duration as defined by ACR guidelines
- Able to continue the same stable dose of immunomodulatory medication(s) while participating in the study
- Unable to provide informed consent
- Took a JAK inhibitor within the last 4 weeks, or likely to start one while participating in this study
- +19 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Tekton Research
Austin, Texas, 78745, United States
UT Health
Houston, Texas, 77030, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- BASIC SCIENCE
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 3, 2024
First Posted
August 15, 2024
Study Start
October 1, 2025
Primary Completion
January 5, 2026
Study Completion
January 5, 2026
Last Updated
January 7, 2026
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share