Home-based Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) for IBS Pain

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-29
SponsorYale University

About this trial

The goal of this clinical trial is to learn the feasibility and safety of using home-based taVNS in young adults with IBS to manage their IBS-related pain and symptoms. It will also learn about participants' experience in using the home-based taVNS intervention. The main questions it aims to answer are:

* Is it feasible to use a home-based taVNS intervention for pain and symptom management among YAs with IBS? * Is it safe and reported satisfactory to use a home-based taVNS intervention for pain and symptom management among YAs with IBS? Researchers will compare Active to Sham taVNS (a look-alike intervention that contains minimal stimulation) to see if Active taVNS works on managing IBS-related pain and symptoms.

Participants will:

* Take Active or Sham taVNS intervention for a 6-week treatment (twice daily, 30 minutes per session) * Visit the research lab at the initial setup and the end of the 6-week treatment for checkups and tests * Keep a diary of their symptoms and the number of times they use the taVNS.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 - 29 years of age;

Men and women;

Diagnosis of IBS from a healthcare provider with current report of pain (volunteers asked to bring provider-verification of IBS diagnosis based on Rome IV criteria to initial study appointment);

Experiencing moderate pain (≥3 out of 10 on numeric rating scale [NRS]) at least 4 days of the week and lasting previous three months;

Disqualifiers

Other chronic pain condition;

Celiac disease or inflammatory bowel disease;

Diabetes mellitus;

severe psychiatric condition requiring inpatient treatment in previous 6 months;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Home-based taVNS intervention

    Device

    Home-based taVNS intervention will be administered using the non-invasive taVNS device, Parasym system (Parasym Health, Inc, London, UK).

Treatment groups

80 Participants
are divided into 2 treatment groups
Group A: Active taVNS interventionExperimental treatment 1 intervention
Group B: Sham taVNSSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

Feasibility of implementing taVNS - Retention rates

Feasibility will be assessed by evaluating the retention rate of participants who complete the taVNS sessions at 6 weeks and the follow-up at week 12. Retention rates will be calculated by comparing the number of participants who complete these timepoints with the baseline data.

Time frame
Baseline, week 6, week 12
2

Adherence of implementing taVNS - Duration of usage

Adherence will be measured using participant self-report data and the data from the taVNS monitoring system. Actual usage time (minutes) will be extracted from the Parasym system recorder to monitor the adherence to the study protocol.

Time frame
week 6
3

Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability)

Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability) in using the taVNS will be measured using self-reported data, including online self-monitoring diary, weekly meetings with the research team, surveys, and focus group interviews. Adverse events (AEs) will be monitored daily using the online diary with a preset form, including a 10-item survey to assess daily AEs of taVNS on 0-10 Likert scales.

Time frame
Baseline, week 6, week 12
4

Satisfaction in implementing taVNS

Satisfaction in using the taVNS will be measured using self-reported data including online self-monitoring diary, weekly meetings with the research team, surveys, and focus group interviews.

Time frame
Baseline, week 6, week 12

Secondary outcomes

Other outcomes

Sponsors and contacts

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Yale University

Lead sponsor

Florida State University

Collaborator

Rutgers University

Collaborator

National Center for Complementary and Integrative Health (NCCIH)

Collaborator