Actively Recruiting

Phase Not Applicable
Age: 55Years - 75Years
All Genders
ID06665113

Study of Long-term Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) Effects in Early Parkinson's Disease Patients A Double-blind Randomized Controlled Trial

Led by Kezhong Zhang · Updated on 2025-01-14

12

Participants Needed

1

Research Sites

75 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are exploring the effects of long-term transcutaneous auricular vagus nerve stimulation (taVNS) in patients with early-stage Parkinson's disease. This randomized, double-blind, controlled trial aims to investigate whether this novel treatment approach can help delay the progression of Parkinson's disease in adults aged 55 to 75 years who have been diagnosed according to established Chinese diagnostic criteria and are at an early stage of the disease. Participants are randomly assigned to one of two groups: a real stimulation group or a sham stimulation group. The real stimulation involves applying electrical pulses through modified electrodes near the auricular branch of the vagus nerve in the left ear, with parameters set at 20 Hz frequency and 500 microseconds pulse width, delivered in cycles of 60 seconds on and 10 seconds off for a total of 30 minutes. The sham group receives similar stimulation on the earlobes without targeting the vagus nerve. Both groups undergo this intervention consistently over the study period. During the study, participants are assessed multiple times at baseline, 180 days, 360 days, 540 days, and 570 days. The evaluations include clinical measures such as the Movement Disorder Society Unified Parkinson's Disease Rating Scale Part II (MDS-UPDRS-II) and brain imaging techniques like diffusion tensor imaging to measure free water in a specific brain region affected by Parkinson's. These assessments help researchers monitor disease progression and potential neuroprotective effects of the taVNS treatment. Safety and adherence to the treatment are also closely followed throughout the trial.

CONDITIONS

Official Title

Neuroprotective Effects of Long-term TaVNS in Early Parkinson's Disease Patients

Who Can Participate

Age: 55Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 55-75 years
  • Diagnosed with idiopathic Parkinson's disease according to 2016 Chinese diagnostic criteria
  • Hoehn and Yahr stage 2.5 or less at medication start
  • Parkinson's disease duration of 3 years or less
  • Receiving standard anti-Parkinson's disease medication treatment
Not Eligible

You will not qualify if you...

  • Cognitive impairment (MMSE < 24 or MoCA < 26), mental illness, or inability to cooperate
  • Use of neuroprotective drugs or dopamine-affecting medications within 90 days before baseline
  • Previous vagus nerve stimulation treatment
  • MRI contraindications or significant brain abnormalities on MRI
  • Contraindications for taVNS such as pacemakers, history of DBS surgery, or ear conditions
  • Atypical or secondary Parkinsonian syndromes or drug/toxin-related symptoms
  • Previous stroke or intracranial mass lesions
  • Existing or potential cardiovascular diseases
  • Eye diseases affecting eye movement
  • Other neurological or musculoskeletal disorders affecting gait or balance
  • Severe organic diseases with life expectancy under 2 years
  • Participation in other clinical trials
  • Inability to attend required treatment and follow-up due to location
  • Upper limb tremor score of 3 or higher on UPDRS
  • History of Parkinson's freezing episodes or falls

AI-Screening

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Trial Site Locations

Total: 1 location

1

The First Affiliated Hospital with Nanjing Medical University

Nanjing, Jiangsu, China, 211200

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Research Team

K

Kezhong Zhang, Professor

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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