Actively Recruiting
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
Eligibility Criteria
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
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
Actively Recruiting
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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