Tonic Pain and Transauricular Vagal Nerve Stimulation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: taVNS, Earlobe Stimulation, Sham (No Treatment).
- Who it may be relevant to
- Registry conditions: Experimental Pain in Healthy Human Subjects. Basic parameters: 16 years — 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Denmark
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Exploration of the Effect, and Their Duration, of Different Frequency Transcutaneous Auricular Vagal Nerve Stimulation on Sensory Perception.
Overview
This study aims to explore the effect of burst-taVNS (electric stimulation of the concha cymba) on tonic (capsaicin-induced skin pain) and acute (pressure pain sensitivity) experimental pain and cardioception. Primary outcomes include pain intensity. Secondary outcomes include sensory thresholds, resting heart rate (EKG), pupillary measurements and conditioned pain modulation.
Detailed description
Across 3 visits, each lasting around 2.5hours, burst-taVNS (electrical stimulation of the concha cymba) will be compared to active-control (electrircal stimulation of the earlobe) and sham (no current) stimulation, two gold-standard controls. Assessments of outcomes will occur before capsaicin application and before, twice during and after electrical ear stimulation.
Interventions
- Device taVNS
Two-headed ball-point electrode which is placed in the concha cymba. - Device Earlobe Stimulation
Circular urface adhering electrodes will be attached to either facet of the earlobe. - Device Sham (No Treatment)
Circular surface adhesive electrodes will be placed on either facet of the earlobe. No current will pass through the electrodes.
Primary outcome measures
- Pain Intensity [Time frame: From when capsaicin is applied to the end of the experiment in 5 min intervals.]
Secondary outcome measures (6)
- Pressure Pain Detection Threshold [Time frame: Before Capsaicin application and at 3 time intervals from when the ear stimulation (taVNS, Active Control or Sham) is applied: before, as the stimulation starts and halfway during (at min 20).]
- Conditioned Pain Modulation Effect [Time frame: Before Capsaicin application and at 3 time intervals from when the ear stimulation (taVNS, Active Control or Sham) is applied: before, as the stimulation starts and halfway during (at min 20).]
- Pressure Pain Perception [Time frame: Before Capsaicin application and at 3 time intervals from when the ear stimulation (taVNS, Active Control or Sham) is applied: before, as the stimulation starts and halfway during (at min 20).]
- Pupillary Light Reflex [Time frame: Before Capsaicin application and at 3 time intervals from when the ear stimulation (taVNS, Active Control or Sham) is applied: before, as the stimulation starts and halfway during (at min 20).]
- Electrocardiography [Time frame: Before Capsaicin application and at 3 time intervals from when the ear stimulation (taVNS, Active Control or Sham) is applied: before, as the stimulation starts and halfway during (at min 20).]
- Cardioception Accuracy [Time frame: Before Capsaicin application and at 3 time intervals from when the ear stimulation (taVNS, Active Control or Sham) is applied: before, as the stimulation starts and halfway during (at min 20).]
Eligibility criteria
Inclusion criteria
- Healthy
- Speak and understand English
- 18-60 years old.
Exclusion criteria
- Pregnant and/or breastfeeding
- Regular use of cannabis, opioids or other drugs
- Current or previous neurologic, musculoskeletal, mental, or other illnesses (e.g., brain or spinal cord injuries, degenerative neurological disorders, major depression, cardiovascular disease, chronic lung disease, etc.)
- Current regular (once or more a week) use of analgesic medication or other medication which may affect the trial (including paracetamol and NSAIDs)
- Recent history of acute pain particularly in the lower limbs
- Abnormally disrupted sleep in 24 hours preceding experiment
- Contraindications to electric stimulation application (history of epilepsy, metal implants in head or jaw, etc.)
- Lack of ability to cooperate
- Contraindications for capsaicin including an intolerance chili consumption and burns or wounds to the application site.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Crossover
- Masking
- Triple blind
- Primary purpose
- Basic science
Study locations
Denmark · 1 center
- Center For Neuroplasticity and Pain — Aalborg
Identifiers
NCT: NCT07325058 · N-20230022-5