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RecruitingNCT04937309SILENCEUpdated Jun 17, 2026

Efficacy and Safety of Non Invasive Vagal Stimulation to Prevent Chemotherapy-induced Nausea

An interventional study of non invasive auricular vagal stimulation and usual medical treatment in Breast Cancer, sponsored by University Hospital, Tours. Recruiting at 8 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-17.

Sponsored by University Hospital, Tours · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Jun 2022; still recruiting 4 years 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
338
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Despite pharmaceutical innovations, chemotherapy induced nausea is frequent and largely participating to alter our patients quality of life.

Non invasive vagal stimulation is approved in other health issues, for example in headache or gastroparesis, with a reported benefit on nausea.

This study aims to analyse if a non invasive vagal stimulation could better prevent chemotherapy induced nausea, in addition to standard treatment, in breast cancer patients treated with cyclophosphamide and anthracycline.

Read the detailed description

Despite pharmaceutical innovations, chemotherapy induced nausea is frequent and largely participating to alter our patients quality of life.

Non invasive vagal stimulation is approved in other health issues, for example in headache or gastroparesis, with a reported benefit on nausea.

This study aims to analyse if a non invasive vagal stimulation could better prevent chemotherapy induced nausea, in addition to standard treatment, in breast cancer patients treated with cyclophosphamide and anthracycline.

02

Conditions studied

  • Breast Cancer

Keywords

  • nausea
  • non invasive vagal stimulation
  • chemotherapy
  • breast cancer
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 338 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

University Hospital, Tours is the lead sponsor of 307 studies on the registry; 79 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • (ECOG) status 0 to 2
  • patient with breast cancer planned to receive Anthracycline and Cyclophosphamide chemotherapy
  • compliance expected
  • social security affiliation

Exclusion criteria

Exclusion Criteria:

  • nausea or vomiting 24h or less, before inclusion
  • Antiemetic drug intake in the last 72h before inclusion
  • Central nervous system
  • Daily alcohol intake
  • Prior chemotherapy
  • Cardiac arrythmia, severe heart failure
  • Device for sleep apnea
  • History of arterial or venous thrombosis, or thrombophlebitis
  • Vagotomy
  • Vagal stimulation ongoing
  • Skin disease on the stimulation zone
  • Cochlear implant next to the stimulation zone
  • Unable to use the vagal stimulation device due to left ear unusual shape
  • Pregnant or breastfeeding women, or women of childbearing age without effective
  • Documented allergy or to one of the antiemesis drugs required in the study
  • Protected adults (individuals under guardianship by court order)
  • Unable to read or write
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
338 participants (estimated)

Study arms

  • Experimental
    intervention

    standard anti emetic treatment use of non invasive vagal stimulation twice a day from the day before chemotherapy till 4 days after, with a transcutaneous auricular device. This stimulation is to be done for the three first cycles of chemotherapy.

    Device: non invasive auricular vagal stimulation · Drug: usual medical treatment

  • Sham comparator
    control

    standard anti emetic treatment use of non invasive vagal stimulation twice a day from the day before chemotherapy till 4 days after, with a transcutaneous auricular sham device. This "stimulation" is to be done for the three first cycles of chemotherapy.

    Drug: usual medical treatment · Device: sham stimulation

Interventions

  • Devicenon invasive auricular vagal stimulation

    Stimulation twice a day, beginning the day before until the fourth day after chemotherapy, for the three first chemotherapy cycles

  • Drugusual medical treatment

    Standard anti emetic treatments to prevent emesis due to chemotherapy

  • Devicesham stimulation

    Stimulation twice a day, beginning the day before until the fourth day after chemotherapy, for the three first chemotherapy cycles, with a sham device

06

What researchers measure

Primary outcomes

  1. Percentage of patients with significant nausea after the first chemotherapy cycle

    Nausea severity is graded daily from Day 1 (day of chemotherapy) to Day 5, using a numeric scale from 0 to 10. It is a patient reported outcome, patients using a diary. Significant nausea is a score of 2 or more.

    Time frame: 2 to 3 weeks

Secondary outcomes

  1. Percentage of patients with significant nausea after the second and the third chemotherapy cycle.

    Same measurement at the second and the third chemotherapy. And global score considering the three cycles together.

    Time frame: 7 to 12 weeks

  2. Percentage of patients that did not vomit or use rescue emesis medication, from the first cycle of chemotherapy to day 5 after the third chemotherapy cycle.

    Percentage of patients without any vomiting, or rescue emesis medication use, from first to third chemotherapy

    Time frame: 7 to 12 weeks

  3. Percentage of non planned visit to emergency care unit or general practioner or oncologist due to emesis, measured for the three first chemotherapy cycles.

    To measure complication due to emesis from the first cycle of chemotherapy to day 5 after the third chemotherapy cycle

    Time frame: 7 to 12 weeks

  4. Percentage of non anticipated hydratation with IV fluids measured for the three first chemotherapy cycles.

    To measure complication due to emesis from the first cycle of chemotherapy to day 5 after the third chemotherapy cycle

    Time frame: 7 to 12 weeks

  5. Percentage of hospitalisations for emesis measured for the three first chemotherapy cycles.

    To measure complication due to emesis from the first cycle of chemotherapy to day 5 after the third chemotherapy cycle

    Time frame: 7 to 12 weeks

  6. quality of life measurement using international validated questionnaire EORTC QLQ-C30 (quality of life questionnaire -C30), EORTC QLQ-BR23 (quality of life questionnaire for breast cancer), completed at the first three cycles

    patient reported outcome measure, using international validated questionnaires and patient diaries

    Time frame: 9 to 15 weeks

  7. number and type of side effect during vagal stimulation safety

    report of any side effect, based on patient declaration

    Time frame: 7 to 12 weeks

07

Study locations

6 of 8 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04937309
Responsible party
Sponsor
First posted
Jun 24, 2021
Start date
Jun 23, 2022
Primary completion
Jul 30, 2028 (estimated)
Completion
Sep 30, 2028 (estimated)
Last update
Jun 17, 2026

Study contacts

Mathilde CANCEL, MD
Contact
m.cancel@chu-tours.fr
02 47 47 99 19

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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