CClinicalTrials.gg
CompletedNCT05445427Updated Sep 9, 2026Results posted

Vagal Nerve Stimulation for Post COVID Fatigue

An interventional study of vagal nerve stimulator in Post COVID Syndrome, Fatigue and Headache, sponsored by Mayo Clinic. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the impact of vagal nerve stimulation on patients with post COVID syndrome who have fatigue and headache.

Read the detailed description

Patients, after consenting, will perform questionnaires, have a blood samples taken, and undergo PET/CT scans of the brain. Patients will then be randomized to either receive vagal nerve stimulation, or continue standard clinical care. For those randomized to receive treatment, they will be given a device and asked to follow a specific regimen daily for 12 weeks.

02

Conditions studied

  • Post COVID Syndrome
  • Fatigue
  • Headache
03

In context

Fatigue

1,860 studies on the registry are indexed under Fatigue; 376 are open to participants now.

This study's enrollment of 18 is below the median of 54 across 1,440 interventional studies indexed under Fatigue.

Browse Fatigue studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

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

Inclusion criteria

  • Presence of fatigue and post exertional malaise.
  • Presence of headache
  • Clinical diagnosis of post COVID syndrome.
  • They have consented to participate in the study
  • They have the ability to participate in all aspects of the study.

Exclusion criteria

Exclusion Criteria:

  • Pregnant.
  • Prior adverse reaction to 14FDG.
  • Active implantable medical device e.g. pacemaker, hearing aid implant
  • Metallic device e.g. stent, orthopedic hardware in neck
  • Using another electronic device at the same time e.g. TENS, mobile phone.
  • Any other condition deemed exclusionary by the study principal investigator
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    VNS Treatment

    Subjects with post COVID syndrome with fatigue and headache will have vagal nerve stimulator applied to the neck for 2 minute intervals with two sets administered three times daily

    Device: vagal nerve stimulator

  • No intervention
    Non-VNS Treatment

    Subjects with post COVID syndrome with fatigue and headache will receive current standard of care

Interventions

  • Devicevagal nerve stimulator

    Non-invasive vagus nerve stimulator

06

What researchers measure

Primary outcomes

  1. Change in Post-COVID Functional Status Score

    Measurement is the change in scoring determined through patients' self-reported Post-COVID Functional Status Score survey, which assesses COVID-19 symptom impact on a grading scale of 0 = no limitations to 4 = severe limitations. Thus, higher scores are a worse outcome, and a change indicating an increase is a worsening of functional status.

    Time frame: Baseline to 12 weeks

Secondary outcomes

  1. Change in PROMIS Fatigue Scale T Score

    Measurement is the change in score determined through patients' self-reported PROMIS Short Form v1.0 - Fatigue 7a. The PROMIS Fatigue Scale assesses 7 items on a scale of 1 (never) to 5 (always). Scale scores were converted to T scores using the published guidelines. A T-score of 50 is the average for the general population with a standard deviation of 10 because calibration testing was performed on a large sample of the general population. A higher PROMIS Fatigue T-score represents more of the concept being measured; thus, an increase in fatigue T score corresponds to more fatigue - which is a worse outcome.

    Time frame: Baseline to 12 weeks

07

Results

Posted Mar 12, 2025

Participant flow

Between 12/19/2022 and 03/06/2024, a total of 18 Long Covid patients were found to be eligible to participate in this study through a Long Covid Clinic at a single medical center.

Participant flow — Overall Study
MilestoneVNS TreatmentNon-VNS Treatment
Started810
Completed810
Not completed00

Outcome measures

PrimaryChange in Post-COVID Functional Status Score

Measurement is the change in scoring determined through patients' self-reported Post-COVID Functional Status Score survey, which assesses COVID-19 symptom impact on a grading scale of 0 = no limitations to 4 = severe limitations. Thus, higher scores are a worse outcome, and a change indicating an increase is a worsening of functional status.

Time frame:
Baseline to 12 weeks
Reported as:
Mean · units on a scale
Change in Post-COVID Functional Status Score
units on a scaleVNS TreatmentNon-VNS Treatment
Change in Post-COVID Functional Status Score0.1 ± 1.00.3 ± 0.7
Statistical analysis
  • VNS Treatment vs Non-VNS Treatment · Wilcoxon (Mann-Whitney) · p = 0.544
SecondaryChange in PROMIS Fatigue Scale T Score

Measurement is the change in score determined through patients' self-reported PROMIS Short Form v1.0 - Fatigue 7a. The PROMIS Fatigue Scale assesses 7 items on a scale of 1 (never) to 5 (always). Scale scores were converted to T scores using the published guidelines. A T-score of 50 is the average for the general population with a standard deviation of 10 because calibration testing was performed on a large sample of the general population. A higher PROMIS Fatigue T-score represents more of the concept being measured; thus, an increase in fatigue T score corresponds to more fatigue - which is a worse outcome.

Time frame:
Baseline to 12 weeks
Reported as:
Mean · units on a scale
Change in PROMIS Fatigue Scale T Score
units on a scaleVNS TreatmentNon-VNS Treatment
Change in PROMIS Fatigue Scale T Score-5.4 ± 11.6-1.9 ± 4.7
Statistical analysis
  • VNS Treatment vs Non-VNS Treatment · ANCOVA · p = 0.292ANCOVA was used with the baseline value used as the covariate.

Adverse events

Collected over During the 12 weeks of the study treatment period. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
VNS Treatment0/8 (0%)0/8 (0%)2/8 (25%)
Non-VNS Treatment0/10 (0%)0/10 (0%)0/10 (0%)
Most frequent other events
Most frequent other events
EventVNS TreatmentNon-VNS Treatment
NauseaGastrointestinal disorders1/80/10
Neck TightnessMusculoskeletal and connective tissue disorders1/80/10

Baseline characteristics

Age, Continuous
Age, Continuous(years)VNS TreatmentNon-VNS TreatmentTotal
Mean46.3 ± 10.846.9 ± 14.746.6 ± 12.8
Sex: Female, Male
Sex: Female, Male(Participants)VNS TreatmentNon-VNS TreatmentTotal
Female5712
Male336
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)VNS TreatmentNon-VNS TreatmentTotal
NonHispanic/White8917
Hispanic/White011
08

Study locations

1 site
  • Mayo Clinic in Rochester
    Rochester, Minnesota 55905, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · May 29, 2024

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05445427
Lead sponsor
Mayo Clinic
Responsible party
Ryan T. Hurt, M.D., Ph.D. (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Jul 6, 2022
Start date
Dec 21, 2022
Primary completion
Mar 28, 2024
Completion
Mar 28, 2024
Results posted
Mar 12, 2025
Last update
Sep 9, 2026

Study contacts

Ryan T. Hurt, MD
principal investigator · Mayo Clinic

Oversight

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

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This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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