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RecruitingNCT05554172Updated Sep 8, 2026

Efficacy of Non-invasive Vagus Nerve Stimulation for Treatment of Low Weight Eating Disorders

An interventional study of taVNS and Sham in Anorexia Nervosa, sponsored by Icahn School of Medicine at Mount Sinai. Recruiting at 1 site in United States. Open to participants aged 14 Years to 22 Years. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Icahn School of Medicine at Mount Sinai · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2022; still recruiting 3 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
14 Years to 22 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 173 studies in Anorexia Nervosa with a site in United States — 36 open to participants now, 45 under way, none of them phase 3. Anorexia Nervosa · United States.

Planned enrollment
83rd of 142
30 · median 40
Started
2022
with 15 others
No phase
93 of 173
24 open now
Primary completion
2027-10
later than 28 of 44 live
Registered
131st of 173
by date
Lead sponsor
5 of 173
Icahn School of Medicine at Mount Sinai

Among the 173 studies in Anorexia Nervosa with a site in United States, this one is the 83rd largest by planned enrollment of the 142 interventional ones, is one of 16 that started in 2022, is one of 93 with no phase, reaches primary completion later than 28 of the 44 other live ones, and was the 131st registered.

By phase

173 studies; the count open now beside each. This study's row is marked.

No phasethis study93 · 24 open
Observational31 · 7 open
Phase 220 · 5 open
Phase 114 · 0 open
Phase 45 · 0 open
Phase 2/34 · 0 open
Phase 34 · 0 open
Phase 1/22 · 0 open

By the year they started

First in 2000; this study’s year is marked. 16 started in 2022.

Size and results

Median enrollment 40 across the 142 interventional studies, 66 across the 31 observational. Of the 122 that completed or were terminated, 34 (28%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 173 studies in Anorexia Nervosa with a site in United States, or all of them as a file.
02

Study summary

This project includes a 4-week randomized trial comparing pre-meal vagal nerve stimulation (taVNS) to pre-meal sham stimulation. The aims will assess if taVNS results in greater satisfaction, greater calorie consumption, less self-reported fullness, decrease in eating disorder symptoms, and less anxiety than sham stimulation.

Read the detailed description

The purpose of this research study is to determine the safety and ability of a device that will stimulate the vagus nerve (taVNS), in 30 adolescents ages 14-17. This project will explore if stimulation has any effect on eating behaviors in individuals with eating disorders, such as Anorexia Nervosa. Study measurements include eating behavior and other measures of behavior. These measurements will take place before and in response to the nerve stimulation during the course of a 4-week randomized trial.

Participants are assigned to one of two conditions: 1) Vagal Nerve Stimulation (n=20; this group includes use of the vagus nerve stimulator with stimulation); and 2) Sham Stimulation (n=10; this group includes use of the vagus nerve stimulator with no stimulation). Screening to determine eligibility includes physical measurements of height and weight, interview questions to determine inclusion/exclusion criteria and eating disorder diagnoses, and online REDCap surveys.

If eligible, participants will be scheduled for 5 study visits. Procedures will include taVNS, single item meals, check-ins during treatment in the Eating and Weight Disorders Program, and self-report questionnaires.

Clinic check-ins (3 days per week while in the clinic during the 4 week intervention) will include taVNS stimulation or sham for 30 minutes. Study Visits (4 weekly study visits lasting 1 hour each) will include a single item meal test, self-report surveys, and adverse event assessment and documentation. The follow-up visit, lasting 1 hour, will take place 1 week after the final study visit and includes self-report surveys and adverse event assessment and documentation.

03

Conditions studied

  • Anorexia Nervosa

Browse trials for

04

Who can participate

Ages eligible
14 Years to 22 Years
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

  • Ages 14-22
  • Engaged in standardized refeeding in the EWDP during the intervention (may include individuals with anorexia nervosa or avoidant/restrictive food intake disorder)
  • Needing to gain at least 8 lbs during the refeeding period
  • English-speaking

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • GI disturbance or diagnosis (Crohn's disease, diverticulitis, irritable bowel syndrome, gastric bezoar, or suspected or known GI obstruction)
  • GI surgery in the last 3 months
  • Implanted or portable electro-mechanical device such as a pacemaker, defibrillator, or infusion pump
  • Allergies to the ingredients in the shake provided
  • Use of illicit substances including misuse, overuse, abuse, illegal use, or addiction to or dependence on
  • Acute suicide risk/active suicidal ideation determined with the C-SSRS. "Yes" to questions 1 or 2 in the Suicidal Ideation section or "Yes" to any question in the Suicidal Behavior section will be exclusionary
  • Psychiatric diagnoses of schizophrenia or bipolar disorder
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Vagal Nerve Stimulation (taVNS)

    taVNS stimulation administered during intervention

    Device: taVNS

  • Sham comparator
    Sham Stimulation (Sham)

    Sham stimulation administered during intervention

    Device: Sham

Interventions

  • DevicetaVNS

    Participants will receive vagal nerve stimulation approximately 3 days a week for 30 minutes over the course of 4 weeks while they are attending treatment for Anorexia Nervosa in the Eating and Weight Disorder Intensive Program.

  • DeviceSham

    Participants will receive sham stimulation approximately 3 days a week for 30 minutes over the course of 4 weeks while they are attending treatment for Anorexia Nervosa in the Eating and Weight Disorder Intensive Program.

06

What researchers measure

Primary outcomes

  1. Satisfaction Rating Scale

    Treatment satisfaction will be measured using a 10-point rating scale at the follow-up visit, with range from 0 to 10. A higher score will indicate higher level of satisfaction.

    Time frame: 4 weeks

Secondary outcomes

  1. Percent of participants with treatment-related adverse events

    Safety will be measured by documenting treatment-related adverse events during the 4 weeks of treatment. Occurrences will be reported according to % of participants experiencing a treatment-related adverse event.

    Time frame: 4 weeks

  2. Dropout Rate

    Tolerability of treatment will be measured using dropout rates. The drop out rate will be reported according to % of participants dropping before the completion of the follow-up visit.

    Time frame: 4 weeks

  3. Total calories consumed

    Autonomous eating will be measured in total calories consumed during 4 study visits. Total calories consumed will be calculated between study visit 1 and study visit 4.

    Time frame: up to 4 weeks

  4. Change in weight from baseline to 4 weeks

    Weight will be measured in the EWDP IP clinic by study staff during all study visits. Change in weight will be calculated using the baseline and 4-week measurements.

    Time frame: baseline and week 4

  5. Change in the Clinical Impairment Assessment (CIA)

    Impairment is measured using the Clinical Impairment Assessment, which is a 16-item self-report measure of impairment from eating disorders. Responses are scored using 0, 1, 2, or 3 and the score is calculated using the sum of all items. Possible scores range between 0 - 48, with higher scores indicating more impairment and lower scores indicating less impairment. Change in impairment will be calculated using the baseline and 4-week scores from CIA.

    Time frame: baseline and week 4

  6. Change in the Eating Disorder Examination (EDE-Q)

    Change in eating disorder symptoms will be measured using the EDE-Q, which is a 28-item self-report measure assessing eating disorder symptoms. Each subscale (Restraint, Eating Concern, Shape Concern and Weight Concern) is scored 0-6. A global score (total scale from 0-6) is calculated by summing 4 subscales and then dividing by 4. A score of 4 or higher is considered clinically significant. Change in EDE-Q global score will be calculated using the baseline and 4-week scores.

    Time frame: baseline and week 4

  7. Change the Center for Epidemiological Studies Depression Scale (CESD)

    Change in depression will be measured using the CESD, which is a 20-item self-report measure evaluating depressive symptoms. Total scores from 0 to 60. A higher score indicates higher levels of depressive symptoms. Change in CESD score will be calculated using the baseline and 4-week scores.

    Time frame: baseline and week 4

  8. Change the Anxiety Sensitivity Index (ASI)

    Change in anxiety will be measured using the ASI, which is an 18-item self-report measure used to assess anxiety sensitivity. Total scores from 0-48. A higher score indicates more impairment. Change in ASI total score will be calculated using the baseline and 4-week scores.

    Time frame: baseline and week 4

  9. Change in the Visceral Sensitivity Index (VSI)

    Changes in gastrointestinal-specific anxiety will be measured using the VSI, which is a 15-item measure. Total scores range from 0 (no GI-specific anxiety) to 75 (severe GI-specific anxiety). Higher scores indicate greater GI-specific anxiety. Change in VSI total score will be calculated using the baseline and 4-week scores.

    Time frame: baseline and week 4

  10. Change in hunger using a Visual Analogue Scale (VAS)

    Change in hunger will be measured using a 15-cm visual analog scale. The total score ranges from 0-15, with higher ratings indicating greater hunger. Change in hunger will be calculated using the baseline and 4-week ratings.

    Time frame: baseline and 4 weeks

  11. Change in fullness using a Visual Analogue Scale (VAS)

    Change in fullness will be measured using a 15-cm visual analog scale. The total score ranges from 0-15, with higher ratings indicating greater fullness. Change in fullness will be calculated using the baseline and 4-week ratings.

    Time frame: baseline and 4 weeks

  12. Change in sickness using a Visual Analogue Scale (VAS)

    Change in sickness will be measured using a 15-cm visual analog scale. The total score ranges from 0-15, with higher ratings indicating greater sickness. Change in sickness will be calculated using the baseline and 4-week ratings.

    Time frame: baseline and 4 weeks

  13. Change in control using a Visual Analogue Scale (VAS)

    Change in control will be measured using a 15-cm visual analog scale. The total score ranges from 0-15, with higher ratings indicating greater control. Change in control will be calculated using the baseline and 4-week ratings.

    Time frame: baseline and 4 weeks

  14. Change in urge to eat using a Visual Analogue Scale (VAS)

    Change in urge to eat will be measured using a 15-cm visual analog scale. The total score ranges from 0-15, with higher ratings indicating a greater urge to eat. Change in urge to eat will be calculated using the baseline and 4-week ratings.

    Time frame: baseline and 4 weeks

  15. Change in thoughts of food using a Visual Analogue Scale (VAS)

    Change in thoughts of food will be measured using a 15-cm visual analog scale. The total score ranges from 0-15, with higher ratings indicating greater thoughts of food. Change in thoughts of food will be calculated using the baseline and 4-week ratings.

    Time frame: baseline and 4 weeks

  16. Change in disgust using a Visual Analogue Scale (VAS)

    Change in disgust will be measured using a 15-cm visual analog scale. The total score ranges from 0-15, with higher ratings indicating greater disgust. Change in disgust will be calculated using the baseline and 4-week ratings.

    Time frame: baseline and 4 weeks

  17. Change in fear using a Visual Analogue Scale (VAS)

    Change in fear will be measured using a 15-cm visual analog scale. The total score ranges from 0-15, with higher ratings indicating greater fear. Change in fear will be calculated using the baseline and 4-week ratings.

    Time frame: baseline and 4 weeks

  18. Change in the Gastroparesis Cardinal Symptom Index (GCSI)

    Change in gastroparesis will be measured using the GCSI, which is a 6-item measure. Full scale from 0-5. Higher scores indicate more discomfort. Change in GCSI total score will be calculated using the baseline and 4-week scores.

    Time frame: baseline and 4 weeks

  19. Change in the Disgust Scale-Revised (DS-R)

    Change in disgust will be measured using the DS-R, which is a 27-item measure assessing degree of disgust associated with food. Scores range from 0 - 100 and higher scores indicate a higher level of disgust. Change in DS-R total score will be calculated using the baseline and 4-week scores.

    Time frame: baseline and 4 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Andersson P, Jamshidi E, Ekman CJ, Tedroff K, Bjorkander J, Sjogren M, Lundberg J, Jokinen J, Desai Bostrom AE. Anorexia Nervosa With Comorbid Severe Depression: A Systematic Scoping Review of Brain Stimulation Treatments. J ECT. 2023 Dec 1;39(4):227-234. doi: 10.1097/YCT.0000000000000922. Epub 2023 Apr 14. PubMed 37053429 ↗

Individual participant data

Plan to share: No — Anonymized data can be made available upon request.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2022 (actual). Primary completion is estimated for Oct 2027, 58 months after the start.

Of 151 non-industry interventional studies with no phase under Anorexia Nervosa, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 63. This study's planned 58 months is above that.

Counting every sponsor, half of 151 studies reached it within 43 months; a quarter within 24 and three quarters within 63.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 21, 2022
First posted
Sep 26, 2022
StartActual
Dec 13, 2022
Primary completionEst.
Oct 2027
CompletionEst.
Oct 2027
Last update
Sep 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05554172
Responsible party
Tom Hildebrandt (Professor, Icahn School of Medicine at Mount Sinai) — Principal investigator
First posted
Sep 26, 2022
Start date
Dec 13, 2022
Primary completion
Oct 2027 (estimated)
Completion
Oct 2027 (estimated)
Last update
Sep 8, 2026

Study contacts

Tom Hildebrandt, PsyD
Contact
tom.hildebrandt@mssm.edu
212-659-8673
Jessica Bibeau, MA
Contact
jessica.bibeau@mssm.edu
212-659-8724
Tom Hildebrandt, PsyD
principal investigator · Icahn School of Medicine at Mount Sinai

Oversight

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

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