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RecruitingNCT05918965VagusUpdated Jun 26, 2023

Vagus Stimulation in Female Long COVID Patients.

An interventional study of transcutaneous electrical vagal neurostimulation in Vagus Nerve Diseases, Long COVID and Long Covid19, sponsored by Medical University of Vienna. Recruiting at 1 site in Austria. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-06-26.

Sponsored by Medical University of Vienna · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2025, 1 year 7 months ago, but the record still lists the study as recruiting.
  • Started Mar 2023; still recruiting 3 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Female
01

Study summary

The aim of the present pilot study is to investigate the acceptance, feasibility and implementation of the vagus nerv stimulation in Long COVID patients. Additionally, the effects on parameters of the autonomic nervous system as well as on symptoms of Long COVID will be described in a pre/post comparison.

For this purpose, a total of 45 female Long COVID patients will participate in the randomized controlled pilot study. Patients will perform auricular vagus stimulation daily for 12 weeks. The patient collective will be randomized into three groups (A: 10 hertz, B: 25 hertz, C: 2 hertz=control group).

If appropriate results are obtained, further adequately powered intervention studies are planned.

Read the detailed description

Patients start on day 0, when the first assessment takes place. This consists of a medical diagnostic interview and sociodemographic, anthropometric, medical and functional data are collected (for a detailed description, see chapter 5. Statistics). Subsequently, the patients fill out the given questionnaires (paper/pencil version), which are then evaluated. Subsequently, the test persons are trained by a doctor how the electrical stimulation works with a demo device. Finally, the device is taken over by the company Schwa-Medico. The whole first assessment lasts about 2 hours and always takes place from 8 a.m. at constant room temperature (22-23 C°).

The outcome parameters are recorded before the start of the vagus nerve stimulation (T0), during the treatment after 4 weeks (T0+4Wo) and after a total of 12 weeks (T0+12Wo) after the end of the therapy. Which assessments are collected at the different time points is listed in the biometry section. The assessments are performed by physicians of the Department of Physical Medicine, Rehabilitation and Occupational Medicine. All assessments take place at relatively the same time, at constant room temperature (22-23 C°). The patients have to appear fasting.

T0: Medical history, examination, randomization, pre-tests, enrollment. T0+4Wo: Intermediate examination T0+12Wo: final examination, post-tests, return of device

This pilot study investigates the acceptability, feasibility, and implementation of the VNS measure in Long COVID patients. In addition, effects on autonomic nervous system parameters (heart rate, blood pressure, rate pressure product, heart rate variability = HRV, cortisol in saliva), on symptoms fatigue, dyspnea as well as health-related quality of life (HRQOL) are described:

Time points: T0, T0+4wk, T0+12wk.

Parameters - collected at relatively the same time each day, at constant room temperature (22-23 C°):

  • Documentation of blood pressure and pulse rate: by means of Boso Medicus (Bosch + Sohn GmbH u. Co. KG, Jungingen, Germany), calculation of the so-called "rate pressure-product" (syst. blood pressure x heart rate)
  • Heart rate variability
  • Salivary cortisol
  • Fatigue: Brief Fatigue Inventory (BFI)
  • Health-related quality of life (HRQOL): SF-36 (short form) questionnaire instrument
  • Dyspnea: Modified Borg Scale
  • Sleep: Insomnia Severity Index (ISI)
02

Conditions studied

  • Vagus Nerve Diseases
  • Long COVID
  • Long Covid19
  • Post-COVID-19 Syndrome
  • Post-COVID Syndrome
  • Post COVID-19 Condition
  • Post COVID Condition

Keywords

  • auricular transcutaneous electrical vagal nerve stimulation
  • TENS
03

In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

This study's planned enrollment of 45 is below the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Medical University of Vienna is the lead sponsor of 1,076 studies on the registry; 177 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Female patients with Long COVID (history, physical examination, findings)
  • age 18-70 years
  • signed informed consent

Exclusion criteria

Exclusion Criteria:

  • Hearing aid implants (cochlear implants)
  • surgical transection of the vagus nerve
  • Malignancies
  • autoimmune diseases
  • orthopedic diseases
  • rheumatological diseases
  • neurological diseases
  • postoperative, fresh injuries to the ear
  • febrile diseases
  • inflammations
  • psychiatric diseases
  • pacemakers
  • implanted cardioverter and defibrillators (ICDs)
  • seizure disorders
  • Meniere's disease
  • negative experience with electrotherapy
  • insufficient knowledge of the German language
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
45 participants (estimated)

Study arms

  • Active comparator
    Vagus Nerve Stimulation with 10 Hertz

    Twelve weeks home therapy with transcutaneous electrical neurostimulation (TENSeco®, CE197, Schwa-Medico Gmbh), transcutaneous 2-channel nerve stimulator. Matching ear electrode 3 DTS. * Stimulation frequency: 10 Hertz * Intensity: sensitive threshold; clearly perceptible, but pleasant * Form of stimulation: biphasic * Duration: 30 min * Position: left ear * Frequency: daily, in the evening, when all daily activities are done

    Device: transcutaneous electrical vagal neurostimulation

  • Active comparator
    Vagus Nerve Stimulation with 25 Hertz

    Twelve weeks home therapy with transcutaneous electrical neurostimulation (TENSeco®, CE197, Schwa-Medico Gmbh), transcutaneous 2-channel nerve stimulator. Matching ear electrode 3 DTS. * Stimulation frequency: 25 Hertz * Intensity: sensitive threshold; clearly perceptible, but pleasant * Form of stimulation: biphasic * Duration: 30 min * Position: left ear * Frequency: daily, in the evening, when all daily activities are done

    Device: transcutaneous electrical vagal neurostimulation

  • Experimental
    Vagus Nerve Stimulation with 2 Hertz

    Twelve weeks home therapy with transcutaneous electrical neurostimulation (TENSeco®, CE197, Schwa-Medico Gmbh), transcutaneous 2-channel nerve stimulator. Matching ear electrode 3 DTS. * Stimulation frequency: 2 Hertz * Intensity: sensitive threshold; clearly perceptible, but pleasant * Form of stimulation: biphasic * Duration: 30 min * Position: left ear * Frequency: daily, in the evening, when all daily activities are done

    Device: transcutaneous electrical vagal neurostimulation

Interventions

  • Devicetranscutaneous electrical vagal neurostimulation

    daily for 12 weeks

06

What researchers measure

Primary outcomes

  1. Heart rate variability

    20-minute documentation of the heart rate variability with a 24-hour-elektrocardiography

    Time frame: 3 times for 12 weeks

Secondary outcomes

  1. blood pressure and pulse

    via Boso Medicus plus their mutiplication for the rate-pressure-product

    Time frame: 3 times for 12 weeks

  2. Saliva cortisol

    in the morning until the latest 10am

    Time frame: 3 times for 12 weeks

  3. Questionnaire Brief Fatigue Inventory (BFI)

    Fatigue evaluation

    Time frame: 3 times for 12 weeks

  4. Questionnaire Short form (SF)-36

    Health related quality of life evaluation

    Time frame: 3 times for 12 weeks

  5. Questionnaire Borg-Scale

    Dyspnea evaluation

    Time frame: 3 times for 12 weeks

  6. Questionnaire Insomnia Severity Index (ISI)

    Sleep evaluation

    Time frame: 3 times for 12 weeks

  7. Post-COVID-19 Functional Status scale (PCFS)

    Grade 0-4

    Time frame: 3 times for 12 weeks

07

Study locations

1 of 1 sites recruiting
  • Department of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna
    Vienna, 1090, Austria
    Recruiting
08

References and documents

Publications

  • Raveendran AV, Jayadevan R, Sashidharan S. Long COVID: An overview. Diabetes Metab Syndr. 2021 May-Jun;15(3):869-875. doi: 10.1016/j.dsx.2021.04.007. Epub 2021 Apr 20. Erratum In: Diabetes Metab Syndr. 2022 May;16(5):102504. doi: 10.1016/j.dsx.2022.102504. Diabetes Metab Syndr. 2022 Dec;16(12):102660. doi: 10.1016/j.dsx.2022.102660. PubMed 33892403 ↗
  • Shah W, Hillman T, Playford ED, Hishmeh L. Managing the long term effects of covid-19: summary of NICE, SIGN, and RCGP rapid guideline. BMJ. 2021 Jan 22;372:n136. doi: 10.1136/bmj.n136. No abstract available. Erratum In: BMJ. 2022 Jan 19;376:o126. doi: 10.1136/bmj.o126. PubMed 33483331 ↗
  • Sylvester SV, Rusu R, Chan B, Bellows M, O'Keefe C, Nicholson S. Sex differences in sequelae from COVID-19 infection and in long COVID syndrome: a review. Curr Med Res Opin. 2022 Aug;38(8):1391-1399. doi: 10.1080/03007995.2022.2081454. Epub 2022 Jun 20. PubMed 35726132 ↗
  • Dani M, Dirksen A, Taraborrelli P, Torocastro M, Panagopoulos D, Sutton R, Lim PB. Autonomic dysfunction in 'long COVID': rationale, physiology and management strategies. Clin Med (Lond). 2021 Jan;21(1):e63-e67. doi: 10.7861/clinmed.2020-0896. Epub 2020 Nov 26. PubMed 33243837 ↗
  • Fudim M, Qadri YJ, Ghadimi K, MacLeod DB, Molinger J, Piccini JP, Whittle J, Wischmeyer PE, Patel MR, Ulloa L. Implications for Neuromodulation Therapy to Control Inflammation and Related Organ Dysfunction in COVID-19. J Cardiovasc Transl Res. 2020 Dec;13(6):894-899. doi: 10.1007/s12265-020-10031-6. Epub 2020 May 26. PubMed 32458400 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 26, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05918965
Lead sponsor
Medical University of Vienna
Responsible party
Richard Crevenna (Head of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna) — Principal investigator
First posted
Jun 26, 2023
Start date
Mar 22, 2023
Primary completion
Mar 1, 2025 (estimated)
Completion
Mar 1, 2025 (estimated)
Last update
Jun 26, 2023

Study contacts

Veronika Helbich-Poschacher, M.D.
Contact
veronika.helbich-poschacher@meduniwien.ac.at
+4314040043300
Mohammad Keilani, M.D.
Contact
mohammad.keilani@meduniwien.ac.at
+4314040043300
Richard Crevenna, M.D.
principal investigator · PMR&O

Oversight

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

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