ClinicalTrials.gg
CompletedNCT06390267ASRUpdated Aug 1, 2025

Effect of Transcutaneous Auricular Neurostimulation on Cognitive Performance in a Laboratory Model of Acute Stress Reaction

An interventional study of Sparrow Hawk (Active) and Sparrow Hawk (Sham) in Acute Stress Reaction and Cognitive Performance, sponsored by Spark Biomedical, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 41 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-01.

Sponsored by Spark Biomedical, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jun 2025, 1 year 4 months ago, and no results have been posted to the registry.

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Phase
Not applicable
Study type
Interventional
Enrollment
43
Allocation
Randomized
Ages
18 Years to 41 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 26 studies in Stress Disorders, Traumatic, Acute with a site in United States — 9 open to participants now, 9 under way, none of them phase 3. Stress Disorders, Traumatic, Acute · United States.

Enrollment
21st of 24
43 · median 73
Started
2024
with 2 others
No phase
14 of 26
6 open now
Registered
16th of 26
by date

Among the 26 studies in Stress Disorders, Traumatic, Acute with a site in United States, this one is the 21st largest by enrollment of the 24 interventional ones that give a count, is one of 3 that started in 2024, is one of 14 with no phase, and was the 16th registered.

Stress Disorders, Traumatic, Acute

58 studies on the registry are indexed under Stress Disorders, Traumatic, Acute; 15 are open to participants now.

Browse Stress Disorders, Traumatic, Acute studies →

Open to participants now

9 of the 26 studies in Stress Disorders, Traumatic, Acute with a site in United States are open now. Recruiting first, the newest first:

4 more — sign in →

All 9 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 9 Stress Disorders, Traumatic, Acute studies recruiting now, 2 set no upper age limit and 7 stop at 75 or younger; 1 takes children under 18; 3 take healthy volunteers.

This study: 18 Years to 41 Years · all sexes · healthy volunteers too.

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02

Study summary

The objective of this study is to test the effects of transcutaneous auricular neurostimulation (tAN) in treating or preventing performance degradation after an acute stressor.

Read the detailed description

This study is designed as a randomized, double-blind, sham-controlled trial. Sixty healthy, able-bodied participants will be randomized 1:1:2:2 into one of four experimental groups:

Group 1: Active tAN for prophylactic treatment prior to acute stress exposure (N=10)

Group 2: Sham stimulation for prophylactic treatment prior to acute stress exposure (N=10)

Group 3: Active tAN for acute treatment during acute stress exposure (N=20)

Group 4: Sham stimulation for acute treatment during acute stress exposure (N=20)

Participants will complete a baseline performance of three tasks. tAN treatment will then be administered prior to or during an acute stress test. Participants will complete the same three tasks preformed at baseline. In addition to the tAN therapy earpiece, subjects will have biosensors attached to them to collect biomarker information.

03

Conditions studied

  • Acute Stress Reaction
  • Cognitive Performance

Keywords

  • Healthy Human
  • Performance
  • Stress
  • Vagus Nerve Stimulation
  • Neurostimulation
  • Transcutaneous Auricular Neurostimulation
  • Military
04

Who can participate

Ages eligible
18 Years to 41 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  1. Adults 18 to 41 years old
  2. Participant has the cognitive and physical abilities to carry out the study tasks
  3. Proficient in the English language
  4. Ability to understand the explanations and instructions given by the study personnel

Exclusion criteria

Exclusion Criteria:

  1. Participant presents current evidence of an uncontrolled and/or medical condition or psychiatric condition
  2. Participant has used any psychological stress-management intervention within the last 4 weeks
  3. Participant is participating in another interventional trial within 90 days prior to or throughout duration of trial
  4. Participant has a prior diagnosis of post-traumatic stress disorder, acute stress disorder, or generalized anxiety disorder
  5. Participant is currently using anti-anxiety medications such as Xanax or beta blockers
  6. Participant has a diagnosis of attention deficit hyperactivity disorder (ADHD) and/or is currently taking medications for the treatment of ADHD.
  7. History of substance abuse or drug dependence including nicotine and alcohol in the past 3 months
  8. Participant has abnormal ear anatomy, ear infection present, or earpiercing that could interfere with stimulation
  9. Participant has a history of epileptic seizures
  10. Participant has a history of neurologic diseases or traumatic brain injury
  11. Participant wears or utilized other devices that cannot be removed during the study (e.g., pacemakers, cochlear prostheses, neurostimulators)
  12. Females who are pregnant or lactating
  13. Participant has any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants are risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial
Terms in these criteria, in plain language(1)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
43 participants (actual)

Study arms

  • Experimental
    Active tAN for Prophylactic Treatment

    Prophylactic Active participants will undergo 20 minutes of active tAN while remaining seated and idle. After stimulation, participants will proceed into the 20-minute stressor protocol.

    Device: Sparrow Hawk (Active)

  • Sham comparator
    Sham Stimulation for Prophylactic Treatment

    Prophylactic Sham participants will undergo 20 minutes of sham stimulation while remaining seated and idle. After stimulation, participants will proceed into the 20-minute stressor protocol.

    Device: Sparrow Hawk (Sham)

  • Experimental
    Active tAN for Acute Treatment

    Acute Active participants will begin the stressor protocol immediately after baseline assessments. After a 5-min period of the stressor protocol without any intervention, active tAN treatment will be delivered concurrently for the remainder of the stressor protocol for a total of 20 minutes of stimulation and approximately 25 minutes of the stressor protocol.

    Device: Sparrow Hawk (Active)

  • Sham comparator
    Sham Stimulation for Acute Treatment

    Acute Sham participants will begin the stressor protocol immediately after baseline assessments. After a 5-min period of the stressor protocol without any intervention, sham stimulation will be delivered concurrently for the remainder of the stressor protocol for a total of 20 minutes of stimulation and approximately 25 minutes of the stressor protocol.

    Device: Sparrow Hawk (Sham)

Interventions

  • DeviceSparrow Hawk (Active)

    Wearable, battery-operated, device designed to transcutaneously stimulate nerves on and/or around the auricle. The device will be used to deliver tAN sessions of active (prophylactic or acute) therapy according to the participant's randomization group.

  • DeviceSparrow Hawk (Sham)

    Wearable, battery-operated, device designed to transcutaneously stimulate nerves on and/or around the auricle. The device will be used to deliver tAN sessions of sham (prophylactic or acute) therapy according to the participant's randomization group.

06

What researchers measure

Primary outcomes

  1. Match-to-Sample Task (MST)

    Mean change in performance on the MST (in combination with the Psychomotor Vigilance Task (PVT) and Perdue Pegboard Task (PPT)) in the active tAN acute treatment group (Group 3) compared to sham acute treatment group (Group 4). The MST assesses short-term spatial memory (working memory) and pattern recognition skills. An 8 × 8 matrix of a red and green checkerboard pattern will be presented for 10 seconds, then removed, and then followed by a variable delay of 8 or 16 seconds. Two matrices will then be presented: the original matrix and a matrix with the color of 2 squares reversed. The subjects will attempt to select the original matrix. The task consists of 30 trials, ≈15 for each delay. A response (left or right arrow key) is required within 10 s, or a time-out error will be recorded. Correct matches were recorded, as was reaction time. This test takes less than 5 minutes to complete.

    Time frame: From baseline to post-stressor (up to 3 hours)

  2. Psychomotor Vigilance Task (PVT)

    Mean change in performance on the PVT (in combination with the MST and PPT) in the active tAN acute treatment group (Group 3) compared to sham acute treatment group (Group 4). The PVT is a test of visual reaction time. A series of stimuli are presented at random intervals on a screen, and the subject responds as rapidly as possible when a stimulus appears. Response time, false alarms, and the number of lapses (long duration responses) will be recorded. Performance lapses refer to the instances when a subject failed to respond in \<500 ms. This test will be administered on a computer monitor or tablet.

    Time frame: From baseline to post-stressor (up to 3 hours)

  3. Perdue Pegboard Task (PPT)

    Mean change in performance on the PTT (in combination with the PVT and MST) in the active tAN acute treatment group (Group 3) compared to sham acute treatment group (Group 4). The PPT is a psychomotor test of manual dexterity and bimanual coordination. A pegboard consisting of two parallel sets of twenty-five holes arranged vertically is presented to the participant, and they are asked to remove pegs from concave cups at the top of the board and place them in the holes sequentially as rapidly as possible. The number of pegs placed successfully in thirty seconds is scored. Each participant is tested three times using both hands.

    Time frame: From baseline to post-stressor (up to 3 hours)

  4. Maastricht Acute Stress Test (MAST)

    The MAST is a safe, non-invasive, and expedited method to create a stress response in human subjects under laboratory conditions. The test combines two well-validated laboratory stress paradigms, the Trier Social Stress Test (TSST) and the Cold Pressor Test (CPT) into a single protocol. The MAST is effective in increasing salivary cortisol, increasing blood pressure, salivary alpha-amylase, and eliciting subjective stress reactions. Participants will be videotaped and monitored to analyze their facial expressions. They will undergo multiple hand immersion trials (HIT) in which they have to immerse their hand in ice-cold (2 °C) water. They will engage in mental arithmetic trials (MAT), counting backwards starting at 2043 in steps of 17 as fast and accurate as possible. For each mistake made, the experimenter will provide negative feedback and instruct them to start over at 2043.

    Time frame: After baseline tasks, approximately 35 minutes

Secondary outcomes

  1. Mean change in performance on the MST in the active tAN groups (Groups 1 and 3) compared to sham groups (Groups 2 and 4).

    Mean change in performance on the MST in combination with PVT and PPT

    Time frame: From baseline to post-stressor (up to 3 hours)

  2. Mean change in performance on the PVT in the active tAN groups (Groups 1 and 3) compared to sham groups (Groups 2 and 4).

    Mean change in performance on the PVT in combination with MST and PPT

    Time frame: From baseline to post-stressor (up to 3 hours)

  3. Mean change in performance on the PPT in the active tAN groups (Groups 1 and 3) compared to sham groups (Groups 2 and 4).

    Mean change in performance on the PPT in combination with MST and PVT

    Time frame: From baseline to post-stressor (up to 3 hours)

  4. Mean change in performance on the MTS in the prophylactic active tAN group (Group 1) compared to the acute active tAN group (Group 3).

    Mean change in performance on the MST in combination with PVT and PPT

    Time frame: From baseline to post-stressor (up to 3 hours)

  5. Mean change in performance on the PVT in the prophylactic active tAN group (Group 1) compared to the acute active tAN group (Group 3).

    Mean change in performance on the PVT in combination with MST and PPT

    Time frame: From baseline to post-stressor (up to 3 hours)

  6. Mean change in performance on the PPT in the prophylactic active tAN group (Group 1) compared to the acute active tAN group (Group 3).

    Mean change in performance on the PPT in combination with MST and PVT

    Time frame: From baseline to post-stressor (up to 3 hours)

  7. Change in working memory as measured by performance on the MST

    Time frame: From baseline to post-stressor (up to 3 hours)

  8. Change in reaction time as measured by performance on the PVT

    Time frame: From baseline to post-stressor (up to 3 hours)

  9. Change in dexterity as measured by performance on the PPT

    Time frame: From baseline to post-stressor (up to 3 hours)

Other outcomes

  1. Change in heart rate variability in milliseconds (ms) across groups

    Biomarker data will be collected throughout the study using wearable sensors, including the off-the-shelf Empatica E4 smart watch and the Corti SweatSensor.

    Time frame: From baseline, during the stressor, and post-stressor (up to 3 hours)

  2. Change in heart rate in beats per minute (bpm) across groups

    Biomarker data will be collected throughout the study using wearable sensors, including the off-the-shelf Empatica E4 smart watch and the Corti SweatSensor.

    Time frame: From baseline, during the stressor, and post-stressor (up to 3 hours)

  3. Change in electrodermal activity across groups

    Biomarker data will be collected throughout the study using wearable sensors, including the off-the-shelf Empatica E4 smart watch and the Corti SweatSensor.

    Time frame: From baseline, during the stressor, and post-stressor (up to 3 hours)

  4. Change in cortisol levels across groups

    Biomarker data will be collected throughout the study using wearable sensors, including the off-the-shelf Empatica E4 smart watch and the Corti SweatSensor.

    Time frame: From baseline, during the stressor, and post-stressor (up to 3 hours)

  5. Change in Interleukin-6 (IL-6) levels across groups

    Biomarker data will be collected throughout the study using wearable sensors, including the off-the-shelf Empatica E4 smart watch and the Corti SweatSensor.

    Time frame: From baseline, during the stressor, and post-stressor (up to 3 hours)

  6. Change in melatonin levels across groups

    Biomarker data will be collected throughout the study using wearable sensors, including the off-the-shelf Empatica E4 smart watch and the Corti SweatSensor.

    Time frame: From baseline, during the stressor, and post-stressor (up to 3 hours)

  7. Change in Tumor Necrosis Factor Alpha (TNF-α) levels across groups

    Biomarker data will be collected throughout the study using wearable sensors, including the off-the-shelf Empatica E4 smart watch and the Corti SweatSensor.

    Time frame: From baseline, during the stressor, and post-stressor (up to 3 hours)

  8. Change in self-reported stress across groups using the Stress Monitoring and Response Tool (SMART)

    The SMART tool is a patient-reported assessment of acute stress. The questionnaire contains questions asking the participant to rate their severity of stress related symptoms on a scale of 0 ("none") to 10 ("severe"). Symptoms include feeling worthless, sad, distant, irritable, headaches, dizziness, fatigue, nausea, difficulty concentrating, pain, etc. This study will ask participants 23 questions on the SMART tool based on their recent experiences.

    Time frame: Before baseline to after post-stressor tasks (up to 3 hours; assessment valid up to 24 hours after event))

  9. Mean therapeutic stimulation intensity

    amplitude in milliamperes (mA)

    Time frame: From start to end of tAN (30 minutes)

07

Study locations

1 site
  • Battelle Memorial Institute
    Columbus, Ohio 43201, United States
08

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

Ran from Nov 2024 to primary completion in Jun 2025, 6 months.

Of 25 interventional studies with no phase under Stress Disorders, Traumatic, Acute, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 35. This study's 6 months is below that.

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

Registered
Apr 17, 2024
First posted
Apr 30, 2024
StartActual
Nov 26, 2024
Primary completionActual
Jun 18, 2025
CompletionActual
Jun 18, 2025
Last update
Aug 1, 2025
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 Aug 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06390267
Lead sponsor
Spark Biomedical, Inc.
Collaborators
Battelle Memorial Institute, United States Department of Defense
Responsible party
Sponsor
First posted
Apr 30, 2024
Start date
Nov 26, 2024
Primary completion
Jun 18, 2025
Completion
Jun 18, 2025
Last update
Aug 1, 2025

Study contacts

Philip Putnam, PhD
principal investigator · Battelle Memorial Institute
Navid Khodaparast, PhD
principal investigator · Spark Biomedical, Inc.

Oversight

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

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