ClinicalTrials.gg
CompletedNCT06814028Updated Sep 26, 2025

Transcutaneous Auricular Neurostimulation as a Treatment for Women With Heavy Menstrual Bleeding: A Dose-finding Trial

An interventional study of Volta System in Heavy Menstrual Bleeding, sponsored by Spark Biomedical, Inc.. Completed at 1 site in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-09-26.

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

From the registry’s dates

  • Primary completion was Sep 2025, 1 year 1 month ago, and no results have been posted to the registry.

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
Female
01

Where this study stands

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

Among 85 studies in Menorrhagia with a site in United States — 8 open to participants now, 10 under way, none of them phase 3. Menorrhagia · United States.

Enrollment
47th of 71
40 · median 82
Started
2025
with 3 others
No phase
26 of 85
2 open now
Registered
81st of 85
by date

Among the 85 studies in Menorrhagia with a site in United States, this one is the 47th largest by enrollment of the 71 interventional ones that give a count, is one of 4 that started in 2025, is one of 26 with no phase, and was the 81st registered.

Menorrhagia

206 studies on the registry are indexed under Menorrhagia; 35 are open to participants now.

Browse Menorrhagia studies →

Open to participants now

8 of the 85 studies in Menorrhagia with a site in United States are open now. Recruiting first, the newest first:

3 more — sign in →

All 8 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 23 Menorrhagia studies recruiting now, 4 (17%) set no upper age limit and 19 (83%) stop at 75 or younger; 5 take children under 18; 5 take healthy volunteers.

This study: 18 Years to 45 Years · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 85 studies in Menorrhagia with a site in United States, or all of them as a file.
02

Study summary

This study is designed as an open label, single-arm, decentralized research study in which patients with idiopathic heavy menstrual bleeding will receive transcutaneous auricular neurostimulation (tAN), which targets the auricular branch of the vagus nerve (ABVN) and the auriculotemporal nerve (ATN). Participants will be enrolled over the course of three menstruations: one baseline menstruation and two menstruations with added daily neurostimulation.

Read the detailed description

This study is designed as an open label, single arm, cross-over decentralized clinical study in which patients with idiopathic heavy menstrual bleeding will receive transcutaneous auricular neurostimulation (tAN), which targets the auricular branch of the vagus nerve (ABVN) via the mastoid and the auriculotemporal nerve (ATN) anterior to the tragus. Participants will be enrolled into the study over the course of three consecutive menstrual cycles.

During the First Menstruation (baseline), no tAN treatment will be delivered. Participants will estimate blood loss using the Pictorial Bleeding Assessment Chart (PBAC) daily throughout the duration of the menstruation phase of their menstrual cycle. Menstrual symptoms will be assessed using the Cox Menstrual Symptom Scale (CMSS) and a general quality of life assessment will be conducted on the final day of menstruation using the Short-Form 36 (SF-36).

During the Second Menstruation, participants will self-administer two 1-hour active tAN sessions daily (once in the AM, once in the PM), beginning Day 1 of menstruation through the final day of menstruation. Blood loss will be assessed daily using the PBAC throughout the duration of menstruation. Quality of life will be assessed with the CMSS and SF-36 on the final day of menstruation.

During the Third Menstruation, participants will self-administer a single 2-hour active tAN session each day, beginning Day 1 of menstruation through the final day of menstruation. Blood loss will be assessed daily using the PBAC throughout the duration of menstruation. Quality of life will be assessed with the CMSS and SF-36 on the final day of menstruation.

In addition, a device satisfaction survey will be completed at the end of the study. Participants will exit the study after the final day of their third menstruation.

03

Conditions studied

  • Heavy Menstrual Bleeding

Keywords

  • Neurostimulation
  • Hemostasis
  • Menstrual cycle
  • Menstruation
  • Blood loss
  • PBAC
  • Menorrhagia
  • CMSS
  • Transcutaneous Auricular Neurostimulation
  • tAN
  • Heavy menstrual bleeding
04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
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

  1. Regularly menstruating female participants between 18-45 years of age
  2. History of menorrhagia as assessed by the Menorrhagia Screening Tool
  3. Stable/consistent use of current medications and supplements for the past three months, willingness to continue use for duration of study, and not start any new medications or homeopathic remedies
  4. Reliable access to an internet-enabled device to complete required questionnaires
  5. Willingness to consistently use the same brand of tampons and/or pads throughout duration of the study

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy within three months of enrollment
  2. Lactating at the time of enrollment
  3. Typical length of menstruation greater than 14 days
  4. Use of hormone therapy in the past three months
  5. Antifibrinolytic use within 30 days of enrollment
  6. Known inherited or acquired bleeding disorder
  7. Use of anticoagulants (i.e., Aspirin, Warfarin, Coumadin, etc.) including inhibitors for 30 days prior to enrollment
  8. Use of the Copper intrauterine device within the past 3 months
  9. Known structural cause of heavy menstrual bleeding
  10. Use of menstrual cups or menstrual underwear as a method of menstrual blood collection
  11. Participant has a history of chronic tobacco use or has ingested nicotine via smoking, vaping, smokeless tobacco, or nicotine patches in the past three months
  12. Participant has received a blood transfusion within 30 days prior to study
  13. Participant has a history of epileptic seizures
  14. Participant has a history of neurologic diseases or traumatic brain injury
  15. Participant has presence of devices (e.g., pacemakers, cochlear prostheses, neurostimulators)
  16. Participant has abnormal ear anatomy or ear infection present
  17. 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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Heavy Menstrual Bleeding Patients

    Participants with no known cause of HMB who are not on hormonal therapy. First Menstruation (baseline/no active tAN) followed by Second Menstruation (2 one-hour active tAN sessions daily) followed by Third Menstruation (1 two-hour active tAN session daily).

    Device: Volta System

Interventions

  • DeviceVolta System

    The Volta System will be using the components of the Sparrow Ascent device: (FDA-cleared K230796) a wearable, battery-operated, neurostimulation system designed to transcutaneously stimulate nerves on and/or around the auricle. During the Second and Third Menstruations, participants will self-administer daily active tAN sessions Volta System Device beginning Day 1 of menstruation through the final day of menstruation.

06

What researchers measure

Primary outcomes

  1. Blood loss

    Comparison of mean Pictorial Bleeding Assessment Chart (PBAC) scores during first menstruation (no stimulation) versus second and third menstruations (active stimulation). The PBAC is a widely accepted tool for patients with HMB to account for menstrual blood loss. Menstrual blood loss is estimated through a selection of images of tampons, pads, clots, and flooding events. Patients mark a tally next to the images that best match each of the menstruation products they used that day.

    Time frame: Daily throughout all three menstruations (up to 3 complete menstrual cycles - estimated 90 days)

  2. Quality of life

    Comparison of mean quality of life score measured by the Short Form 36 (SF-36) during first menstruation (no stimulation) versus second and third menstruations (active stimulation). The SF-36 is a 36-item patient-reported questionnaire that assesses general quality of life. This questionnaire includes eight variables: physical functioning, social functioning, role limitations due to physical problems, role limitations due to emotional problems, mental health, energy and vitality, pain, and general perception of health. The SF-36 is scored using a standardized scoring algorithm or by the SF-36 scoring software. The SF-36 scores range from 0 to 100, with higher scores representing better health status.

    Time frame: Final day of each menstruation (up to 3 complete menstrual cycles - estimated 90 days)

  3. Duration and severity of dysmenorrhea

    Comparison of mean Cox Menstrual Symptom Scale (CMSS) scores during first menstruation (no stimulation) versus second and third menstruations (active stimulation). The CMSS measures menstrual distress and dysmenorrhea. The CMSS Severity subscale is an 18-item self-reported scale that measures severity of menstrual symptoms, including pain, nausea, emotions, etc. during menstruation. The CMSS will be used in this trial to measure a participant's dysmenorrhea every day of each menstruation. Each CMSS item is scored from 0-4, with a higher score indicating higher dysmenorrhea severity.

    Time frame: Final day of each menstruation (up to 3 complete menstrual cycles - estimated 90 days)

07

Study locations

1 site
  • Five Liters - DECENTRALIZED STUDY
    Dallas, Texas 75252, 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 Feb 2025 to primary completion in Sep 2025, 7 months.

Of 23 interventional studies with no phase under Menorrhagia, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 35. This study's 7 months is below that.

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

Registered
Feb 3, 2025
First posted
Feb 7, 2025
StartActual
Feb 14, 2025
Primary completionActual
Sep 24, 2025
CompletionActual
Sep 24, 2025
Last update
Sep 26, 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 Sep 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06814028
Lead sponsor
Spark Biomedical, Inc.
Collaborators
Five Liters, Inc.
Responsible party
Sponsor
First posted
Feb 7, 2025
Start date
Feb 14, 2025
Primary completion
Sep 24, 2025
Completion
Sep 24, 2025
Last update
Sep 26, 2025

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion