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Not yet recruitingNCT06892574Updated Mar 26, 2025

Rehabilitation Paired with VNS for Motor Function Recovery

An interventional study of Active-VNS and Sham VNS in Spontaneous Intracerebral Hemorrhage, Motor Function and Upper Extremity Injury, sponsored by First Affiliated Hospital of Fujian Medical University. Not yet recruiting. Open to participants aged 22 Years to 79 Years. Per ClinicalTrials.gov, last updated 2025-03-26.

Sponsored by First Affiliated Hospital of Fujian Medical University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
22 Years to 79 Years
Sex
All
01

Study summary

The goal of this clinical trial is to investigate the efficacy and safety of vagus nerve stimulation (VNS) combined with rehabilitation in improving upper extremity motor function after spontaneous intracerebral hemorrhage (ICH).

Researchers will evaluate the efficacy and safety of VNS by comparing the improvements of arm motor function post-ICH in the active VNS combined rehabilitation group with that in the sham VNS combined rehabilitation group (actual intensity 0 mA).

Participants in this study will undergo a surgical procedure to implant the VNS system and will subsequently recieve a 6 weeks in-clinic therapy, followed by an additional 6 weeks home exercise. During the final 6 weeks, participants will either recieve in-clinic therapy or maintain their home exercise, depending on their assigned group.

Read the detailed description

There are 6 follow-up timepoints in this trial:

  1. Screening follow-up timepoint (V1): All participants will sign the informed consent form and receive pre-implant evaluation, including physical examination, brain magnetic resonance imaging, FMA-UE, WMFT, modified Ashworth scale, ect.
  2. Surgery follow-up timepoint (V2): All participants will be implanted with the VNS system, including the G115R IPG and L312 lead.
  3. Baseline follow-up timepoint (V3): There is a baseline evaluation 7 to 14 days after the surgery, then participants will be randomly assigned to VNS group or Control group.
  4. Clinic rehabilitation follow-up timepoint (V4): Participants will receive standard clinic rehabilitation 3 days per week and lasting 6 weeks. Both active VNS group (VNS group) and sham VNS group (Control group) will receive rehabilitation. Participants will be evaluated at the last day of this follow-up timepoint.
  5. Home exercise follow-up timepoint (V5): Participants will take standard home exercise everyday in 6 weeks. Both active VNS group (VNS group) and sham VNS group (Control group) will receive rehabilitation. At the last day, after evaluating, group assignment is unblinded.
  6. Unmasking follow-up timepoint (V6): In this 6 weeks, all participants will receive active VNS. Participants in VNS group will still take standard home exercise, and participants in Control group will receive standard clinic rehabilitation again. Participants will be also evaluated at the last day of this follow-up timepoint.
02

Conditions studied

  • Spontaneous Intracerebral Hemorrhage
  • Motor Function
  • Upper Extremity Injury
  • Rehabilitation
  • Vagus Nerve Stimulation

Keywords

  • Stroke
  • Hemorrhagic Stroke
  • Upper Extremity Paresis
  • Vagus Nerve Stimulation
  • Neuromodulation
  • Randomized Controlled Trial
  • Rehabilitation
03

In context

Cerebral Hemorrhage

476 studies on the registry are indexed under Cerebral Hemorrhage; 181 are open to participants now.

This study's planned enrollment of 10 is below the median of 100 across 287 interventional studies indexed under Cerebral Hemorrhage.

Browse Cerebral Hemorrhage studies →

Lead sponsor

First Affiliated Hospital of Fujian Medical University is the lead sponsor of 92 studies on the registry; 55 are open to participants now.

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

04

Who can participate

Ages eligible
22 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥22 years and \<80 years, all gender is acceptable.
  • History of unilateral supratentorial intracerebral hemorrhage ≥ 6 months but \< 5 years.
  • Upper Extremity motor section of the Fugl-Meyer Assessment score ≥20 and ≤50.
  • Right- or left-sided weakness of upper extremity.
  • Ability to communicate, understand, and give appropriate consent. Subjects can follow trial commands.
  • Subjects have good compliance and can complete the visits after surgery.

Exclusion criteria

Exclusion Criteria:

  • History of ischemic stroke.
  • Cerebral hemorrhage resulting from tumors, trauma, aneurysms, or hemorrhagic transformation of ischemic stroke.
  • Presence of ongoing dysphagia or aspiration difficulties.
  • Prior injury to vagus nerve, either bilateral or unilateral.
  • Subject receiving medication that may significantly interfere with actions of VNS on neurotransmitter systems at study entry, clinic rehabilitation follow-up timepoint, or home rehabilitation follow-up timepoint, such as centrally acting cholinoceptor blockers, centrally acting adrenoceptor blockers, norepinephrine re-uptake inhibitors, etc.
  • Botox injections within 4 weeks prior to enrollment through the unmasking follow-up timepoint (Visit 6).
  • Severe spasticity of the upper extremity (Modified Ashworth ≥ 3).
  • Significant sensory loss of the upper extremity (Upper Extremity sensory section of the Fugl-Meyer Assessment score \< 6).
  • Current requirement, or likely future requirement, of diathermy.
  • Current use of any other stimulation device, such as a pacemaker or other neurostimulator.
  • Pregnancy or plans to become pregnant or to breastfeed during the study period.
  • Participated in any other clinical trials within the preceding 3 months.
  • Not considered to be applicable by the investigator.
05

Study design

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

Study arms

  • Experimental
    VNS group

    Active VNS paired with rehabilitation Device: VNS A neuromodulation treatment that delivers electrical impulses to the brain via the vagus nerve. Other: Rehabilitation Rehabilitation movements to improve upper limb function after stroke.

    Device: Active-VNS

  • Sham comparator
    Control group

    Sham VNS paired with rehabilitation Device: Sham VNS A neuromodulation treatment that delivers electrical impulses to the brain via the vagus nerve, the actual intensity is 0 mA. Other: Rehabilitation Rehabilitation movements to improve upper limb function after stroke.

    Device: Sham VNS

Interventions

  • DeviceActive-VNS

    A neuromodulation treatment that delivers electrical impulses to the brain via the vagus nerve.

  • DeviceSham VNS

    A neuromodulation treatment that delivers electrical impulses to the brain via the vagus nerve, the actual intensity is 0 mA.

06

What researchers measure

Primary outcomes

  1. Upper Extremity Motor Section of the Fugl-Meyer Assessment (FMA-UE) Average Change

    The FMA-UE is a common scale used to measure motor impairment after a stroke. The range is 0 (more impairment) to 66 (no impairment). The FMA-UE will be analyzed for difference in average change at Clinic rehabilitation follow-up timepoint compared to Baseline follow-up timepoint (Difference in average change in FMA-UE from V3 to V4).

    Time frame: V4, 6 weeks after baseline follow-up timepoint

Secondary outcomes

  1. Upper Extremity Motor Section of the Fugl-Meyer Assessment (FMA-UE) Response

    The Upper Extremity Motor Section of the Fugl-Meyer Assessment (FMA-UE) Response is the percent of patients with a 6 point or greater improvement on the FMA-UE.

    Time frame: V4, 6 weeks after Baseline follow-up timepoint; V5, 6 weeks after Clinic rehabilitation follow-up timepoint

  2. Upper Extremity Motor Section of the Fugl-Meyer Assessment (FMA-UE) Average Change

    The FMA-UE is a common scale used to measure motor impairment after a stroke. The range is 0 (more impairment) to 66 (no impairment).

    Time frame: V5, 6 weeks after Clinic rehabilitation follow-up timepoint; V6, 6 weeks after Home exercise follow-up timepoint

  3. Wolf Motor Function Test (WMFT) Average Change

    The Wolf Motor Function Test (WMFT) is an assessment scale of upper extremity functional level after stroke. The functional assessment range is an average of 15 sub-items with a range from 0 to 5, with 0 (meaning did not attempt) to 5 (meaning normal).

    Time frame: V4, 6 weeks after Baseline follow-up timepoint; V5, 6 weeks after Clinic rehabilitation follow-up timepoint; V6, 6 weeks after Home exercise follow-up timepoint

  4. Wolf Motor Function Test (WMFT) Response

    Wolf Motor Function Test (WMFT) Response is the percent of patients with a 0.4 point or greater improvement on the WMFT.

    Time frame: V4, 6 weeks after Baseline follow-up timepoint; V5, 6 weeks after Clinic rehabilitation follow-up timepoint

  5. EQ-5D-3L Average Change

    The EQ-5D-3L is a general measure of health outcomes in any population. It is a self-report questionnaire which provides a simple descriptive profile and a single index value for health status.

    Time frame: V4, 6 weeks after Baseline follow-up timepoint; V5, 6 weeks after Clinic rehabilitation follow-up timepoint; V6, 6 weeks after Home exercise follow-up timepoint

  6. Incidence of Adverse Events

    The incidence of adverse events occurred during the clinical trial, whether or not related to the device.

    Time frame: V4, 6 weeks after Baseline follow-up timepoint; V5, 6 weeks after Clinic rehabilitation follow-up timepoint; V6, 6 weeks after Home exercise follow-up timepoint

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided — Deidentified case data are available from the authors upon reasonable request, after request in writing to the corresponding authors and after approval by the study committee and principal investigators from each site.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06892574
Lead sponsor
First Affiliated Hospital of Fujian Medical University
Collaborators
Beijing Pins Medical Co., Ltd
Responsible party
De-zhi Kang (Prof., First Affiliated Hospital of Fujian Medical University) — Principal investigator
First posted
Mar 25, 2025
Start date
Apr 1, 2025 (estimated)
Primary completion
Mar 31, 2027 (estimated)
Completion
Dec 30, 2027 (estimated)
Last update
Mar 26, 2025

Study contacts

Fuxin Lin
Contact
lfxstudy@126.com
13600893154
Fuxin Lin
principal investigator · First Affiliated Hospital of Fujian Medical University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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