ClinicalTrials.gg
CompletedNCT07109349Updated Oct 6, 2026

tAN for First Responders

An interventional study of Sparrow Link in Mental Fatigue and Mental Stress, sponsored by Spark Biomedical, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-06.

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

Updated Oct 6, 2026Now CompletedPrimary completion moved+2 moreGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
23
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 56 studies in Mental Fatigue with a site in United States — 19 open to participants now, 23 under way, 1 of them phase 3. Mental Fatigue · United States.

Enrollment
37th of 47
23 · median 35
Started
2025
with 12 others
No phase
36 of 56
11 open now
Registered
39th of 56
by date

Among the 56 studies in Mental Fatigue with a site in United States, this one is the 37th largest by enrollment of the 47 interventional ones that give a count, is one of 13 that started in 2025, is one of 36 with no phase, and was the 39th registered.

Mental Fatigue

175 studies on the registry are indexed under Mental Fatigue; 54 are open to participants now.

Browse Mental Fatigue studies →

Open to participants now

19 of the 56 studies in Mental Fatigue with a site in United States are open now. Recruiting first, the newest first:

14 more — sign in →

All 19 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 29 Mental Fatigue studies recruiting now, 9 (31%) set no upper age limit and 19 (66%) stop at 75 or younger; 1 takes children under 18; 15 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

This study is designed as an open label, single arm, decentralized clinical study in which first responders 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 in the study over the course of eight weeks (56 days).

Participants will respond to daily and weekly questionnaires regarding mood, stress, sleep, energy/fatigue, and burnout. Each week, participants will complete consolidated online questionnaires (intended to last no longer than 15 minutes) comprised of the Perceived Stress Short-Form (PSS-4), Well-Being Index (WHO-5), Mini-Z Burnout (5-item), PROMS Sleep Disturbance (PROMIS-SD), GAD-7 (every 2 weeks), and Perceived Stress (PSS-10; monthly). The PSS-10 will replace the PSS-4 on Days 0, 28, and 56.

No tAN treatment will be delivered during the Baseline Period (days between Study Introduction and Day 0). Participants will complete the weekly set of questionnaires ("Weekly Questionnaires") on Day 0. Participants will be recommended to complete the daily set of questionnaires ("Daily Questionnaires ") on the other days of the Baseline Period.

On Days 1 - 28, participants will self-administer one session of one to two hours of tAN therapy each day. Participants will be recommended to complete the daily tAN session post-shift prior to sleep. Weekly Questionnaires will be completed by participants on Study Days 0, 7, 14, 21, 28, 35, 42, 49, and 56. Participants will be recommended to complete Daily Questionnaires on all other study days, up to Day 28. Daily Questionnaires will not be required to be completed by participants. Daily tAN sessions and Daily Questionnaires will cease after Day 28. Participants will complete a Study Satisfaction Questionnaire with the Weekly Questionnaires on Day 56.

Following Day 56, participants will schedule a Study Exit Interview with the Research Coordinator.

03

Conditions studied

  • Mental Fatigue
  • Mental Stress

Keywords

  • Mental resilience
  • tAN
  • Transcutaneous Auricular Neurostimulation
  • Vagus nerve stimulation
  • Neurostimulation
  • First responders
  • taVNS
  • Police officer
04

Who can participate

Ages eligible
18 Years and older
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

  1. Participant is currently employed in a first responder position
  2. Age ≥ 18 years
  3. Reliable access to an internet-enabled device to complete required questionnaires
  4. GAD-7 score ≥ 5

Exclusion criteria

Exclusion Criteria:

  1. Participant has a history of epileptic seizures
  2. Participant has a history of neurologic diseases or traumatic brain injury
  3. Participant has presence of devices (e.g., pacemakers, cochlear prostheses or implants, neurostimulators)
  4. Participant has abnormal left ear anatomy or ear infection present
  5. Participant has auditory impairment of the left ear (ruptured eardrum, deafness, tinnitus, etc.)
  6. Participant is currently enrolled in another interventional trial
  7. Women of , not using adequate as per the investigator's judgement
  8. Females who are pregnant or lactating
  9. Participant has any other significant disease or disorder which, in the opinion of the Investigator, may either put the participant at 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(2)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

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

Study arms

  • Experimental
    Active tAN

    First responders will self-administer once-daily active tAN sessions for 1-2 hours for 28 days. Participants will complete daily and weekly assessments to evaluate levels of stress, mood, energy/fatigue, sleep quality , and burnout. Daily assessments and tAN sessions will cease after Day 28. Participants will continue to complete weekly assessments until Day 56.

    Device: Sparrow Link

Interventions

  • DeviceSparrow Link

    Sparrow Link 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. Participants will self-administer daily active tAN sessions on Days 1 - 28.

    Also known as: Transcutaneous Auricular Neurostimulation

06

What researchers measure

Primary outcomes

  1. GAD-7

    The GAD-7 is a valid and efficient tool for screening for GAD and assessing its severity in clinical practice and research. The questionnaire consists of 7 questions in which participants are asked to rate each item on a 0 (not at all) to 3 (nearly every day). GAD-7 total score for the seven items ranges from 0 to 21 where 0-4 represents minimal anxiety, 5-9 represents mild anxiety, 10-14 represents moderate anxiety and 15-21 represent severe anxiety.

    Time frame: Screening, Day 0, Day 14, Day 28, Day 42, Day 56

Secondary outcomes

  1. Perceived Stress Scale (PSS-4, PSS-10)

    The PSS-4 is a brief version of the Perceived Stress Scale used to assess the degree to which situations in one's life are appraised as stressful. The questionnaire consists of 4 items, with participants rating each on a 0 (never) to 4 (very often) scale. Scores range from 0 to 16, with higher scores indicating greater perceived stress. The PSS-10 consists of 10 items that assess how unpredictable, uncontrollable, and overloaded respondents find their lives. Each item is rated on a 0 (never) to 4 (very often) scale. Total scores range from 0 to 40, with higher scores indicating greater perceived stress. The PSS-10 will replace the PSS-4 on Days 0, 28, and 56.

    Time frame: Weekly throughout enrollment beginning Day 0 through Day 56)

  2. PROMIS Sleep Disturbance

    The PROMIS Sleep Disturbance measure evaluates self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep. Participants respond to 8 items rated on a 1 (not at all) to 5 (very much) scale. Raw scores are converted to T-scores with a mean of 50 and a standard deviation of 10, where higher scores indicate greater sleep disturbance. The tool is suitable for use in clinical and research populations.

    Time frame: Weekly throughout enrollment beginning Day 0 through Day 56)

  3. WHO-5 Well-Being Index

    The WHO-5 is a short, validated measure of current mental well-being. The questionnaire consists of 5 positively worded items rated on a 0 (at no time) to 5 (all of the time) scale. The raw score ranges from 0 to 25 and is multiplied by 4 to yield a final score from 0 to 100, with higher scores indicating greater well-being. A score below 50 suggests reduced well-being and may indicate the need for further assessment.

    Time frame: Weekly throughout enrollment beginning Day 0 through Day 56)

  4. Mini-Z Burnout Survey

    The Mini-Z Burnout Survey is a brief tool for assessing burnout and job satisfaction. It includes 10 items covering emotional exhaustion, stress, satisfaction, and workload. Most items are rated on a 1 to 5 Likert scale. Higher scores on the burnout item (typically scored 1 to 5) reflect greater burnout, with a score of 3 or higher suggesting at least some level of burnout.

    Time frame: Weekly throughout enrollment beginning Day 0 through Day 56)

07

Study locations

1 site
  • Spark Biomedical - DECENTRALIZED STUDY
    Dallas, Texas 75252, United States
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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 Sep 2025 to primary completion in Aug 2026, 10 months.

Of 92 interventional studies with no phase under Mental Fatigue, half reached primary completion within 8 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 23. This study's 10 months is above that.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 6, 2026: primary completion Jul 2026 → Aug 2026 and completion Jul 2026 → Sep 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jul 30, 2025
First posted
Aug 7, 2025
StartActual
Sep 10, 2025
Primary completionActual
Aug 6, 2026was Jul 2026
CompletionActual
Sep 8, 2026was Jul 2026
Last update
Oct 6, 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.
Status
Recruiting→Completed
changed Oct 6, 2026
Primary completion
Jul 10, 2026→Aug 6, 2026 (actual)
Oct 6, 2026
Study completion
Jul 20, 2026→Sep 8, 2026 (actual)
Oct 6, 2026
Enrollment
30 (estimated)→23 (actual)
Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    Recruiting→Completed
    Primary completion Jul 10, 2026→Aug 6, 2026 (now actual)
    Study completion Jul 20, 2026→Sep 8, 2026 (now actual)
    Enrollment 30 (estimated)→23 (actual)
    + 3 other changes: verification date, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07109349
Lead sponsor
Spark Biomedical, Inc.
Responsible party
Sponsor
First posted
Aug 7, 2025
Start date
Sep 10, 2025
Primary completion
Aug 6, 2026
Completion
Sep 8, 2026
Last update
Oct 6, 2026

Study contacts

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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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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