CClinicalTrials.gg
CompletedNCT07190105Updated Jan 7, 2026

Vagal Approaches on Long COVID-19

An interventional study of Sonocea Sonic Augmentation Technology (SAT) and Truvaga Electrical Vagus Nerve Stimulator in Long COVID Symptoms, sponsored by Leidos Life Sciences. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-07.

Sponsored by Leidos Life Sciences · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
546
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to explore whether two general wellness products, alone or combined, can support individuals experiencing Long COVID symptoms. Both wellness products stimulate the vagus nerve - a nerve that helps regulate stress, relaxation, mood, breathing, heart rate, inflammation, and digestion.

The investigators will use a Fitbit to track participants' health measurements including, but not limited to, activity, heart rate, and heart rate variability, and participants will be asked to complete surveys about their experience. This information will be collected into a repository where participants can share their experiences with Long COVID symptoms.

02

Conditions studied

  • Long COVID Symptoms

Keywords

  • COVID
  • Long COVID
  • Covid-19
  • Fitbit
  • Sonic Augmentation Technology (SAT)
  • Electrical Vagus Nerve Stimulator
  • General Wellness Product
  • Autonomic Nervous System
  • Vagus Nerve
  • Sonocea
  • Truvaga
03

In context

Post-Acute COVID-19 Syndrome

520 studies on the registry are indexed under Post-Acute COVID-19 Syndrome; 186 are open to participants now.

This study's enrollment of 546 is above the median of 60 across 361 interventional studies indexed under Post-Acute COVID-19 Syndrome.

Browse Post-Acute COVID-19 Syndrome studies →

Lead sponsor

Leidos Life Sciences is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  1. Tested positive by any test for acute COVID-19 and/or have ICD-10 code for COVID-19 in their electronic health records (EHR)
  2. Any patient having the ICD-10 code for post-acute sequelae of COVID-19 (PASC) within their EHR, or any patient who has evidence of a Long COVID clinic visit within their EHR
  3. Have persistent COVID-19 symptoms 3 months following resolution of acute COVID-19 infection as indicated by a negative COVID-19 test
  4. Self-identified as having Long COVID based on symptomology:

    a. Symptoms must include any combination of the following: (ICD-10 codes shown):

    • Shortness of breath (R06.02, R06.00, or R06.09)
    • Fatigue (R53.83, or R53.82)
    • Cognitive impairment (G31.84 or R41.9)
    • Mental, Behavioral, and Neurodevelopmental disorders (F01-F99)
    • Postural orthostatic tachycardia syndrome (POTS) (I49.8)
  5. Participants must have auditory headphones; over the ear headphones or earbuds
  6. Participants must be at least 18 years of age, inclusive, at the time of signing the informed consent
  7. Capable of understanding and providing signed informed consent
  8. Participants must have a smart phone
  9. Reliable access to internet via browser installed on a smartphone
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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
546 participants (actual)

Study arms

  • Experimental
    Sonocea Sonic Augmentation Technology (SAT) General Wellness Product

    Participants enrolled in this arm will listen to a sound-based approach, delivered via headphones through a smartphone application. The session participants will listen to consists of structured music soundscapes that have been standardized in format, intensity, and duration for research purposes.

    Other: Sonocea Sonic Augmentation Technology (SAT)

  • Experimental
    Truvaga Electrical Vagus Nerve Stimulator General Wellness Product

    Participants enrolled in this arm will use the Truvaga Electrical Vagus Nerve Stimulator general wellness product, which sends gentle electrical signals through the skin to stimulate the vagus nerve on the neck.

    Other: Truvaga Electrical Vagus Nerve Stimulator

  • Experimental
    Sonocea SAT + Truvaga Electrical Vagus Nerve Stimulator General Wellness Products

    Participants enrolled in this arm will use both the Sonocea SAT and Truvaga Electrical Vagus Nerve Stimulator general wellness products.

    Other: Sonocea Sonic Augmentation Technology (SAT) · Other: Truvaga Electrical Vagus Nerve Stimulator

  • No intervention
    Control (No Intervention)

    Participants enrolled in this arm will not use either wellness product.

Interventions

  • OtherSonocea Sonic Augmentation Technology (SAT)

    The Sonocea Sonic Augmentation Technology (SAT) is a sound-based approach delivered via headphones through a smartphone application. The approach uses music soundscapes that have been standardized in format, intensity and duration.

  • OtherTruvaga Electrical Vagus Nerve Stimulator

    The Truvaga Electrical Vagus Nerve Stimulator is a general wellness product that sends gentle electrical signals through the skin to stimulate the vagus nerve on the neck.

06

What researchers measure

Primary outcomes

  1. Patient Health Questionnaire-8 (PHQ-8)

    The PHQ-8 is a gold-standard screening tool for major depressive disorder, endorsed by the CDC and WHO, with strong criterion validity and sensitivity to clinical change.

    Time frame: Week 0, Week 4 and Week 8

  2. Generalized Anxiety Disorder-7 (GAD-7)

    The GAD-7 captures both somatic and cognitive components of generalized anxiety. Extensively used in both clinical and epidemiological contexts, the GAD-7 shows excellent internal consistency (α \> 0.90) and convergent validity with clinician-administered diagnostic tools.

    Time frame: Week 0, Week 4 and Week 8

  3. PTSD Checklist for DSM-5 Short Form (Abbreviated PCL-5)

    The Abbreviated PCL-5 captures re-experiencing, avoidance, hyperarousal, and mood alterations. The Abbreviated PCL-5 is validated across diverse populations and is widely used in both military and civilian trauma research. It is recommended by the National Center for PTSD.

    Time frame: Week 0, Week 4 and Week 8

  4. Symptom Burden Questionnaire - Long COVID (SBQ-LC)

    The SBQ-LC measures the intensity and impact of Long COVID symptoms, offering key insight into the ongoing symptom burden experienced. The SBQ-LC demonstrates strong psychometric properties with high internal consistency across subscales and good convergent validity with established measures of symptom severity and functional impairment. It has been validated across diverse Long COVID populations in multiple clinical settings.

    Time frame: Week 0, Week 4 and Week 8

  5. Body Perception Questionnaire (BPQ)

    The BPQ assesses self-reported autonomic reactivity and has been used in a range of international neural, behavioral, and clinical studies and translated into several languages. It has been corroborated with sensor-based measures of autonomic function.

    Time frame: Week 0, Week 4 and Week 8

  6. Benefits Scale

    The Benefits Scale assesses biobehavioral state, including the ability to quiet thoughts, awareness of bodily rhythms, breathing, muscular relaxation, physical pain levels, and emotional states such as peacefulness, relaxation, anxiety, irritability, feeling overwhelmed, worry about the future, and vulnerability.

    Time frame: Weekly

  7. Sleep Metrics

    The investigators will use the sleep categories of accumulated minutes of deep sleep, REM sleep, light sleep, and wakefulness during the night to provide us with sleep architecture.

    Time frame: Weekly

  8. Resting Heart Rate

    Monitoring resting heart rate will allow us to assess whether SAT and Truvaga Electrical Vagus Nerve Stimulator are effective in lowering the elevated resting heart rate often observed in Long COVID patients via parasympathetic stimulation.

    Time frame: Weekly

  9. Steps

    Monitoring steps will allow us to assess whether SAT and Truvaga Electrical Vagus Nerve Stimulator are associated with an increase in average daily steps, which may indicate enhanced functional capacity or reduced fatigue.

    Time frame: Weekly

  10. Breathing Rate

    This measurement captures a user's average breaths per minute during sleep.

    Time frame: Weekly

  11. Heart Rate Variability (HRV)

    Heart rate variability (HRV) is a widely recognized biomarker for autonomic nervous system regulation. Long COVID is commonly associated with reduced HRV, reflecting autonomic nervous system dysregulation. Lower HRV in these patients has been linked to greater symptom burden.

    Time frame: Weekly

  12. Cardio Score (VO2 Max)

    Tracking changes in estimated aerobic capacity can help evaluate whether approaches are improving cardiovascular function and exercise tolerance over time.

    Time frame: Weekly

  13. SpO2

    SpO2 measures blood oxygen saturation levels, indicating how well oxygen is being transported throughout the body.

    Time frame: Weekly

  14. Active Zone Minutes

    Active Zone Minutes are a measure of time spent in elevated heart rate zones, including Fat Burn, Cardio, and Peak zones.

    Time frame: Weekly

Other outcomes

  1. The Adverse and Traumatic Experiences Scale (ATES)

    ATES captures developmental and lifetime adversity that may impact vagal tone and neuroception. The ATES will allow us to examine the effectiveness of SAT and the Electrical Vagus Nerve Stimulator in individuals who report being impacted by their adversity histories.

    Time frame: Week 0

  2. Brain Body Center Sensory Scale (BBCSS)

    The BBCSS assesses sensory processing difficulties that may reflect underlying autonomic dysfunction.

    Time frame: Week 0, Week 4 and Week 8

  3. Purpose in Life (PIL-SF)

    The PIL-SF measures existential meaning, motivational vitality, and psychological presence.

    Time frame: Week 0, Week 4 and Week 8

  4. Neuroception of Psychological Safety Scale (NPSS)

    The NPSS evaluates subjective experiences of social safety/co-regulation and physiological regulation.

    Time frame: Week 0, Week 4 and Week 8

  5. Sonic Augmentation Technology (SAT) Support Needs Scale

    This tool enables tailored interpretation of individual differences in responsivity to Sonic Augmentation Technology and vagus nerve stimulation, particularly in populations with heightened neurophysiological sensitivity or neurodivergent traits.

    Time frame: Week 0

07

Study locations

1 site
  • Virtual
    Frederick, Maryland 21703, United States
08

References and documents

Individual participant data

Plan to share: Undecided — Results from the study will be analyzed and reported in accordance with the protocol and applicable regulations. Additionally, findings may be shared in presentations, publications, or other formats as determined by the study team and stakeholders.

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 Jan 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07190105
Lead sponsor
Leidos Life Sciences
Responsible party
Sponsor
First posted
Sep 24, 2025
Start date
Oct 27, 2025
Primary completion
Dec 11, 2025
Completion
Dec 11, 2025
Last update
Jan 7, 2026

Oversight

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

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

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