ClinicalTrials.gg
Not yet recruitingNCT07260266Updated Dec 16, 2025

Effect of Transcutaneous Auricular Vagus Nerve Stimulation on Postoperative Opioid Consumption in Patients Undergoing Major Abdominal Surgery

An interventional study of Transcutaneous auricular vagus nerve stimulation and Sham Transcutaneous auricular vagus nerve stimulation in Pain Management, sponsored by Affiliated Hospital of Jiaxing University. Not yet recruiting. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-12-16.

Sponsored by Affiliated Hospital of Jiaxing University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
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Study summary

This study aims to design a prospective, double-blind, randomized controlled trial to compare the effects of transcutaneous auricular vagus nerve stimulation (taVNS) on postoperative visceral pain in patients undergoing major abdominal surgery. Participants will be randomly assigned to receive either taVNS or sham stimulation. The total consumption of opioids and other analgesics within 24 hours post-surgery in the AICU will be recorded, along with follow-up assessments of pain scores and quality of recovery scores (Qor-15) at 24 hours postoperatively.

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Conditions studied

  • Pain Management
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In context

Lead sponsor

Affiliated Hospital of Jiaxing University is the lead sponsor of 17 studies on the registry; 10 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 85 Years
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

  • Age between 18 and 85 years, regardless of gender
  • classification I-III
  • Scheduled for elective major abdominal surgery under general anesthesia, with postoperative admission to the AICU for monitoring
  • Anticipated duration of stay in the AICU is approximately 24 hours

Exclusion criteria

Exclusion Criteria:

  • History of vagus nerve-related diseases (such as vasovagal syncope);
  • Severe arrhythmias or implanted electronic devices such as pacemakers;
  • Skin lesions, infections, or deformities at the site of external ear stimulation;
  • Long-term preoperative use of opioid medications or sedatives;
  • Allergy to study-related medications;
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.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

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Study design

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

Study arms

  • Active comparator
    transcutaneous vagus nerve stimulation(taVNS)

    Patients received taVNS treatment immediately upon entering the AICU, with sessions occurring every 2 hours. A specialized taVNS stimulator device was used, and the left ear was cleaned with an alcohol swab or wet tissue before inserting an earplug with electrode contacts into the left ear, ensuring a snug fit. A second earplug was inserted into the right ear. The stimulation parameters were set as follows: continuous wave, frequency 20 Hz, pulse width 200 μs. Each treatment session lasted for 30 minutes.

    Device: Transcutaneous auricular vagus nerve stimulation

  • Placebo comparator
    Sham-stimulation

    The treatment protocol was identical to that of the taVNS group. Electrodes were placed on the left auricle. After the device was activated, it either did not deliver any current or only emitted a brief sub-threshold current to simulate the sensation of device activation, without producing continuous neural stimulation.

    Device: Sham Transcutaneous auricular vagus nerve stimulation

Interventions

  • DeviceTranscutaneous auricular vagus nerve stimulation

    Patients received taVNS treatment immediately upon entering the AICU, with sessions occurring every 2 hours. A specialized taVNS stimulator device was used, and the left auricle was cleaned with an alcohol swab or wet tissue before inserting an earplug with electrode contacts into the left ear, ensuring a snug fit. A second earplug was inserted into the right ear. The stimulation parameters were set as follows: continuous wave, frequency of 20 Hz, and pulse width of 200 μs. Each treatment session lasted for 30 minutes.

  • DeviceSham Transcutaneous auricular vagus nerve stimulation

    The treatment protocol was identical to that of the taVNS group. Electrodes were placed on the left auricle. After the device was turned on, it either did not output any current or only delivered a brief sub-threshold current to simulate the sensation of the device being activated, without producing continuous neural stimulation.

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What researchers measure

Primary outcomes

  1. Total consumption of opioids

    Total consumption of opioids (morphine equivalent) within 24 hours postoperatively.

    Time frame: within 24 hours postoperatively.

Secondary outcomes

  1. sleep quality score

    Postoperative first-night sleep quality score (Richards-Campbell Sleep Questionnaire, RCSQ); the score ranges from 0 to 150, with higher scores indicating better sleep quality.

    Time frame: Postoperative first-night

  2. Quality of Recovery Score

    Quality of Recovery Score (QoR-15) at 24 Hours Post-Operatively;The score ranges from 0 to 150 points, with higher scores indicating better postoperative recovery quality.

    Time frame: 24 Hours Post-Operatively

  3. Adverse events associated with taVNS

    Adverse events associated with taVNS (local skin irritation, dizziness, tinnitus, etc.);

    Time frame: 24 Hours Postoperatively

  4. The incidence of opioid-related complications

    The incidence of opioid-related complications (such as respiratory depression, nausea and vomiting, and intestinal paralysis) within 24 hours post-surgery.

    Time frame: within 24 hours post-surgery

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol

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 Dec 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07260266
Lead sponsor
Affiliated Hospital of Jiaxing University
Responsible party
Qing-he Zhou (Clinical Professor, Affiliated Hospital of Jiaxing University) — Principal investigator
First posted
Dec 3, 2025
Start date
Jan 1, 2026 (estimated)
Primary completion
Dec 30, 2027 (estimated)
Completion
Dec 30, 2027 (estimated)
Last update
Dec 16, 2025

Study contacts

Mingzi An
Contact
anmingzizi@163.com
18035193080

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 Dec 2025. You cannot join it, but the record below documents what was studied.

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