ClinicalTrials.gg
RecruitingNCT07281261Updated Sep 28, 2026

tAN for Substance Use Disorder

An interventional study of Sparrow Ascent and Sparrow Ascent (Sham) in Alcohol Use Disorder, Alcohol Abuse and Substance Use Disorders, sponsored by Spark Biomedical, Inc.. Recruiting at 1 site in United States. Open to participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2026-09-28.

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

From the registry’s dates

  • Started Jan 2026; still recruiting 9 months later.
Updated Sep 28, 2026Primary completion movedStudy completion movedGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 64 Years
Sex
All
01

Where this study stands

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

Among 1,073 studies in Alcoholism with a site in United States — 187 open to participants now, 228 under way, 15 of them phase 3. Alcoholism · United States.

Planned enrollment
819th of 989
20 · median 80
Started
2026
with 54 others
No phase
436 of 1,073
85 open now
Primary completion
2027-08
later than 121 of 227 live
Registered
1,034th of 1,073
by date

Among the 1,073 studies in Alcoholism with a site in United States, this one is the 819th largest by planned enrollment of the 989 interventional ones that give a count, is one of 55 that started in 2026, is one of 436 with no phase, reaches primary completion later than 121 of the 227 other live ones, and was the 1,034th registered.

Alcoholism

1,676 studies on the registry are indexed under Alcoholism; 331 are open to participants now.

Browse Alcoholism studies →

Open to participants now

187 of the 1,073 studies in Alcoholism with a site in United States are open now. Recruiting first, the newest first:

182 more — sign in →

All 187 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 237 Alcoholism studies recruiting now, 84 (35%) set no upper age limit and 131 (55%) stop at 75 or younger; 9 take children under 18; 64 take healthy volunteers.

This study: 18 Years to 64 Years · all sexes · no healthy volunteers.

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02

Study summary

The study will involve a 5-day tAN treatment to attenuate alcohol withdrawal syndrome (AWS) and alter resting state functional connectivity (RSFC) between OFC and striatum in patients with alcohol use disorder (AUD). Enrolled participants will wear the tAN device on-site (at The Menninger Clinic) for the 5-day detox treatment period. Participants with AUD will be single-blinded randomized into 2 groups - a treatment group (active tAN) and a placebo group (sham tAN). Each group will consist of five separate time points - admission, screening, baseline, tAN treatment, and post tAN treatment. Clinical measures collected before, during, and after treatment will include alcohol withdrawal severity, craving, benzodiazepine usage, and assessments of depression and suicidal behaviors. Participants will undergo MRI scans before and after the treatment period to assess changes in brain connectivity and their relationship to clinical outcomes.

03

Conditions studied

  • Alcohol Use Disorder
  • Alcohol Abuse
  • Substance Use Disorders
  • Substance Use Disorders Alcohol Use Withdrawal State

Keywords

  • Alcohol
  • Alcohol Use Disorder
  • Substance Use Disorder
  • Transcutaneous Auricular Neurostimulation
  • tAN
  • Neurostimulation
  • Vagus Nerve Stimulation
  • Auricular Neurostimulation
  • Transcutaneous
04

Who can participate

Ages eligible
18 Years to 64 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

  1. Male or female (evenly recruited) aged 18-64 years old
  2. Meeting criteria of moderate or above AUD at screening using the structured clinical interview for DSM-5 (SCID-5)
  3. Demonstration of at least moderate risk of alcohol use at screening using the WHO-ASSIST
  4. Demonstration of high risk for moderate to severe alcohol withdrawal syndrome (Prediction of Alcohol Withdrawal Severity Scale [PAWSS] > 4 at admission)
  5. Demonstration of severe withdrawal symptoms (Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised [CIWA-Ar] ≥ 8 at screening)
  6. Positive urine test for alcohol at screening
  7. Be able to provide written
  8. Female subjects must be non-nursing and not pregnant
  9. Meet the MRI safety screening form provided by the Center for Advanced MR Imaging (CAMRI) at BCM.

Exclusion criteria

Exclusion Criteria:

  1. In the opinion of the clinician and the research team at admission, be expected to fail to complete the study protocol due to probably relocation from The Menninger Clinic area or not tolerable to receive tAN
  2. Current use of tobacco
  3. Is pregnant or nursing
  4. to MRI (pacemaker, cochlear implants, metal in eyes, other metal implants, etc.)
  5. Do not meet the pre-screening MRI questions provided by the Center for Advanced MR Imaging (CAMRI) at BCM
Terms in these criteria, in plain language(3)

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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Active tAN

    Participants will have the device applied on-site (at the Menninger Clinic) and will be required to wear the device for a minimum of 4 hours of stimulation per day. Study assessments will be collected at the time of, prior to, and at the conclusion of each tAN treatment session. Active tAN stimulation will be administered in addition to the participant's standard of care treatment.

    Device: Sparrow Ascent

  • Sham comparator
    Sham tAN

    Participants will have the device applied on-site (at the Menninger Clinic) and will be required to wear the device for a minimum of 4 hours of stimulation per day. Study assessments will be collected at the time of, prior to, and at the conclusion of each sham tAN treatment session. Sham tAN stimulation will be administered in addition to the participant's standard of care treatment.

    Device: Sparrow Ascent (Sham)

Interventions

  • DeviceSparrow Ascent

    The Sparrow Ascent is an FDA-cleared (K230796) wearable, battery-operated, neurostimulation system designed to transcutaneously stimulate nerves on and around the auricle. The system is comprised of a Patient Controller, cable, and 24-hour disposable earpiece.

    Also known as: Transcutaneous Auricular Neurostimulation

  • DeviceSparrow Ascent (Sham)

    Participants will have the earpiece applied and the cable connected to the Patient Controller, but tAN stimulation will not be turned on. The sham device has an identical appearance to the active device.

    Also known as: Transcutaneous Auricular Neurostimulation (Sham)

06

What researchers measure

Primary outcomes

  1. Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar)

    The CIWA-Ar is a validated, clinician-administered scale used to assess the severity of alcohol withdrawal symptoms. The tool rates ten symptom domains-including nausea, tremor, anxiety, agitation, sweating, sensory disturbances, and orientation-to generate a total score that reflects withdrawal severity and guides clinical management. Higher scores indicate more severe withdrawal.

    Time frame: Every 4 hours during the tAN treatment (Days 2-6)

  2. Average benzodiazepine use

    Benzodiazepines are commonly used to manage symptoms of alcohol withdrawal and are administered as needed based on clinical severity. Tracking benzodiazepine usage provides an indirect measure of withdrawal intensity, as higher medication requirements typically reflect more severe withdrawal symptoms, while lower usage indicates milder withdrawal.

    Time frame: Every 4 hours during the tAN treatment (Days 2-6)

Secondary outcomes

  1. Penn Alcohol Craving Scale (PACS)

    PACS is a validated self-report questionnaire that measures the intensity, frequency, and duration of alcohol craving over the past week. It consists of five items assessing desire to drink, anticipated likelihood of drinking, and perceived control over drinking-related thoughts. Each item is rated on a 0-6 scale, with higher total scores indicating greater craving severity.

    Time frame: Before Day 2 and after tAN treatment on Day 6

  2. Montgomery-Asberg Depression Scale (MADRS)

    MADRS is a clinician-administered measure designed to assess the severity of depressive symptoms. The scale includes 10 items that evaluate core features of depression such as mood, anxiety, sleep disturbance, concentration, and suicidal ideation. Each item is scored from 0 to 6, with higher total scores indicating more severe depression.

    Time frame: Before Day 2 and after tAN treatment on Day 6

  3. Suicidal Behaviors Questionnaire-Revised (SBQ-R)

    SBQ-R is a validated, self-report measure used to assess past suicidal thoughts and behaviors, as well as current risk. The questionnaire includes four items that evaluate lifetime suicidal ideation and attempts, recent ideation, threat of future suicidal behavior, and self-reported likelihood of acting on suicidal thoughts. Scores range from low to high risk, with higher scores indicating greater concern for suicidal behavior.

    Time frame: Before Day 2 and after tAN treatment on Day 6

Other outcomes

  1. Prediction of Alcohol Withdrawal Severity Scale (PAWSS)

    PAWSS is a validated clinician-administered screening tool used to identify individuals at risk for developing moderate to severe alcohol withdrawal. The scale includes 10 items assessing historical, clinical, and laboratory factors associated with withdrawal risk. A total score of 4 or higher indicates high risk for complicated withdrawal.

    Time frame: Screening

07

Study locations

1 of 1 sites recruiting
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

Started Jan 2026 (actual). Primary completion is estimated for Aug 2027, 19 months after the start.

Of 493 interventional studies with no phase under Alcoholism, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 53. This study's planned 19 months is below that.

Since we started tracking on Sep 25, 2026, the dates moved once, on Sep 28, 2026: primary completion Aug 2026 → Aug 2027 and completion Aug 2026 → Aug 2027.

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
Dec 4, 2025
First posted
Dec 15, 2025
StartActual
Jan 28, 2026
Primary completionEst.
Aug 31, 2027was Aug 2026
CompletionEst.
Aug 31, 2027was Aug 2026
Last update
Sep 28, 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.
Primary completion
Aug 31, 2026→Aug 31, 2027
Sep 28, 2026
Study completion
Aug 31, 2026→Aug 31, 2027
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    Primary completion Aug 31, 2026→Aug 31, 2027
    Study completion Aug 31, 2026→Aug 31, 2027
    + 1 other change: verification date

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
NCT07281261
Lead sponsor
Spark Biomedical, Inc.
Responsible party
Sponsor
First posted
Dec 15, 2025
Start date
Jan 28, 2026
Primary completion
Aug 31, 2027 (estimated)
Completion
Aug 31, 2027 (estimated)
Last update
Sep 28, 2026

Study contacts

Hyuntaek Oh, PhD
Contact
hyuntaek.oh@bcm.edu
(713) 275-5019
Caroline Benner
Contact
clinicaltrials@sparkbiomedical.com
(210) 624-8046
Navid Khodaparast, PhD
principal investigator · Spark Biomedical, Inc.

Oversight

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

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