ClinicalTrials.gg
Not yet recruitingNCT07827690Updated Sep 18, 2026

Effects of Transcutaneous Vagus Nerve Stimulation on Pain and Brain Activity in Healthy Adults

An interventional study of Active transcutaneous vagus nerve stimulation and Sham transcutaneous vagus nerve stimulation in Acute Pain, Pain Perception and Healthy Adult Participants, sponsored by David A. Purger. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by David A. Purger · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 350 studies in Acute Pain with a site in United States — 47 open to participants now, 52 under way, none of them phase 3. Acute Pain · United States.

Planned enrollment
262nd of 319
20 · median 82
Started
2026
with 11 others
No phase
122 of 350
25 open now
Primary completion
2028-01
later than 46 of 51 live
Registered
349th of 350
by date

Among the 350 studies in Acute Pain with a site in United States, this one is the 262nd largest by planned enrollment of the 319 interventional ones, is one of 12 that started in 2026, is one of 122 with no phase, reaches primary completion later than 46 of the 51 other live ones, and was the 349th registered.

By phase

350 studies; the count open now beside each. This study's row is marked.

No phasethis study122 · 25 open
Phase 466 · 7 open
Phase 254 · 6 open
Phase 341 · 0 open
Observational31 · 5 open
Phase 127 · 3 open
Phase 2/36 · 0 open
Phase 1/23 · 1 open

By the year they started

First in 2001; this study’s year is marked. 12 started in 2026.

Size and results

Median enrollment 82 across the 319 interventional studies, 100 across the 31 observational. Of the 265 that completed or were terminated, 131 (49%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 350 studies in Acute Pain with a site in United States, or all of them as a file.
02

Study summary

The goal of this clinical trial is to learn whether stimulating a nerve in the neck changes how much pain people feel. It also looks at whether this stimulation changes brain activity. The study is being done in healthy adults ages 18 to 70.

The nerve being studied is called the vagus nerve. It runs through the neck and connects to parts of the brain that handle pain. In this study, the nerve is stimulated from outside the body using a small device placed on the skin. There is no surgery, and nothing is implanted.

The main questions it aims to answer are: (1) Does stimulating the vagus nerve lower the pain people feel during a cold water test? (2) Does stimulating the vagus nerve change the electrical activity in the brain?

Researchers will compare pain ratings and brain activity under three conditions in the same person: no stimulation, real stimulation over the vagus nerve, and sham stimulation placed nearby on the neck. Sham stimulation feels similar but is not aimed at the nerve.

Participants will: (1) Come to one visit that lasts about 90 minutes, with no follow-up visits, (2) Wear a cap that records the brain's natural electrical signals for the whole visit, (3) Place both hands in cold water, about 39 degrees Fahrenheit, up to three times for up to 2 minutes each time, (4) Rate their pain after each cold water test, (5) Wear a stimulation device on the neck during two of the three cold water tests, (6) Not be told which of those two is the real stimulation until the visit is over.

03

Conditions studied

  • Acute Pain
  • Pain Perception
  • Healthy Adult Participants

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04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Adults aged 18 to 70 years
  • Healthy, defined as having no history of chronic medical, neurological, or psychiatric conditions
  • Not currently experiencing acute illness or chronic pain
  • Not currently taking medications that influence the nervous system or pain sensitivity
  • Willing and able to provide written in English

Exclusion criteria

Exclusion Criteria:

  • History of vagal or vasovagal symptoms
  • Respiratory distress
  • Cardiac arrhythmia
  • Sleep apnea
  • Pregnancy
  • Substance abuse
  • Primary psychiatric disorder
  • Prior vagus nerve stimulation or any implanted medical device
  • Significant acute or chronic neurologic illness that, in the judgment of the Principal Investigator, could compromise participant safety, limit the ability to complete the study, or compromise the objectives of the study
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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Active Stimulation First, Then Sham

    Participants complete a cold pressor test with no stimulation, then a second cold pressor test during active transcutaneous vagus nerve stimulation, then a third during sham stimulation.

    Device: Active transcutaneous vagus nerve stimulation · Device: Sham transcutaneous vagus nerve stimulation · Other: Cold pressor test

  • Experimental
    Sham Stimulation First, Then Active

    Participants complete a cold pressor test with no stimulation, then a second cold pressor test during sham stimulation, then a third during active transcutaneous vagus nerve stimulation.

    Device: Active transcutaneous vagus nerve stimulation · Device: Sham transcutaneous vagus nerve stimulation · Other: Cold pressor test

Interventions

  • DeviceActive transcutaneous vagus nerve stimulation

    Stimulation applied over the cervical branch of the vagus nerve, anterior to the sternocleidomastoid along the carotid sheath. Pulse width 200 microseconds, frequency 30 Hz, rectangular monophasic waveform, intensity titrated between 17.8 and 39.5 volts to a mild tingling sensation below the threshold of discomfort. Stimulation is maintained for 20 minutes before the cold pressor test and continues throughout it.

  • DeviceSham transcutaneous vagus nerve stimulation

    Identical device, parameters, and duration as the active condition, differing only in placement. The device is positioned slightly posterior on the neck, away from the cervical branch of the vagus nerve.

  • OtherCold pressor test

    Immersion of both hands up to the wrist in water maintained at 4 degrees Celsius with ice for up to two minutes or as long as tolerated. Performed three times per participant: once with no stimulation, once during active stimulation, and once during sham stimulation.

06

What researchers measure

Primary outcomes

  1. Pain intensity measured by the Numerical Pain Rating Scale

    Participant-reported pain intensity on an 11-point scale from 0 to 10, where 0 is no pain and 10 is the worst pain imaginable. Higher scores indicate greater pain. Rated immediately after each cold pressor test.

    Time frame: Immediately after each of the three cold pressor tests during a single visit, approximately 90 minutes.

  2. Pain intensity measured by the Visual Analogue Scale

    Participant-reported pain intensity is marked on a 100 mm line anchored at 0 mm for no pain and 100 mm for the worst imaginable pain. The distance in millimeters from the left anchor is recorded as the score. Higher scores indicate greater pain. Rated immediately after each cold pressor test.

    Time frame: Immediately after each of the three cold pressor tests during a single visit, approximately 90 minutes.

  3. Pain threshold during cold pressor test

    Time in seconds from hand immersion to the participant's first verbalized sensation of pain, recorded separately for each hand.

    Time frame: During each of the three cold pressor tests within a single visit, approximately 90 minutes.

Secondary outcomes

  1. Change in EEG spectral power

    Change in spectral power within canonical frequency bands (delta 1 to 4 Hz, theta 4 to 8 Hz, alpha 8 to 12 Hz, beta 13 to 30 Hz, gamma above 30 Hz), measured by continuous 16-channel electroencephalography, compared across resting baseline, stimulation without noxious stimulus, and stimulation during cold pressor test.

    Time frame: Continuously throughout a single visit, approximately 90 minutes.

  2. Change in EEG functional connectivity

    Change in functional connectivity between brain regions, derived from continuous 16-channel electroencephalography. Phase locking values are computed for each pair of EEG channels within canonical frequency bands, and connectivity metrics are derived from those values. Coherence is assessed in the frequency domain. Analyses are restricted to predefined, theory-driven regions and frequency bands. Compared across resting baseline, stimulation without noxious stimulus, and stimulation during the cold pressor test.

    Time frame: Continuously throughout a single visit, approximately 90 minutes.

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — This is a small exploratory pilot study in healthy volunteers, designed to generate preliminary effect size estimates rather than definitive findings. With a target enrollment of 20 participants at a single site, the dataset is small enough that a decision about sharing individual participant data has been deferred. The current informed consent form does not specifically address sharing de-identified individual participant data with researchers outside the study team. Any future data sharing would require review of participant consent and approval by the Indiana University Institutional Review Board. The study team will revisit this decision before study completion.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar 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

Start is estimated for Sep 2026; primary completion for Jan 2028, 16 months later.

Of 424 non-industry interventional studies with no phase under Acute Pain, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 23. This study's planned 16 months is above that.

Counting every sponsor, half of 430 studies reached it within 11 months; a quarter within 5 and three quarters within 23.

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

Registered
Sep 14, 2026
First posted
Sep 18, 2026
StartEst.
Sep 2026
Primary completionEst.
Jan 2028
CompletionEst.
Jan 2028
Last update
Sep 18, 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.
No changes since tracking began. The registry record was last updated on Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07827690
Lead sponsor
David A. Purger
Collaborators
Indiana University Health, Indiana University Health Methodist Hospital, Purdue University
Responsible party
David A. Purger (Assistant Professor of Neurological Surgery, Adjunct Assistant Professor of Psychiatry Indiana University School of Medicine, Indiana University) — Sponsor-investigator
First posted
Sep 18, 2026
Start date
Sep 2026 (estimated)
Primary completion
Jan 2028 (estimated)
Completion
Jan 2028 (estimated)
Last update
Sep 18, 2026

Study contacts

Caliel Hines
Contact
calhines@iu.edu
317-963-7010
Marissa Lowe
Contact
lowemj@iu.edu
David A Purger, MD, PhD
principal investigator · Indiana University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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