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NCT Number: NCT07510074

Modulating Inflammation in Neuro-Trauma

MINT is a single-site, prospective, randomized, double-blind, sham-controlled pilot trial evaluating the safety and feasibility of transcutaneous auricular vagus nerve stimulation (taVNS) in patients with moderate to severe traumatic brain injury (GCS 3-12). Participants will be randomized to receive either active taVNS or sham stimulation using the same device. The primary objective is to assess the safety and feasibility of taVNS implementation in the acute TBI setting. Secondary objectives include exploratory measurement of serum inflammatory and neuronal injury biomarkers and assessment of functional outcome using the Extended Glasgow Outcome Scale at hospital discharge.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University Hospital, San Antonio, Texas, United States

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About this study

MINT is a pilot randomized controlled trial designed to establish the safety and feasibility of taVNS in acute moderate to severe TBI prior to a larger efficacy trial. Sixteen patients with GCS 3-12 admitted to University Hospital, San Antonio will be randomized 1:1 to active taVNS or sham stimulation. Patients entering the University Hospital trauma bay who are diagnosed with traumatic brain injury (TBI) will be prescreened according to inclusion/exclusion criteria for entrance into this study. Participants will be randomized to receive either treatment with active taVNS or sham treatment. A blood draw will be performed prior to initiating auricular vagus nerve stimulation.

Patients will undergo standard of care treatment according to attending physicians, and the investigators will continue taVNS treatment during the course of the patients' admissions. The control group will undergo sham stimulation using the same device placed at the same location. Both active and sham stimulations will be administered under the supervision of study staff, and both patients and treating clinicians will be blinded to group assignment. Patients will be stimulated twice daily with periodic blood draws for up to 7 days.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18-75 years old
  • Glasgow Coma Scale (GCS) Score 3-12
  • Expected Intensive Care Unit (ICU) stay > 48 hours
  • Presenting with acute Traumatic Brain Injury (TBI) within 24 hours

Exclusion criteria

  • Pregnant
  • Any electrical implanted device
  • Immunomodulatory medication
  • Human Immune Deficiency Virus (HIV) patients
  • Autoimmune disease
  • Known cancer immunotherapy
  • Past medical history of symptomatic bradycardia
  • Penetrating brain injury
  • Clinical team assessment of prognosis and imminent risk of death such as Decision to withdraw life-sustaining measures
  • Current incarceration
  • Trauma/Laceration to the left ear

Treatment and study plan

Nurosym taVNS

Device

Transcutaneous auricular vagus nerve stimulation (taVNS) is a non-invasive neuromodulation technique that electrically stimulates the auricular branch of the vagus nerve via electrodes placed on the tragus of the ear.

Other names: Vagal nerve stimulator

Nurosym (sham)

Device

Patients will have the device placed on their tragus and will receive a low level of stimulation that tapers to zero over 30 seconds.

Primary outcomes

  1. Number of Adverse Events

    Time frame: Baseline to study end (approximately 7 days)

    Frequency of adverse events related to tsVNS will be assessed through systematic monitoring

  2. Feasibility of recruitment

    Time frame: Baseline

    Proportion of eligible patients who consent to participate in the study, protocol adherence, and device tolerability.

Secondary outcomes

  1. Change in Interleuken-6 (IL-6) Biomarker Level

    Time frame: Baseline to study end (approximately 7 days)

    Blood tests will be performed to provide IL-6 levels

  2. Change in Glial fibrillary acidic protein (GFAP) levels

    Time frame: Baseline to study end (approximately 7 days)

    Blood tests will be performed to provide GFAP levels

  3. Extended Glasgow Outcome Scale

    Time frame: Baseline to study end (approximately 7 days)

    The Glasgow Outcome Scale - Extended (GOS-E) is an 8-point ordinal scale assessing functional outcome following traumatic brain injury, ranging from 1 (death) to 8 (upper good recovery). It categorizes patients across levels of disability including vegetative state, severe disability, moderate disability, and good recovery, with each category subdivided into upper and lower levels. It will be administered at hospital discharge via structured interview.

Study contacts

Contact information is provided by the study sponsor or research team.

Michael McGinity, MD

CONTACT

[email protected]

210 567 5823

Patrick Thompson

CONTACT

[email protected]

817-807-6006

Sponsors and collaborators

Lead sponsor

The University of Texas Health Science Center at San Antonio

Other

Collaborators

  • Parasym Ltd.

Registry information

Official study title

MINT: Modulating Inflammation in Neuro-Trauma

Acronym: MINT

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Apr 3, 2026
Registry last updated
Jul 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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