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NCT Number: NCT06912386

Pain Relief From Dysmenorrhea Employing taVNS

The goal of this clinical trial is to determine if transauricular vagal nerve stimulation (taVNS) is effective in treating moderate dysmenorrhea. The main question it aims to answer is:

• Does taVNS reduce the number of times participants suffering from dysmenorrhea need to use rescue medication during menstruation? Researchers will compare taVNS stimulation with a sham stimulation (a look-alike procedure that does not stimulate the vagus nerve) to assess whether taVNS is effective in treating moderate dysmenorrhea.

Participants will:

* Undergo taVNS for 2 months and sham stimulation for another 2 months, each for 5 days per month, starting 2 days before the expected beginning of their menstrual cycle. * Visit the clinic twice a month for checkups and tests. * Keep a diary to record their pain levels and the number of times they use rescue medication. * Undergo functional magnetic resonance imagine two times (one after the end of the first use of taVNS and another after the end of the first use of SHAM stimulation).

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Key information

Age range

18 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

UESTC

Chengdu, Sichuan, 611731, China

Location status: Recruiting

Location contact

stefania Ferraro, PhD

CONTACT

[email protected]

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Regular menstrual cycle (28 days ± 7 days);
  • Average moderate menstrual pain (with 4 - 7 NRS scores);
  • History of over-the-counter (OTC) analgesic use for the treatment of menstrual pain (at least 1 IBUPROFEN for the first two days);
  • 4 consecutive monthly menstrual cycles;
  • Non-pregnant status;
  • Agrees to use adequate birth control during the trial;
  • Otherwise, healthy;
  • Agree not to participate in any other clinical trial while enrolled in this trial ;
  • No facial or ear pain, no recent ear trauma, no metal implants including pacemakers;
  • Normal ECG, Heart Rate and Blood Pressure (systolic BP 105-130, diastolic BP 60-90, heart rate per min at rest 60-85);

Exclusion criteria

  • Currently under medications (except for analgesic medication for menstrual cycle);
  • Use of oral contraceptive;
  • Secondary cause for dysmenorrhea (i.e., endometriosis, adenomyosis, uterine fibroids, or infection);
  • Unstable or serious illness (e.g., kidney, liver, GIT, heart conditions, diabetes, thyroid gland function, lung conditions, chronic asthma, diagnosed psychological or mood disorder, hypertension, any bleeding disorders, recent surgery, or concurrent blood thinning treatment);
  • Current malignancy or treatment for malignancy within the previous 2 years;
  • Pregnant or lactating women;
  • Active smokers, nicotine use, or drug (prescription or illegal substances) abuse;
  • Chronic past and/or current alcohol use (>14 alcoholic drinks per week);
  • Any condition that in the opinion of the investigator, makes the participant unsuitable for inclusion;
  • Unwilling or unable to comply with protocol;
  • Active genitourinary infection in the last four weeks;
  • Unable to read or comprehend the informed consent;
  • Unwilling to complete study procedures;
  • Participated in any other clinical trial during the past 1 month;
  • Personal or family history of seizure, mood, or cardiovascular disorders;
  • Allergic reaction to surface electrodes.

Treatment and study plan

taVNS

Device

Intervention Name: Transauricular Vagus Nerve Stimulation (taVNS)

Intervention Description:

Participants will receive transauricular vagus nerve stimulation on the tragus. Frequency: 2 sessions per day (one at 10 AM and one at 6 PM). Duration: Each session will last 15 minutes. Treatment Cycle: Stimulation will be applied for 5 days each month, starting 2 days before the expected beginning of the menstrual cycle, for a total of 2 months. The participants will adjust the level of maximum stimulation they considered painless.

Sham stimulation

Device

Intervention Name: SHAM stimulation of the earlobe. Participants will receive SHAM stimulation on the earlobe, which does not stimulate the vagus nerve.

Frequency: 2 sessions per day (one at 10 AM and one at 6 PM). Duration: Each session will last 15 minutes. Treatment Cycle: Placebo stimulation will be applied for 5 days each month, starting 2 days before the expected beginning of the menstrual cycle, for a total of 2 months. The participants will adjust the level of maximum stimulation they considered painless.

Primary outcomes

  1. Reduction the use of rescue medications

    Time frame: During the first 3 days of menstrual

    Significative reduction in the number of cases of rescue medication after the treatment employing the taVNS in respect to the sham condition.

Secondary outcomes

  1. Reduction in acute and mean menstrual pain severity

    Time frame: During the first 3 days of menstrual

    Significative reduction in acute and mean (across the 3 days) menstrual pain severity assessed via Numeric Rating Scale (NRS) after the treatment employing the taVNS in respect to the sham condition.

  2. Reduction in menstrual pain severity at the Short form McGill Pain Questionnarie

    Time frame: During the first 3 days of menstrual

    Reduction in menstrual pain severity employing using the Short form McGill pain questionnaire during the experimental condition in comparison to the sham condition

  3. Changes in affective symptoms

    Time frame: First day of stimulation, last day of stimulation.

    Decrease of the score in at least one if the following scale: in Trait Anxiety Inventory (STAI), Beck's Depression Inventory II, Positive and Negative Affect Schedule (PANAS) and Pain Catastrophizing Scale (PCS).

  4. Changes in fMRI signal in the mesocorticolimbic system

    Time frame: After the first month application of the taVNS and of the SHAM stimulation

    Changes in fMRI signal in the areas of the mesocorticolimibic system during the execution of a reward fMRI task (Monetary incentive delay task, Kuntson et al., 2001).

Study contacts

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

Jaili He

CONTACT

[email protected]

+8615828121558

Stefania Ferraro, PhD

CONTACT

[email protected]

+86 18684009672

Sponsors and collaborators

Lead sponsor

University of Electronic Science and Technology of China

Other

Registry information

Official study title

A Randomized Two-Way Crossover Comparison Study of Pain Relief From Dysmenorrhea Employing taVNS and Sham Stimulation

Acronym: taVNS-DYSM

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Apr 4, 2025
Registry last updated
Apr 4, 2025

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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