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NCT02385526: ASCEND

Vagus Nerve Stimulation Titration Protocol to Improve Tolerance and Accelerate Adaptation

Completed Results posted Last updated 23 July 2018
What this trial tests

trial testing Vagus Nerve Stimulation Therapy in Epilepsy in 67 participants. Completed in 10 October 2016.

Timeline
28 April 2015
Primary endpoint
10 October 2016
10 October 2016

Quick facts

Lead sponsorCyberonics, Inc.
StatusCompleted
Study typeOBSERVATIONAL
Enrollment67
Start date28 April 2015
Primary completion10 October 2016
Estimated completion10 October 2016
Sites15 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Cyberonics, Inc. — full company profile →

Who can join

12 and older, any sex, with Epilepsy or Seizures. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percent Patients Reaching the Defined Target Dose Primary · 12 weeks post implant

Determination of the proportion (percent) of patients in each VNS Therapy titration group reaching the defined target dose within clinically defined titration time-frame

GroupValue95% CI
Group A18
Group B9
Group C12

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data was collected for the duration of each subjects study participation of 12 weeks. This period began from the first enrollment 28APR2015 to the final exit 10OCT2016.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Group A
Serious: 0/22 (0%)
Deaths: 0/22
Group B
Serious: 0/20 (0%)
Deaths: 0/20
Group C
Serious: 1/20 (5%)
Deaths: 0/20

Serious adverse events (1 terms)

ReactionSystemGroup AGroup BGroup C
Peripheral arterial occlusive diseaseVascular disorders
Other adverse events (49 terms — click to expand)

ReactionSystemGroup AGroup BGroup C
Diarrhoea [U]Gastrointestinal disorders
Incision site pain [I]Injury, poisoning and procedural complications
Urinary tract infection [U]Infections and infestations
Neck pain [I]Musculoskeletal and connective tissue disorders
Somnolence [U]Nervous system disorders
Cough [S]Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain [I] [S]Respiratory, thoracic and mediastinal disorders
Throat tightness [S]Respiratory, thoracic and mediastinal disorders
Palpatations [S]Cardiac disorders
Cerumen impaction [U]Ear and labyrinth disorders
Tinnitus [U]Ear and labyrinth disorders
Constipation [U]Gastrointestinal disorders
Dysphagia [S]Gastrointestinal disorders
Chest Pain [S]General disorders
Discomfort [S]General disorders
Fatigue [S]General disorders
Implant site hoematoma [I]General disorders
Medical device discomfort [S]General disorders
Medical device pain [S] [SI]General disorders
Non-cardiac chest pain [S]General disorders
Cellulitis [U]Infections and infestations
Lower respiratory tract infection [U]Infections and infestations
Nasopharyngitis [U]Infections and infestations
Staphyloccal infection [I]Infections and infestations
Incision site haematoma [U]Injury, poisoning and procedural complications
Incision site hypoaesthesia [I]Injury, poisoning and procedural complications
Post procedural haemorrhage [U]Injury, poisoning and procedural complications
Procedural headache [S]Injury, poisoning and procedural complications
Procedural nausea [U]Injury, poisoning and procedural complications
Arthralgia [U]Musculoskeletal and connective tissue disorders
Back pain [U]Musculoskeletal and connective tissue disorders
Muscle spasms [S]Musculoskeletal and connective tissue disorders
Muscle tightness [SI]Musculoskeletal and connective tissue disorders
Muscle twitching [S]Musculoskeletal and connective tissue disorders
Myalgia [I]Musculoskeletal and connective tissue disorders
Pain in extremety [I]Musculoskeletal and connective tissue disorders
Pain in jaw [U] [S]Musculoskeletal and connective tissue disorders
Convulsion [U]Nervous system disorders
Headache [U]Nervous system disorders
Migraine [U]Nervous system disorders

Most-reported serious reactions: Peripheral arterial occlusive disease.

Data from ClinicalTrials.gov NCT02385526 adverse events section.

Sponsor's own description

Post-market, on-label, double-blind, randomized, prospective, interventional, tolerability and clinical outcomes study to determine the number of patients achieving their final assigned VNS Therapy dose settings in patients with drug-resistant epilepsy who are being treated with adjunctive VNS Therapy using new titration protocols.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Vagus nerve stimulation for focal seizures.
    Panebianco M, Rigby A, Marson AG. · · 2022 · cited 17× · PMID 35833911 · DOI 10.1002/14651858.cd002896.pub3
  2. ASCEND: A randomized controlled trial of titration strategies for vagus nerve stimulation in drug-resistant epilepsy.
    Bagić AI, Verner R, Afra P, Benbadis S, et al · · 2023 · cited 8× · PMID 37429122 · DOI 10.1016/j.yebeh.2023.109333
  3. Vagus nerve stimulation: An update of currently registered clinical trials on ClinicalTrials.gov.
    Horowitz MA, Sussman JH, Zomalan B, Rendler J, et al · · 2026 · PMID 41783176 · DOI 10.25259/sni_771_2025

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02385526.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing