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NCT04256837: VNS-KTx

Effect of Transcutaneous Electrical Auricular Stimulation of the Vagus Nerve in Kidney Transplant Recipients

Terminated NA Last updated 14 December 2022
What this trial tests

NA trial testing Transcutaneous electrical auricular vagus nerve stimulation (VNS) in Vagus Nerve Stimulation in 47 participants. Terminated before completion.

Timeline
13 January 2020
Primary endpoint
7 January 2021
7 January 2021

Quick facts

Lead sponsorNorthwell Health
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designsingle group
Maskingsingle
Primary purposebasic science
Enrollment47
Start date13 January 2020
Primary completion7 January 2021
Estimated completion7 January 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Northwell Health — full company profile →

Who can join

18 and older, any sex, with Vagus Nerve Stimulation. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Kidney transplantation entails the implantation of a live or deceased organ into a recipient. As a result of this event, there is an inflammatory response in the recipient elicited by the transplanted organ. At the present time, immunosuppressive treatments are routinely used to avoid rejection of the transplanted organ. Although effective in this goal, there is currently an unmet need to develop new strategies to control the innate inflammatory responses and to reduce the injury caused to the organs being transplanted. The investigators propose a novel approach to the management of this inflammatory response. The investigators will explore the "cholinergic anti-inflammatory pathway" as a potential target, a pathway first characterized in the basic science laboratories of the Feinstein Institute for Medical Research. In short, the vagus nerve activates the splenic nerve which activates choline acetyltransferase expressing T cells in the spleen. Stimulation of the alpha7 nicotinic acetylcholine receptor (alpha7nAChR) on macrophages by acetylcholine reduces production of multiple pro-inflammatory cytokines. Currently, vagus nerve stimulation is used to treat a number of human diseases, including epilepsy, depression and migraine headaches. Many of these treatments activate the vagus nerve non-invasively by stimulating a branch of the vagus that innervates the ear. In this study, the investigators will stimulate this branch of the vagus nerve, and look for changes in inflammatory markers in the blood of kidney transplant recipients of both live and deceased donors. Successful completion of this study will allow for future studies in organ transplant recipients.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Clinical perspectives on vagus nerve stimulation: present and future.
    Goggins E, Mitani S, Tanaka S. · · 2022 · cited 54× · PMID 35536161 · DOI 10.1042/cs20210507

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Other recruiting trials for Vagus Nerve Stimulation

Currently open trials in the same condition.

Other Northwell Health trials

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Data sources for this page

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