Different Frequency Applications of Transcutaneous Auricular Vagus Nerve Stimulation in Healthy Individuals

NCT07526402 — Not applicable, Not yet recruiting, 36 participants, Sinop University

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Investigation of the Acute Effects of Different Frequency Applications of Transcutaneous Auricular Vagus Nerve Stimulation on Autonomic Physiological Responses in Healthy Individuals

RegistryNCT07526402, acronym taVNS-FREQ
StatusNot yet recruiting
PhaseNot applicable
Study typeInterventional; randomized, crossover, masking: single, basic science
Enrollment36 (Estimated)
SponsorSinop University (Other)
ConditionsHealthy Volunteers
InterventionsSham taVNS, taVNS 10 Hz, taVNS 25 Hz, taVNS 50 Hz, taVNS 100 Hz (Device)
Datesstart 2026-05-01 (estimated), primary completion 2026-05-01 (estimated), completion 2026-09-01 (estimated), first posted 2026-04-13, last updated 2026-04-16
Locations1 site in Turkey (Türkiye)

Related Papers Related Patents Related Grants Related Experts
All trials for Healthy Volunteers All trials of Sham taVNS All trials of taVNS 10 Hz

-Summary

This randomized, participant-blinded, sham-controlled crossover study aims to investigate the acute effects of different frequency applications of transcutaneous auricular vagus nerve stimulation (taVNS) on autonomic physiological responses in healthy adults. Participants will receive sham (0 Hz), 10 Hz, 25 Hz, 50 Hz, and 100 Hz taVNS in separate sessions with washout periods between visits. Heart rate variability, blood pressure, pulse rate, respiratory rate, and subjective discomfort will be assessed before and after each intervention session.

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+Detailed description

The vagus nerve is a major regulator of the parasympathetic branch of the autonomic nervous system. Transcutaneous auricular vagus nerve stimulation (taVNS) is a non-invasive neuromodulation technique applied to auricular regions innervated by the auricular branch of the vagus nerve. Although taVNS has been reported to modulate autonomic function, the acute physiological effects of different stimulation frequencies remain insufficiently characterized.

This study is designed as a randomized, participant-blinded, sham-controlled crossover trial in healthy adults aged 18 to 40 years. Each participant will undergo five intervention conditions in randomized order: sham (0 Hz), 10 Hz, 25 Hz, 50 Hz, and 100 Hz taVNS. Sessions will be separated by 48 to 72 hours to minimize carryover effects. Each stimulation session will last 10 minutes.

Primary autonomic outcomes will be derived from heart rate variability parameters obtained using a Polar H10 chest strap and analyzed with Kubios HRV software. Secondary physiological outcomes will include systolic and diastolic blood pressure, pulse rate, respiratory rate, and subjective discomfort measured using a visual analog scale. The study aims to identify frequency-specific autonomic response profiles and to evaluate whether respiratory rate influences heart rate variability changes associated with taVNS.

+Arms and interventions

ArmTypeInterventionsDescription
Sham taVNSSham comparatorDevice: Sham taVNSParticipants receive sham stimulation during one study session.
taVNS 10 HzExperimentalDevice: taVNS 10 HzParticipants receive active transcutaneous auricular vagus nerve stimulation at 10 Hz during one study session.
taVNS 25 HzExperimentalDevice: taVNS 25 HzParticipants receive active transcutaneous auricular vagus nerve stimulation at 25 Hz during one study session.
taVNS 50 HzExperimentalDevice: taVNS 50 HzParticipants receive active transcutaneous auricular vagus nerve stimulation at 50 Hz during one study session.
taVNS 100 HzExperimentalDevice: taVNS 100 HzParticipants receive active transcutaneous auricular vagus nerve stimulation at 100 Hz during one study session.
  • Sham taVNS (Device): Sham stimulation is delivered under conditions similar to active taVNS without meaningful vagal stimulation.
  • taVNS 10 Hz (Device): Active transcutaneous auricular vagus nerve stimulation applied for 10 minutes at 10 Hz.
  • taVNS 25 Hz (Device): Active transcutaneous auricular vagus nerve stimulation applied for 10 minutes at 25 Hz.
  • taVNS 50 Hz (Device): Active transcutaneous auricular vagus nerve stimulation applied for 10 minutes at 50 Hz.
  • taVNS 100 Hz (Device): Active transcutaneous auricular vagus nerve stimulation applied for 10 minutes at 100 Hz.

+Outcome measures

Primary outcomes

  • Change in Root Mean Square of Successive Differences (RMSSD) [Immediately before and immediately after each 10-minute intervention session]: Change in the root mean square of successive differences (RMSSD) from pre-intervention to post-intervention under each stimulation condition.
  • Change in High-Frequency Heart Rate Variability (HF-HRV) [Immediately before and immediately after each 10-minute intervention session]: Change in high-frequency heart rate variability (HF-HRV) from pre-intervention to post-intervention under each stimulation condition.

Secondary outcomes

  • Change in Standard Deviation of Normal-to-Normal RR Intervals (SDNN) [Immediately before and immediately after each 10-minute intervention session]: Change in the standard deviation of normal-to-normal RR intervals (SDNN) from pre-intervention to post-intervention under each stimulation condition.
  • Change in Low-Frequency (LF) Power [Immediately before and immediately after each 10-minute intervention session]: Change in low-frequency (LF) power of heart rate variability from pre-intervention to post-intervention under each stimulation condition.
  • Change in LF/HF Ratio [Immediately before and immediately after each 10-minute intervention session]: Change in the ratio of low-frequency to high-frequency heart rate variability (LF/HF ratio) from pre-intervention to post-intervention under each stimulation condition.
  • Change in Systolic Blood Pressure [Immediately before and immediately after each 10-minute intervention session]: Change in systolic blood pressure from pre-intervention to post-intervention under each stimulation condition.
  • Change in Diastolic Blood Pressure [Immediately before and immediately after each 10-minute intervention session]: Change in diastolic blood pressure from pre-intervention to post-intervention under each stimulation condition.
  • Change in Pulse Rate [Immediately before and immediately after each 10-minute intervention session]: Change in pulse rate from pre-intervention to post-intervention under each stimulation condition.
  • Change in Respiratory Rate [Immediately before and immediately after each 10-minute intervention session]: Change in respiratory rate from pre-intervention to post-intervention under each stimulation condition.
  • Change in Subjective Discomfort Assessed by Visual Analog Scale (VAS) [Immediately before and immediately after each 10-minute intervention session]: Subjective discomfort will be assessed using a Visual Analog Scale (VAS) ranging from 0 to 10, where 0 indicates no discomfort and 10 indicates the worst possible discomfort. Higher scores indicate greater discomfort. Change in VAS score from pre-intervention to post-intervention will be evaluated under each stimulation condition.

+Eligibility

Sex: All, ages: 18 Years to 40 Years, accepts healthy volunteers

Inclusion Criteria:

* Healthy adults aged 18 to 40 years
* No known neurological, cardiovascular, respiratory, or metabolic disease
* Able to understand study procedures and provide written informed consent
* No active infection, open wound, or dermatological lesion in the ear region that would interfere with taVNS application
* Willing and able to attend all study visits

Exclusion Criteria:

* History of cardiac arrhythmia, pacemaker, or any implanted electronic medical device History of hypertension, diabetes, chronic pulmonary disease, epilepsy, or systemic disease affecting autonomic nervous system function
* Regular use of medications that may affect autonomic function (e.g., beta-blockers, antidepressants, antiarrhythmics)
* Intense physical exercise within the previous 24 hours
* High caffeine or alcohol intake within 12 hours prior to assessment
* Active smoking on the assessment day
* Pregnancy or suspected pregnancy
* Severe discomfort during stimulation (VAS >= 7), dizziness, nausea, or unwillingness to continue
* Any condition judged by the investigators to make participation unsuitable'

+Locations (1)

FacilityCityCountryStatus
Artvin Coruh University, Artvin Vocational School, Disabled Care and Rehabilitation LaboratoryArtvinTurkey (Türkiye)

+Publications

  • Shaffer F, Ginsberg JP. An Overview of Heart Rate Variability Metrics and Norms. Front Public Health. 2017 Sep 28;5:258. doi: 10.3389/fpubh.2017.00258. eCollection 2017. PMID 29034226
  • Yakunina N, Kim SS, Nam EC. Optimization of Transcutaneous Vagus Nerve Stimulation Using Functional MRI. Neuromodulation. 2017 Apr;20(3):290-300. doi: 10.1111/ner.12541. Epub 2016 Nov 29. PMID 27898202
  • Peuker ET, Filler TJ. The nerve supply of the human auricle. Clin Anat. 2002 Jan;15(1):35-7. doi: 10.1002/ca.1089. PMID 11835542
  • Frangos E, Ellrich J, Komisaruk BR. Non-invasive Access to the Vagus Nerve Central Projections via Electrical Stimulation of the External Ear: fMRI Evidence in Humans. Brain Stimul. 2015 May-Jun;8(3):624-36. doi: 10.1016/j.brs.2014.11.018. Epub 2014 Dec 6. PMID 25573069