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出境医 / 临床实验 / Non-invasive Nerve Stimulation and Sleep (NINS)

Non-invasive Nerve Stimulation and Sleep (NINS)

Study Description
Brief Summary:
People often have difficulty sleeping. Reasons are many. But, difficulty falling and staying asleep are common issues. Sleep difficulties are common in disorders such as Post Traumatic Stress Disorder. Current treatments for sleep difficulties are not effective for everyone. Better treatments are needed. In this study, the investigators are testing two nerve stimulation locations that may impact brain function in such a way that sleep is improved.

Condition or disease Intervention/treatment Phase
PTSD Device: non-invasive nerve stimulation Phase 1 Phase 2

Detailed Description:
People often have difficulty sleeping. Reasons are many. But, difficulty falling and staying asleep are common issues. Sleep difficulties are common in disorders such as Post Traumatic Stress Disorder. Current treatments for sleep difficulties are not effective for everyone. Better treatments are needed. In this study, the investigators are testing two nerve stimulation locations that may impact brain function in such a way that sleep is improved.
Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 104 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Intervention Model Description: The study is a cross-over design comparing two stimulation locations. The order of stimulation is randomly assigned.
Masking: Triple (Participant, Care Provider, Investigator)
Masking Description: The investigators are using a blinding box with a code entry system that determines which stimulation location is used. The study coordinator/care providers will know the code, but not the stimulation location. Participants will know the stimulation location (they can feel it) but not which location is the investigators' hypothesized actor (i.e., they don't which is sham and which is target). The investigators will not know which is which until the data are in analyzable form.
Primary Purpose: Treatment
Official Title: Transcutaneous Vagal Nerve Stimulation Improvement of Sleep Quality in Veterans With PTSD With or Without History of Mild TBI
Actual Study Start Date : January 30, 2020
Estimated Primary Completion Date : September 30, 2023
Estimated Study Completion Date : September 30, 2023
Arms and Interventions
Arm Intervention/treatment
Experimental: non-invasive nerve stimulation a
Electrical stimulation will be delivered to a location at the ear.
Device: non-invasive nerve stimulation
Electrical stimulation will be provided via a TENS unit.

Active Comparator: non-invasive nerve stimulation b
Electrical stimulation will be delivered to a location at the ear.
Device: non-invasive nerve stimulation
Electrical stimulation will be provided via a TENS unit.

Outcome Measures
Primary Outcome Measures :
  1. Polysomnography [ Time Frame: One night comparison ]
    Polysomnography measures sleep architecture.


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 50 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Condition: Hx VA/DOD criteria PTSD w or w/o mTBI and current sig symptoms of PTSD
  • English fluency

Exclusion Criteria:

  • Neurological injuries or conditions aside from mTBI that may affect outcome variables and/or other variables in the study
  • Psychiatric issues that are unlikely to be related to trauma that may affect outcomes and/or other variables in the

    • e.g., schizophrenia
  • Untreated sleep apnea

    • CPAP controlled sleep apnea is okay
  • Major uncorrected sensory deficit
  • Current drug or alcohol abuse

    • Drug abuse within the last two months will result in exclusion or delay
    • Marijuana use or alcohol intoxication within 2 weeks of study will be acceptable
  • No pregnancy
Contacts and Locations

Contacts
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Contact: John B Williamson, PhD (352) 376-1611 john.williamson2@va.gov
Contact: Richard B Berry, MD (352) 376-1611 ext 106241 richard.berry@va.gov

Locations
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United States, Florida
North Florida/South Georgia Veterans Health System, Gainesville, FL Recruiting
Gainesville, Florida, United States, 32608
Contact: Stephen E Nadeau, MD BS BS    352-548-6551    Stephen.Nadeau@va.gov   
Contact: Russell M Bauer, PhD       rbauer@phhp.ufl.edu   
Principal Investigator: John B. Williamson, PhD         
Sponsors and Collaborators
VA Office of Research and Development
Investigators
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Principal Investigator: John B. Williamson, PhD North Florida/South Georgia Veterans Health System, Gainesville, FL
Tracking Information
First Submitted Date  ICMJE June 25, 2019
First Posted Date  ICMJE July 16, 2019
Last Update Posted Date January 22, 2021
Actual Study Start Date  ICMJE January 30, 2020
Estimated Primary Completion Date September 30, 2023   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 12, 2019)
Polysomnography [ Time Frame: One night comparison ]
Polysomnography measures sleep architecture.
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Non-invasive Nerve Stimulation and Sleep
Official Title  ICMJE Transcutaneous Vagal Nerve Stimulation Improvement of Sleep Quality in Veterans With PTSD With or Without History of Mild TBI
Brief Summary People often have difficulty sleeping. Reasons are many. But, difficulty falling and staying asleep are common issues. Sleep difficulties are common in disorders such as Post Traumatic Stress Disorder. Current treatments for sleep difficulties are not effective for everyone. Better treatments are needed. In this study, the investigators are testing two nerve stimulation locations that may impact brain function in such a way that sleep is improved.
Detailed Description People often have difficulty sleeping. Reasons are many. But, difficulty falling and staying asleep are common issues. Sleep difficulties are common in disorders such as Post Traumatic Stress Disorder. Current treatments for sleep difficulties are not effective for everyone. Better treatments are needed. In this study, the investigators are testing two nerve stimulation locations that may impact brain function in such a way that sleep is improved.
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Phase 2
Study Design  ICMJE Allocation: Randomized
Intervention Model: Crossover Assignment
Intervention Model Description:
The study is a cross-over design comparing two stimulation locations. The order of stimulation is randomly assigned.
Masking: Triple (Participant, Care Provider, Investigator)
Masking Description:
The investigators are using a blinding box with a code entry system that determines which stimulation location is used. The study coordinator/care providers will know the code, but not the stimulation location. Participants will know the stimulation location (they can feel it) but not which location is the investigators' hypothesized actor (i.e., they don't which is sham and which is target). The investigators will not know which is which until the data are in analyzable form.
Primary Purpose: Treatment
Condition  ICMJE PTSD
Intervention  ICMJE Device: non-invasive nerve stimulation
Electrical stimulation will be provided via a TENS unit.
Study Arms  ICMJE
  • Experimental: non-invasive nerve stimulation a
    Electrical stimulation will be delivered to a location at the ear.
    Intervention: Device: non-invasive nerve stimulation
  • Active Comparator: non-invasive nerve stimulation b
    Electrical stimulation will be delivered to a location at the ear.
    Intervention: Device: non-invasive nerve stimulation
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: July 12, 2019)
104
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE September 30, 2023
Estimated Primary Completion Date September 30, 2023   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Condition: Hx VA/DOD criteria PTSD w or w/o mTBI and current sig symptoms of PTSD
  • English fluency

Exclusion Criteria:

  • Neurological injuries or conditions aside from mTBI that may affect outcome variables and/or other variables in the study
  • Psychiatric issues that are unlikely to be related to trauma that may affect outcomes and/or other variables in the

    • e.g., schizophrenia
  • Untreated sleep apnea

    • CPAP controlled sleep apnea is okay
  • Major uncorrected sensory deficit
  • Current drug or alcohol abuse

    • Drug abuse within the last two months will result in exclusion or delay
    • Marijuana use or alcohol intoxication within 2 weeks of study will be acceptable
  • No pregnancy
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 50 Years   (Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE
Contact: John B Williamson, PhD (352) 376-1611 john.williamson2@va.gov
Contact: Richard B Berry, MD (352) 376-1611 ext 106241 richard.berry@va.gov
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04021537
Other Study ID Numbers  ICMJE N3140-R
1RX003140A ( Other Grant/Funding Number: Dept of Veterans Affairs )
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: Yes
Product Manufactured in and Exported from the U.S.: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party VA Office of Research and Development
Study Sponsor  ICMJE VA Office of Research and Development
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: John B. Williamson, PhD North Florida/South Georgia Veterans Health System, Gainesville, FL
PRS Account VA Office of Research and Development
Verification Date January 2021

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP