Neurostimulation for Heavy Menstrual Bleeding

(VWD/HMB Trial)

CB
BL
KH
Overseen ByKimiko Harada
Age: 18 - 65
Sex: Female
Trial Phase: Academic
Sponsor: Five Liters, Inc.
Must be taking: Hormone therapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if transcutaneous auricular neurostimulation (tAN) can reduce heavy menstrual bleeding, lessen pain, and improve quality of life for individuals with von Willebrand Disease (VWD) or unexplained heavy menstrual bleeding. Participants will either have VWD Type 1 and be on hormone therapy or have heavy menstrual bleeding with no known cause and not be on hormone therapy. Those who typically experience long periods lasting 7 to 14 days and have a history of heavy bleeding might be suitable candidates. As an unphased trial, this study offers participants the chance to contribute to groundbreaking research that could enhance treatment options for heavy menstrual bleeding.

Do I have to stop taking my current medications for the trial?

No, you don't have to stop taking your current medications. You must not change any medications or supplements and should continue using them for the duration of the study. You also cannot start any new medications or homeopathic remedies.

What prior data suggests that transcutaneous auricular neurostimulation (tAN) is safe for heavy menstrual bleeding?

Research has shown that transcutaneous auricular neurostimulation (tAN) is generally safe. A recent review found that tAN is well-tolerated for various uses, with only mild and short-lived side effects. While some people might feel minor discomfort, serious problems are rare.

Another study confirmed the safety of tAN, noting that it usually causes only mild and temporary side effects. This suggests that most people using tAN do not experience serious or lasting issues. For those considering joining a trial involving tAN, current research indicates it is a safe option with minimal risk of side effects.12345

Why are researchers excited about this trial?

Researchers are excited about transcutaneous auricular neurostimulation (tAN) for heavy menstrual bleeding because it offers a novel, non-invasive approach compared to typical treatments like hormonal therapy or surgical options. Unlike these standard methods, tAN works by stimulating nerves through the skin of the ear to potentially regulate menstrual bleeding. This technique could offer a new way to manage symptoms without the side effects associated with hormones or the recovery time needed after surgery.

What evidence suggests that transcutaneous auricular neurostimulation (tAN) is effective for heavy menstrual bleeding?

Research shows that transcutaneous auricular neurostimulation (tAN) might help reduce heavy menstrual bleeding. In animal studies, a similar nerve stimulation method reduced bleeding times and blood loss by 45–75%. This trial will evaluate tAN's effectiveness in participants with heavy menstrual bleeding, including those with von Willebrand Disease (VWD). For individuals with heavy menstrual bleeding, tAN has shown promise in reducing menstrual pain and symptoms. By stimulating the vagus nerve, it may help control bleeding and improve the overall menstrual experience. Early results suggest that tAN could be a helpful option for managing symptoms in these patients.12456

Who Is on the Research Team?

NK

Navid Khodaparast, PhD

Principal Investigator

Chief Science Officer

MM

Melanie McWade, PhD

Principal Investigator

Senior Director of Clinical Operations

Are You a Good Fit for This Trial?

This trial is for regularly menstruating women aged 18-45 with Type 1 von Willebrand Disease who experience heavy menstrual bleeding. Participants must have been on oral birth control for at least three months and agree to maintain their current medication regimen without starting new treatments or homeopathic remedies during the study.

Inclusion Criteria

I have been diagnosed with von Willebrand Disease Type 1.
I haven't changed my medications or supplements in the last 3 months and won't start new ones during the study.
I am a woman aged 18-45 and have regular menstrual cycles.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

First Menstruation (Baseline)

Participants estimate blood loss daily and assess dysmenorrhea and quality of life without active tAN treatment

1 menstrual cycle (estimated 30 days)
Daily self-assessment

Second Menstruation (Active tAN)

Participants self-administer tAN treatment and estimate blood loss daily, assess dysmenorrhea and quality of life

1 menstrual cycle (estimated 30 days)
Daily self-administration and assessment

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Transcutaneous Auricular Neurostimulation (tAN)
Trial Overview The study tests if transcutaneous auricular neurostimulation (tAN) using the Volta System can help manage heavy menstrual bleeding, improve quality of life, and reduce pain in patients with von Willebrand Disease during their menstrual cycle.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Von Willebrand Disease (VWD) PatientsExperimental Treatment1 Intervention
Group II: Heavy Menstrual Bleeding (HMB) PatientsExperimental Treatment1 Intervention

Transcutaneous Auricular Neurostimulation (tAN) is already approved in United States for the following indications:

🇺🇸
Approved in United States as Transcutaneous Auricular Neurostimulation (tAN) for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Five Liters, Inc.

Lead Sponsor

Trials
3
Recruited
70+

Spark Biomedical, Inc.

Industry Sponsor

Trials
14
Recruited
560+

Published Research Related to This Trial

Transcutaneous auricular vagus nerve stimulation (taVNS) is a non-invasive and cost-effective method for modulating the vagus nerve, making it a promising alternative to traditional surgical vagus nerve stimulation.
taVNS allows for easy and safe administration, with considerations for proper electrode placement and individual dosing based on perception thresholds, which enhances its potential for treating various central and peripheral diseases.
Laboratory Administration of Transcutaneous Auricular Vagus Nerve Stimulation (taVNS): Technique, Targeting, and Considerations.Badran, BW., Yu, AB., Adair, D., et al.[2020]
This study will investigate the effects of transcutaneous auricular vagus nerve stimulation (taVNS) on 15 patients with a minimally conscious state, using five different frequencies (1, 10, 25, 50, and 100 Hz) to determine the optimal stimulation parameters.
The goal is to achieve stable improvements in consciousness levels in patients with disorders of consciousness by optimizing the taVNS neuromodulation technique, with results measured through the coma recovery scale-revised (CRS-R) and resting EEG assessments.
Optimizing the modulation paradigm of transcutaneous auricular vagus nerve stimulation in patients with disorders of consciousness: A prospective exploratory pilot study protocol.Zhai, W., Jiao, H., Zhuang, Y., et al.[2023]
Transcutaneous auricular vagus nerve stimulation (taVNS) is a safe and effective neuromodulation therapy for a variety of conditions, including epilepsy, depression, and anxiety, indicating its broad therapeutic potential.
Despite its effectiveness, there is currently no standardization among taVNS devices, and further research is needed to clarify the relationship between stimulation parameters and therapeutic outcomes.
Transcutaneous auricular vagus nerve stimulators: a review of past, present, and future devices.Wang, L., Wang, Y., Wang, Y., et al.[2022]

Citations

Transcutaneous auricular neurostimulation to reduce heavy ...Direct cervical vagus nerve stimulation (VNS) reduced bleeding times and shed blood volumes by 45–75% in animal models of soft tissue injury and ...
Study Details | NCT06814028 | Transcutaneous Auricular ...This study is designed as an open label, single-arm, decentralized research study in which patients with idiopathic heavy menstrual bleeding will receive ...
Delivering Transcutaneous Auricular Neurostimulation to ...Delivering Transcutaneous Auricular Neurostimulation to Reduce Heavy Menstrual Bleeding in Patients With and Without Von Willebrand Disease (VWD/HMB).
Effects of Transcutaneous Auricular Vagus Nerve ...PwPD may benefit from taVNS, given it has shown efficacy in alleviating pain and menstrual symptoms while improving physical performance.
Neurostimulation for Heavy Menstrual Bleeding (VWD ...The objectives of this study are to determine if transcutaneous auricular neurostimulation (tAN) can modulate hemostasis, improve perceived quality of life, and ...
Safety of transcutaneous auricular vagus nerve stimulation ...Although the general impression is that taVNS is a safe technique with only mild and transient adverse effects (AEs), human data on safety and ...
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