- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07334951
Effect of Tvns in Obesity (TVNS EFFECTS)
Effect of AURICULAR Vagus Nerve Stimulation on Glucose Tolerance, and Mood States in Obesity
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Algarbia
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Tanta, Algarbia, Egypt, 31511
- Tanta General Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:40_50years Both sexes , BMI more than or equal 30 kg/m2 FBG less than 7 mmol/l 2hpp between 7.8 and 11.1mmol/l at the time of enrollment . HOMA-IR >2.9 All are sedentary level activities.
Exclusion Criteria:Diagnostic type 1and 2 DM Cardiovascular disease, stroke, uncontrolled hypertension Use psychoactive drugs, antiepliptic drugs, antidepressants. Present of metal implants, pace maker or cochlear implants. History of epilepsy or seizours . Pregnancy or breast feeding. Dermatologist condition near stimulating site. Major psychiatric disorders.
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Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Effect of tvns in glucose tolerance ,insulin resistance,stress hormones ,and mood states in obesity
All patients received transcutaneous electrical nerve stimulation. Allsubsequent ttt will be 3 times per week for 12weeks . Patients will also instructed to complete diary booklet each day to describe side effects corresponding with or temporally related to ttt. The investigators checked all booklets at the 6 and 12 week assessments. The points for tvns are located in the auricular concha area where there is rich vagus nerve branch distribution. Stimulation parameters will be 1MA of electrical current frequency of 20 HZ with pulse duration less than or equal 1ms ,administration once daily lasted 45 min the intensity adjusted based on the individual tolerance of patients. Control group Sham tavns ttt location at the superior scapha , where no vagus nerve distribution, after final session, all baseline measurements will be repeated using the same procedures . All data will be anonymized and stored securely .data will be verified by double _checked , and analysis by SPSS v26. |
Tvns located at auricular concha area For 45min three times per week for 3 months.
Other Names:
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Sham Comparator: Control group
Sham TVNS 45 min for 3 months with dietary advices .
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Tvns located at auricular concha area For 45min three times per week for 3 months.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Glucose tolerance.
Time Frame: Baseline and after 12th weeks of intervention.
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Change in glucose tolerance assessed using 2_hours oral glucose tolerance test (OGTT), expressed as glucose plasma area under curve (AUC), following a75 g oral glucose load.
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Baseline and after 12th weeks of intervention.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Insulin resistance.
Time Frame: Baseline and after 12th weeks of intervention.
|
Change in insulin resistance assessed using homeostasis model assessment of insulin resistance (HOMA-IR), calculated from fasting plasma glucose tolerance test and fasting insulin levels.
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Baseline and after 12th weeks of intervention.
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Insulin sensitvity.
Time Frame: Baseline and after 12th weeks of intervention.
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Change in insulin sensitvity assessed using the Matsuda and Defronzo insulin sensitvity index (ISI), derived from oral glucose tolerance values.
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Baseline and after 12th weeks of intervention.
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Body mass index
Time Frame: Baseline and after 12 weeks of intervention.
|
Change in body mass index calculated as weight in kilograms divided by height in meter square (kg/m2).
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Baseline and after 12 weeks of intervention.
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Waist circumference.
Time Frame: Baseline and 12 weeks after the intervention.
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Change in waist circumference measured in centimeters at the midpoint between the lowest rib and the ilkac crest
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Baseline and 12 weeks after the intervention.
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Body fat percentage.
Time Frame: Baseline and after 12 weeks of intervention.
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Change in fat percentage assessed using the sum of four skin fold thickness measurements (tricepes, suprailiac, abdominal ,and thigh) and calculated using sex specific equations.
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Baseline and after 12 weeks of intervention.
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Stress hormones ( serum cortisol levels ).
Time Frame: Baseline and after 12 weeks of intervention.
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Change in serum cortisol level measured by chemiluminesence immunoassey
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Baseline and after 12 weeks of intervention.
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Stress hormones ( ACTH ).
Time Frame: Baseline and after 12 weeks of intervention.
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Change in serum ACTH level measured by chemiluminesence immunoassey
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Baseline and after 12 weeks of intervention.
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Mood states.
Time Frame: Baseline and after 12th weeks of intervention
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Change in mood states assessed using by the profile of mood states _short form (POMS-SF) , using the total mood disturbance score and subscale scores .
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Baseline and after 12th weeks of intervention
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Barazzoni R metal 2023 ,aerobic training
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- TVNS in obesity effects
Plan for Individual participant data (IPD)
Study Data/Documents
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Study Protocol
Information identifier: enaswagdydaib@gmail.comInformation comments: No comments
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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