Ear zap device could tame arthritis pain without drugs
NCT ID NCT06779123
First seen Jun 24, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This study tests a portable device that sends mild electrical pulses to the vagus nerve through the ear, aiming to calm the immune system and reduce joint inflammation. It involves 128 adults with moderate-to-severe rheumatoid arthritis who have not responded well to standard biologic or targeted drugs. Participants will use the device daily for 12 weeks, and researchers will measure if it improves joint tenderness and swelling compared to a sham device.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- transcutaneous auricular vagus nerve stimulation (taVNS) device
- What this could lead to
- If it works, this could offer a non-drug, low-cost option to control inflammation and improve symptoms for people with rheumatoid arthritis.
- What could go wrong
- This is an early-stage trial with 128 participants, and the device may not work better than a sham. It is only for those who have not responded to other treatments.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 128 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * \> 18 years of age on day of signing informed consent * Active RA, DAS28\>3.2, at least 4/28 tender and 4/28 swollen joints * Demonstrated an inadequate response, loss of response, or intolerance to one or more approved for rheumatoid arthritis biologic or targeted synthetic Disease-Modifying Anti-Rheumatic Drugs (DMARDs), including Janus kinase inhibitors. * Stable dose of glucocorticoids or conventional disease-modifying agents in RA (csDMARDs) at least 2 and 4 weeks, respectively, before screening Exclusion Criteria: * History of vagotomy * Partial or complete splenectomy * Recurrent vasovagal syncope episodes * Untreated or poorly controlled psychiatric illness * Significant immunodeficiency due to underlying illness * History of cerebrovascular insult * Clinically significant cardiovascular disease * Uncontrolled fibromyalgia * Pregnancy (if sexually active, using reliable form of birth control or being at least 2 yrs post-menopausal)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
6 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Center for Rheumatology, Academic Specialist Centre
RECRUITINGStockholm, 17176, Sweden
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Dept of Rheumatology, Umeå University Hospital
RECRUITINGUmeå, 90189, Sweden
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Dept of Rheumatology, Örebro University Hospital
RECRUITINGÖrebro, 70116, Sweden
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Karolinska University Hospital
RECRUITINGStockholm, 17176, Sweden
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Section for Rheumatology, Skåne University Hospital, Lund
RECRUITINGLund, Skåne County, SE 22185, Sweden
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Section for Rheumatology, Skåne University Hospital, Malmö
RECRUITINGMalmö, 20502, Sweden
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Smartphone app aims to catch rheumatoid arthritis before it takes hold
- A patient questionnaire may rival lab tests for spotting rheumatoid arthritis flares
- Could fewer pills mean same relief for rheumatoid arthritis?
- Can a single cell therapy calm multiple autoimmune diseases?
- Heart risk in rheumatoid arthritis: could a blood vessel drug help?
- Can talk therapy plus exercise beat arthritis fatigue?