Could a gentle nerve zap curb explosive outbursts in Prader-Willi syndrome?
NCT ID NCT06144645
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 study tests a device that gently stimulates the vagus nerve through the skin (tVNS) to see if it can safely reduce temper outbursts in people with Prader-Willi syndrome. About 102 participants aged 10 to 40 will use either continuous or intermittent stimulation. The study measures safety, how well people tolerate the device, and changes in irritability and outburst frequency.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- transcutaneous vagus nerve stimulation (tVNS) device
- What this could lead to
- If it works, this could provide a non-drug option to reduce temper outbursts in people with Prader-Willi syndrome, improving daily life for them and their families.
- What could go wrong
- This is a phase 3 trial, but results are not yet available. The device may not reduce outbursts significantly, and some people may find the stimulation uncomfortable or withdraw from the study.
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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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 102 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2024
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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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10 to 40 years
- 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: 1. Genetically proven diagnosis of PWS. 2. Age 10-40 years. 3. History in the last six months of an average of at least two temper outbursts per week. 4. Able to comply with requirements of study and provide consent or assent; If consent is to be provided by the participant's guardian, same applies to the guardian. 5. Concomitant use of psychiatric medication is allowed; participant must be on a stable dose 90 days prior to screening with no plans for dose modification during the course of the study. 6. Concomitant use of psychotherapy/counseling is allowed. Therapies for mental health or behavior challenges, including applied behavior analysis (ABA) are also allowed; however, participant must be on a stable regimen 90 days prior to screening with no plans for modification during the course of the study. 7. Living with family or in another setting with family members or staff willing to support the participant and the required data collection. 8. Agree to share tVNS patient application compliance and daily temper outburst data with the sponsor. 9. Access to cellular data or Wi-Fi. 10. Participant and caregiver speak American English as first language or are fluent in American English. Exclusion Criteria: 1. Positive pregnancy test at screening, baseline, or at any point in the study. 2. Evidence of active or recent unstable serious mental illness, including, psychosis, mania, severe depression, or suicidality. 3. Moved to present residential placement in last three months or less. 4. Likely move in residential placement during the course of the study. 5. Cardiac abnormalities including medically documented history of cardiac disease or cardiac arrhythmia, documented resting heart rate ≤ 50 beats per minute (BPM); or history of 2° type 2 or 3° heart block on electrocardiogram (ECG). 6. Evidence of clinically significant abnormalities of blood, liver, or kidney function from clinical safety laboratory assessments as determined by the Site Investigator. 7. History of blood clot, pulmonary embolism, or deep vein thrombosis. 8. Prior diagnosis of epilepsy or currently active seizures. 9. Current enrollment in the active phase of different clinical trial or interventional study. 10. Current use of hearing aids or implantable medical devices including implanted vagus nerve stimulation (iVNS) device, implanted cardiac pacemaker, implanted cardiac defibrillator, cochlear implants, cerebral shunt or cardiac implantable electrical devices. 11. Presence of dermal abnormalities at the stimulation site that would interfere with the ability of the tVNS device to function properly. 12. Presence of an allergy to titanium, titanium-iridium, thermoplastic elastomers, perfluoroethylene propylene, or polyurethane elastomers, or components of / preservatives present in the device electrode cream (Ceteareth-20, Propylene Glycol, Bentonite, Polysorbate 20, Phenoxyethanol, Ethylhexylglycerin). 13. Severe, untreated sleep apnea, as self-reported by subject or caregiver or suspected by Site Investigator. 14. Subject is, in the opinion of the Investigator, not suitable to participate in the study.
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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.
Contacts and locations
Locations
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Children's Hospital Colorado
Aurora, Colorado, 80045, United States
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Children's Mercy Kansas City
Kansas City, Missouri, 64108, United States
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Christus Children'S
San Antonio, Texas, 78207, United States
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Emory University
Atlanta, Georgia, 30322, United States
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Johns Hopkins Hospital
Baltimore, Maryland, 21205, United States
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Maimonides Medical Center
Brooklyn, New York, 11219, United States
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Montefiore Medical Center and Albert Einstein College of Medicine
The Bronx, New York, 10461, United States
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NYU Langone Health
Garden City, New York, 11530, United States
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Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
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Rady Children's Hospital San Diego
San Diego, California, 92123, United States
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Rare Disease Research
Atlanta, Georgia, 30329, United States
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Stanford University
Palo Alto, California, 94304, United States
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University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
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University of Iowa
Iowa City, Iowa, 52242, United States
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University of Minnesota
Minneapolis, Minnesota, 55454, United States
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University of Utah
Salt Lake City, Utah, 84108, United States
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University of Virginia
Charlottesville, Virginia, 22908, United States
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Vanderbilt University Medical Center
Nashville, Tennessee, 37203, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can early parent coaching help infants with rare genetic disorders thrive?
- Newborn screening study aims to catch rare diseases at birth
- Brain and eye clues to emotion recognition in autism and psychosis
- New group therapy aims to tame meltdowns in Prader-Willi teens
- CBDV study for Prader-Willi syndrome halted early