Evidence map›Paper›PMID 26292720›Full record

Trial reportTrials2015

Transcutaneous auricular vagus nerve stimulation for pediatric epilepsy: study protocol for a randomized controlled trial.

Wei He, Xiao-Yu Wang, Li Zhou, Zhi-Mei Li, Xiang-Hong Jing, Zhong-Li Lv, Yu-Feng Zhao, Hong Shi, Ling Hu, Yang-Shuai Su and 1 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02004340 (Transcutaneous Auricular Vagus Nerve Stimulation as a Complementary Treatment for Pediatric Epilepsy), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02004340 naunknown statusnot on this map

Transcutaneous Auricular Vagus Nerve Stimulation as a Complementary Treatment for Pediatric Epilepsy

TypeinterventionalSponsorChina Academy of Chinese Medical SciencesRan2013 to 2016Enrolled120ConditionsEpilepsyArmsear vagus nerve stimulator
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Vagus nerve stimulation for focal seizures.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Transcutaneous Auricular Vagus Nerve Stimulation (ta-VNS) for Treatment of Drug-Resistant Epilepsy: A Randomized, Double-Blind Clinical Trial.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Trial
  3. Review
  4. Article
  5. Vagus Nerves Stimulation: Clinical Implication and Practical Issue as a Neuropsychiatric Treatment.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2024
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. The vagus neurometabolic interface and clinical disease.International journal of obesity (2005) · 2018
    Review
  11. What Is the Point? The Problem with Acupuncture Research That No One Wants to Talk About.Journal of alternative and complementary medicine (New York, N.Y.) · 2018
    Article
  12. Review
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Wei HeInstitute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, 100700, China. hazel7811@hotmail.com.
Xiao-Yu WangInstitute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, 100700, China. xiaorain_wang@hotmail.com.
Li ZhouBeijing Tian Tan Hospital, Capital Medical University, Beijing, 100050, China. zl_wh_china@163.com.
Zhi-Mei LiBeijing Tian Tan Hospital, Capital Medical University, Beijing, 100050, China. Lizm1211@163.com.
Xiang-Hong JingInstitute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, 100700, China. xianghongjing@hotmail.com.
Zhong-Li LvBeijing Children Hospital, Capital Medical University, Beijing, 100045, China. zhongli_lu@hotmail.com.
Yu-Feng ZhaoClinical Evaluation Center, Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, 100700, China. snowmanzhao@163.com.
Hong ShiInstitute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, 100700, China. sh700330@hotmail.com.
Ling HuInstitute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, 100700, China. hulinlin1980@126.com.
Yang-Shuai SuInstitute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, 100700, China. suyangshuai@163.com.
Bing ZhuInstitute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, 100700, China. zhubing@mail.cintcm.ac.cn.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNCapital Medical University · CNHubei University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, clinical observations reported the potential benefit of vagus nerve stimulation (VNS) for pediatric epilepsy. Transcutaneous auricular vagus nerve stimulation (ta-VNS) is a newer non-invasive VNS, making it more accessible for treating pediatric epilepsy, yet there is limited clinical evidence for its effectiveness. METHODS/

designA three-center, randomized, parallel, controlled trial will be carried out to evaluate whether ta-VNS improves pediatric epilepsy. Pediatric patients aged 2 to 14 years with epilepsy will be recruited and randomly assigned to transcutaneous auricular vagus nerve stimulation (ta-VNS) group, transcutaneous auricular non-vagus nerve stimulation (tan-VNS) group, and control group with a 1:1: sqrt(2) allocation, as per a computer generated randomization schedule stratified by study center using permuted blocks of random sizes. We will use Zelen's design, in which randomization occurs before informed consent. Patients in the stimulation groups will receive tan-VNS or ta-VNS three times a day for 6 months. Patients in the control group will not be provided with any stimulation during the 6 months. The guardians of the patients are required to keep a detailed diary to record the data. Outcome assessment including seizure frequency, electroencephalogram (EEG), heart rate variability (HRV) analysis, quality of life (QOL) and adverse events will be made at baseline and 2, 4 and 6 months after ta-VNS initiation. The seizure frequency and adverse events will be followed up at 1 year and 1.5 years after ta-VNS initiation. DISCUSSION: Results of this trial will help clarify whether ta-VNS treatment is beneficial for pediatric patients, and will make clear whether the anticonvulsive effect of ta-VNS is correlated with the improvement of sympathovagal imbalance.

trial registrationCLINICAL TRIALS IDENTIFIER: NCT02004340 . Registration date: 13 November 2013.

Indexed as

AdolescentAge FactorsBrainBrain WavesChildChild, PreschoolChinaClinical ProtocolsEarElectroencephalographyEpilepsyFemaleHeart RateHumansMaleQuality of Life

Identifiers

PMID26292720
PMCPMC4546033
OpenAlexW1874374303

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.