Evidence map›Paper›PMID 40335432›Full record

Trial reportNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics2025

Transcutaneous auricular vagus nerve stimulation to treat narcolepsy type 1 (TARGET-NT1): A two-arm, randomised, sham-controlled trial.

Yuanhang Pan, Yingchi Zhang, Ziliang Xu, Zihan Wei, Rui Pan, Gengyao Hu, Xiaoli Wang, Lei Yang, Dianwei Wu, Xinbo Zhang and 10 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

20 authors.

Yuanhang PanDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: 569369622@qq.com.
Yingchi ZhangDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: zhangyingchi@fmmu.edu.cn.
Ziliang XuDepartment of Radiology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: xuziliang@126.com.
Zihan WeiDepartment of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, PR China. Electronic address: wuhanweizh@163.com.
Rui PanDepartment of Pediatrics, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, PR China. Electronic address: prdoctor1979@163.com.
Gengyao HuDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: 304517021@qq.com.
Xiaoli WangDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: xjwxl2012@163.com.
Lei YangDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: 348703457@qq.com.
Dianwei WuDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: wudianwei@fmmu.edu.cn.
Xinbo ZhangDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: 582750794@qq.com.
Xinyu WenDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: 2895843023@qq.com.
Shuyi QuDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: 491435927@qq.com.
Chenwei LiDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: 136196313@qq.com.
Zhe ZhuDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: 1660646383@qq.com.
Yuwen GaoDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: 1325592940@qq.com.
Xiaodan ShiDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: shixd999@163.com.
Yuanqiang ZhuDepartment of Radiology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: zhu_yq_fmmu@163.com.
Kejian WuDepartment of Mathematics and Physics, Basic Medical Science Academy, Air Force Medical University, Xi'an, PR China. Electronic address: wukejian1983@163.com.
Duolao WangDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK. Electronic address: duolao.wang@lstmed.ac.uk.
Yonghong LiuDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi'an, PR China. Electronic address: liuyhong@fmmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To assess exploratorily the safety and efficacy of transcutaneous auricular vagus nerve stimulation (tVNS) as an adjunctive therapy in improving symptoms in patients with narcolepsy type 1 (NT1). The TARGET-NT1 trial, a two-arm, double-blinded, sham-controlled trial was conducted from April 2022, to June 2024 ​at Xijing Hospital in Xi'an, China. Participants were randomised to receive tVNS treatment or sham tVNS (stVNS) treatment. Both interventions were performed for two 30-min periods per day with the same stimulation parameters but different stimulation points, for 12 weeks. The primary outcome was the change in mean sleep onset latency of maintenance of wakefulness test (MWT) from baseline to week 12. Secondary outcomes included changes in Narcolepsy Severity Scale (NSS), Epworth Sleepiness Scale (ESS), 14-item Hamilton Anxiety Rating Scale (HAMA-14), 17-item Hamilton Depression Rating Scale (HAMD-17). Among 60 randomised participants (32 men [53.3 ​%] and 28 [46.7 ​%]; mean [SD] age, 29.9 [9.9] years), 56 were included in the modified intention-to-treat (mITT) analysis. From baseline to week 12, the difference in mean change in mean sleep onset latency of MWT was 3.09 (95 ​% CI, 1.00, 5.88; P ​= ​0.0041) as compared with stVNS group. Significant improvements in NSS-EDS (-2.61 [95%CI, -4.07, -1.15; P ​= ​0.0006]), NSS-SP (-1.11 [95%CI, -1.83, -0.38; P ​= ​0.0030]), NSS-HH (-2.71 [95%CI, -3.36, -2.05; P ​< ​0.0001]), NSS- DNS (-0.52 [95%CI, -0.87, -0.17; P ​= ​0.0036]), ESS (-3.03 [95%CI, -4.30, -1.75; P ​< ​0.0001]) and HAMD-17 (-2.50 [95%CI, -4.30, -0.70; P ​= ​0.0069]) were observed in the tVNS group as compared with stVNS group. This exploratory study supported the efficacy and safety of tVNS in patients with NT1 and provided insights into the mechanisms underlying tVNS treatment for NT1. The findings highlight tVNS as a potential non-pharmacological adjunctive therapy for patients with NT1. This trial was registered with the Chinese Clinical Trial Registry, ChiCTR2400094550.

Indexed as

NarcolepsyTranscutaneous Electric Nerve StimulationVagus Nerve StimulationAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultExcessive daytime sleepinessNarcolepsy type 1Randomized controlled trialTranscutaneous auricular vagus nerve stimulation

Identifiers

PMID40335432
PMCPMC12418406

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Registered trials

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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.