Evidence map›Paper›PMID 40518459›Full record

ArticleEuropean child & adolescent psychiatry2025

External trigeminal nerve stimulation versus sham stimulation for attention deficit hyperactivity disorder in children and adolescents aged 7-17 years: study protocol for a pilot and feasibility randomized clinical trial.

Henriette Edemann-Callesen, Christel-Mie Lykke Huus, Caroline Karstoft, Elín Bjarnadóttir, Aida Bikic, Pia Jeppesen, Ørjan G Martinsen, Fred Johan Pettersen, Jane Lindschou, Sophie Juul and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06655610 (External Trigeminal Nerve Stimulation Versus Sham Stimulation for Attention Deficit Hyperactivity Disorder in Children and Adolescents Aged 7-17 Years), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT06655610 narecruitingnot on this map

External Trigeminal Nerve Stimulation Versus Sham Stimulation for Attention Deficit Hyperactivity Disorder in Children and Adolescents Aged 7-17 Years: Study Protocol for a Pilot and Feasibility Randomized Clinical Trial

TypeinterventionalSponsorPsychiatric Research Unit, Region Zealand, DenmarkRan2024 to 2026Enrolled60ConditionsADHD - Attention Deficit Disorder With HyperactivityArmsExternal Trigeminal Nerve Stimulation, Sham device
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Henriette Edemann-CallesenCenter for Evidence-Based Psychiatry, Psychiatric Research Unit, Psychiatry Region Zealand, Fælledvej 6, 4. Floor, 4200, Slagelse, Denmark.
Christel-Mie Lykke HuusCenter for Evidence-Based Psychiatry, Psychiatric Research Unit, Psychiatry Region Zealand, Fælledvej 6, 4. Floor, 4200, Slagelse, Denmark.
Caroline KarstoftResearch Unit of Child and Adolescent Psychiatry in Southern Denmark, Odense, Denmark.
Elín BjarnadóttirDepartment of Child and Adolescent Psychiatry, Psychiatry Region Zealand, 4000, Roskilde, Denmark.
Aida BikicChild and Adolescent Mental Health Services Southern Jutland, Kresten Phillipsens Vej 15, Aabenraa, Region of Southern Denmark, Denmark.
Pia JeppesenDepartment of Child and Adolescent Psychiatry, Psychiatry Region Zealand, 4000, Roskilde, Denmark.
Ørjan G MartinsenDepartment of Physics, University of Oslo, Sem Sælands Vei 24, 0371, Oslo, Norway.
Fred Johan PettersenDepartment of Physics, University of Oslo, Sem Sælands Vei 24, 0371, Oslo, Norway.
Jane LindschouThe Copenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital ─ Rigshospitalet, Copenhagen, Denmark.
Sophie JuulThe Copenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital ─ Rigshospitalet, Copenhagen, Denmark.
Maria QuistgaardCenter for Evidence-Based Psychiatry, Psychiatric Research Unit, Psychiatry Region Zealand, Fælledvej 6, 4. Floor, 4200, Slagelse, Denmark.
Christian GluudThe Copenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital ─ Rigshospitalet, Copenhagen, Denmark.
Ole Jakob StorebøCenter for Evidence-Based Psychiatry, Psychiatric Research Unit, Psychiatry Region Zealand, Fælledvej 6, 4. Floor, 4200, Slagelse, Denmark. ojst@regionsjaelland.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

External trigeminal nerve stimulation (eTNS) is a non-invasive technique involving external cutaneous stimulation of the trigeminal nerve. In 2019, the Monarch eTNS device was approved as a treatment for children with attention-deficit/hyperactivity disorder (ADHD). The Monarch eTNS device is designed to be applied at home, which offers a certain level of convenience but also necessitates a high degree of compliance and acceptability from the families. To assess the feasibility of - and pilot a larger randomized clinical trial investigating the Monarch eTNS device versus sham for patients aged 7 to 17 years with ADHD. We will conduct a parallel-group, sham-controlled, feasibility randomised clinical trial. We will include 60 children and adolescents (aged 7 to 17 years) diagnosed with ADHD from three clinical sites in Denmark. Patients will be randomised to 4 weeks of active versus sham eTNS. Feasibility outcomes include completion of the trial; the number of eligible participants who consent to inclusion; treatment compliance; acceptability of the intervention and completion. Adverse events will be monitored throughout the trial. Exploratory clinical outcomes include ADHD core symptoms (primary) and several secondary outcomes. Autonomic functions will be evaluated by means of heart rate variability, using a heart rate sensor. This trial will allow us to evaluate the feasibility of conducting a larger randomised clinical trial investigating the use of eTNS as a home-based, non-pharmacological intervention for children and adolescents diagnosed with ADHD.Trial registration: ClinicalTrials.gov ID: NCT06655610. Registered 23.10.2024.

Indexed as

Attention Deficit Disorder with HyperactivityElectric Stimulation TherapyTrigeminal NerveAdolescentChildFeasibility StudiesFemaleHumansMalePilot ProjectsRandomized Controlled Trials as TopicAttention-deficit/hyperactive disorderExternal trigeminal nerve stimulationNon-invasive neuromodulationPilot clinical trialRandomized feasibility

Identifiers

PMID40518459
PMCPMC12743080

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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.