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CTRI Number  CTRI/2024/11/077261 [Registered on: 25/11/2024] Trial Registered Prospectively
Last Modified On: 09/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Single Arm Study 
Public Title of Study   Vagus Nerve Stimulation In Patients Of Chronic Migraine 
Scientific Title of Study   Effect Of Vagus Nerve Stimulation On Headache And Heart Rate Variability In Patients Of Chronic Migraine 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Samiksha Rana 
Designation  MD student 
Affiliation  ESIC Medical college and Hospital , Faridabad 
Address  Department of physiology ESIC medical college and hospital Faridabad

Faridabad
HARYANA
121001
India 
Phone  08076747169  
Fax    
Email  drsamiksha25@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anil Kumar Pandey 
Designation  Director Professor  
Affiliation  ESIC Medical college and Hospital , Faridabad 
Address  Department of physiology ESIC medical college and hospital Faridabad

Faridabad
HARYANA
121001
India 
Phone  7042918222  
Fax    
Email  drpandeyak@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Samiksha Rana 
Designation  MD student 
Affiliation  ESIC Medical college and Hospital , Faridabad 
Address  Department of physiology ESIC medical college and hospital Faridabad


HARYANA
121001
India 
Phone  08076747169  
Fax    
Email  drsamiksha25@gmail.com  
 
Source of Monetary or Material Support  
Multidisciplinary Research Unit of ESIC medical college and hospital ,NH3 NIT, Faridabad,haryana 121001 funded by Department of Health Research ,India 
 
Primary Sponsor  
Name  Multidisciplinary Research Unit funded by Department of Health Research 
Address  ESIC medical college and hospital ,NH3 NIT, Faridabad Haryana 121001 India 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrSamiksha Rana  ESIC medical college and hospital,Faridabad  Academic block Physiology Department 3rd floor,AFT lab
Faridabad
HARYANA 
8076747169

drsamiksha25@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee of ESIC medical college and Hospital,Faridabad  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G437||Chronic migraine without aura,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  N/A  N/A 
Intervention  transcutaneous auricular non-invasive Vagus nerve stimulation   transcutaneous auricular non-invasive Vagus nerve stimulation device from Soterix Medical hand-held Electrical Stimulation Solutions will be used to give stimulation in left ear twice a week for 6 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  diagnosed case of chronic migraine without aura and on pharmacological prophylaxis for the past 3 months.
the patient should be able to provide informed consent for using the ta-VNS device and self-assessment scale. 
 
ExclusionCriteria 
Details  History of Neurological disorder, cardiovascular disease, CVA, asthma, or any other co-morbidity that may cause sudden death.
The patient is known to have auricular trauma or surgery that may affect the application of the ta-VNS device.
Has uncontrolled high blood pressure, and a history of syncope or seizures.
It is currently implanted with an electrical or neuro-stimulatory device.
Has a history of substance abuse.
Is pregnant or planning conception in the next three months.
Is a participant in any other therapeutic clinical investigation or clinical trial in the preceding 30 days.
Has a condition that compromises his/her ability to provide informed consent, comply with follow-up requirements, or provide self-assessments.

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
decrease in intensity , frequency and duration of headache with improvement in HIT6 score in 6 weeks  decrease in intensity , frequency and duration of headache with improvement in HIT6 score in 6 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
effect on Heart Rate Variability at 6 weeks  effect on Heart Rate Variability at 6 weeks 
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   03/12/2024 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [drsamiksha25@gmail.com].

  6. For how long will this data be available start date provided 16-01-2027 and end date provided 16-12-2027?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Migraine is a common and debilitating neurological disorder, often causing significant disability, particularly in young women. Chronic migraine (CM), defined as headaches occurring 15 or more days per month with migraine characteristics on at least 8 days, affects about 1-2% of the global population. Despite treatment options such as triptans and prophylactic therapies like beta-blockers and Onabotulinum toxin-A, treatment efficacy remains suboptimal, and many patients experience medication overuse headaches. This has led to interest in non-pharmacological treatments, such as transcutaneous auricular non-invasive vagus nerve stimulation (ta-nVNS), which has shown promise in reducing the frequency and severity of migraines.

The proposed study aims to assess the efficacy of ta-nVNS in both the prevention and management of chronic migraine, specifically focusing on headache frequency, duration, and heart rate variability (HRV), a marker of autonomic dysfunction associated with migraine. Patients diagnosed with chronic migraine will receive ta-nVNS treatment twice weekly for six weeks. The study will also record HRV as a secondary outcome to assess autonomic function changes. The findings could provide valuable insights into the role of ta-nVNS in migraine management, particularly in under-researched populations such as those in India.

 
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