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A Study Of Vagal Nerve Stimulation In Conjunction With NRT For Smoking Cessation Phase 2, Phase 3 150

Not yet recruiting
Clinical Trial NCT07487818 is designed to study Treatment for Smoking Cessation. This Phase 2 Phase 3 interventional study is not yet recruiting. Enrollment is planned to begin on 15 April 2026 until the study accrues 150 participants. Led by Mayo Clinic, this study is expected to complete by 31 May 2027. The latest data from ClinicalTrials.gov was last updated on 23 March 2026.
Brief Summary
The purpose of this study is to provide preliminary evidence for the efficacy of 12 weeks of vagal nerve stimulation (VNS) and nicotine replacement therapy (NRT) for increasing smoking abstinence rates.
Detailed Description
This study will evaluate the role of vagal nerve stimulation as a potential adjunct to nicotine patches to help smokers stop smoking.
Official Title

Using Vagal Nerve Stimulation In Conjunction With NRT For Smoking Cessation

Conditions
Smoking Cessation
Other Study IDs
NCT ID Number
Start Date (Actual)
2026-04-15
Last Update Posted
2026-03-23
Completion Date (Estimated)
2027-05-31
Enrollment (Estimated)
150
Study Type
Interventional
PHASE
Phase 2
Phase 3
Status
Not yet recruiting
Keywords
nicotine dependence
smoking
vagal nerve stimulator
VNS
varenicline
nicotine replacement therapy
nicotine patches
Primary Purpose
Treatment
Design Allocation
Randomized
Interventional Model
Parallel
Masking
None (Open Label)
Arms / Interventions
Participant Group/ArmIntervention/Treatment
ExperimentalVagal Nerve Stimulator and Nicotine Replacement Patches
This arm will receive nicotine patches (21 mg) for 12 weeks and brief behavioral therapy (through the self-help manual Smoke Free and Living It), as well as the vagal nerve stimulator (VNS) device to use during these 12 weeks while trying to stop smoking. The VNS delivers up to 30 stimulations over 24 hours.
Non-invasive vagus nerve stimulator plus nicotine replacement patches
VNS is a handheld, rechargeable, portable device that delivers electrical signals to the vagal nerve when positioned on the skin of the neck at the appropriate location to stimulate the vagal nerve for 2 minutes at each treatment. During these 12 weeks, participants will also use a 21 mg nicotine patch daily.
Active ComparatorNicotine Replacement Patches
This arm will receive nicotine patches (21 mg) for 12 weeks and brief behavioral therapy (through the self-help manual Smoke Free and Living It).
nicotine replacement patches
Use of a 21 mg nicotine patch daily for up to 12 weeks
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Smoking Abstinence
reporting smoking abstinence and having it be biochemically confirmed (CO reading of \< 8 ppm)
week 12
Participation Assistant
Eligibility Criteria

Eligible Ages
Adult, Older Adult
Minimum Age
18 Years
Eligible Sexes
All
  • 18 years of age or older at the time of consent.
  • Currently smoking at least 10 cigarettes/day
  • Motivated to stop smoking (on a scale of 0 to 10, motivation must be 3 or above);
  • Ability to participate fully in all aspects of the study.
  • Have the ability to provide informed consent.
  • Have no contraindicating comorbid health conditions that would interfere with study participation, as determined by the clinical investigators.

  • Patients with a current moderate/severe depression as assessed by a score of ≥10 on the Patient Health Questionnaire-9 (PHQ-9).

  • Patients who are or have used an investigational drug within the past 30 days.

  • Patients who are currently using medication(s) known to interact with varenicline.

  • Patients who have clinically significant acute/chronic progressive or unstable neurologic, hepatic, renal, cardiovascular, psychological, respiratory, or metabolic disease.

  • Patients with a known allergy to nicotine patches or varenicline.

  • Patients with a personal history of acute pancreatitis, hypoglycemia, acute kidney injury or impairment of renal function, type 1 diabetes or diabetic ketoacidosis, and/or severe gastrointestinal disease such as gastroparesis.

  • Patients with an active implantable medical device, such as a pacemaker, hearing aid implant, or any implanted electronic device.

  • Patients diagnosed with narrowing of the arteries (carotid atherosclerosis)

  • Patients who have had surgery to cut the vagus nerve in the neck (cervical vagotomy)

  • Patients with clinically significant hypertension, hypotension, bradycardia, or tachycardia

  • Patients who have a metallic device such as a stent, bone plate, or bone screw implanted at or near your neck

  • Patients who are using another device at the same time (e.g., TENS Unit, muscle stimulator) or any portable electronic device (e.g., mobile phone).

  • Women who are pregnant or lactating, or who are of childbearing potential and are likely to become pregnant during the medication phase but are not willing to use a reliable form of contraception, will also be excluded.

    1. Reliable forms of contraception include oral contraception, diaphragm or condom (with spermicide), injections, intrauterine devices, surgical sterilization, and abstinence. The study does not include vulnerable populations.
    2. Specifically, the study does not include fetuses, neonates, pregnant women, children (<18 years of age), prisoners, institutionalized individuals, or other vulnerable populations.

    i. All female participants of childbearing potential must have a negative pregnancy test and must agree to use approved contraception during study participation.

National Cancer Institute (NCI) logoNational Cancer Institute (NCI)3019 active studies to explore
Study Responsible Party
Ryan T. Hurt, M.D., Ph.D., Principal Investigator, Principal Investigator, Mayo Clinic
Study Central Contact
Contact: Shawn Fokken, CCRP, 507-538-7820, [email protected]
Contact: Sara Seegmiller, RN, 507-538-7820, [email protected]
1 Study Locations in 1 Countries

Minnesota

Mayo Clinic in Rochester, Rochester, Minnesota, 55905, United States
Shawn Fokken, CCRP, Contact, 507-538-7820, [email protected]
Sara Seegmiller, RN, Contact, 507-538-7820, [email protected]
Ryan T Hurt, MD, PhD, Principal Investigator
Ivana T Croghan, PhD, Principal Investigator