Chronic Kidney Diseases
Conditions
Brief summary
30 patients will participate in a prospective randomized clinical trial to test the safety, tolerability and efficacy of transcutaneous auricular vagus nerve stimulation (taVNS) for autonomic nervous system (ANS) dysfunction in the chronic kidney disease (CKD) stage 3-5 setting.
Interventions
Active taVNS delivered via the TENS Device 7000.
Sham taVNS delivered via the TENS Device 7000.
Sponsors
Study design
Eligibility
Inclusion criteria
* Individuals age ≥18 years * Diagnosis of Chronic Kidney Disease (CKD) stage 3-5 \[estimated glomerular filtration rate ≤60 mL/min/1.73m2\] * Receiving care at NYU Nephrology outpatient practice * Able to provide informed consent
Exclusion criteria
* Primary ANS disorders (e.g., Parkinson's disease) * Arrhythmias * Implantable cardioverter-defibrillator (ICD) or pacemaker (PPM) precluding assessment of HRV (e.g., chronic atrial fibrillation) * On maintenance dialysis (HD) * Epilepsy * Symptomatic bradycardia * Presence of an implantable defibrillators * Presence of a permanent pacemaker * Unable to consent * Incarcerated individuals * Pregnant individuals
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Patients who Tolerate Each Full 15-Minute Session | Week 2 | Proportion of patients who use the device for 2 weeks (14 sessions), 15 minutes per session. Measure of feasibility |
| Incidence of Severe Tachycardia following taVNS Use | Up to Week 2 | Severe tachycardia defined as heart rate (HR) \>100 beats per minute. Measure of safety. |
| Incidence of Syncope following taVNS Use | Up to Week 2 | Measure of safety. |
| Proportion of Patients who Complete 2 Weeks of Intervention | Week 2 | Proportion of patients who use the device for 2 weeks (14 sessions). Measure of feasibility. |
| Incidence of Severe Bradycardia following taVNS Use | Up to Week 2 | Severe bradycardia defined as heart rate (HR) \<50 beats per minute. Measure of safety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in High Frequency (HF) Signal from Baseline | Baseline, Week 2 | HF defined as vagal heart rate variation (HRV) modulation. Measure of efficacy. |
| Proportion of eligible patients who consent to use the device for 2 weeks | Up to Week 2 | Also known as recruitment yield. Measure of feasibility. |
Countries
United States