Evidence map›Paper›PMID 41866624›Full record

Trial reportClinical rheumatology2026

Home-based respiratory-gated transcutaneous auricular vagus nerve stimulation for rheumatoid arthritis-a feasibility study.

Ankit Parikh, Gwyn Lewis, Hamid GholamHosseini, Kristine Pek Ling Ng, Michal Kluger, Faisal Almesfer, Wee Leong Chang, David Rice

Abstract readClinical Trial
In one paragraph

Trial report in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Ankit ParikhSchool of Clinical Sciences, Auckland University of Technology, Auckland, 0627, New Zealand. mdd8317@autuni.ac.nz.ORCID http://orcid.org/0009-0001-8014-5781
Gwyn LewisDepartment of Physiotherapy, Auckland University of Technology, Auckland, 0627, New Zealand.ORCID http://orcid.org/0000-0001-9324-0940
Hamid GholamHosseiniDepartment of Electrical and Electronic Engineering, Auckland University of Technology, Auckland, 1010, New Zealand.ORCID http://orcid.org/0000-0002-0135-2687
Kristine Pek Ling NgDepartment of Rheumatology, Te Whatu Ora - Health New Zealand Waitematā, North Shore Hospital, Shakespeare Road, Takapuna, Auckland, 0622, New Zealand.ORCID http://orcid.org/0009-0006-6225-2715
Michal KlugerDepartment of Anaesthesiology and Perioperative Medicine, Te Whatu Ora - Health New Zealand Waitematā, North Shore Hospital, Shakespeare Road, Takapuna, Auckland, 0622, New Zealand.ORCID http://orcid.org/0000-0003-0842-7298
Faisal AlmesferExsurgo Ltd, 45I William Pickering Drive, Rosedale, Auckland, 0632, New Zealand.ORCID http://orcid.org/0000-0002-5924-0135
Wee Leong ChangDepartment of Biomedical Science, Auckland University of Technology, Auckland, 1010, New Zealand.ORCID http://orcid.org/0000-0002-9675-9737
David RiceHealth and Rehabilitation Research Institute, Auckland University of Technology, Auckland, 0627, New Zealand.ORCID http://orcid.org/0000-0002-3327-8776

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

objectivesRheumatoid arthritis is a chronic autoimmune disease that primarily affects the joints, causing pain, inflammation, and long-term joint damage. Transcutaneous auricular vagus nerve stimulation (taVNS) is a promising non-pharmacological intervention for managing pain and inflammation, particularly when delivered in the exhalation phase of respiration. However, until now, the lack of portable equipment has meant the respiratory phase effects have not been evaluated outside of the laboratory or in a home setting. The primary goal of this study was to determine the feasibility of a future clinical trial of home-based respiratory-gated taVNS in people with rheumatoid arthritis.

methodsThis was a single-arm, non-randomised feasibility trial involving 12 individuals with active rheumatoid arthritis. Participation involved 12 respiratory-gated taVNS sessions at home and three laboratory visits for outcome assessments (day 1, day 8, and day 15). Feasibility outcomes focused on recruitment rate, intervention adherence, acceptability questionnaires, and adverse events. In addition, outcome measures related to pain, psychological distress, and key inflammatory biomarkers were assessed.

resultsFeasibility outcomes demonstrated an acceptable recruitment rate, high adherence (90% session completion), excellent usability (9/10), and acceptability (average score 66%, general score 87%), with no severe treatment-emergent adverse events. While single-armed and not powered to determine efficacy, medium to large pre- to post-intervention reductions in pain interference, grip pain intensity, psychological distress, and tumour necrosis factor-alpha levels were observed, with minimal changes in other outcomes.

conclusionAn adequately powered, randomised controlled trial of home-based respiratory-gated taVNS in people with rheumatoid arthritis is feasible and safe. Key Points • To the best of our knowledge, this study is the first to evaluate the feasibility of homebased respiratory-gated (RG) transcutaneous auricular vagus nerve stimulation (taVNS) for the treatment of rheumatoid arthritis (RA). • Feasibility outcomes demonstrated high adherence and excellent usability ratings with few treatment-emergent adverse events reported. • Home-based RG taVNS using the developed system is safe and feasible to evaluate in an adequately powered, controlled trial.

Indexed as

Arthritis, RheumatoidTranscutaneous Electric Nerve StimulationVagus Nerve StimulationAdultAgedFeasibility StudiesFemaleHome Care ServicesHumansMaleMiddle AgedTreatment OutcomeRARespiratory-gated stimulationRheumatoid arthritisTaVNSTNF-αTranscutaneous auricular vagus nerve stimulation

Identifiers

PMID41866624
PMCPMC13068677

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.