Trigeminal Nerve Stimulation for Children With Prenatal Alcohol Exposure
Part of paid clinical trials in Los Angeles, California.
- Sponsor
- University of California, Los Angeles
- Study ID
- NCT06847165
- Status
- Recruiting
Conditions
- Attention Deficit Hyperactivity Disorder
- Fetal Alcohol Spectrum Disorders
Eligibility Criteria
- Sex
- ALL
- Age
- 8 Years - 12 Years
- Healthy Volunteers
- Not accepted
Interventions
- Trigeminal Nerve Stimulation (TNS) — DEVICEIn TNS, a weak electric current is applied to the child's forehead overnight while sleeping to gently stimulate the brain. TNS treatment is typically administered at home at bedtime by the parent to the child. The TNS device is small (size of a cell phone) and easy to use. Two thin wires go from the device to a pair of small electrodes that tape onto the forehead like a band-aid. The parent presses three keys on the device and it is ready to go.
Study Details
This is an open-label trial of trigeminal nerve stimulation (TNS) for children aged 8-12 years with attention deficit hyperactivity disorder (ADHD) putatively due to prenatal alcohol exposure (PAE). TNS has been successful in treating pediatric ADHD generally and it is US Food and Drug Administration (FDA)-cleared for this condition. But this will be the first time it is tried for ADHD specifically associated with PAE. In TNS, a weak electric current is applied to the child's forehead overnight while sleeping to gently stimulate the brain. TNS is administered at home by the parent to the child. TNS is safe and well tolerated. Efficacy of TNS in ADHD is \~50%. The purpose of the present pilot study is to determine the feasibility of TNS for children with PAE and ADHD. Feasibility means safety (any serious side effects?), tolerability (do children comply with TNS? are they comfortable with it?), and a rough idea of efficacy (does TNS seem to work in most kids?) A secondary goal of the study is to get a more precise idea of brain mechanisms of TNS with magnetic resonance imaging (MRI). Families who participate will make three clinic visits: eligibility (4-5 hours), pre-TNS (2-3 hours including MRI), and post-TNS (2-3 hours including MRI). Children will receive TNS, applied by the parent, for 8 hours every night while sleeping for 4 weeks. Four weeks after treatment, families will take part in a telephone follow-up, to see whether any improvements made last.
Key Dates
- Start date
- Apr 26, 2025
- Status verified
- Jun 2025
- Primary completion
- Sep 30, 2026
- Completion
- Sep 30, 2026
Study Design
- Enrollment
- 30 participants (estimated)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Trigeminal Nerve StimulationEach child will receive nightly trigeminal nerve stimulation, administered by the parent at bedtime, for 8 hrs while sleeping overnight, nightly for 4 weeks (28 days)
Primary Outcome Measure
Attention Deficit Hyperactivity Disorder (ADHD) Rating Scale Total Score [ Time Frame: administered at baseline and up to 1 week after completing 4 weeks of trigeminal nerve stimulation (TNS) treatment ]
Central Contacts
- Ishika B Gupta, BS(310) 267-2710
- Joseph O'Neill, PhD(310) 825-5709
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| University of California Los Angeles Semel Institute Division of Child & Adolescent Psychiatry | Los Angeles | California | 90024 | Lindy B Comstock, PhD Joseph O'Neill, PhD (PRINCIPAL_INVESTIGATOR) Mary J O'Connor, PhD (SUB_INVESTIGATOR) Benjamin N Schneider, MD (SUB_INVESTIGATOR) Jeffry R Alger, PhD (SUB_INVESTIGATOR) Shantanu Joshi, PhD (SUB_INVESTIGATOR) Lindy B Comstock, PhD (SUB_INVESTIGATOR) Andrew F Leuchter, MD (SUB_INVESTIGATOR) |
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