Clinical trial Recruiting at 1 site Interventional Ages 18 to 80

At-home ear neurostimulation for chronic post-stroke upper limb pain

Official title: Investigating the Feasibility, Efficacy, and Renormalization of Pain-Regulation Brain Circuits Underlying At-Home Transcutaneous Auricular Neuromodulation (tAN) for Managing Chronic Post-Stroke Pain

Run by Medical University of South Carolina · NCT07144436 · Data updated 2026-11-12

This study will try daily at-home ear nerve stimulation for people with chronic upper-arm pain after a stroke to see if it lowers their pain.

Quick facts

Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment24 (estimated)
SponsorMedical University of South Carolina
Academic / other
Locations2 sites (Charleston, South Carolina and 1 other locations)
StatusRecruiting
StartedJanuary 8, 2026
Main results expectedJune 30, 2027
Study endsJune 30, 2027
Registry record updatedSeptember 11, 2026
Trial IDNCT07144436 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–80 with ischemic or hemorrhagic stroke at least six months earlier who have chronic post-stroke upper extremity pain, can consent in English, and can undergo MRI are the intended candidates.

Probably not a fit

People with primary intracerebral hematoma or subarachnoid hemorrhage, documented dementia, uncontrolled psychiatric disorders or hypertension, MRI contraindications, or who are pregnant would not be eligible and are unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Up to 24 adults with chronic post-stroke upper extremity pain will self-administer transcutaneous auricular neurostimulation (tAN) at home for four weeks and be compared with a sham group. Participants will undergo brain imaging before and after the treatment period to measure pain-related brain activity and connectivity changes. The trial aims to test feasibility and symptom change from at-home tAN while exploring imaging biomarkers that track or predict response. Treatment is non-invasive and self-applied, with clinic visits required for enrollment and MRI scans.

Why it matters

Potential benefit: If successful, this could offer a non-drug, non-invasive at-home option to reduce chronic post-stroke upper limb pain.

How similar studies have gone: Small studies of non-invasive auricular nerve stimulation have suggested pain-relief signals, but using tAN specifically for chronic post-stroke pain with MRI biomarker work is novel and not yet proven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18-80
* Have the capacity and ability to provide one's own consent in English and sign the informed consent document.
* Ischemic or hemorrhagic stroke that occurred at least 6 months prior

Exclusion Criteria:

* Primary intracerebral hematoma or subarachnoid hemorrhage
* Documented history of dementia
* Documented history of uncontrolled depression or psychiatric disorder
* Uncontrolled hypertension despite treatment, specifically SBP (Systolic Blood Pressure) / DBP (Diastolic Blood Pressure) \>=180/100mmHg
* Contraindicated for MRI scanning
* Pregnancy

Where it's running

  • 30 Bee Street
    Charleston, South Carolina, United States
    Recruiting
  • Medical University of South Carolia
    Charleston, South Carolina, United States
    Not yet recruiting

Study contacts

  • Principal investigator: Xiaolong Peng, Ph.D. — Medical University of South Carolina
  • Study coordinator: Institutional RBFHR Recruitment Contact
  • Email: suttonf@musc.edu
  • Phone: 843-792-9502

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.