Clinical trial Recruiting at 1 site Early Phase 1 Interventional Ages 18 to 65

Testing a new method to relieve pain using nerve stimulation and naloxone

Official title: Evaluating the Specific Role of Endogenous Opioids as the Mechanism Underlying tAN-based Analgesia in Healthy Individuals

Run by Medical University of South Carolina · NCT05490134 · Data updated 2026-11-12

This study is testing a new way to relieve pain using nerve stimulation and a medication called naloxone to see if it helps people feel better without relying on opioids.

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment136 (estimated)
SponsorMedical University of South Carolina
Academic / other
Locations1 site (Charleston, South Carolina)
StatusRecruiting
StartedMarch 22, 2023
Main results expectedJanuary 1, 2027
Study endsOctober 1, 2027
Registry record updatedDecember 18, 2025
Trial IDNCT05490134 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18-65 who can provide informed consent and do not have contraindications for MRI.

Probably not a fit

Patients with recent severe headaches, a history of substance use disorder, or those currently using pain medications may not benefit from this study.

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

What this trial studies

This interventional trial involves two visits and aims to evaluate the analgesic effects of transcutaneous auricular neurostimulation (tAN) in 136 participants. It employs a randomized, double-blind, sham-controlled design to assess whether the pain relief from tAN is mediated by the release of endogenous opioids, using naloxone to block opioid receptors. Participants will receive one of four stimulation types (auricular vagus, auricular trigeminal, combination, or sham) alongside either naloxone or saline infusion to measure the effectiveness of the interventions. The study addresses the growing need for alternative pain management strategies amidst the opioid crisis.

Why it matters

Potential benefit: If successful, this approach could provide a non-opioid method for managing chronic pain, reducing reliance on prescription opioids.

How similar studies have gone: While the approach of using auricular nerve stimulation is promising, it is still relatively novel and has not been extensively tested in large-scale studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18-65
* Have the capacity and ability to provide one's own consent and sign the informed consent document

Exclusion Criteria:

* Contraindicated for MRI.
* Any current or recent untreated medical, neurological, or psychiatric conditions
* Metal implant devices in the head, heart or neck.
* History of brain surgery.
* History of myocardial infarction or arrhythmia, bradycardia.
* Personal or family history of seizure or epilepsy or personal use of medications that substantially reduce seizure threshold (e.g., olanzapine, chlorpromazine, lithium).
* Personal history of head injury, concussion, or self-report of moderate to severe traumatic brain injury.
* Individuals suffering from frequent/severe headaches.
* Individuals with a reported history of psychosis or mania, or individuals who are actively manic or psychotic.
* Regular or recent pain medication use
* Moderate to severe alcohol or substance use disorder.
* Psychotropic or cardiac medicines that may interact with naloxone
* Positive urine drug screen for opiate use
* Females who are pregnant or lactating

Where it's running

  • Medical University of South Carolina
    Charleston, South Carolina, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.