<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20250602066020N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-06-27</date_registration>
      <primary_sponsor>University of social welfare and rehabilitation sciences</primary_sponsor>
      <public_title>Effects of transcutaneous auricular vagus nerve stimulation On diabetic neuropathy</public_title>
      <acronym></acronym>
      <scientific_title>Effects of transcutaneous auricular vagus nerve stimulation On lower limb nerve conduction velocity and perfusion, foot neuropathic pain and quality of life in individuals with type 2 diabetes-double blined controlled clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-06-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>20</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/84269</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: If patients meet the eligibility criteria for the study, they will be randomly assigned to either the intervention or control group using the block randomization method. Patients will be blinded to their group assignment.

After conducting a pilot study and determining the final sample size, participants will be divided into blocks. All blocks will be of equal size. For example, in a two-group trial (intervention and control), blocks of 8 participants will be used, with 4 assigned to the intervention group and 4 to the control group. To determine group assignment, a die will be rolled: even numbers will place the participant in the intervention group, and odd numbers will place them in the control group, Blinding description: This study is double-blind: both the patients and the assessors are unaware of group allocation.
The study assessors include the individuals performing the NCV test, ABI test, HRV test, and clinical examinations such as touch sensation, vibration, joint position sense, and balance assessments.
The person administering the intervention (electrode placement and current adjustment) and the data analyst are not blinded.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Diabetic Neuropathic.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Intervention will be performed via the cochlea of ​​both ears for each participant 3 times a week for 4 weeks. Biphasic symmetrical current with a frequency of 2 Hz and a duration of 200 ms and the intensity increases to the patient's tolerance (maximum 5 mA). Intervention 2: Control group: will be performed via the Ear Lobe of ​​both ears for each participant 3 times a week for 4 weeks. Biphasic symmetrical current with a frequency of 2 Hz and a duration of 200 ms and the intensity increases to the patient's tolerance (maximum 5 mA).</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is For Patient Privacy</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Maryam Alizadeh Cham Khale</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 16, Anoshervan Alley, Haddadi St, Qazvin St</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1355865491</zip>
        <telephone>+98 21 5572 7721</telephone>
        <email>Maryam.Alizadeh9655@gmail.com</email>
        <affiliation>University of social welfare and rehabilitation sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Maryam Alizadeh Cham Khale</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 16, Anoshervan Alley, Haddadi St, Qazvin St</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1355865491</zip>
        <telephone>+98 21 5572 7721</telephone>
        <email>Maryam.Alizadeh9655@gmail.com</email>
        <affiliation>University of social welfare and rehabilitation sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>1.Diabetic neuropathy/ 2.40 to 75 years old/ 3.Both sex/ 4.EMG Electrodiagnosis of diabetic neuropathy consist of small fiber neuropathy and axonal diabetic neuropathy /5.Hyposthesia/ 6. Distal foot pain/ 7.Pain score of 3 to 7 NPRS/ 8.Reading and writing ability</inclusion_criteria>
      <agemin>40 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>1.Non diabetic neuropathy/ 2. cigarette or alcohol usage/ 3.Peripheral artery disease cause to foot ulcer and amputation/ 4. Alternative medicine/ 5.Pregnancy and breast feeding/ 6.Heart arrhythmia and heart battery/ 7.Spin radiculopathy and lower limb fracture/ 8.Do not like to join study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E08.610</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Intervention will be performed via the cochlea of ​​both ears for each participant 3 times a week for 4 weeks. Biphasic symmetrical current with a frequency of 2 Hz and a duration of 200 ms and the intensity increases to the patient's tolerance (maximum 5 mA)</i_keyword>
      <i_keyword>Control group: will be performed via the Ear Lobe of ​​both ears for each participant 3 times a week for 4 weeks. Biphasic symmetrical current with a frequency of 2 Hz and a duration of 200 ms and the intensity increases to the patient's tolerance (maximum 5 mA)</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain. Timepoint: Before and After Trial. Method of measurement: Numeric Pain Rating Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Sural Nerve NCV. Timepoint: Before and After Trial. Method of measurement: NCV.</sec_outcome>
      <sec_outcome>Medial Plantar Nerve NCV. Timepoint: Before and After Trial. Method of measurement: NCV.</sec_outcome>
      <sec_outcome>Ankle Brachial Index. Timepoint: Before and After Trial. Method of measurement: Pressure Gauge.</sec_outcome>
      <sec_outcome>Quality of Life. Timepoint: Before and After Trial. Method of measurement: Questionnaire.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>University of social welfare and rehabilitation sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-06-11</approval_date>
        <contact_name>Ethics committee of Social Welfare and Rehabilitation</contact_name>
        <contact_address>No16, Anooshirvan Alley, Haddadi St, Qazvin St Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
