PNS to Improve Vascular Function and Limb Health in Veterans
NCT07696988 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 42
Last updated 2026-08-21
Summary
Establishing a sensitive, scalable physiological test for neurovascular reflex integrity and investigating whether targeted peripheral neural stimulation can enhance perfusion and vasodilatory responsiveness.
Conditions
- Lower Limb Amputees
- Diabetes
Interventions
- DEVICE
-
Chronically Implanted Neural and Muscular Interface
The implanted neural and and muscular interface will be used to characterize neurovascular reflex testing (thermal axon reflex \& pressure-induced vasodilation) and microvascular imaging using Laser Doppler Flowmetry and PAI. Reflex responses will be evaluated under baseline and stimulation conditions (sham, tonic, biomimetic), with direct stimulation performed by the CFINE cohort for modality comparison. Structural-functional relationships will be modeled by integrating metrics from PAI with reflex outcomes.
- DEVICE
-
Peripheral Nerve Stimulation (PNS)
The cutaneous peripheral nerve stimulation interface will be used to characterize neurovascular reflex testing (thermal axon reflex \& pressure-induced vasodilation) and microvascular imaging using Laser Doppler Flowmetry and PAI. Reflex responses will be evaluated under baseline and stimulation conditions (sham, tonic, biomimetic). Structural-functional relationships will be modeled by integrating metrics from PAI with reflex outcomes.
Sponsors & Collaborators
-
Case Western Reserve University
collaborator OTHER -
VA Office of Research and Development
lead FED
Principal Investigators
-
Hamid Charkhkar, PhD · Louis Stokes VA Medical Center, Cleveland, OH
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-11-02
- Primary Completion
- 2030-05-30
- Completion
- 2030-05-30
- FDA Device
- Yes
Countries
- United States
Study Locations
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