External Trigeminal Nerve Stimulation for Children with ASD + ADHD

This study is testing if external trigeminal nerve stimulation (eTNS) can help reduce ADHD symptoms in children aged 7 to 14 who have both Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD). Researchers want to see if eTNS reduces ADHD symptoms and improves other features of ASD. Participants will use an eTNS device at home nightly for 6 weeks. Success will be measured by changes in ADHD symptoms from the start to the end of this 6-week treatment period. The study plans to enroll 60 children, but its current recruitment status is unclear. To join, children must have a confirmed diagnosis of ASD and an IQ above 70.

Study design
This is an interventional study planning to enroll 60 participants. Participants will be randomly assigned to receive either active Trigeminal Nerve Stimulation or a sham (inactive) device.
What's involved
Participation lasts 8-12 weeks and includes 4-5 in-person visits, 4 brief virtual check-ins, and nightly use of the eTNS device with a small sticky patch on the forehead.
Compensation
Not stated in the trial record.
Follow-up
ADHD symptoms are measured at the end of the 6-week treatment period.

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NCT07214545

External Trigeminal Nerve Stimulation for Children With ASD + ADHD to Reduce Elevated Symptoms

Recruiting
NAAges 7–14InterventionalTreatment
University of California, San Francisco
~60 participants
Updated 2025-10-09 on ClinicalTrials.gov
What's tested:Trigeminal Nerve StimulationSham Trigeminal Nerve Stimulation

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in ADHD Symptoms
Measured over Baseline to end of treatment at 6 weeks
Attention Deficit Disorder With Hyperactivity (ADHD)
Autism Spectrum Disorder (ASD)
1 sites across 1 states
California1

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Eligibility criteria

Inclusion

Confirmed clinician diagnosis of ASD according to DSM-5 criteria, corroborated by prior testing (or obtained in study screening) with the Autism Diagnostic Observation Schedule (ADOS) with or without the Autism Diagnostic Interview-Revised (ADI-R)
IQ \> 70 as corroborated by prior testing (or obtained in study screening) with the Wechsler Abbreviated Scale of Intelligence Scale (WASI)
Confirmed diagnosis of ADHD according to DSM-5 criteria with minimum ADHD-RS score of \> 24
Stable on current medications for a minimum of 4 weeks before baseline
Ability to complete protocol testing
Both the child participant and their primary caregiver must be fluent in English (speaking, reading, and understanding), as the questionnaires and assessment tools used in this study have been validated only in English.

Exclusion

Current major depression, history of psychosis, bipolar disorder, elevated risk of self-harm
History of moderate to severe coarse brain injury
Active medical illness expected to interfere with study assessments
Presence of implanted stimulator (e.g., vagal nerve stimulator)
Active dermatologic condition likely to interfere with eTNS electrode wearability
Sleep disorder likely to interfere with nightly eTNS in the opinion of the study physician
Inability to communicate discomfort or pain
Current and anticipated continued use of antipsychotic or stimulant medication
  • Change in ADHD SymptomsBaseline to end of treatment at 6 weeks

    Examine the efficacy of external Trigeminal Nerve Stimulation (eTNS) in reducing ADHD symptoms as measured by the Attention-Deficit/Hyperactivity Disorder Rating Scale-5 (ADHD-RS-5; range 0-54), where higher scores indicate worse symptoms.