Ear Electro-stimulation for Chronic Pelvic Pain (RAVANS)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The Brigham and Women's Pain Management Center is conducting a research study for chronic pelvic pain patients due to endometriosis. The study will assess the effect of electro-stimulation for the treatment of Chronic Pelvic Pain. You may be eligible if you have chronic pelvic pain due to endometriosis, are between the ages of 21- 64, and not taking opioid medication (such as morphine or oxycodone). The study will require two visits, each lasting about 2 hours. The study takes place at the Brigham & Women's Pain Management Center, 850 Boylston St., Chestnut Hill. Please contact Chrissie Cahalan at 617-732-9014 or ccahalan1@partners.org if interested.
Vitaly Napadow, Ph.D., Lic.Ac. Assistant Professor Dept. of Radiology, Massachusetts General Hospital, Harvard Medical School
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Massachusetts
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Chestnut Hill, Massachusetts, United States, 02467
- Brigham and Women's Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Female volunteers between 21 and 64 years of age with chronic pelvic pain for more than six months by self report. Six months of chronic pain is the criteria most often used in CPP research.
- CPP diagnoses will include endometriosis pain.
- Average pain intensity of ≥4 on a scale from 0 to 10, because <4 is considered a level with acceptable pain and function
- At least an 8th grade English-reading level; English can be a second language provided that the subjects feel they understand all the questions used in the assessment measures.
Exclusion Criteria:
- Any interventional procedure for CPP two weeks prior to the study or during the two-week study period, such as lumbar epidural steroids, nerve root blocks, etc.
- Any etiology for CPP due to a known local somatic lesion for the pain (e.g. fibroids etc.) documented by the patient's gynecologist, surgery and/or imaging. We wish to focus on functional CPP, which may be more amenable to RAVANS due to the systemic nature of VNS.
- Opioid usage, either oral or intrathecal.
- Surgical therapy in the previous 12 weeks, the intent to undergo surgery during the study period, or any clinically unstable systemic illness that is judged to interfere with the trial.
- Non-ambulatory status
- History of cardiac or nervous system disease that, in the investigator's judgment, precludes participation in the study because of a heightened potential for adverse outcome.
- An inability to complete questionnaires accurately.
- Cancer or other malignant disease, except carcinoma in situ of the skin
- Pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Real Stimulation
Ear stimulation at specific points should work by stimulating a nerve called the vagus nerve.
Previous research has shown that stimulating this nerve can help patients feel less pain.
|
Ear stimulation at specific points should work by stimulating a nerve called the vagus nerve.
Previous research has shown that stimulating this nerve can help patients feel less pain.
During any testing session, participants may receive either the real ear stimulation or a sham (placebo) treatment.
The sham treatment will use the same equipment as the real treatment, but will not deliver any real stimulation to the ear.
We use placebo/sham procedures in research to make sure that the study results are related to the study procedure, and not to other reasons.
|
|
Sham Comparator: Sham
The sham treatment will use the same equipment as the real treatment, but the participant will not receive any real stimulation to the ear.
|
Ear stimulation at specific points should work by stimulating a nerve called the vagus nerve.
Previous research has shown that stimulating this nerve can help patients feel less pain.
During any testing session, participants may receive either the real ear stimulation or a sham (placebo) treatment.
The sham treatment will use the same equipment as the real treatment, but will not deliver any real stimulation to the ear.
We use placebo/sham procedures in research to make sure that the study results are related to the study procedure, and not to other reasons.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Characterize analgesia following verum and sham RAVANS treatment in Endometriosis patients with and without psychiatric co-morbidity.
Time Frame: 2-3 weeks
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This will be done by comparing the quantitative sensory testing between the real and sham vagus nerve stimulation sessions.
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2-3 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Vitaly Napadow, PhD, Brigham and Women's Hospital
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2008p001019
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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