Vibratory Stimulation for the Treatment of Chronic Pain
Patterned Multichannel Vibratory Coordinated Reset (VCR) Stimulation for the Treatment of Chronic Pain
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Corinne Jung, PhD
- Phone Number: 650-724-0522
- Email: cejung@stanford.edu
Study Locations
-
-
California
-
Palo Alto, California, United States, 94304
- Stanford Neuroscience Health Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age greater than or equal to 18 years old.
- Diagnosis of either chronic pelvic pain, functional abdominal pain, axial low back pain, or migraine with or without aura of at least 3 months duration.
- English speaking
- Ability and willingness to complete questionnaires and in-person assessments
- Current average daily pain score of greater than or equal to 4 on the Numeric Rating Scale of Pain (0-10 scale)
- For patients with migraine diagnosis they must report at least 2 headaches in the baseline headache diary in the 30 days preceding randomization.
Exclusion Criteria:
- Any conditions causing inability to complete assessments (education, cognitive ability, mental status, medical status)
- Any significant psychiatric problems, including acute confusional state (delirium), ongoing psychosis, or clinically significant depression
- Any suicidality as assessed by answer of greater than 0 on question 9 the PHQ-9 assessing suicidal thoughts.
- Any current illicit drug or alcohol abuse.
- Any history of recurrent or unprovoked seizures.
- Participation in another drug, device, or biologics trial concurrently or within the preceding 30 days.
- Pregnancy, breast-feeding or lack of reliable contraception
- Changes in pain medications in the previous 4 weeks
- Implanted electrical stimulation device.
- Skin infection over stimulation sites.
- Any pain interventions in the preceding 6 weeks (epidural steroid injection, sympathetic block, peripheral nerve block, lumbar medial branch blocks) Any botulinum toxin injection in the previous 3 months
For patients with migraine diagnosis additional exclusion criteria include receipt of preventive anti-migraine treatment in the past 3 months, failure on greater than or equal to 3 well-conducted preventive drug trials, concurrent medication overuse headache diagnosis, and concurrent frequent/chronic tension type headache.
4. Frequent/chronic tension type headache
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Sham Comparator: Sham Stimulation
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Low-frequency sham of VCR stimulation
|
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Experimental: Vibrotactile Stimulation
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Application of VCR stimulation to the belly and back of patients with pelvic pain, functional abdominal pain, or low back pain or to the temporal region for patients with migraine.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Treatment Responder
Time Frame: 30 days
|
Proportion of subjects in the treatment vs. placebo groups that are responders with greater than or equal to 50% reductions in average pain (in the primary pain area) comparing the average pain score from the 7-day baseline diary pre-treatment to the average scores based on 7-day diaries at the end of the primary outcome interval
|
30 days
|
|
Change in Opioid Use
Time Frame: 30 days
|
Change in opioid use in daily oral morphine equivalents from the average 7-day baseline use to the post-treatment use in the 7 days at the end of the primary outcome interval.
|
30 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adverse Events
Time Frame: 60 days
|
The proportion of adverse events occurring in the treatment vs. placebo groups
|
60 days
|
|
Secondary Treatment Response After Crossover
Time Frame: 60 days
|
The proportion of subjects in the treatment vs. placebo groups that are responders at the end of 60 days comparing the average pain score from the 7- day baseline diary pre-treatment to the reported pain score at the end of the 60 day interval.
|
60 days
|
|
Change in monthly migraine days
Time Frame: 30 days
|
For patients with migraine, change in monthly migraine days between the 30 days before randomization and the end of the primary outcome interval.
|
30 days
|
|
Treatment Engagement
Time Frame: 30 days
|
Treatment engagement is defined as participation in >50% of home treatment sessions.
|
30 days
|
|
Treatment Initiation
Time Frame: 30 days
|
Treatment initiation is defined as participation in at least 1 home treatment session.
session.
|
30 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jennifer M Hah, MD, Stanford University
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- 52019
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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