Chromatic Retinal Stimulation to Reduce Chronic Pain and Pain Sensitivity
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: Matthew C Mauck, MD, PhD
- Phone Number: 919-966-5136
- Email: matt_mauck@med.unc.edu
Study Locations
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27517
- University of North Carolina
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults greater than or equal to 18 and less than or equal to 65.
- Individuals who have been diagnosed with fibromyalgia or chronic low back pain by their physician.
- Individuals who experience an average pain severity greater than 4/10 in intensity at baseline.
- Willingness to wear a battery-operated portable ganzfeld light stimulator device for 2 hours per day at the same time each day (ideally complete the light therapy session between 5 am-10 am each morning) for 5 days.
- Alert and oriented, and able to provide informed consent
- Ability to read and speak English to complete validated questionnaires.
Exclusion Criteria:
- Vision disorders or conditions resulting in severe vision impairment or blindness
- Individuals with self-report of color blindness
- Prisoner Status
- Pregnancy
- No other history or condition that would, in the investigator's judgment, indicate that the patient would very likely be non-compliant with the study or unsuitable for the study (e.g., might interfere with the study, confound interpretation, or endanger the patient).
- History of seizure disorder
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Equal energy white stimulus
Equal energy white light at 500 lux.
The International Commission on Illumination (CIE) coordinates of this light are (x=y=0.33),
indicating that the stimulus appears uniformly white which means that the activation of each of the three classes of photoreceptors are equivalent, thus silencing any chromatic opponency.
The stimulus will be delivered by a portable battery-operated ganzfeld light stimulation device for 2 hours per day for 5 consecutive days.
|
A portable battery-operated ganzfeld light display will be used to deliver white light for 2 hours per day for 5 consecutive days.
|
|
Experimental: Green light stimulus
Green light at 500 lux.
Participants will view 545 nm green light delivered via a portable battery-operated ganzfeld light stimulation device for 2 hours per day for 5 consecutive days.
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A portable battery-operated ganzfeld light display will be used to deliver green light for 2 hours per day for 5 consecutive days.
|
|
Experimental: S-cone modulating white light
The S-cone modulating light stimulus will alternate between two light conditions at 500 lux that will activate the S-cones by about 100x differentially between the two conditions while maintaining the L- an M-cones at constant activation between the two alternating conditions using 427 nm versus 545 nm light.
The stimulus will be delivered by a portable battery-operated ganzfeld light stimulation device for 2 hours per day for 5 consecutive days.
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A portable battery-operated ganzfeld light display will be used to deliver S-cone modulating light for 2 hours per day for 5 consecutive days.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feasibility: Percent follow-up
Time Frame: 1 week
|
Percent follow-up for 1 week baseline visit.
Follow-up greater than 70% will be considered feasible.
|
1 week
|
|
Feasibility: Percent of flash surveys completed
Time Frame: 1 week
|
Percent of flash surveys completed during light stimulation period.
0% is the lowest and 100% is the highest.
Higher percentages indicate greater percent of flash surveys completed.
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1 week
|
|
Feasibility: Self-reported light stimulation sessions completed
Time Frame: 1 week
|
Self-reported light stimulation sessions completed by flash survey administered after each light stimulation session over the 5 day stimulation period.
Number of sessions will be reported the minimum is 0 and the maximum is 5.
|
1 week
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in pain intensity after stimulation
Time Frame: Baseline, 1 week
|
Pain intensity measured by a 0-10 numeric rating scale for overall pain.
0 represents no pain, and 10 represents the worst pain imaginable.
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Baseline, 1 week
|
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Change in pressure pain threshold
Time Frame: Baseline, 1 week
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Pressure Pain Threshold is the threshold in which pain is experienced in response to increasing force applied to the trapezius measured by a pressure algometer in kilograms of force per square centimeter (kgf/cm^2).
The higher the value, the higher the threshold.
The maximum is 10 kgf/cm^2 and minimum is 0.
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Baseline, 1 week
|
|
Change in Conditioned Pain modulation
Time Frame: Baseline, 1 week
|
Conditioned Pain modulation magnitude will be calculated as the difference in mean pressure pain threshold (kgf/cm^2) measured prior to and during the conditioning stimulus (cold water bath), with increases in pressure pain threshold during conditioning interpreted as evidence of efficient endogenous pain inhibition.
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Baseline, 1 week
|
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Change in Temporal Summation
Time Frame: Baseline, 1 week
|
Temporal Summation.
The investigators will evaluate temporal summation using a 40g Neuropen applied to the skin of the volar forearm and lumbar region, following a train of 10 identical stimuli (1 Hz).
Participants will report retrospectively, the pain intensity of the 1st and 10th pinprick using a 0-10 numerical rating scale (NRS).
0 is the minimum and 10 is the maximum pain intensity that will be reported.
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Baseline, 1 week
|
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Change in activity measured with an accelerometer
Time Frame: 1 week prior to baseline and 1 week during light stimulation
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Activity will be measured by an accelerometer.
Average daily step count for the duration of the stimulus.
Average non-sedentary time in minutes will able be determined over the stimulation period and compared to the data collected over the 1 week run-in period.
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1 week prior to baseline and 1 week during light stimulation
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Matthew C Mauck, MD, PhD, University of North Carolina, Chapel Hill
Study record dates
Study Major Dates
Study Start (Actual)
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
- 23-1301
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
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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