- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02771990
tDCS for Chronic Low Back Pain
March 27, 2023 updated by: Benjamin Greenberg, Providence VA Medical Center
tDCS for Chronic Low Back Pain: A Study Examining the Effect of Transcranial Direct Current Stimulation on the Emotional Response to Chronic Low Back Pain
The goal of this study is to investigate the role of central neural pathways in mediating chronic pain.
The aim of the study is to test the effect of stimulating brain regions that are part of a network underlying central pain processing using a non-invasive brain stimulation technique, transcranial Direct Current Stimulation (tDCS).
Prior studies have used tDCS to target both sensory related cortical areas and those important for higher-order representations of pain.
This study will target brain regions important for the behavioral response to the chronic sensation of pain.
The hypothesis is that stimulation of these brain regions can modulate not only the affective component of pain, but ultimately also improve functioning and quality of life.
This hypothesis will be tested by treating study participants eighteen and older with chronic low back pain (CLBP) of greater than six months using tDCS.
To be part of this study, participants must meet all the inclusion and exclusion criteria.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
30
Phase
- Not Applicable
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Chronic Low Back Pain ≥ 6 months duration in the lumbar region, present more than half the days of the month, and on average be at a moderate level of severity in the last month
- At least one trial of physician recommended medication (e.g. acetaminophen, NSAIDS, skeletal muscle relaxants)
- Pre-existing opioid and non-opioid pain medication must be non-existent or stable (medications have not changed for one month)
- Be able to understand, read and write English
- If female and of childbearing age, agree to use acceptable birth control during the study treatment period (oral contraceptives, history of tubal ligation, history of a hysterectomy, or a reliable barrier method)
Exclusion Criteria:
- Lifetime Diagnostic and Statistical Manual (DSM) IV diagnosis of bipolar disorder, schizophrenia, or other chronic psychotic condition
- Current DSM-IV diagnosis of substance dependence for alcohol, sedative/hypnotic drugs, stimulants, cocaine
- Current cancer, infection, or inflammatory arthritis
- Broken skin or other lesions in the area of the electrodes
- Uncontrolled medical problems, such as diabetes mellitus, hypertension, pulmonary or airway disease, heart failure, coronary artery disease, or any other condition that poses a risk for the subject during participation
- Presence of metal in the cranial cavity
- Holes in the skull made by trauma or surgery
- Pacemakers, medication pumps, and other implanted electronic hardware
- Pregnancy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Sham Comparator: sham tDCS
10 sessions sham transcranial direct current stimulation (tDCS)
|
sham stimulation
|
Experimental: active tDCS
10 sessions active transcranial direct current stimulation (tDCS)
|
2 milliamp (mA) 20 minutes
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
West Haven-Yale Multidimensional Pain Inventory (WHY-MPI) General Activity Subscale Rating
Time Frame: 8 weeks
|
The WHY-MPI General Activity subscale contains 18 items summed to give a score ranging from 0 to 108 (higher scores indicate more activity [better]).
|
8 weeks
|
Pain Anxiety Symptom Scale (PASS-20) Rating
Time Frame: 8 weeks
|
The PASS-20 contains 20 items and scores could range from 0 to 100 (higher scores indicate greater pain anxiety).
|
8 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
October 1, 2013
Primary Completion (Actual)
April 3, 2018
Study Completion (Actual)
April 3, 2018
Study Registration Dates
First Submitted
May 12, 2016
First Submitted That Met QC Criteria
May 12, 2016
First Posted (Estimate)
May 13, 2016
Study Record Updates
Last Update Posted (Actual)
March 29, 2023
Last Update Submitted That Met QC Criteria
March 27, 2023
Last Verified
March 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2013-042
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
Only de-identified data will be shared.
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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