- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT07644221
Feasibility and Effects of Noninvasive Brain Stimulation on Pain Perception in People With Fibromyalgia
Transcranial Electrical Stimulation for Noninvasive Study of Pain Circuits in Patients With Chronic Pain
The goal of this interventional study is to learn whether noninvasive brain stimulation (NIBS) will have an effect on pain perception in people with fibromyalgia. The main questions it aims to answer are:
Do repeated sessions of NIBS lead to a reduction in perceived pain? Do repeated sessions of NIBS lead to an improvement in quality of life?
Researchers will compare different brain targets to see if effects are different between them.
Participants will receive repeated daily sessions of NIBS over 4 weeks with application of pressure pain algometry, and complete various questionnaires.
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
Participants will randomly receive primary motor cortex (M1) or occipital lobe NIBS over 2 weeks, and after a wash-out period will receive NIBS of the other target over 2 weeks. Each session will also evaluate pressure pain algometry, various questionnaires to assess changes in fibromyalgia symptoms and quality of life (up to 5 hours per session)
NIBS administration will consist of 1000 electrical pulses of <1 ms duration each.
Studientyp
Einschreibung (Geschätzt)
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
- Name: Pulkit Grover, PhD
- Telefonnummer: 412-268-3644
- E-Mail: pgrover@andrew.cmu.edu
Studieren Sie die Kontaktsicherung
- Name: Benedict J Alter, PhD
- Telefonnummer: 412-677-0575
- E-Mail: alterbj@upmc.edu
Studienorte
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Pennsylvania
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Pittsburgh, Pennsylvania, Vereinigte Staaten, 15213
- Carnegie Mellon University
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Kontakt:
- Pulkit Grover, PhD
- Telefonnummer: 412-268-3644
- E-Mail: pgrover@andrew.cmu.edu
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Kontakt:
- Jeehyun Kim, MS
- Telefonnummer: 248-619-4271
- E-Mail: jeehyunk@andrew.cmu.edu
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Pittsburgh, Pennsylvania, Vereinigte Staaten, 15206
- UPMC Pain Management
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Kontakt:
- Benedict J Alter, MD, PhD
- Telefonnummer: 412-677-0575
- E-Mail: alterbj@upmc.edu
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Kontakt:
- Emma Racunas, BS
- E-Mail: ECR79@pitt.edu
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria:
- Formal diagnosis of fibromyalgia made by a practicing physician
- Pain resistant to common analgesics and medications for chronic pain
- Existing pain for more than 3 months with an average of at least 4 on a 0 to 10 Numerical Rating Scale (NRS)
- Females of child bearing potential must be at least one of the following totally abstinent from heterosexual intercourse since the last menses before start of study, or agree to concurrent use of at least two methods of birth control throughout study participation.
Exclusion Criteria:
- If the subject is non-ambulatory.
- If the subject is female of child-bearing potential, subject must not be pregnant.
- Subject must not have a history of brain surgery or uncontrolled neurological conditions, such as seizure, fainting spells, transient ischemic attack.
- Subject must not have lifetime history of severe, uncontrolled mood disorders (anxiety, depression, bipolar), psychotic disorders, other neural disorders, or heart disease.
- Subject must not have any implanted electronic or metallic devices.
- Subject must not have heart diseases, including known arrhythmia, or severe liver or severe gastrointestinal disease or chronic severe infectious disease (e.g. HIV/AIDS).
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Crossover-Aufgabe
- Maskierung: Single
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Experimental: Primary Motor Cortex Stimulation, then Occipital Lobe Stimulation
The primary motor cortex will be targeted first, then the occipital lobe.
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Short (<1 ms), high amplitude (>10 mA) noninvasive electrical pulses delivered at 1 Hz on the scalp surface.
This intervention will target the primary motor cortex (M1).
Andere Namen:
Short (<1 ms), high amplitude (>10 mA) noninvasive electrical pulses delivered at 1 Hz on the scalp surface.
This intervention will target the occipital lobe.
Andere Namen:
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Experimental: Occipital Lobe Stimulation, then Primary Motor Cortex Stimulation
The occipital lobe will be targeted first, then the primary motor cortex.
|
Short (<1 ms), high amplitude (>10 mA) noninvasive electrical pulses delivered at 1 Hz on the scalp surface.
This intervention will target the primary motor cortex (M1).
Andere Namen:
Short (<1 ms), high amplitude (>10 mA) noninvasive electrical pulses delivered at 1 Hz on the scalp surface.
This intervention will target the occipital lobe.
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Feasibility of the transcranial electrical stimulation protocol
Zeitfenster: From end of the last study session until up to 6 months after.
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Feasibility of the protocol will be measured quantitatively using the Feasibility of Intervention Measure (FIM) score.
Score ranges from 4 to 20, with higher scores indicating higher level of feasibility.
It will also be assessed qualitatively via participant interviews.
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From end of the last study session until up to 6 months after.
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Tolerability of transcranial electrical stimulation protocol
Zeitfenster: Every day from enrollment until up to 6 months after the last study session.
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Determined qualitatively from study-related participant attrition rate (%) and adherence to protocol (%).
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Every day from enrollment until up to 6 months after the last study session.
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Acceptability of transcranial electrical stimulation protocol
Zeitfenster: From end of the last study session until up to 6 months after.
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Acceptability of the protocol will be measured quantitatively using the Acceptability of Intervention Measure (AIM) score.
Score ranges from 4 to 20, with higher scores indicating higher level of acceptability.
It will also be assessed qualitatively via participant interviews.
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From end of the last study session until up to 6 months after.
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Pressure pain threshold (PPT)
Zeitfenster: At every study session from Session 1 until the last study session.
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PPT (in lbf) will be measured using a digital algometer, which will be used to press down on the participants' thumb nails and legs to assess pain sensitization throughout the study.
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At every study session from Session 1 until the last study session.
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Revised Fibromyalgia Impact Questionnaire (FIQR)
Zeitfenster: Weekly from enrollment until up to 6 months after the last study session.
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FIQR will be used to assess the participant's experience with fibromyalgia (symptoms and impact on daily life).
Score ranges from 0 to 100, with higher scores indicating greater severity of fibromyalgia symptoms and functional impairment.
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Weekly from enrollment until up to 6 months after the last study session.
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Brief Pain Inventory (BPI)
Zeitfenster: Daily, from enrollment until up to 6 months after the last study session.
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BPI will be used to assess the participant's pain severity and interference.
Score ranges from 0 to 10, with higher scores indicating worse (more severe) pain or interference.
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Daily, from enrollment until up to 6 months after the last study session.
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Patient-Reported Outcomes Measurement Information System (PROMIS-29)
Zeitfenster: Weekly, from enrollment until up to 6 months after the last study session.
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We will use the standardized survey score PROMIS-29 to assess physical and mental health in seven domains (e.g., physical function, anxiety, sleep disturbance etc.).
Each question score ranges from one to five, corresponding to the intensity within the question's domain.
Survey scores will be converted to a t-score metric and assessed.
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Weekly, from enrollment until up to 6 months after the last study session.
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Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Number of steps
Zeitfenster: Every day from enrollment until up to 4 weeks after the last study session.
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Assess change in number of steps taken daily using a wearable device.
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Every day from enrollment until up to 4 weeks after the last study session.
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Active zone minutes
Zeitfenster: Every day from enrollment until up to 4 weeks after the last study session.
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Assess change in number of minutes spent in active heart rate zone using a wearable device.
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Every day from enrollment until up to 4 weeks after the last study session.
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Sleep score
Zeitfenster: Every day from enrollment until up to 4 weeks after the last study session.
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Assess change in sleep quality using a wearable device.
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Every day from enrollment until up to 4 weeks after the last study session.
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Mitarbeiter und Ermittler
Sponsor
Mitarbeiter
Ermittler
- Hauptermittler: Benedict J Alter, MD, PhD, University of Pittsburgh
- Hauptermittler: Pulkit Grover, PhD, Carnegie Mellon University
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Primärer Abschluss (Geschätzt)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Schmerzen
- Neurologische Manifestationen
- Erkrankungen des Bewegungsapparates
- Erkrankungen des Nervensystems
- Muskelerkrankungen
- Neuromuskuläre Erkrankungen
- Rheumatische Erkrankungen
- Pathologische Zustände, Anzeichen und Symptome
- Anzeichen und Symptome
- Fibromyalgie
- Chronischer Schmerz
- Therapeutika
- Verhaltensdisziplinen und Aktivitäten
- Elektrische Stimulationstherapie
- Krampfhafte Therapie
- Psychiatrische somatische Therapien
- Elektroschock
- Psychologische Techniken
- Transkranielle Direktstromstimulation
Andere Studien-ID-Nummern
- STUDY2025_00000279
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
IPD-Sharing-Zeitrahmen
IPD-Sharing-Zugriffskriterien
Art der unterstützenden IPD-Freigabeinformationen
- STUDIENPROTOKOLL
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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