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Pain PerceptionNCT03744897

Effect of Hypnosis Combined to Transcranial Direct Stimulation in Pain

A study testing Hypnotic analgesia, a-tDCS and Hypnotic analgesia + a-tDCS in people with Pain Perception and Pain Acute, run by Hospital de Clinicas de Porto Alegre at 2 sites in Brazil.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Pain is a public health condition, which causes great functional disability. Its consequences pervade the personal and social life of the patient, leading to significant changes in their interpersonal relationships, including work, family and social spheres, reducing the ability to perform daily activities. Read more about this study

Who is it for?
Ages 18 to 45 years, women onlyHealthy volunteers can take part
Conditions the study is for
Pain Perception, Pain Acute
What is being tested?
Hypnotic analgesia, a-tDCS and Hypnotic analgesia + a-tDCS
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
2 sitesBrazil
Study dates
18 Jul 2017to 1 Nov 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy
  • Female
  • 11 years of schooling
  • 12 cut-off at Waterloo-Stanford Group C (WSGC)

Who cannot join

  • hearing loss subjects
  • formal contraindication to tDCS (pregnancy, deep brain device, epilepsy, seizure)

Trial locations and contacts

2 sites in 1 country.

Brazil2 sites
  • Hospital de Clinicas de Porto Alegre

    Porto Alegre, Rio Grande do Sul, 90.450-120

  • Hospital de Clinicas e Porto Alegre (HCPA)

    Porto Alegre, Rio Grande do Sul, 90035-003

Other trials in Brazil

About this study

Official title: Effect of Hypnosis Combined to Transcranial Direct Stimulation in Cortical Activity and Pain Perception in Healthy Females

Pain is a public health condition, which causes great functional disability. Its consequences pervade the personal and social life of the patient, leading to significant changes in their interpersonal relationships, including work, family and social spheres, reducing the ability to perform daily activities. Conventional treatment modalities have been show a very poor therapeutic response, in that most individuals end up becoming polymedicated patients and refractory to treatment. Among non-pharmacological techniques with promising analgesic effects it includes both the hypnotic analgesia and the transcranial stimulation of direct current (tDCS).

Read the detailed description

Introduction: Pain is a public health condition, which causes great functional disability. Its consequences pervade the personal and social life of the patient, leading to significant changes in their interpersonal relationships, including work, family and social spheres, reducing the ability to perform daily activities. Conventional treatment modalities have been show a very poor therapeutic response, in that most individuals end up becoming polymedicated patients and refractory to treatment. Among non-pharmacological techniques with promising analgesic effects it includes both the hypnotic analgesia and the transcranial stimulation of direct current (tDCS). Objective: To evaluate the synergistic effect of hypnotic analgesia associated with tDCS under metabolites parameters and pain levels in healthy individuals before a nociceptive stimulation pattern. Methods: it will be performed a blinded crossover sham controlled randomized clinical trial. It will be included 32 woman healthy subjects, Susceptible to the hypnosis technique according to the Scale of Hypnotic Susceptibility (WSGC) Scale of Hypnotic Scale score. aged 18 to 65. They will be allocated in one of the following groups: active tDCS + hypnotic analgesia, sham tDCS + hypnotic analgesia, hypnotic analgesia and tDCS . After a 7 days interval, the groups will be crossed in order to receive the opposite intervention of the first week. The primary endpoints will be the electrophysiological brain parameters, such as changes in the Theta, Alpha and Gamma waves, as measured by EEG. The secondary endpoints will be the level of pain, measured against nociceptive induced by the cold test and stimuli standardized pressure through algometry pressure and power down system modulatory pain, pain using the subject test - CPM - task. The intra and inter-group comparisons will be made by means of two-way ANOVA followed by Bonferroni. A p significance level of <0.05 was established. Expected results: This study hypothesizes that a synergistic effect of analgesic techniques in pain levels in healthy subjects compared to isolated character.

Being tested
Hypnotic analgesia, a-tDCS, Hypnotic analgesia + a-tDCS, s-tDCS
Keywords
pain perception, tDCS, Hypnosis, cortical activity
Medical subject headings
Acute Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Hypnotic analgesiaBehavioural

    Subjects will receive hypnotic analgesia during 20 minutes

  • a-tDCSDevice

    Subjects will receive transcranial direct stimulation over bilateral DLPFC left/anode right/cathodal, 2mA, 20 minutes

  • Hypnotic analgesia + a-tDCSOther

    Subjects will receive hypnotic analgesia associated to transcranial direct stimulation over bilateral DLPFC left/anode right/cathodal, 2mA, 20 minutes

  • s-tDCSDevice

    Subjects will receive sham transcranial direct stimulation over bilateral DLPFC left/anode right/cathodal, 0mA, 20 minutes

Study groups in NCT03744897
Study groupRoleWhat they receive
Hypnotic analgesiaExperimentalIntervention: - Subjects will receive hypnotic analgesia
Receives: Behavioral: Hypnotic analgesia
a-tDCSExperimentalIntervention: transcranial direct current stimulation - tDCS * active tDCS stimulation * montage: bilateral DLPFC anodal/left and cathodal/right * current:2 milliamps * time: 20 minutes
Receives: Behavioral: Hypnotic analgesia; Device: s-tDCS
s-tDCSSham comparatorSham comparator: transcranial direct current stimulation - tDCS * sham tDCS stimulation * montage: bilateral DLPFC anodal/left and cathodal/right * current: 0 milliamps * time: 20 minutes
Receives: Device: a-tDCS; Other: Hypnotic analgesia + a-tDCS
Hypnotic analgesia + a-tDCSExperimentalIntervention: * hypnotic analgesia * active tDCS stimulation * montage: bilateral DLPFC anodal/left and cathodal/right * current:2 milliamps * time: 20 minutes
Receives: Other: Hypnotic analgesia + a-tDCS

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Alpha waves

    Variations in the alpha waves power from post to pre-intervention using electroencephalography during a cold pressor test

    Measured: 60 minutes

  2. Change in Theta waves

    Variations in the theta waves power from post to pre-intervention using electroencephalography during a cold pressor test

    Measured: 60 minutes

Secondary outcomes (10)
  1. Change in beta waves

    Variations in the beta waves power from post to pre-intervention using electroencephalography during a cold pressor test

    Measured: 60 minutes

  2. Change in gamma waves

    Variations in the gamma waves power from post to pre-intervention using electroencephalography during a cold pressor test

    Measured: 60 minutes

  3. Change in delta waves

    Variations in the delta waves power from post to pre-intervention using electroencephalography during a cold pressor test

    Measured: 60 minutes

  4. Change in Heat thermal threshold

    The measure will be assessed by Quantitative Sensorial Test - QST, in which a thermode delivers a heat stimulus of increasing magnitude. Heat thermal threshold (HTT) is the averaged temperature for 3 stimuli where participant indicates the first heat sensation.

    Measured: 60 minutes

  5. Change in Heat pain threshold

    The measure will be assessed by Quantitative Sensorial Test - QST, in which a thermode delivers a heat stimulus of increasing magnitude. Heat pain threshold (HPT) is the averaged temperature for 3 stimuli where participant indicates the first heat pain sensation.

    Measured: 60 minutes

  6. Change in Heat pain tolerance

    The measure will be assessed by Quantitative Sensorial Test - QST, in which a thermode delivers a heat stimulus of increasing magnitude. Heat pain tolerance (HPTo) is the temperature for the stimulus where participant indicates the maximum pain tolerance.

    Measured: 60 minutes

  7. Change in Numeric pain scale during CPM task

    The measure will be assessed by the conditioned pain modulation (CPM) task in which an ice cold water (0 a 1 degrees Celsius) is the conditioning stimulus presented to the left hand and a moderate heat pain stimulus from the QST to the contralateral hand. The measure consists of the response using a numeric pain scale (0 - 10) for the heat pain stimulus during the CPM task.

    Measured: 60 minutes

  8. Change in Cold Pressor Test 0 to 1 degree Celsius - time

    Participant puts his right hand in an ice cold water (0 a 1 degrees Celsius). Measure consists of the time (in seconds) the participant keeps his hand in the water the maximum he could tolerance.

    Measured: 60 minutes

  9. Change in Cold Pressor Test 10 degree Celsius - time

    Participant puts his right hand in an ice cold water (10 degrees Celsius). Measure consists of the time (in seconds) the participant keeps his hand in the water the maximum he could tolerate.

    Measured: 60 minutes

  10. Change in Cold Pressor Test 10 degree Celsius - pain

    Participant puts his right hand in an ice cold water (10 degrees Celsius). Measure consists of the response to a numeric pain scale (0 to 10) to the pain sensation when the participant withdraw his hand from the water.

    Measured: 60 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Nov 2018
  2. Study start18 Jul 2017
  3. Primary completion1 Nov 2018
  4. Study completion1 Nov 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Model description
1. Hypnotic analgesia + a-tDCS 2. Hypnotic analgesia + s-tDCS 3. Hypnotic analgesia 4. a-tDCS
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03744897
Sponsor's protocol ID
16-0635
Status last verified
Nov 2018
First submitted
21 Sep 2017
Last updated
26 Nov 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Jensen MP, Sherlin LH, Fregni F, Gianas A, Howe JD, Hakimian S. Baseline brain activity predicts response to neuromodulatory pain treatment. Pain Med. 2014 Dec;15(12):2055-63. doi: 10.1111/pme.12546. Epub 2014 Oct 7.

    PubMed 25287554
  • Jensen MP, Day MA, Miro J. Neuromodulatory treatments for chronic pain: efficacy and mechanisms. Nat Rev Neurol. 2014 Mar;10(3):167-78. doi: 10.1038/nrneurol.2014.12. Epub 2014 Feb 18.

    PubMed 24535464
  • Vanegas H, Schaible HG. Descending control of persistent pain: inhibitory or facilitatory? Brain Res Brain Res Rev. 2004 Nov;46(3):295-309. doi: 10.1016/j.brainresrev.2004.07.004.

    PubMed 15571771
  • Foerster AS, Rezaee Z, Paulus W, Nitsche MA, Dutta A. Effects of Cathode Location and the Size of Anode on Anodal Transcranial Direct Current Stimulation Over the Leg Motor Area in Healthy Humans. Front Neurosci. 2018 Jul 4;12:443. doi: 10.3389/fnins.2018.00443. eCollection 2018.

    PubMed 30022928
  • Fregni F, Boggio PS, Mansur CG, Wagner T, Ferreira MJ, Lima MC, Rigonatti SP, Marcolin MA, Freedman SD, Nitsche MA, Pascual-Leone A. Transcranial direct current stimulation of the unaffected hemisphere in stroke patients. Neuroreport. 2005 Sep 28;16(14):1551-5. doi: 10.1097/01.wnr.0000177010.44602.5e.

    PubMed 16148743
  • Beltran Serrano G, Pooch Rodrigues L, Schein B, Zortea M, Torres ILS, Fregni F, Caumo W. The Hypnotic Analgesia Suggestion Mitigated the Effect of the Transcranial Direct Current Stimulation on the Descending Pain Modulatory System: A Proof of Concept Study. J Pain Res. 2020 Sep 16;13:2297-2311. doi: 10.2147/JPR.S253747. eCollection 2020.

    PubMed 32982393
  • Beltran Serrano G, Rodrigues LP, Schein B, Souza A, Torres ILS, da Conceicao Antunes L, Fregni F, Caumo W. Comparison of Hypnotic Suggestion and Transcranial Direct-Current Stimulation Effects on Pain Perception and the Descending Pain Modulating System: A Crossover Randomized Clinical Trial. Front Neurosci. 2019 Jun 26;13:662. doi: 10.3389/fnins.2019.00662. eCollection 2019.

    PubMed 31297046

Questions about this trial

What is this clinical trial studying?

A study testing Hypnotic analgesia, a-tDCS and Hypnotic analgesia + a-tDCS in people with Pain Perception and Pain Acute, run by Hospital de Clinicas de Porto Alegre at 2 sites in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Alpha waves (time frame: 60 minutes). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03744897, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Nov 2018.

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