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FibromyalgiaNCT04606095

Explosive Synchronization of Brain Network Activity in Chronic Pain

A study testing EEG, Neuroimaging EEG/fMRI (Aim 1) and HD-tDCS treatments in people with Fibromyalgia and Healthy Volunteers, run by University of Michigan at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This project is being conducted to evaluate the impact of explosive synchronization (ES) and its treatment with non-invasive brain stimulation in fibromyalgia (FM). The study design has three components, however, only 2 aims are enrolling participants. Read more about this study

Who is it for?
Ages 19 to 74 yearsHealthy volunteers can take part
Conditions the study is for
Fibromyalgia, Healthy Volunteers
What is being tested?
EEG, Neuroimaging EEG/fMRI (Aim 1) and HD-tDCS treatments
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
150 participants
Where
1 siteUnited States
Study dates
13 Nov 2020to 20 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 19 to 74 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Satisfy the American College of Rheumatology (2011) survey criteria for the classification of Fibromyalgia (FM).
  • Continued presence of pain for more than 50% of days for the past month.
  • Mean recalled pain over the last seven days (7-day recall) greater than or equal to 3 on a 10 centimeter (cm) Visual Analog Scale (VAS) for pain; 7-day recall
  • Willing to limit the introduction of any new medications or treatment modalities for control of FM symptoms during the study.
  • Right-handed.
  • Able to travel to the study site to receive (HD-tDCS) treatments five times weekly
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  • Understanding and willing to complete all study procedures.
  • Capable of giving written informed consent.
  • Right-handed
  • Pain less than 0.5cm on a 10cm Visual Analog Scale (VAS) for pain; 7-day recall
  • Understanding and willing to complete all study procedures
  • Capable of giving written informed consent

Who cannot join

  • Presence of a concurrent autoimmune or inflammatory disease such as rheumatoid arthritis, systemic lupus erythematosus, inflammatory bowel disease, et cetera (etc.) that causes pain.
  • History of head injury with substantial loss of consciousness
  • Peripheral neuropathy of known cause that interferes with activities of daily living.
  • Routine daily use of opioid analgesics, marijuana, or history of substance abuse.
  • Stimulant medications, such as those used to treat attention-deficit/hyperactivity disorder (ADHD)/Attention deficit disorder (ADD) (for example (e.g.), amphetamine/ dextroamphetamine [Adderall®], methylphenidate, dextroamphetamine), or the fatigue associated with sleep apnea or shift work (e.g., modafinil), are excluded.
  • Concurrent participation in other therapeutic trials.
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  • Use of as needed (PRN) over the counter (OTC) pain medications (Nonsteroidal anti-inflammatory drugs (NSAIDs), etc.) on day of electroencephalogram (EEG)/Magnetic resonance imaging (MRI).
  • Use of PRN opioid analgesics 48 hours prior to EEG/MRI scan.
  • Pregnant or nursing. A pregnancy test will be given prior to EEG/MRI sessions.
  • Severe psychiatric illnesses (current schizophrenia, major depression with suicidal ideation, substance abuse within two years)
  • Contraindications to EEG/MRI or HD-tDCS methods. These may include but are not limited to: surgical clips, surgical staples, metal implants, and certain metallic dental material.
  • Any impairment, activity or situation that in the judgment of the Study Coordinator or Principal Investigators that would prevent satisfactory completion of the study protocol. This includes unreliable, or inconsistent pain scores as deemed by the principal investigator.
  • Sufficient knowledge of HD-tDCS techniques to prevent "blinding" of the patient to the study interventions (including significant previous tDCS or HD-tDCS treatment)
  • Presence of factors that may preclude the safe use of HD-tDCS
  • History vascular surgery in lower limbs or current lower limb vascular dysfunction.
  • Subjects with Worker's Compensation, Workman's Compensation, civil litigation or disability claims pertinent to the subject's fibromyalgia; current involvement in out-of-court settlements for claims pertinent to the subject's fibromyalgia; or currently receiving monetary compensation as a result of any of the above.
  • Inability or unwillingness of individual to give written informed consent.
  • Have met the American College of Rheumatology (2011) survey criteria for the classification of FM.
  • Have any chronic medical illness including psychiatric disorders (psychosis, schizophrenia, delusional disorder, etc). (self-reported)
  • History of head injury with substantial loss of consciousness
  • Peripheral neuropathy of known cause that interferes with activities of daily living
  • Routine daily use of opioid analgesics, marijuana or history of substance abuse
  • Stimulant medications, such as those used to treat ADD/ADHD (e.g., amphetamine/ dextroamphetamine [Adderall®], methylphenidate, dextroamphetamine), or the fatigue associated with sleep apnea or shift work (e.g., modafinil), are excluded.
  • Concurrent participation in other therapeutic trials.
  • Pregnant or nursing. A pregnancy test will be given prior to EEG/MRI sessions.
  • Contraindications for EEG or MRI.
  • Use of PRN over the counter (OTC) pain medications (NSAIDs, etc.) on day of MRI scan.
  • Use of PRN opioid analgesics 48 hours prior to MRI scan.
  • Active substance disorder in the past 24 months, as determined by subject self-report.
  • History vascular surgery in lower limbs or current lower limb vascular dysfunction.
  • Any impairment, activity or situation that in the judgment of the Study Coordinator or Principal Investigators that would prevent satisfactory completion of the study protocol.
  • Inability or unwillingness of individual to give written informed consent.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Michigan

    Ann Arbor, Michigan, 48109

Other trials in United States

About this study

This project is being conducted to evaluate the impact of explosive synchronization (ES) and its treatment with non-invasive brain stimulation in fibromyalgia (FM). The study design has three components, however, only 2 aims are enrolling participants. The first part (Aim1) is a cross sectional assessment of brain network explosive synchronization activity, connectivity, and response to pain in healthy controls and age and sex-matched fibromyalgia patients; the third part (Aim 3) is a longitudinal assessment of fibromyalgia patients undergoing one week of sham followed by high-definition transcranial direct current stimulation (HD-tDCS) of the motor cortex (M1) or one week of ES HD-tDCS of a brain region identified from computer modelling (Aim 2).

Read the detailed description

In the first part healthy controls (25 female/10 males) and fibromyalgia (25 female/10 males) participants that are enrolled in this phase will have 3 visits as well as a run-in observational period (up to a total of 33 days). During this time, participants will complete surveys, as well as have electroencephalograms (EEG) with quantitative sensory testing and functional Magnetic resonance imaging (fMRI).

Hypothesis: FM patients will display greater ES in the brain, compared to pain-free controls when assessed with EEG at rest. Furthermore, patients experiencing increased clinical pain, will display increases in ES metrics

In the third part FM patients will be enrolled (50) and receive treatment with either sham treatment followed by M1 HD-tDCS or sham treatment followed by ES HD-tDCS. These participants will also complete surveys and have neuroimaging EEG/MRI.

Hypothesis: Following a course of HD-tDCS targeted at either A.) the motor cortex (M1) or B.) an ES-sensitive region identified in Aim 2, FM patients will display decreased strength of ES conditions (correlation between node degree and frequency) as compared to Sham, when assessed with EEG. Moreover, the degree of pain reduction following HD-tDCS will correlate with the amount of reduction in these network parameters leading to ES. If unable to identify an ES-sensitive region using computer modeling in Aim 2, our hypothesis for motor cortex stimulation is that HD-tDCS at M1 will result in decreased ES conditions as compared to Sham, when assessed with EEG.

After consultation with and approval by NIH from September through November 2024, and IRB approval in January 2025, the testing involved for outcome measures 5 and 6 was removed for future participants, thus effectively demoting those outcome measures to exploratory.

Being tested
EEG, Neuroimaging EEG/fMRI (Aim 1), HD-tDCS treatments, Sham HD-tDCS treatments, Neuroimaging EEG/fMRI (Aim 3)
Keywords
Explosive synchronization
Medical subject headings
Fibromyalgia

What participants receive

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

  • EEGDiagnostic test

    EEG with QST (evoked Pain and Visual Stimulation Assessment)

  • Neuroimaging EEG/fMRI (Aim 1)Diagnostic test

    This will be done to monitor areas of the brain that are involved in thinking and processing pain. The scanner stimulates the brain to send out signals that will be recorded and analyzed. Additionally, during the MRI the participants brain's electrical activity with will be measured with an EEG machine for part of the MRI. About halfway through the scan, participants will have the EEG equipment removed and then will return to the fMRI scanner for a few additional scans.

  • HD-tDCS treatmentsDevice

    HD-tDCS treatments (5 active and 5 sham)

  • Sham HD-tDCS treatmentsDevice

    HD-tDCS treatments (5 active and 5 sham)

  • Neuroimaging EEG/fMRI (Aim 3)Diagnostic test

    This will be done to monitor areas of the brain that are involved in thinking and processing pain. The scanner stimulates the brain to send out signals that will be recorded and analyzed. Additionally, during the MRI the participants brain's electrical activity with will be measured with an EEG machine for part of the MRI. About halfway through the scan, participants will have the EEG equipment removed and then (for participants prior to January 2025) will return to the fMRI scanner for a few additional scans.

Study groups in NCT04606095
Study groupRoleWhat they receive
Aim 1 - Healthy controlExperimentalParticipants will have three visits for this part along with a run-in observation period. An EEG with Quantitative Sensory Testing (QST) will be performed at visit 1 along with other measures. Additionally, the an MRI will be done at visit 2 along with other measures.
Receives: Diagnostic Test: EEG; Diagnostic Test: Neuroimaging EEG/fMRI (Aim 1)
Aim 1 - Fibromyalgia participantExperimentalParticipants will have three visits for this part along with a run-in observation period. An EEG with Quantitative Sensory Testing (QST) will be performed at visit 1 along with other measures. Additionally, the an MRI will be done at visit 2 along with other measures.
Receives: Diagnostic Test: EEG; Diagnostic Test: Neuroimaging EEG/fMRI (Aim 1)
Aim 3 - HD-tDCS of M1ExperimentalThere will be two weeks of treatment in which participants will have 5 daily sessions of focused HD-tDCS or Sham per week.
Receives: Diagnostic Test: EEG; Device: HD-tDCS treatments; Device: Sham HD-tDCS treatments; Diagnostic Test: Neuroimaging EEG/fMRI (Aim 3)
Aim 3- HD-tDCS of ESExperimentalThere will be two weeks of treatment in which participants will have 5 daily sessions of focused HD-tDCS or Sham per week.
Receives: Diagnostic Test: EEG; Device: HD-tDCS treatments; Device: Sham HD-tDCS treatments; Diagnostic Test: Neuroimaging EEG/fMRI (Aim 3)
Aim 3 - ShamSham comparatorThere will be two weeks of treatment in which participants will have 5 daily sessions of focused HD-tDCS or Sham per week.
Receives: Diagnostic Test: EEG; Device: HD-tDCS treatments; Device: Sham HD-tDCS treatments; Diagnostic Test: Neuroimaging EEG/fMRI (Aim 3)

What is being measured

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

  1. Aim 1 - Brain EEG metric of ES obtained at Visit 1: Correlation between EEG alpha band degree and frequency.

    Correlation between EEG alpha band degree and frequency will be calculated as the primary outcome measure. Brain related EEG data will be analyzed using computer software designed for EEG data as well as Statistical Package for the Social Sciences (SPSS).

    Measured: Visit 1 (day 0)

  2. Aim 3 - Change in brain EEG metrics of ES: Change from visit 8 to visit 14 in correlation of EEG alpha band degree and frequency.

    Change of correlation between EEG alpha band degree and frequency from visit 8 to visit 14 is the primary outcome. Brain related EEG data will be analyzed using computer software designed for EEG data as well as SPSS.

    Measured: Visit 8 (approximately day 14- day18), Visit 14 (approximately day 28-32)

Secondary outcomes (2)
  1. Aim 1: Resting brain functional connectivity using functional magnetic resonance imaging obtained at Visit 2

    Resting brain functional connectivity Z statistic will be assessed with functional magnetic resonance imaging (fMRI). The resting brain connectivity to the insula and Default Mode Network structures will be assessed with both seed based and independent component based fMRI analysis.

    Measured: Visit 2 (days 0-3)

  2. Aim 1: Insular Glx (glutamate + glutamine) using proton magnetic resonance spectroscopy obtained at Visit 2

    The concentration of Glx (glutamate + glutamine) within the insular brain region, will be assessed with proton magnetic resonance spectroscopy (H-MRS). Analysis will be done with linear combination model software (LCModel).

    Measured: Visit 2 (days 0-3)

Timeline

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

  1. First posted28 Oct 2020
  2. Study start13 Nov 2020
  3. Primary completion20 Dec 2026 (estimated)
  4. Study completion20 Dec 2026 (estimated)

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
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
This study can run Aims 1 and 3 and the same time. Females that have FM can participate in Aim 3.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04606095
Sponsor's protocol ID
HUM00180975
Other IDs
1R01AT010060-01A1
Status last verified
Sep 2026
First submitted
6 Oct 2020
Last updated
30 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing EEG, Neuroimaging EEG/fMRI (Aim 1) and HD-tDCS treatments in people with Fibromyalgia and Healthy Volunteers, run by University of Michigan at 1 site in United States.

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 12 inclusion and 32 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: under way, not looking for participants, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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?

This study is still under way. Results are not available in the source record yet.

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?

Aim 1 - Brain EEG metric of ES obtained at Visit 1: Correlation between EEG alpha band degree and frequency. (time frame: Visit 1 (day 0)). 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?
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 30 Sep 2026.

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