COVID-19NCT04895267
Low-field Thoracic Magnetic Stimulation Increases Peripheral Oxygen Saturation Levels in COVID-19 Patients
A study testing Low-field thoracic magnetic stimulation (LF-ThMS) in people with COVID-19 and Acute Respiratory Failure, run by Elias Manjarrez at 1 site in Mexico.
Trial summary
This study aimed to present a proof-of-concept that a 30 minutes single-session of low-field thoracic magnetic stimulation (LF-ThMS) on the dorsal thorax can be employed to increase oxygen saturation (SpO2) levels in coronavirus disease (COVID-19) participants significantly. The investigators (Saul M. Read more about this study
- Who is it for?
- Ages 20 to 85 years
- Conditions the study is for
- COVID-19, Acute Respiratory Failure, Oxygen Deficiency
- What is being tested?
- Low-field thoracic magnetic stimulation (LF-ThMS)
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 17 participants
- Where
- 1 siteMexico
- Study dates
- 3 Jul 2020to 17 Sep 2022
- 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 20 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult participants diagnosed with mild to moderate COVID-19 disease without pneumonia.
- COVID-19 participants with a SpO2 level less or equal to 90 %, exhibiting difficulty breathing, but not intubated.
- COVID-19 participants with similar pharmacological treatment against COVID-19.
- 20-85 years old
Who cannot join
- COVID-19 patients with acute respiratory failure requiring urgent intubation
- COVID-19 patients with impaired consciousness
- Pregnant woman
- Patients with metallic implants in the thorax, abdomen, or arms, or with electronic medical devices such as pacemakers
- Children
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Low-field Thoracic Magnetic Stimulation Increases Peripheral Oxygen Saturation Levels in Coronavirus Disease (COVID-19) Patients: a Single-blind, Sham-controlled, Crossover Study
This study aimed to present a proof-of-concept that a 30 minutes single-session of low-field thoracic magnetic stimulation (LF-ThMS) on the dorsal thorax can be employed to increase oxygen saturation (SpO2) levels in coronavirus disease (COVID-19) participants significantly. The investigators (Saul M. Dominguez-Nicolas and Elias Manjarrez) hypothesized that the variables associated with LF-ThMS, as hyperthermia, frequency, and magnetic flux density in the dorsal thorax, might be correlated to SpO2 levels in these participants. The investigators designed a single-blind, sham-controlled, crossover study on COVID-19 participants who underwent two sessions of the study (real and sham LF-ThMS), and other COVID-19 participants who underwent only the real LF-ThMS.
Read the detailed description
The severe acute respiratory syndrome coronavirus (CoV)-2 (SARS-CoV-2) may cause low SpO2 and respiratory failure in COVID-19 patients. Hence the increase of SpO2 levels could be crucial for the quality of life and recovery of these patients. In this clinical trial, the investigators (Saul M. Dominguez-Nicolas and Elias Manjarrez) propose that an electromagnetic device termed low-field thoracic magnetic stimulation (LF-ThMS) system could be employed for 30 minutes to increase SpO2 levels in COVID-19 participants. This device non-invasively delivers a pulsed magnetic field from 100 to 118 Hz and 10.5 to 13.1 milliTesla (mT) (i.e., 105 to 131 Gauss) to the dorsal thorax. In line with preliminary studies, the scientific literature, and other devices currently used in musculoskeletal magnetic therapy, these frequencies and magnetic flux densities are safe for the participants. The investigators designed a single-blind, sham-controlled, crossover study on COVID-19 participants who underwent two sessions of the study (real and sham LF-ThMS) and other participants who underwent only the real LF-ThMS. The study design includes a 30 minutes single-session of LF-ThMS to avoid confounding factors related to the spontaneous recovery by natural immunity, common in many COVID-19 patients several days after the contagion. Here the LF-ThMS protocol is not intended to demonstrate its use as therapy but is instead designed to examine the following physiological hypothesis. The hypothesis that there is a statistically significant correlation between magnetic flux density, frequency, or temperature associated with the real LF-ThMS and SpO2 levels in COVID-19 participants. In this context, the present clinical trial is relevant because it could motivate future randomized clinical trials to examine whether the LF-ThMS could be helpful as a potential therapy.
- Conditions
- COVID-19, Acute Respiratory Failure, Oxygen Deficiency
- Being tested
- Low-field thoracic magnetic stimulation (LF-ThMS)
- Keywords
- SpO2, low-field thoracic magnetic stimulation, SARS-CoV-2
- Medical subject headings
- COVID-19, Hypoxia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Low-field thoracic magnetic stimulation (LF-ThMS)Device
A 30 minutes session of low-field thoracic magnetic stimulation (LF-ThMS) is planned for each participant.
| Study group | Role | What they receive |
|---|---|---|
| Real Low-field thoracic magnetic stimulation (LF-ThMS) | Experimental | Crossover, single-blind session of low field thoracic magnetic stimulation (real LF-ThMS) Receives: Device: Low-field thoracic magnetic stimulation (LF-ThMS) |
| Sham Low-field thoracic magnetic stimulation (LF-ThMS) | Sham comparator | In the same patients the coils are positioned in the same coordinates for sham exposure, but the pulse generator is not turned on. Subjects are blinded for the real LF-ThMS or sham stimulation conditions. Receives: Device: Low-field thoracic magnetic stimulation (LF-ThMS) |
What is being measured
The primary outcome is the main question the study is designed to answer.
1. Change from Baseline Peripheral Oxygen Saturation levels (SpO2) during the intervention
- Change from Baseline Peripheral Oxygen Saturation levels (SpO2) at 30 minutes of LF-ThMS intervention.
Measured: 30 minutes
2. Peripheral Oxygen Saturation levels (SpO2) after the intervention
- To evaluate the safety of the intervention, SpO2 levels also are evaluated up to 6 months after the 30 minutes single session of LF-ThMS intervention.
Measured: 6 months
Secondary outcomes (3)
1. Magnetic hyperthermia
Coils temperature on the dorsal thorax is measured every 5 minutes during a 30 minutes LF-ThMS session (sham and real).
Measured: 30 minutes
2. Frequency of the pulsed magnetic stimulation
The frequency of the pulsed LF-ThMS on the dorsal thorax is measured every 5 minutes during a 30 minutes LF-ThMS session (sham and real).
Measured: 30 minutes
3. Magnetic flux density of the pulsed magnetic stimulation
The magnetic flux density of the pulsed LF-ThMS on the dorsal thorax is measured every 5 minutes during a 30 minutes LF-ThMS session (sham and real).
Measured: 30 minutes
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 May 2021
- Study start3 Jul 2020
- Primary completion3 Aug 2022 (estimated)
- Study completion17 Sep 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for COVID-19Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Crossover
- Model description
- Arms: The investigators designed a single-blind, sham-controlled, crossover study on COVID-19 participants who underwent two sessions of the study (real and sham Low-field thoracic magnetic stimulation, LF-ThMS), and other COVID-19 participants who underwent only the real LF-ThMS. Sham comparator: For sham exposure, the coils were positioned in the same coordinates in the same COVID-19 participants, but the LF-ThMS pulse generator was not turned on.
- Masking
- Double blind
- Who is masked
- Participant, Care provider
- Enrolment
- 17 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Elias Manjarrez
- Sponsor type
- University, hospital or other
- Collaborators
- National Council of Science and Technology, Mexico
- Responsible party
- Sponsor-investigator, Elias Manjarrez, Hospital Univeristario Benemerita Universidad Autonoma de Puebla
- Investigators
- Elias Manjarrez, PhD, Principal investigator, Benemérita Universidad Autónoma de PueblaSaul M Dominguez-Nicolas, PhD, Principal investigator, Universidad Veracruzana
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04895267
- Sponsor's protocol ID
- Registration number: 818
- Status last verified
- Mar 2022
- First submitted
- 15 May 2021
- Last updated
- 16 Mar 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The investigators (Saul M. Dominguez-Nicolas and Elias Manjarrez) plan to make individual participant data (IPD) collected in this study.
Publications
Dominguez-Nicolas SM, Manjarrez E. Low-field thoracic magnetic stimulation increases peripheral oxygen saturation levels in coronavirus disease (COVID-19) patients: A single-blind, sham-controlled, crossover study. Medicine (Baltimore). 2021 Oct 8;100(40):e27444. doi: 10.1097/MD.0000000000027444.
PubMed 34622862
Study at a glance
From the registry record, last updated by the sponsor on 16 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Low-field Thoracic Magnetic Stimulation Increases Peripheral Oxygen Saturation Levels in Coronavirus Disease (COVID-19) Patients: a Single-blind, Sham-controlled, Crossover Study
- ClinicalTrials.gov ID
- NCT04895267
- Acronym / sponsor ID
- Registration number: 818
- Conditions
- COVID-19, Acute Respiratory Failure, Oxygen Deficiency
- Keywords
- SpO2, low-field thoracic magnetic stimulation, SARS-CoV-2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 17 participants (estimated)
- Lead sponsor
- Elias ManjarrezUniversity, hospital or other
- Collaborators
- National Council of Science and Technology, Mexico
- Study start
- 3 Jul 2020 (actual)
- Primary completion
- 3 Aug 2022 (estimated)
- Study completion
- 17 Sep 2022 (estimated)
- First posted
- 20 May 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aimed to present a proof-of-concept that a 30 minutes single-session of low-field thoracic magnetic stimulation (LF-ThMS) on the dorsal thorax can be employed to increase oxygen saturation (SpO2) levels in coronavirus disease (COVID-19) participants significantly. The investigators (Saul M. Dominguez-Nicolas and Elias Manjarrez) hypothesized that the variables associated with LF-ThMS, as hyperthermia, frequency, and magnetic flux density in the dorsal thorax, might be correlated to SpO2 levels in these participants. The investigators designed a single-blind, sham-controlled, crossover study on COVID-19 participants who underwent two sessions of the study (real and sham LF-ThMS), and other COVID-19 participants who underwent only the real LF-ThMS.
Detailed description
The severe acute respiratory syndrome coronavirus (CoV)-2 (SARS-CoV-2) may cause low SpO2 and respiratory failure in COVID-19 patients. Hence the increase of SpO2 levels could be crucial for the quality of life and recovery of these patients. In this clinical trial, the investigators (Saul M. Dominguez-Nicolas and Elias Manjarrez) propose that an electromagnetic device termed low-field thoracic magnetic stimulation (LF-ThMS) system could be employed for 30 minutes to increase SpO2 levels in COVID-19 participants. This device non-invasively delivers a pulsed magnetic field from 100 to 118 Hz and 10.5 to 13.1 milliTesla (mT) (i.e., 105 to 131 Gauss) to the dorsal thorax. In line with preliminary studies, the scientific literature, and other devices currently used in musculoskeletal magnetic therapy, these frequencies and magnetic flux densities are safe for the participants. The investigators designed a single-blind, sham-controlled, crossover study on COVID-19 participants who underwent two sessions of the study (real and sham LF-ThMS) and other participants who underwent only the real LF-ThMS. The study design includes a 30 minutes single-session of LF-ThMS to avoid confounding factors related to the spontaneous recovery by natural immunity, common in many COVID-19 patients several days after the contagion. Here the LF-ThMS protocol is not intended to demonstrate its use as therapy but is instead designed to examine the following physiological hypothesis. The hypothesis that there is a statistically significant correlation between magnetic flux density, frequency, or temperature associated with the real LF-ThMS and SpO2 levels in COVID-19 participants. In this context, the present clinical trial is relevant because it could motivate future randomized clinical trials to examine whether the LF-ThMS could be helpful as a potential therapy.
Study design
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Crossover
- Masking
- Double blind (participant, care provider)
- Number of arms
- 2
- Model description
- Arms: The investigators designed a single-blind, sham-controlled, crossover study on COVID-19 participants who underwent two sessions of the study (real and sham Low-field thoracic magnetic stimulation, LF-ThMS), and other COVID-19 participants who underwent only the real LF-ThMS. Sham comparator: For sham exposure, the coils were positioned in the same coordinates in the same COVID-19 participants, but the LF-ThMS pulse generator was not turned on.
| Arm | Type | Receives |
|---|---|---|
| Real Low-field thoracic magnetic stimulation (LF-ThMS) | Experimental | Device: Low-field thoracic magnetic stimulation (LF-ThMS)Crossover, single-blind session of low field thoracic magnetic stimulation (real LF-ThMS) |
| Sham Low-field thoracic magnetic stimulation (LF-ThMS) | Sham comparator | Device: Low-field thoracic magnetic stimulation (LF-ThMS)In the same patients the coils are positioned in the same coordinates for sham exposure, but the pulse generator is not turned on. Subjects are blinded for the real LF-ThMS or sham stimulation conditions. |
Who may qualify
- Ages
- 20 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Adult participants diagnosed with mild to moderate COVID-19 disease without pneumonia.
- COVID-19 participants with a SpO2 level less or equal to 90 %, exhibiting difficulty breathing, but not intubated.
- COVID-19 participants with similar pharmacological treatment against COVID-19.
- 20-85 years old
Key exclusion criteria (5 listed)
- COVID-19 patients with acute respiratory failure requiring urgent intubation
- COVID-19 patients with impaired consciousness
- Pregnant woman
- Patients with metallic implants in the thorax, abdomen, or arms, or with electronic medical devices such as pacemakers
- Children
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Low-field thoracic magnetic stimulation (LF-ThMS)A 30 minutes session of low-field thoracic magnetic stimulation (LF-ThMS) is planned for each participant. | Device | Real Low-field thoracic magnetic stimulation (LF-ThMS), Sham Low-field thoracic magnetic stimulation (LF-ThMS) |
Primary outcome
1. Change from Baseline Peripheral Oxygen Saturation levels (SpO2) during the intervention
Time frame: 30 minutes
1. Change from Baseline Peripheral Oxygen Saturation levels (SpO2) at 30 minutes of LF-ThMS intervention.
2. Peripheral Oxygen Saturation levels (SpO2) after the intervention
Time frame: 6 months
2. To evaluate the safety of the intervention, SpO2 levels also are evaluated up to 6 months after the 30 minutes single session of LF-ThMS intervention.
3 secondary outcomes
1. Magnetic hyperthermia
Time frame: 30 minutes
2. Frequency of the pulsed magnetic stimulation
Time frame: 30 minutes
3. Magnetic flux density of the pulsed magnetic stimulation
Time frame: 30 minutes
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Mar 2022.
- Derived from this study: PubMed 34622862Dominguez-Nicolas SM, Manjarrez E. Low-field thoracic magnetic stimulation increases peripheral oxygen saturation levels in coronavirus disease (COVID-19) patients: A single-blind, sham-controlled, crossover study. Medicine (Baltimore). 2021 Oct 8;100(40):e27444. doi: 10.1097/MD.0000000000027444.
- Individual participant dataSharing planned: Yes. The investigators (Saul M. Dominguez-Nicolas and Elias Manjarrez) plan to make individual participant data (IPD) collected in this study.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Elias Manjarrez, PhD principal investigator
Benemérita Universidad Autónoma de Puebla
Saul M Dominguez-Nicolas, PhD principal investigator
Universidad Veracruzana
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Low-field thoracic magnetic stimulation (LF-ThMS) in people with COVID-19 and Acute Respiratory Failure, run by Elias Manjarrez at 1 site in Mexico.
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 5 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: status not confirmed, as of the sponsor's last update on 16 Mar 2022. 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 Mexico. 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?
Results are not available in the source record.
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?
1. Change from Baseline Peripheral Oxygen Saturation levels (SpO2) during the intervention (time frame: 30 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 NCT04895267, which also lists 1 linked publication.
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 16 Mar 2022.