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Post-Surgical Pain, ChronicNCT07199361

Uncovering the Mechanism of Pain Relief by Peripheral Transcutaneous Magnetic Stimulation

A study testing Peripheral Transcutaneous Magnetic Stimulation from MagVenture in people with Post-Surgical Pain, Chronic and Post-traumatic Pain, Chronic, run by Florida International University at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This research aims to uncover the Mechanisms of pain relief through the FDA-cleared peripheral transcutaneous magnetic stimulation (pTMS) device by MagVenture. 50 people with chronic pain (post-surgical or post-traumatic) will be identified and recruited. Read more about this study

Who is it for?
Ages 19 to 80 years
What is being tested?
Peripheral Transcutaneous Magnetic Stimulation from MagVenture
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteUnited States
Study dates
24 Mar 2025to 25 Feb 2028
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of chronic peripheral pain secondary to trauma or surgery. Age 19 - 80; the lower end of this age range was chosen to capture young adults with pain, and participants over 80 years are increasingly likely to meet one or more exclusion criteria.
  • Currently receiving pain medication Chronic pain must self-report peripheral pain, more than once per week, for at least three consecutive months

Who cannot join

  • Implanted Electronic Devices and / or Conductive Objects in or near the head: Patients who have an implanted device that is activated or controlled in any way by physiological signals (examples: deep brain stimulators, cochlear implants, and vagus nerve stimulators).
  • Non-Removable Metallic Objects near the coil: Patients who have conductive, ferromagnetic, or other magnetic-sensitive metals implanted in their head or within 30 cm of the treatment coil (examples: cochlear implants, implanted electrodes/stimulators, aneurysm clips or coils, stents, and bullet fragments). F NOTE: Standard amalgam dental fillings are not affected by the magnetic field and are acceptable in patients.
  • Active microbial infections may alter the quantity or quality of blood inflammatory cells such as monocytes and neutrophils.
  • Positive Urine Drug test: (COC/AMP/OPI/mAMP/PCP/BAR/BZO/MTD/MDMA/OXY/PPX/BUP/TCA) Use of any medication other than pain medications. However, participants will not be excluded or asked to withdraw from medications used for pain management since temporary withdrawal from these medications could affect pain measures (exceptions will be therapies such as methadone or buprenorphine used to treat opioid addiction). Only those who have been stable on these medications for at least 60 days will be included. All patient medications used for at least 60 days prior to participation will be recorded and controlled in statistical analyses as needed.
  • Systemic rheumatic disease (e.g., rheumatoid arthritis, systemic lupus erythematosus). These rheumatologic conditions will be excluded due to their autoimmune characteristic.
  • Cachexia (wasting syndrome) and severe frailty as determined by the Groningen Frailty Index (score >4). This exclusion is in place to protect against the stress of experimental pain testing.
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  • Uncontrolled hypertension (i.e. SBP/DBP of >140/90) or cardiovascular or peripheral arterial disease. These exclusions are in place primarily for safety reasons because the cold pressor task represents a cardiovascular challenge. However, uncontrolled hypertension can also affect pain perception, which is another reason for excluding these individuals.
  • Poorly controlled diabetes (HbA1c > 8%) for both safety reasons and because diabetic neuropathy could alter pain perception.
  • Neurological disease (e.g. Parkinson's, multiple sclerosis). Serious psychiatric disorder requiring hospitalization within the past 12 months or characterized by active suicidal ideation. Any participant deemed to be actively suicidal upon study screening will be escorted to the emergency room and evaluated by the Psychiatry Service.
  • A diminished cognitive function that would interfere with the understanding of study procedures. The Mini-Mental Status Exam (MMSE) will be administered to ensure that participants are free of cognitive impairment that would compromise study participation. MMSE <18 will be excluded.
  • Pregnancy

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Associate Professor contact

305-348-9634

saaggarw@fiu.edu

United States1 site, 1 recruiting
  • Ambulatory Care Center, Florida International University

    Miami, Florida, 33199

    Milene Echevarria, 305-348-6023, mechevar@fiu.edu

    Recruiting

Other trials in United States

About this study

This research aims to uncover the Mechanisms of pain relief through the FDA-cleared peripheral transcutaneous magnetic stimulation (pTMS) device by MagVenture. 50 people with chronic pain (post-surgical or post-traumatic) will be identified and recruited. The eligibility for participation in the study will be evaluated by a series of pain and mental health questionnaires followed by quantitative sensory testing (QST) to assess response to noxious heat, cold, and pressure stimuli. Blood will be drawn to isolate plasma, serum, and leukocytes. Participants will then undergo pTMS at the site of pain for four consecutive days. At the end of the therapy, pain testing will be done again, followed by blood withdrawal to assess the changes in plasma and leukocyte levels of mediators of pain. It is anticipated that pTMS will increase mediators of pain relief and reduce inflammatory mediators. Risks: It is possible that a few participants may not respond to pTMS therapy. However, plasma analysis of mediators of pain may help stratify these participants into responders vs. non-responders. Risks associated with the study are minimal and mainly involve discomfort associated with pain testing. The importance of knowledge gained includes understanding pain relief mechanisms by medical devices such as pTMS, which will result in better pain management.

Read the detailed description

Chronic pain (pain lasting ≥3 months) is a debilitating condition associated with depression, dementia, increased risk of suicide, decreased productivity, and substance abuse. Opioids continue to be a crucial part of pain management. However, the misuse of prescription opioids has led to a shift towards injectable opioids such as heroin, with nearly 80% of new heroin users reporting prior use of prescription opioids. Further, co-morbid substance abuse can exacerbate pain symptoms despite pharmaceutical treatment, revealing the limitations of current pain management strategies. Due to tolerance, people with a history of opioid dependence often need higher doses of opioids to treat acute pain and long-term opioid use paradoxically worsens chronic pain. From a public health perspective, there is an increased chance of transmitting and acquiring hepatitis B and C due to opioid use-related engagement in risky behaviors. Moreover, the economic burden of untreated pain in the US is estimated to be more than $100 billion per year. Therefore, there is an urgent need to develop novel therapeutic strategies and reduce reliance on opioids.

Peripheral Transcutaneous Magnetic Stimulation (pTMS) is a non-invasive method of relieving pain by stimulating the target area with magnetic pulses. The magnetic field pulse passing into the body induces a voltage difference between any two points, which creates an electric field and causes electrons to flow between these two points. The magnetic field can penetrate deep tissue, such as spinal nerve roots or muscles. No mechanical contact is necessary, making pTMS applicable to patients with extreme hypersensitivity or allodynia to skin touch. pTMS is FDA-cleared for post-traumatic and post-surgical chronic pain. However, to date, no clear evidence has emerged about pTMS's potential mechanism of pain relief, which has moderated its applicability and acceptability.

The study will require recruiting patients over the phone, followed by an on-site visit, which includes patient interaction, blood collection, pain study, performing pTMS therapy at the site of pain, and patient monitoring. Three more on-site visits on consecutive days will include pTMS therapy. The last (fourth) visit will include specimen collection and a pain study. The first and the fourth visits will take 2.5 hours, while the second and the third visits will require 30 minutes. The participants will be followed over the phone every 30 days till the completion of the study to inquire about their wellness.

Being tested
Peripheral Transcutaneous Magnetic Stimulation from MagVenture
Keywords
Peripheral Transcutaneous Magnetic Stimulation, Post-Traumatic and Post-Surgical Chronic Pain
Medical subject headings
Pain, Postoperative, Bronchiolitis Obliterans Syndrome

What participants receive

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

  • Peripheral Transcutaneous Magnetic Stimulation from MagVentureDevice

    MagVenture Pain Therapy System: It is an FDA-cleared magnetic stimulator system that provides brief and focused magnetic pulses to non-invasively stimulate peripheral nerves and provide relief of chronic intractable, post-traumatic, and post-surgical pain for patients 18 years or older. It is a relatively new technique in the US for pain relief in the clinical setting and thus not very widespread yet. Evidence shows Magnetic Peripheral Nerve Stimulation to have a promising average pain relief of up to 87%*. Using magnetic pulses, MagVenture Pain Therapy engages sensory, pain, and motor fibers mechanistically to recondition the central nervous system by eliminating noxious pain signals to the brain, reducing chronic neuropathic pain for responsive patients.

    *Bedder M, Parker L.: Magnetic Peripheral Nerve Stimulation (mPNS) for Chronic Pain, 2023

Study groups in NCT07199361
Study groupRoleWhat they receive
Post-traumatic or post-surgical chronic painExperimentalArm Description: 50 Participants with post-surgical or post-traumatic chronic pain below the neck will be administered peripheral transcutaneous magnetic stimulation at the site of pain for 13 minutes for 4 consecutive days. Participants will be male or female between the ages of 19 and 80 years.
Receives: Device: Peripheral Transcutaneous Magnetic Stimulation from MagVenture

What is being measured

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

  1. Pressure Pain Assessment

    Pressure Pain Threshold. A handheld probe (Algomed, Medoc) with a small (less than ½ inch wide) rubber tip will be used to apply pressure to the participant's forearm and shoulder. The pressure will slowly increase, and the participant will be asked to click a button when they first feel pain as a result of the pressure stimulation. The pressure will be removed as soon as the participant presses this button. This particular algometer will be used because it provides the examiner with visual feedback to maintain a consistent application rate, which is critical for maintaining high inter-examiner reliability. To assess the pressure pain threshold, the examiner will apply a constant rate of pressure, and the participant will be instructed to press a button when the sensation first becomes painful, at which time the device records the pressure in kilopascals. Higher kilopascals would suggest less pressure pain.

    Measured: 1. On Day 1 (Baseline) 2. On Day 4 (post therapy)

  2. Thermal (Heat) pain

    Thermal (Heat) (Threshold, pain, and tolerance) will be assessed using TSA2 Air device from Medoc:

    A slowly increasing heat stimulus that the participant can terminate by pressing a button when it becomes painful or intolerable. The participant would press the button when they first feel warm (threshold), pain, or can no longer tolerate the heat.

    Lower heat indices indicate higher thermal sensitivity.

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post therapy)

  3. Thermal (Cold) Pain

    Thermal (Cold) (Threshold, pain, and tolerance) will be assessed using TSA2 Air device from Medoc: A slowly decreasing cold stimulus that the participant can terminate by pressing a button when it becomes painful or intolerable. The participant would press the button when they first feel cold (threshold), pain, or can no longer tolerate the cold. Higher cold indices indicate higher thermal sensitivity.

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post therapy)

  4. Temporal Heat Summation

    Temporal heat summation will be measured using TSA2 Air device. A series of 5 brief heat pulses (about 2 seconds in duration) will be given, and the participant will be asked to rate how painful each heat pulse feels on a scale from 0 to 100. These heat pulses will be repeated at different temperatures (44° C, 46° C, and 48° C). The participant can stop the procedures at any time so that they do not experience unacceptable pain.

    Greater pain ratings indicate more pain

    Measured: 1. On day 1 (Baseline) 2. On Day 4 (Post therapy)

  5. Conditioned Pain Modulation

    Conditioned pain modulation (CPM) will be tested by TSA2 Air Device. The standard thermode will be placed on the left hand, and the heat pain rating will be assessed at 46 degrees. Then the right hand will be immersed in cold water for 30 seconds. The Heat pain test will be performed again on the left hand to assess Pain modulation.

    A normal response would indicate a decrease in heat pain on the left hand after immersing the right hand in cold water.

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post Therapy)

Secondary outcomes (10)
  1. McGill Pain Questionnaire-Short Form

    Description: 15 descriptors (11 sensory; 4 affective) using an intensity scale ranging from 0-3 on the pain scale (0 = no pain, 1 = mild pain, 2 = moderate pain, or 3 = severe pain) A higher number indicates more pain

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post therapy)

  2. Brief Pain Inventory

    A set of 4 Pain Questionnaire:

    Worst pain in last 24 hours: (1-10) Least pain in last 24 hours (1-10) Pain on average (1-10) Pain right now (1-10) Total possible score: 40 A higher number indicates more pain

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post therapy)

  3. Present Pain Index

    A pain score of current pain on the scale of 0-5 A higher number indicates more pain

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post therapy)

  4. Visual Analogue scale

    A visual pain scale of 1-100 A higher number indicates more pain

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post therapy)

  5. PHQ-9

    Patient Health Questionnaire (depression screening) Scores : 0-27 A higher number indicates greater depression

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post therapy)

  6. GAD-7

    General Anxiety Disorder 7 items scored between 0-3. Score: 0-21 A higher number indicates more anxiety

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post therapy)

  7. Vascular Reactivity Index (VRI)

    A vascular function test using the Vendys Endothelix device Measures Vascular function Score: 0-3 (VRI) The higher the number, the better the vascular function.

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post therapy)

  8. Measuring Endogenous Opioids in Plasma

    20 ml of blood will be drawn to isolate plasma and peripheral leukocytes in pg/ml. Lower endogenous opioids indicate more pain.

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post therapy)

  9. Measuring Inflammatory cytokines in Plasma

    A 20 ml blood sample will be collected, and plasma cytokines will be measured in mg/ml.

    Higher plasma cytokines indicate more pain

    Measured: 1. On Day 1 (Baseline) 2. On Day 4 (Post Therapy)

  10. Measuring endogenous opioids in peripheral immune cells.

    A 20 ml blood sample will be collected, and endogenous opioids will be measured in pg/mg protein.

    Lower endogenous opioids would indicate more pain

    Measured: 1. On day 1 (Baseline) 2. On day 4 (Post Therapy)

Timeline

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

  1. First posted30 Sep 2025
  2. Study start24 Mar 2025
  3. Primary completion25 Jan 2028 (estimated)
  4. Study completion25 Feb 2028 (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
Basic science
Allocation
Not applicable
Intervention model
Single group
Model description
The study is a "pre vs. post" pTMS therapy, a one-group pretest-posttest study model. In this model, all the study participants will undergo pTMS for 4 consecutive days, and the changes in the mediators of chronic pain in plasma, serum, and peripheral immune cells will be measured in therapy responders and non-responders before pTMS and again after pTMS. The goal is to see if the intervention caused a change in the outcome within that same group.
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07199361
Sponsor's protocol ID
IRB-25-0065
Status last verified
Oct 2026
First submitted
21 Sep 2025
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: Data obtained through this study may be provided to qualified researchers with academic interest in Chronic Pain. Data or samples shared will be coded, with no PHI included. Approval of the request and execution of all applicable agreements (i.e. a material transfer agreement) are prerequisites to the sharing of data with the requesting party

Questions about this trial

What is this clinical trial studying?

A study testing Peripheral Transcutaneous Magnetic Stimulation from MagVenture in people with Post-Surgical Pain, Chronic and Post-traumatic Pain, Chronic, run by Florida International University 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 2 inclusion and 11 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: looking for participants now, as of the sponsor's last update on 27 Oct 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. 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?

Contact Associate Professor (305-348-9634, saaggarw@fiu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pressure Pain Assessment (time frame: 1. On Day 1 (Baseline) 2. On Day 4 (post therapy)). The study lists 5 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 27 Oct 2026.

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