Transcranial Magnetic Stimulation for Chronic Pain

EM
AJ
Overseen ByAlisa J Johnson
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: National Institute of Neurological Disorders and Stroke (NINDS)
Must be taking: Pain medications
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the use of transcranial magnetic stimulation (TMS), a non-invasive treatment, to determine its effectiveness in reducing chronic pain. Researchers aim to assess whether this treatment is practical, well-tolerated by patients, and effective in lowering pain levels. Suitable candidates have experienced chronic neuropathic pain for at least three months and maintain a stable pain medication routine. Participants will undergo different sequences of TMS treatment to compare its effects. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this innovative therapy.

What prior data suggests that transcranial magnetic stimulation is safe for chronic pain patients?

Earlier studies have shown that transcranial magnetic stimulation (TMS) holds promise for chronic pain relief. Research indicates that patients generally tolerate TMS well. For instance, one study with 193 patients found that 42% experienced significant pain relief. Importantly, no serious side effects emerged, making TMS a viable option for many.

Additionally, the FDA has already approved TMS for treating conditions like depression and migraines, suggesting its safety. The most common side effects are mild, including headaches, discomfort at the treatment site, and tiredness. These effects are usually temporary and manageable.

Overall, TMS appears to be a safe choice for those considering participation in a clinical trial for chronic pain relief.12345

Why are researchers excited about this trial?

Researchers are excited about Transcranial Magnetic Stimulation (TMS) for chronic pain because it offers a non-invasive alternative to traditional pain management methods like opioids, which can have significant side effects and addiction risks. Unlike medications that work chemically, TMS uses magnetic fields to stimulate nerve cells in the brain, potentially altering pain perception. This treatment is unique in its ability to target specific areas of the brain, offering a personalized approach to pain relief. Additionally, TMS can provide benefits without the systemic side effects often associated with pharmacological treatments, making it a promising option for those seeking alternative pain management solutions.

What evidence suggests that transcranial magnetic stimulation might be an effective treatment for chronic pain?

This trial will evaluate the effectiveness of transcranial magnetic stimulation (TMS) for chronic pain. Research has shown that TMS might reduce long-term pain by affecting brain areas involved in pain processing, potentially lowering pain levels. Participants will experience different sequences of TMS, including real on-target and off-target control sessions, to assess its impact on pain management. Although researchers continue to study TMS for long-term pain, these initial findings are promising for its ability to manage pain.678910

Who Is on the Research Team?

EM

Eric M Wassermann, M.D.

Principal Investigator

National Institute of Neurological Disorders and Stroke (NINDS)

Are You a Good Fit for This Trial?

This trial is for adults with chronic neuropathic pain. Participants must be able to attend outpatient visits and complete study procedures. People with certain medical or psychiatric conditions, or those who can't safely undergo brain stimulation, may not be eligible.

Inclusion Criteria

I am willing and able to follow all study procedures and attend all visits.
I am 18 years old or older.
In stable health as determined by study personnel, and without acute medical or mental illness for the past six weeks
See 1 more

Exclusion Criteria

Non-removable body piercings
Ferromagnetic metal in the cranial cavity or eye, implanted neural stimulator, cochlear implant, or ocular foreign body
Implanted electronics contraindicated for MRI or TMS, such as cardiac pacemaker or auto-defibrillator or pumps
See 10 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo multi-day transcranial magnetic stimulation (TMS) sessions targeting brain regions responsible for assigning value to events

3 days per intervention block
Multiple visits for TMS sessions

Follow-up

Participants are monitored for changes in pain ratings and other exploratory measures after TMS intervention

36 months

What Are the Treatments Tested in This Trial?

Interventions

  • Transcranial Magnetic Stimulation

Trial Overview

The study tests transcranial magnetic stimulation (TMS), a noninvasive method that uses magnetic fields to stimulate specific brain areas involved in how we value experiences, compared to a sham (inactive) procedure. The goal is to see if TMS can help reduce chronic pain.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Sequence BExperimental Treatment2 Interventions
Group II: Sequence AExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Institute of Neurological Disorders and Stroke (NINDS)

Lead Sponsor

Trials
1,403
Recruited
655,000+

Citations

Cannabinoids in the management of difficult to treat pain - PMC

A recent brief trial of smoked cannabis (3.56% THC cigarettes 3 times daily) in HIV-associated neuropathy showed positive results on daily pain, hyperalgesia ...

Pain Management Resource Center

Chronic pain affects an estimated 86 million American adults to some degree. Here you'll find the latest pain management information including treatments, ...

Pain | National Institute of Neurological Disorders and Stroke

Pain that continues for longer than three months is called chronic pain. Chronic pain can happen without a known cause and persist after an ...

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journals.lww.com

journals.lww.com/pain

PAIN

Explore PAIN, featuring peer‑reviewed articles, clinical studies, and the latest medical research.

PAIN® | Journal | ScienceDirect.com by Elsevier

Read the latest articles of PAIN® at ScienceDirect.com, Elsevier's leading platform of peer-reviewed scholarly literature.

Effects of multiple transcranial magnetic stimulation sessions ...

In total, 193 patients completed test period of 4 rTMS sessions and 42% of them reported a pain relief (PR) greater than 30%, with concurrent ...

The efficacy and safety of repetitive transcranial magnetic ...

rTMS was highly feasible and acceptable, as evidenced by excellent session attendance and no participant attrition. No serious adverse events were reported.

Can TMS Therapy Reduce Chronic Pain? What the Science ...

Minimal side effects – Compared to other treatments, TMS has relatively few risks. early results suggest it could be a game-changer for some ...

Effect of Repetitive Transcranial Magnetic Stimulation on ...

Overall, our findings suggested that rTMS is beneficial for treating neuropathic pain of various origins, such as central pain, pain from ...

Evidence Brief: Transcranial Magnetic Stimulation (TMS) for ...

rTMS may reduce symptoms in people with chronic pain, post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), and opiate addiction, but findings ...