The Neurobiology of Expectancy and Pain Perception
A Brain Imaging Study of the Analgesic Effect of Lidocaine and the Hyperalgesic Effect of Capsaicin
1 other identifier
interventional
38
1 country
1
Brief Summary
This study will use using fMRI (functional Magnetic Resonance Imaging) to elucidate how contextual learning/expectation relieves or aggravates pain experience in the same cohort of subjects and the same study session.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable pain
Started Jun 2012
Typical duration for not_applicable pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 24, 2012
CompletedFirst Posted
Study publicly available on registry
April 11, 2012
CompletedStudy Start
First participant enrolled
June 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2013
CompletedResults Posted
Study results publicly available
October 13, 2017
CompletedOctober 13, 2017
January 1, 2017
1.3 years
February 24, 2012
January 6, 2017
September 12, 2017
Conditions
Outcome Measures
Primary Outcomes (2)
Subjective Response to Pain (0-20 Visual Analogue Scale)
Subjects received heat pain before and after the application of a neutral cream (told one application of neutral cream was lidocaine, one was capsaicin, and one was neutral) and rated pain intensity on a 0-20 Visual Analogue Scale (0-no pain, 20-intolerable pain). We only measure this outcome measure in session 3. The pain intensity for each cream was averaged amongst all participants for both the pre and post treatment in session 3. Subjects have up to 3 weeks to complete the 3 sessions.
Weeks 1-3
fMRI Signal Changes in the Dorsal Anterior Cingulate Cortex
We used fMRI to investigate the signal changes associated with administration of identical pain stimuli before (pre) and after the treatment (post) with different creams in session 3. It is important to note that the subjects had multiple weeks to complete the study, but this measure was only taken during one session. The change was calculated from two time points as the value at the later time point (post treatment) minus the value at the earlier time point (pre treatment).
Week 4
Study Arms (1)
Arm 1
EXPERIMENTALThere is only one cohort in this study. All subjects receive the same intervention, the application of heat pain using TSA or CHEPS.
Interventions
TSA-2001 Thermal Sensory Analyzer (Medoc LTD Advanced Medical Systems) or the Pathway Medoc (CHEPS model, Contact Heat-Evoked Potential Stimulator, Medoc LTD Advanced Medical Systems)
Eligibility Criteria
You may qualify if:
- a) Healthy male and female adults aged 21-50
- b) No contraindications to fMRI scanning
- c) Right handed
You may not qualify if:
- a) Current or past history of major medical, neurological, or psychiatric illness
- b) Pregnancy or breast feeding, menopause, and irregular menstrual cycles (length of cycle must be within 26 to 32 days)
- c) Claustrophobia
- d) History of head trauma
- e) History of impaired elimination
- f) Instability of responses to experimental pain (see Study Procedures Section)
- g) Use of psychotropic drugs, hormone treatments (including hormonal birth control) within 1 year
- h) Non-fluent speaker of English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Massachusetts General Hospital
Charlestown, Massachusetts, 02129, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Jian Kong
- Organization
- Massachusetts General Hospital
Study Officials
- PRINCIPAL INVESTIGATOR
Jian Kong, MD,eq/MS/MPH
Massachusetts General Hospital
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
February 24, 2012
First Posted
April 11, 2012
Study Start
June 1, 2012
Primary Completion
October 1, 2013
Study Completion
October 1, 2013
Last Updated
October 13, 2017
Results First Posted
October 13, 2017
Record last verified: 2017-01
Data Sharing
- IPD Sharing
- Will not share