NCT02562222

Brief Summary

The aim of this study is to establish an optimized protocol of tDCS that normalize the lack of habituation and efficiency of inhibitory cortical circuits in migraine patients and determine tDCS polarity and the best cortical areas to stimulate which could normalize the lack of habituation and efficiency of inhibitory cortical circuits. For this, migraineurs volunteers will undergo to some tDCS protocols or sham tDCS.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
14

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started May 2016

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 22, 2015

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 29, 2015

Completed
7 months until next milestone

Study Start

First participant enrolled

May 1, 2016

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2016

Completed
1.7 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2018

Completed
Last Updated

May 11, 2016

Status Verified

May 1, 2016

Enrollment Period

3 months

First QC Date

September 22, 2015

Last Update Submit

May 10, 2016

Conditions

Keywords

migraine disorderstranscranial direct current stimulationelectric stimulation therapypainrehabilitation

Outcome Measures

Primary Outcomes (1)

  • Changes on VAS

    this scale will be used to measure the patients' pain intensity. VAS is an important instrument to verify, reliably, the patient's evolution during treatment. This scale will be used at beginning and end of each period (observation and treatment), before and after each tDCS session. For the VAS use, pain intensity will be asked to the patient. 0 cm means total pain absence and 10 cm is the level of maximum pain bearable by the patient.

    through study completion, assessed up to 3 weeks (before and after each section)

Secondary Outcomes (5)

  • Changes on Visual Evoked Potentials measures

    through study completion, assessed up to 3 weeks (before and after each section)

  • Changes on motor evoked potentials

    through study completion, assessed up to 3 weeks (before and after each section)

  • Changes on intracortical inhibition

    through study completion, assessed up to 3 weeks (before and after each section)

  • Changes on intracortical facilitation

    through study completion, assessed up to 3 weeks (before and after each section)

  • Changes from phosphene threshold

    through study completion, assessed up to 3 weeks (before and after each section)

Study Arms (7)

anodal tDCS on M1

EXPERIMENTAL

anodal tDCS on left primary motor cortex

Procedure: anodal tDCS on M1

cathodal tDCS on M1

EXPERIMENTAL

cathodal tDCS on left primary motor cortex

Procedure: cathodal tDCS on M1

anodal tDCS on V1

EXPERIMENTAL

anodal tDCS on visual cortex

Procedure: anodal tDCS on V1

cathodal tDCS on V1

EXPERIMENTAL

cathodal tDCS on visual cortex

Procedure: cathodal tDCS on V1

anodal tDCS on M1 and cathodal on V1

EXPERIMENTAL

dual tDCS - anodal tDCS on left primary motor cortex and cathodal on visual cortex

Procedure: anodal tDCS on M1 and cathodal on V1

cathodal tDCS on M1 and anodal on V1

EXPERIMENTAL

dual tDCS - cathodal tDCS on left primary motor cortex and anodal on visual cortex

Procedure: cathodal tDCS on M1 and anodal on V1

sham tDCS

SHAM COMPARATOR

sham tDCS

Procedure: sham tDCS

Interventions

The direct electric current will be applied by surface electrodes with 35cm² and composed of rubbers conductive electricity and surrounded by sponges soaked in saline solution. The electrodes position will be performed according the 10-20 international system of marking and the different montages will be realized by distinct applications sites. To stimuli the primary motor cortex the active electrode will be positioned on C3 point and the reference electrode on the contralateral supraorbital region. To visual cortex stimulation, the active electrode will be positioned on the Oz point and the reference on Cz. To duo stimulation, the two electrodes will be considerate actives, stimulating the visual and motor cortex simultaneously. The sham tDCS has already been used in several studies to assess the effect active tDCS and the duration of the current is only 30 seconds.

anodal tDCS on M1

The direct electric current will be applied by surface electrodes with 35cm² and composed of rubbers conductive electricity and surrounded by sponges soaked in saline solution. The electrodes position will be performed according the 10-20 international system of marking and the different montages will be realized by distinct applications sites. To stimuli the primary motor cortex the active electrode will be positioned on C3 point and the reference electrode on the contralateral supraorbital region. To visual cortex stimulation, the active electrode will be positioned on the Oz point and the reference on Cz. To duo stimulation, the two electrodes will be considerate actives, stimulating the visual and motor cortex simultaneously. The sham tDCS has already been used in several studies to assess the effect active tDCS and the duration of the current is only 30 seconds.

cathodal tDCS on M1

The direct electric current will be applied by surface electrodes with 35cm² and composed of rubbers conductive electricity and surrounded by sponges soaked in saline solution. The electrodes position will be performed according the 10-20 international system of marking and the different montages will be realized by distinct applications sites. To stimuli the primary motor cortex the active electrode will be positioned on C3 point and the reference electrode on the contralateral supraorbital region. To visual cortex stimulation, the active electrode will be positioned on the Oz point and the reference on Cz. To duo stimulation, the two electrodes will be considerate actives, stimulating the visual and motor cortex simultaneously. The sham tDCS has already been used in several studies to assess the effect active tDCS and the duration of the current is only 30 seconds.

anodal tDCS on V1

The direct electric current will be applied by surface electrodes with 35cm² and composed of rubbers conductive electricity and surrounded by sponges soaked in saline solution. The electrodes position will be performed according the 10-20 international system of marking and the different montages will be realized by distinct applications sites. To stimuli the primary motor cortex the active electrode will be positioned on C3 point and the reference electrode on the contralateral supraorbital region. To visual cortex stimulation, the active electrode will be positioned on the Oz point and the reference on Cz. To duo stimulation, the two electrodes will be considerate actives, stimulating the visual and motor cortex simultaneously. The sham tDCS has already been used in several studies to assess the effect active tDCS and the duration of the current is only 30 seconds.

cathodal tDCS on V1

The direct electric current will be applied by surface electrodes with 35cm² and composed of rubbers conductive electricity and surrounded by sponges soaked in saline solution. The electrodes position will be performed according the 10-20 international system of marking and the different montages will be realized by distinct applications sites. To stimuli the primary motor cortex the active electrode will be positioned on C3 point and the reference electrode on the contralateral supraorbital region. To visual cortex stimulation, the active electrode will be positioned on the Oz point and the reference on Cz. To duo stimulation, the two electrodes will be considerate actives, stimulating the visual and motor cortex simultaneously. The sham tDCS has already been used in several studies to assess the effect active tDCS and the duration of the current is only 30 seconds.

anodal tDCS on M1 and cathodal on V1

The direct electric current will be applied by surface electrodes with 35cm² and composed of rubbers conductive electricity and surrounded by sponges soaked in saline solution. The electrodes position will be performed according the 10-20 international system of marking and the different montages will be realized by distinct applications sites. To stimuli the primary motor cortex the active electrode will be positioned on C3 point and the reference electrode on the contralateral supraorbital region. To visual cortex stimulation, the active electrode will be positioned on the Oz point and the reference on Cz. To duo stimulation, the two electrodes will be considerate actives, stimulating the visual and motor cortex simultaneously. The sham tDCS has already been used in several studies to assess the effect active tDCS and the duration of the current is only 30 seconds.

cathodal tDCS on M1 and anodal on V1
sham tDCSPROCEDURE

The direct electric current will be applied by surface electrodes with 35cm² and composed of rubbers conductive electricity and surrounded by sponges soaked in saline solution. The electrodes position will be performed according the 10-20 international system of marking and the different montages will be realized by distinct applications sites. To stimuli the primary motor cortex the active electrode will be positioned on C3 point and the reference electrode on the contralateral supraorbital region. To visual cortex stimulation, the active electrode will be positioned on the Oz point and the reference on Cz. To duo stimulation, the two electrodes will be considerate actives, stimulating the visual and motor cortex simultaneously. The sham tDCS has already been used in several studies to assess the effect active tDCS and the duration of the current is only 30 seconds.

sham tDCS

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Ages: 18-55 years
  • Gender: Both
  • Presented diagnostic of episodic migraine with or without aura or probably migraine with or without aura according to the criteria for diagnosis of ICHD-III
  • Disease duration of at least 12 months
  • Without preventive medication for at least 6 months prior to initiation of treatment

You may not qualify if:

  • Pregnant women;
  • Pacemaker;
  • History of seizures;
  • Metallic implants in the head;
  • Patients with clinical evidence of brain injuries;
  • Chronic pain associated to others diseases;
  • Use of neuroleptic medications

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Applied Neuroscience Laboratory

Recife, Pernambuco, Brazil

RECRUITING

MeSH Terms

Conditions

Migraine DisordersPain

Condition Hierarchy (Ancestors)

Headache Disorders, PrimaryHeadache DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Kátia Monte-Silva, PhD

    Universidade Federal de Pernambuco

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Kátia Monte-Silva, PhD

CONTACT

Sérgio Rocha, MsC

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

September 22, 2015

First Posted

September 29, 2015

Study Start

May 1, 2016

Primary Completion

August 1, 2016

Study Completion

April 1, 2018

Last Updated

May 11, 2016

Record last verified: 2016-05

Locations