NCT04250662

Brief Summary

This is a single blind, randomized, exploratory study of transcranial direct stimulation (tDCS) intervention or sham tDCS administered with a standardized guided imagery intervention for chronic pelvic pain. Transcranial Direct Current Sstimulation (tDCS) is a non-invasive brain stimulation therapy. Guided Imagery is a form of hypnosis used to create relaxation.Up to 25 adult women with chronic pelvic pain will be enrolled and randomized (like a flip of a coin). Subjects will remain blinded throughout the study. Subjects will be randomized into one of the following four arms: active tDCS with guided imagery, active tDCS alone (without guided imagery), sham tDCS with guided imagery, or sham tDCS alone (without guided imagery).

Trial Health

30
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Feb 2020

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
withdrawn

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

January 27, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 31, 2020

Completed
1 day until next milestone

Study Start

First participant enrolled

February 1, 2020

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 17, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 17, 2022

Completed
Last Updated

November 23, 2022

Status Verified

November 1, 2022

Enrollment Period

2.8 years

First QC Date

January 27, 2020

Last Update Submit

November 19, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • To access the acute changes in EEG alpha brain waves in women with CPP after 1 session of each of the following treatments: (1) active tDCS + GI, (2) sham tDCS + GI, (3) sham tDCS alone (no GI) and (4)active tDCS alone (no GI).

    An EEG will be collected prior to treatment and after treatment. Changes in alpha waves will be assessed.

    Baseline and 48 hours

Secondary Outcomes (1)

  • To access acute changes in pain in women with CPP after 1 session of each of the following treatments: (1) active tDCS + GI, (2) sham tDCS + GI, (3) sham tDCS alone (no GI) and (4)active tDCS alone (no GI).

    Baseline and 48 hours

Study Arms (4)

Active tDCS with guided imagery

EXPERIMENTAL

Subjects will receive 2 milliamps of electrical stimulation to the brain (transcranial direct stimulation-tDCS) for 20 minutes concurrently while listening to a guided imagery CD specifically designed for women with chronic pelvic pain.

Device: Active tDCS with guided imagery

Active tDCS alone (no guided imagery)

EXPERIMENTAL

Subjects will receive 2 milliamps of electrical stimulation to the brain (transcranial direct stimulation-tDCS) for 20 minutes while remaining seated, no guided imagery will be provided.

Device: Active tDCS alone (no guided imagery)

Sham tDCS with guided imagery

SHAM COMPARATOR

Subjects will receive 2 milliamps of electrical stimulation to the brain (transcranial direct stimulation-tDCS) for only 30 seconds and then the device will turn off. The device will remain in place, however, for 25 minutes the subject listens to a guided imagery CD specifically designed for women with chronic pelvic pain.

Device: Sham tDCS with guided imagery

Sham tDCS alone (no guided imagery)

SHAM COMPARATOR

Subjects will receive 2 milliamps of electrical stimulation to the brain (transcranial direct stimulation-tDCS) for only 30 seconds and then the device will turn off. The device will remain in place, however, for 25 minutes the subject will remain seated, no guided imagery will be provided.

Device: Sham tDCS alone (no guided imagery)

Interventions

The subject will be positioned in the sitting/reclining position in a quiet room with the lights dimmed. The tDCS device and audio headphones will be placed on the subject's head. The tDCS device to be used is the Soterix Medical 1X1 device using 2.0 mA of current. The electrodes that will be used will be standard sponge electrodes. The subject will listen to a scripted guided imagery CD specifically developed for women with chronic pelvic pain through the audio headphones. The guided imagery plus active tDCS arm will have 20 minutes of stimulation with 25 minutes of guided imagery.

Active tDCS with guided imagery

The subject will be positioned in the sitting/reclining position in a quiet room with the lights dimmed. The tDCS device will be placed on the subject's head. The tDCS device to be used is the Soterix Medical 1X1 device using 2.0 mA of current. The electrodes that will be used will be standard sponge electrodes. Active tDCS arm alone without guided imagery, will have 20 minutes of tDCS stimulation without guided imagery.

Active tDCS alone (no guided imagery)

The subject will be positioned in the sitting/reclining position in a quiet room with the lights dimmed. The tDCS device and audio headphones will be placed on the subject's head. The tDCS device to be used is the Soterix Medical 1X1 device using 2.0 mA of current. The electrodes that will be used will be standard sponge electrodes. The subject will listen to a scripted guided imagery CD specifically developed for women with chronic pelvic pain through the audio headphones. The guided imagery plus sham tDCS arm will have 30 seconds of tDCS stimulation with 25 minutes of guided imagery.

Sham tDCS with guided imagery

The subject will be positioned in the sitting/reclining position in a quiet room with the lights dimmed. The tDCS device will be placed on the subject's head. The tDCS device to be used is the Soterix Medical 1X1 device using 2.0 mA of current. The electrodes that will be used will be standard sponge electrodes. Sham tDCS alone arm will have 30 seconds of tDCS stimulation without guided imagery.

Sham tDCS alone (no guided imagery)

Eligibility Criteria

Age18 Years - 64 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Female
  • Age 18 to 64 years
  • Women must either be unable to become pregnant (surgically sterile or postmenopausal) or must use an approved method of birth control throughout the study period.
  • Self-reported CPP defined as pelvic pain that is not related to menstrual cycle and of at lease 6 months duration and refractory to other treatments.
  • Subject agrees to not start any new treatments (medication or otherwise) throughout the study participation.
  • Subject agrees to maintain stable doses of all current medications throughout study participation.

You may not qualify if:

  • History of seizures during the last 2 years or diagnosis of epilepsy
  • Pacemaker
  • Use of carbamazepine, oxcarbazepine, phenytoin, pramipexole or cabergoline within the past 6 months as self-reported
  • Parkinson's Disease
  • Any condition, including neurological or psychiatric illness, which per investigators' judgment, may increase subject risk
  • History of Hunner's lesions
  • Lactation, pregnancy, or refusal to use medically approved/reliable birth control in women of child-bearing potential
  • Sacral or pudendal Interstim or spinal cord stimulator that is "on"
  • Contraindications to tDCS stimulation (e.g. metal in the head, implanted brain medical devices, scalp wounds or infections, etc.)
  • History of head injury resulting in more than a momentary loss of consciousness during the last 2 years
  • Deferral Criteria
  • If a subject has a confirmed UTI, she will be deferred until treatment is completed and symptoms resolve
  • Participating in another intervention study, or received an investigational drug or device within 4 weeks prior to screening
  • Subject received bladder hydrodistention within the past 12 weeks
  • Within the past 4 weeks, initiation of any new medications or any intravesical treatment for treatment of IC/BPS
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Beaumont Health System

Royal Oak, Michigan, 48073, United States

Location

Beaumont Hospital-Royal Oak

Royal Oak, Michigan, 48073, United States

Location

MeSH Terms

Conditions

Pelvic PainChronic Pain

Interventions

Imagery, Psychotherapy

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Mind-Body TherapiesComplementary TherapiesTherapeuticsPsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Kenneth M Peters, MD

    Beaumont Health

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Device settings
Purpose
TREATMENT
Intervention Model
FACTORIAL
Model Details: A single blind, randomized control, exploratory trial to assess the acute effects of tDCS and guided imagery in women with chronic pelvic pain. Qualified individuals will be randomized 1:1:1:1 to receive 1 session of one of the following treatments: * 20 minutes of active tDCS with 25 minutes of guided imagery * 20 minutes of active tDCS with no guided imagery * 20 minutes of sham tDCS with 25 minutes of guided imagery * 20 minutes of sham tDCS with no guided imagery
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director and Chair of the Department of Urology

Study Record Dates

First Submitted

January 27, 2020

First Posted

January 31, 2020

Study Start

February 1, 2020

Primary Completion

November 17, 2022

Study Completion

November 17, 2022

Last Updated

November 23, 2022

Record last verified: 2022-11

Data Sharing

IPD Sharing
Will not share

Locations