Effects of taVNS on Fibromyalgia Pain

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorSpaulding Rehabilitation Hospital

About this trial

Transauricular vagus nerve stimulation (taVNS) is a newer delivery system, using a non-invasive stimulation device placed at the ear's concha. TaVNS is a portable, safe, and low-cost intervention, and according to some studies, taVNS may influence nociception and pain perception, which can lead to potential applications for various painful illnesses, including fibromyalgia (FM). This trial aims to investigate the clinical effects of taVNS on pain control in FM subjects.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Older than 18 years old.

Diagnosis of FM pain according to the American College of Rheumatology (ACR) 2010 criteria (existing pain for more than six months with an average of at least 3 on a 0-10 VAS scale).

must have the ability to feel sensation by Von-Frey fiber on the forearm.

Able to provide informed consent to participate in the study.

Disqualifiers

Subjects who have unstable medical conditions (e.g., uncontrolled diabetes, uncompensated cardiac issues, heart failure, or chronic obstructive pulmonary disease) or who have functional deficits, as self-reported.

history of substance abuse within the past six months as self-reported (if the subject reports a history of substance abuse, we will confirm using the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria).

Presence of implanted cranial electronic medical devices (e.g., cochlear implants).

pregnancy (as the safety of taVNS in the pregnant population (and children) has not been assessed (though the risk is non-significant), we will exclude pregnant women (and children). Women of child-bearing potential will be required to take a urine pregnancy test during the screening process and every two weeks of stimulation).

Trial design

Design model

Parallel

Treatments tested in this trial

  • Transauricular vagus nerve stimulation (taVNS)

    Device

    Transauricular vagus nerve stimulation (taVNS) is a simple technique in which small surface electrodes are placed over the skin of the ear that are thought to be innervated by the auricular branch of the vagus nerve (ABVN).

Treatment groups

152 Participants
are divided into 2 treatment groups
Group A: Active taVNSExperimental treatment 1 intervention
Group B: Sham taVNSSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

pain severity using the Brief Pain Inventory (BPI pain)

Brief Pain Inventory (BPI) is a short self-assessment questionnaire that provides information on various dimensions of pain including how pain developed, the types of pain a patient experiences, time of day pain is experienced, as well as current ways of alleviating pain. The BPI also includes the Visual Analog Scale (VAS) Pain scale, a simple 10-point scale (0 = ''no pain'', 10 = ''pain as bad as you can imagine'') measuring patients' pain, on average and at the present time. The BPI provides information on pain intensity (the sensory dimension) and the degree to which pain interferes with function (the reactive dimension).

Time frame
From Baseline to Visit 19 (at 4 weeks)

Secondary outcomes

Other outcomes

Sponsors and contacts

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