Trial Outcomes & Findings for Motor Cortex as a Research & Therapeutic Target in TMD (NCT NCT02247063)

NCT ID: NCT02247063

Last Updated: 2020-04-01

Results Overview

Self-reported VAS from 0 (no pain) to 10 (worst possible pain)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

Post tDCS sessions compared to baseline (one week)

Results posted on

2020-04-01

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
The subjects in the placebo arm will participate in 5 daily M1 High-Definition Transcranial Direct Current Stimulation (HD-tDCS) sessions. During each session, a modular EEG recording cap will be placed on the subject's head and the anodal electrode will be placed on the motor cortex contralateral to the worst TMD pain side (C3). Current will be applied only for 30 seconds - this is a reliable method of sham stimulation (Gandiga et al., 2006) as sensations arising from tDCS treatment occur only at the beginning of application. High-Definition Transcranial Direct Current Stimulation (HD-tDCS): HD-tDCS is a non-invasive brain neuromodulatory method for M1that involves sending a weak electrical current into your brain.
Experimental
The subjects in the experimental arm will participate in 5 daily sessions. During each session, a modular EEG recording cap will be placed on the subject's head and the anodal electrode will be placed on the motor cortex contralateral to the worst TMD pain side (C3). Then 2mA of transcranial direct current stimulation will be applied for 20 minutes. High-Definition Transcranial Direct Current Stimulation (HD-tDCS): HD-tDCS is a non-invasive brain neuromodulatory method for M1that involves sending a weak electrical current into your brain.
Overall Study
STARTED
12
12
Overall Study
COMPLETED
12
12
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Motor Cortex as a Research & Therapeutic Target in TMD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=12 Participants
The subjects in the placebo arm will participate in 5 daily M1 High-Definition Transcranial Direct Current Stimulation (HD-tDCS) sessions. During each session, a modular EEG recording cap will be placed on the subject's head and the anodal electrode will be placed on the motor cortex contralateral to the worst TMD pain side (C3). Current will be applied only for 30 seconds - this is a reliable method of sham stimulation (Gandiga et al., 2006) as sensations arising from tDCS treatment occur only at the beginning of application. High-Definition Transcranial Direct Current Stimulation (HD-tDCS): HD-tDCS is a non-invasive brain neuromodulatory method for M1that involves sending a weak electrical current into your brain.
Experimental
n=12 Participants
The subjects in the experimental arm will participate in 5 daily sessions. During each session, a modular EEG recording cap will be placed on the subject's head and the anodal electrode will be placed on the motor cortex contralateral to the worst TMD pain side (C3). Then 2mA of transcranial direct current stimulation will be applied for 20 minutes. High-Definition Transcranial Direct Current Stimulation (HD-tDCS): HD-tDCS is a non-invasive brain neuromodulatory method for M1that involves sending a weak electrical current into your brain.
Total
n=24 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
35.6 years
STANDARD_DEVIATION 16.7 • n=5 Participants
34.8 years
STANDARD_DEVIATION 13.7 • n=7 Participants
35.2 years
STANDARD_DEVIATION 15.0 • n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants
12 participants
n=7 Participants
24 participants
n=5 Participants

PRIMARY outcome

Timeframe: Post tDCS sessions compared to baseline (one week)

Self-reported VAS from 0 (no pain) to 10 (worst possible pain)

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The subjects in the placebo arm will participate in 5 daily M1 High-Definition Transcranial Direct Current Stimulation (HD-tDCS) sessions. During each session, a modular EEG recording cap will be placed on the subject's head and the anodal electrode will be placed on the motor cortex contralateral to the worst TMD pain side (C3). Current will be applied only for 30 seconds - this is a reliable method of sham stimulation (Gandiga et al., 2006) as sensations arising from tDCS treatment occur only at the beginning of application. High-Definition Transcranial Direct Current Stimulation (HD-tDCS): HD-tDCS is a non-invasive brain neuromodulatory method for M1that involves sending a weak electrical current into your brain.
Experimental
n=12 Participants
The subjects in the experimental arm will participate in 5 daily sessions. During each session, a modular EEG recording cap will be placed on the subject's head and the anodal electrode will be placed on the motor cortex contralateral to the worst TMD pain side (C3). Then 2mA of transcranial direct current stimulation will be applied for 20 minutes. High-Definition Transcranial Direct Current Stimulation (HD-tDCS): HD-tDCS is a non-invasive brain neuromodulatory method for M1that involves sending a weak electrical current into your brain.
Number of Participants With Pain Relief as Measured by Visual Analog Scale (VAS) Decrease of 50% or Greater From Baseline
4 participants
9 participants

SECONDARY outcome

Timeframe: One month after tDCS sessions compared to baseline (6 weeks)

Self-reported VAS from 0 (no pain) to 10 (worst possible pain)

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The subjects in the placebo arm will participate in 5 daily M1 High-Definition Transcranial Direct Current Stimulation (HD-tDCS) sessions. During each session, a modular EEG recording cap will be placed on the subject's head and the anodal electrode will be placed on the motor cortex contralateral to the worst TMD pain side (C3). Current will be applied only for 30 seconds - this is a reliable method of sham stimulation (Gandiga et al., 2006) as sensations arising from tDCS treatment occur only at the beginning of application. High-Definition Transcranial Direct Current Stimulation (HD-tDCS): HD-tDCS is a non-invasive brain neuromodulatory method for M1that involves sending a weak electrical current into your brain.
Experimental
n=12 Participants
The subjects in the experimental arm will participate in 5 daily sessions. During each session, a modular EEG recording cap will be placed on the subject's head and the anodal electrode will be placed on the motor cortex contralateral to the worst TMD pain side (C3). Then 2mA of transcranial direct current stimulation will be applied for 20 minutes. High-Definition Transcranial Direct Current Stimulation (HD-tDCS): HD-tDCS is a non-invasive brain neuromodulatory method for M1that involves sending a weak electrical current into your brain.
Number of Participants With Pain Relief as Measured by Visual Analog Scale (VAS) Decrease of 50% or Greater From Baseline
4 participants
9 participants

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Experimental

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=12 participants at risk
The subjects in the placebo arm will participate in 5 daily M1 High-Definition Transcranial Direct Current Stimulation (HD-tDCS) sessions. During each session, a modular EEG recording cap will be placed on the subject's head and the anodal electrode will be placed on the motor cortex contralateral to the worst TMD pain side (C3). Current will be applied only for 30 seconds - this is a reliable method of sham stimulation (Gandiga et al., 2006) as sensations arising from tDCS treatment occur only at the beginning of application. High-Definition Transcranial Direct Current Stimulation (HD-tDCS): HD-tDCS is a non-invasive brain neuromodulatory method for M1that involves sending a weak electrical current into your brain.
Experimental
n=12 participants at risk
The subjects in the experimental arm will participate in 5 daily sessions. During each session, a modular EEG recording cap will be placed on the subject's head and the anodal electrode will be placed on the motor cortex contralateral to the worst TMD pain side (C3). Then 2mA of transcranial direct current stimulation will be applied for 20 minutes. High-Definition Transcranial Direct Current Stimulation (HD-tDCS): HD-tDCS is a non-invasive brain neuromodulatory method for M1that involves sending a weak electrical current into your brain.
General disorders
Headache
66.7%
8/12 • 5 weeks
58.3%
7/12 • 5 weeks
General disorders
Neck Pain
66.7%
8/12 • 5 weeks
66.7%
8/12 • 5 weeks
General disorders
Scalp Pain
83.3%
10/12 • 5 weeks
66.7%
8/12 • 5 weeks
General disorders
Scalp Burn (Sensation)
33.3%
4/12 • 5 weeks
50.0%
6/12 • 5 weeks
General disorders
Tingling
91.7%
11/12 • 5 weeks
83.3%
10/12 • 5 weeks
General disorders
Skin Redness
8.3%
1/12 • 5 weeks
16.7%
2/12 • 5 weeks
General disorders
Sleepiness
83.3%
10/12 • 5 weeks
75.0%
9/12 • 5 weeks
General disorders
Trouble Concentrating
75.0%
9/12 • 5 weeks
25.0%
3/12 • 5 weeks
General disorders
Mood Change
41.7%
5/12 • 5 weeks
25.0%
3/12 • 5 weeks

Additional Information

Thiago Nascimento

University of Michigan

Phone: 734-615-9390

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place