Trial Outcomes & Findings for Improving Functions in Veterans With Post-traumatic Peripheral Neuropathic Pain (NCT NCT02979925)

NCT ID: NCT02979925

Last Updated: 2021-07-12

Results Overview

Spontaneous pain rating: Spontaneous pain level will be measured by using a sliding algometer, known as the Mechanical Visual Analog Scale (M-VAS). The device has been well validated, and is anchored at the left by "no pain sensation" and at the right by "the most intense pain sensation imaginable." The corresponding length of the red bar with a scale from 0 to 100, which can be read on the back by the tester, represents the subject's intensity of pain. 0 represents "no pain sensation" and 100 represents "the most intense pain sensation imaginable." A lower value indicates a better outcome with lower levels of pain reported.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

57 participants

Primary outcome timeframe

Assessed during each of the subject's baseline visit, 1 week post treatment visit, and 4 weeks post treatment visit.

Results posted on

2021-07-12

Participant Flow

Participants were recruited from October 2016 to June 2018 at the VA San Diego Medical Center.

Participant milestones

Participant milestones
Measure
Active Transcutaneous Magnetic Stimulation
Active transcutaneous magnetic stimulation (tMS) at the target site of nerve damage/injury. Active Transcutaneous Magnetic Stimulation: Active transcutaneous magnetic stimulation (tMS) at the target site of nerve damage/injury.
Sham Transcutaneous Magnetic Stimulation
Sham tMS will consist of the same parameters as active, however, the subject will be shielded from the magnetic field of the coil. Sham Transcutaneous Magnetic Stimulation: Sham tMS will consist of the same parameters as active, however, the subject will be shielded from the magnetic field of the coil.
Overall Study
STARTED
28
29
Overall Study
COMPLETED
28
23
Overall Study
NOT COMPLETED
0
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Improving Functions in Veterans With Post-traumatic Peripheral Neuropathic Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Transcutaneous Magnetic Stimulation
n=28 Participants
Active transcutaneous magnetic stimulation (tMS) at the target site of nerve damage/injury. Active Transcutaneous Magnetic Stimulation: Active transcutaneous magnetic stimulation (tMS) at the target site of nerve damage/injury.
Sham Transcutaneous Magnetic Stimulation
n=23 Participants
Sham tMS will consist of the same parameters as active, however, the subject will be shielded from the magnetic field of the coil. Sham Transcutaneous Magnetic Stimulation: Sham tMS will consist of the same parameters as active, however, the subject will be shielded from the magnetic field of the coil.
Total
n=51 Participants
Total of all reporting groups
Age, Continuous
54.11 years
STANDARD_DEVIATION 17.02 • n=93 Participants
50.78 years
STANDARD_DEVIATION 14.04 • n=4 Participants
52.61 years
STANDARD_DEVIATION 15.68 • n=27 Participants
Sex: Female, Male
Female
3 Participants
n=93 Participants
3 Participants
n=4 Participants
6 Participants
n=27 Participants
Sex: Female, Male
Male
25 Participants
n=93 Participants
20 Participants
n=4 Participants
45 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=93 Participants
7 Participants
n=4 Participants
11 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=93 Participants
16 Participants
n=4 Participants
40 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=93 Participants
4 Participants
n=4 Participants
9 Participants
n=27 Participants
Race (NIH/OMB)
White
19 Participants
n=93 Participants
14 Participants
n=4 Participants
33 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=93 Participants
1 Participants
n=4 Participants
3 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
Region of Enrollment
United States
28 Participants
n=93 Participants
23 Participants
n=4 Participants
51 Participants
n=27 Participants
Spontaneous Pain Score
53.52 score on a scale
STANDARD_DEVIATION 21.01 • n=93 Participants
49.13 score on a scale
STANDARD_DEVIATION 22.61 • n=4 Participants
50.44 score on a scale
STANDARD_DEVIATION 22.69 • n=27 Participants

PRIMARY outcome

Timeframe: Assessed during each of the subject's baseline visit, 1 week post treatment visit, and 4 weeks post treatment visit.

Spontaneous pain rating: Spontaneous pain level will be measured by using a sliding algometer, known as the Mechanical Visual Analog Scale (M-VAS). The device has been well validated, and is anchored at the left by "no pain sensation" and at the right by "the most intense pain sensation imaginable." The corresponding length of the red bar with a scale from 0 to 100, which can be read on the back by the tester, represents the subject's intensity of pain. 0 represents "no pain sensation" and 100 represents "the most intense pain sensation imaginable." A lower value indicates a better outcome with lower levels of pain reported.

Outcome measures

Outcome measures
Measure
Active Transcutaneous Magnetic Stimulation
n=28 Participants
Active transcutaneous magnetic stimulation (tMS) at the target site of nerve damage/injury. Active Transcutaneous Magnetic Stimulation: Active transcutaneous magnetic stimulation (tMS) at the target site of nerve damage/injury.
Sham Transcutaneous Magnetic Stimulation
n=23 Participants
Sham tMS will consist of the same parameters as active, however, the subject will be shielded from the magnetic field of the coil. Sham Transcutaneous Magnetic Stimulation: Sham tMS will consist of the same parameters as active, however, the subject will be shielded from the magnetic field of the coil.
Evaluation of Spontaneous Pain Scores
Baseline
53.52 score on a scale
Standard Deviation 21.01
49.13 score on a scale
Standard Deviation 22.61
Evaluation of Spontaneous Pain Scores
1 week post treatment
41.41 score on a scale
Standard Deviation 30.09
46.17 score on a scale
Standard Deviation 26.54
Evaluation of Spontaneous Pain Scores
4 weeks post treatment
38.92 score on a scale
Standard Deviation 29.16
37.52 score on a scale
Standard Deviation 30.01

SECONDARY outcome

Timeframe: Assessed during each of the subject's baseline visit, 1 week post treatment visit, and 4 weeks post treatment visit.

Stroking evoked pain will be assessed by gently moving a paintbrush over the site of PTNP. The patients will be asked if pain is felt. If so, the intensity of pain will be rated on a scale known as the Mechanical Visual Analog Scale (M-VAS). The device has been well validated, and is anchored at the left by "no pain sensation" and at the right by "the most intense pain sensation imaginable." The corresponding length of the red bar with a scale from 0 to 100, which can be read on the back by the tester, represents the subject's intensity of pain. 0 represents "no pain sensation" and 100 represents "the most intense pain sensation imaginable." A lower value indicates a better outcome with lower levels of pain reported.

Outcome measures

Outcome measures
Measure
Active Transcutaneous Magnetic Stimulation
n=28 Participants
Active transcutaneous magnetic stimulation (tMS) at the target site of nerve damage/injury. Active Transcutaneous Magnetic Stimulation: Active transcutaneous magnetic stimulation (tMS) at the target site of nerve damage/injury.
Sham Transcutaneous Magnetic Stimulation
n=23 Participants
Sham tMS will consist of the same parameters as active, however, the subject will be shielded from the magnetic field of the coil. Sham Transcutaneous Magnetic Stimulation: Sham tMS will consist of the same parameters as active, however, the subject will be shielded from the magnetic field of the coil.
Evaluation of Evoked Pain Scores: Stroking
Baseline
33.55 score on a scale
Standard Deviation 31.07
24.78 score on a scale
Standard Deviation 25.59
Evaluation of Evoked Pain Scores: Stroking
1 week post treatment
30.74 score on a scale
Standard Deviation 23.78
20.04 score on a scale
Standard Deviation 24.10
Evaluation of Evoked Pain Scores: Stroking
4 weeks post treatment
26.92 score on a scale
Standard Deviation 21.90
21.35 score on a scale
Standard Deviation 25.21

SECONDARY outcome

Timeframe: Assessed during each of the subject's baseline visit, 1 week post treatment visit, and 4 weeks post treatment visit.

Punctate evoked pain will be conducted by gently pressing a 5.18 von Frey monofilament against the site of PTNP. The patients will be asked if pain is felt. If so, the intensity of pain will be rated on a scale known as the Mechanical Visual Analog Scale (M-VAS). The device has been well validated, and is anchored at the left by "no pain sensation" and at the right by "the most intense pain sensation imaginable." The corresponding length of the red bar with a scale from 0 to 100, which can be read on the back by the tester, represents the subject's intensity of pain. 0 represents "no pain sensation" and 100 represents "the most intense pain sensation imaginable." A lower value indicates a better outcome with lower levels of pain reported.

Outcome measures

Outcome measures
Measure
Active Transcutaneous Magnetic Stimulation
n=28 Participants
Active transcutaneous magnetic stimulation (tMS) at the target site of nerve damage/injury. Active Transcutaneous Magnetic Stimulation: Active transcutaneous magnetic stimulation (tMS) at the target site of nerve damage/injury.
Sham Transcutaneous Magnetic Stimulation
n=23 Participants
Sham tMS will consist of the same parameters as active, however, the subject will be shielded from the magnetic field of the coil. Sham Transcutaneous Magnetic Stimulation: Sham tMS will consist of the same parameters as active, however, the subject will be shielded from the magnetic field of the coil.
Evaluation of Evoked Pain Scores: Von Frey
Baseline
53.97 score on a scale
Standard Deviation 27.04
43.13 score on a scale
Standard Deviation 26.84
Evaluation of Evoked Pain Scores: Von Frey
1 week post treatment
46.89 score on a scale
Standard Deviation 25.98
36.22 score on a scale
Standard Deviation 26.22
Evaluation of Evoked Pain Scores: Von Frey
4 weeks post treatment
49.27 score on a scale
Standard Deviation 24.72
38.26 score on a scale
Standard Deviation 23.08

Adverse Events

Active Transcutaneous Magnetic Stimulation

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

Sham Transcutaneous Magnetic Stimulation

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Albert Leung, MD

VA San Diego Healthcare System

Phone: 858-552-8585

Results disclosure agreements

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