Trial Outcomes & Findings for Transcranial Alternating Current Stimulation in Back Pain- Pilot Sudy (NCT NCT03243084)

NCT ID: NCT03243084

Last Updated: 2018-12-12

Results Overview

Changes in parasympathetic tone, increase in high frequency band input via spectral analysis on EKG recordings between active and sham stimulation

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

21 participants

Primary outcome timeframe

before and after 40-minute stimulation at each session

Results posted on

2018-12-12

Participant Flow

Recruitment ran from August 2017 - December 2017. This clinical trial utilized multiple recruitment strategies including UNC University Physical Therapy and Pain clinic locations, informational notify.unc.edu system, and jointheconquest.org along with the listing on clinicaltrials.gov

Participant milestones

Participant milestones
Measure
Sham Then Active 10 Hz tACS
At session 1 this group received sham tACS and at session 2 they received active 10Hz tACS
Active 10 Hz Then Sham tACS
At session 1 this group received active 10Hz tACS and at session 2 they received sham tACS
Session 1
STARTED
11
10
Session 1
COMPLETED
11
10
Session 1
NOT COMPLETED
0
0
Washout (1-3 Weeks)
STARTED
11
10
Washout (1-3 Weeks)
COMPLETED
10
10
Washout (1-3 Weeks)
NOT COMPLETED
1
0
Session 2
STARTED
10
10
Session 2
COMPLETED
10
10
Session 2
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sham Then Active 10 Hz tACS
At session 1 this group received sham tACS and at session 2 they received active 10Hz tACS
Active 10 Hz Then Sham tACS
At session 1 this group received active 10Hz tACS and at session 2 they received sham tACS
Washout (1-3 Weeks)
Lost to Follow-up
1
0

Baseline Characteristics

Transcranial Alternating Current Stimulation in Back Pain- Pilot Sudy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sham Then Active 10 Hz tACS
n=11 Participants
At session 1 this group received sham tACS and at session 2 they received active 10Hz tACS
Active 10 Hz Then Sham tACS
n=10 Participants
At session 1 this group received active 10Hz tACS and at session 2 they received sham 10Hz tACS
Total
n=21 Participants
Total of all reporting groups
Age, Continuous
42.6 years
STANDARD_DEVIATION 13.8 • n=5 Participants
43.4 years
STANDARD_DEVIATION 13.6 • n=7 Participants
43 years
STANDARD_DEVIATION 13.4 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
9 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
1 Participants
n=7 Participants
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
8 Participants
n=7 Participants
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
11 Participants
n=5 Participants
8 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
11 Participants
n=5 Participants
10 Participants
n=7 Participants
21 Participants
n=5 Participants
BMI
25.98 kg/m^2
STANDARD_DEVIATION 4.1 • n=5 Participants
25.92 kg/m^2
STANDARD_DEVIATION 5.1 • n=7 Participants
25.94 kg/m^2
STANDARD_DEVIATION 4.5 • n=5 Participants
Duration of Pain
4.8 years
STANDARD_DEVIATION 3.0 • n=5 Participants
9.3 years
STANDARD_DEVIATION 7.4 • n=7 Participants
7.1 years
STANDARD_DEVIATION 6.0 • n=5 Participants

PRIMARY outcome

Timeframe: before and after 40-minute stimulation at each session

Changes in parasympathetic tone, increase in high frequency band input via spectral analysis on EKG recordings between active and sham stimulation

Outcome measures

Outcome measures
Measure
Sham tACS
n=20 Participants
Sham Stimulation mimics the physical effects of stimulation, with up to one minute of stimulation during the session. Sham stimulation is delivered using the XCSITE100 Stimulator Sham. XCSITE100 Stimulator Sham: The participant will receive up to one minute of tACS stimulation until the stimulation fades. Sham stimulation mimics the skin sensations a participant would experience during a tACS session
Active10 Hz tACS
n=20 Participants
Participants will receive 2mA of alternating current stimulation at a frequency of 10Hz for 40 minutes. tACS stimulation is delivered using the XCSITE100 Stimulator tACS. XCSITE100 Stimulator tACS: Transcranial alternating current stimulation (tACS) is a method of noninvasive brain stimulation in which weak electrical current are applied to the scalp in a sine wave pattern to induce cortical oscillations at the frequency at which they are applied
Change in Heart Rate Variability Before and After 40-minute Stimulation
0.206 ms^2
Standard Deviation 0.76
-0.01 ms^2
Standard Deviation 0.56

PRIMARY outcome

Timeframe: 5 minute recordings before and after each 40-minute stimulation at each session.

Changes in the EEG power in the alpha (8-12 Hz) band before and after 40-minute stimulation

Outcome measures

Outcome measures
Measure
Sham tACS
n=20 Participants
Sham Stimulation mimics the physical effects of stimulation, with up to one minute of stimulation during the session. Sham stimulation is delivered using the XCSITE100 Stimulator Sham. XCSITE100 Stimulator Sham: The participant will receive up to one minute of tACS stimulation until the stimulation fades. Sham stimulation mimics the skin sensations a participant would experience during a tACS session
Active10 Hz tACS
n=20 Participants
Participants will receive 2mA of alternating current stimulation at a frequency of 10Hz for 40 minutes. tACS stimulation is delivered using the XCSITE100 Stimulator tACS. XCSITE100 Stimulator tACS: Transcranial alternating current stimulation (tACS) is a method of noninvasive brain stimulation in which weak electrical current are applied to the scalp in a sine wave pattern to induce cortical oscillations at the frequency at which they are applied
Change in Electroencephalogram Power in Alpha Band Before and After 40-minute Stimulation
0.03 square microvolts
Standard Deviation 0.16
0.4 square microvolts
Standard Deviation 0.15

SECONDARY outcome

Timeframe: before and after 40 minute stimulation session

Self reported pain rating using a Visual Analog Scale (VAS) ranging from 0-10 done before and after stimulation with '0' being no pain and '10' as bad as it could be. Lower values represent a better outcome. (Pain difference was normalized using modulation index to account for ordinal scale)

Outcome measures

Outcome measures
Measure
Sham tACS
n=20 Participants
Sham Stimulation mimics the physical effects of stimulation, with up to one minute of stimulation during the session. Sham stimulation is delivered using the XCSITE100 Stimulator Sham. XCSITE100 Stimulator Sham: The participant will receive up to one minute of tACS stimulation until the stimulation fades. Sham stimulation mimics the skin sensations a participant would experience during a tACS session
Active10 Hz tACS
n=20 Participants
Participants will receive 2mA of alternating current stimulation at a frequency of 10Hz for 40 minutes. tACS stimulation is delivered using the XCSITE100 Stimulator tACS. XCSITE100 Stimulator tACS: Transcranial alternating current stimulation (tACS) is a method of noninvasive brain stimulation in which weak electrical current are applied to the scalp in a sine wave pattern to induce cortical oscillations at the frequency at which they are applied
Change in Pain Rating on the Visual Analog Scale Before and After 40-minute Stimulation
-0.178 units on a scale
Standard Deviation 0.97
0.18 units on a scale
Standard Deviation 0.31

Adverse Events

Sham tACS

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

Active 10 Hz tACS

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

Julianna Prim

UNC Chapel Hill

Phone: 919-962-5271

Results disclosure agreements

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