Pain Perception and the Autonomic Nervous System

NCT ID: NCT06667895

Last Updated: 2024-10-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

146 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-04

Study Completion Date

2026-08-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

In this study, we want to investigate how pain processing and sensation are related to a certain part of the nervous system, the so-called autonomic nervous system.

For this purpose, we apply heat and pressure stimuli to the skin and test pain processing by means of ratings scales and sensory tests. Breathing, heart rate and sweat response are also measured. To assess the spinal cord level, we measure muscle response (measured by electromyography, EMG) to electrical stimulation. Additionally, sensory nerves will be stimulated at the ear and participants will also be given various questionnaires to complete.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This study investigates the effects of autonomic regulation on pain perception and experimentally induced pain sensitivity. Participants come for one or two study visits, that will last approximately 3 hours. The study is divided into two phases: the pilot phase and the main experimental phase.

During the pilot phase, the perception of pressure and heat stimuli, as well as spinal excitability, will be assessed before and during different types of electrical stimulation of sensory nerves at the outer ear.

During the main experimental phase, skin sensitivity and spinal excitability will be assessed before and after repetitive heat stimulation and stimulation of sensory nerves at the outer ear.

In both study phases, the activity of the autonomic nervous system will be assessed throughout the experiment, and questionnaires will be completed.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Autonomic Nervous System Modulation Pain Perception Pain Sensitivity Central Sensitization Vagus Nerve Stimulations

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

This study will be conducted in two phases, a pilot phase and a main experimental phase. The two phases involve different outcome measures. Both phases follow a double-blinded, randomized, within-subject design.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

taVNS

Electrodes will be attached to the outer ear. Electrical stimulation pulses with a width of 250ms will be applied at a frequency of 25Hz. Stimulation intensity will be individually adjusted to be clearly perceived but not painful.

Group Type EXPERIMENTAL

respiratory gated taVNS

Intervention Type OTHER

Electrical stimulation will be delivered in bursts during expiration

random burst stimulation

Intervention Type OTHER

Electrical stimulation will be delivered in bursts at random timepoints during the breathing cycle

continuous stimulation

Intervention Type OTHER

Electrical stimulation will be delivered continuously for 30sec followed by a 30sec break.

Sham stimulation

Electrodes will be attached to the outer ear at a different position as for the taVNS. Electrical stimulation pulses with a width of 250ms will be applied at a frequency of 25Hz. Stimulation intensity will be individually adjusted to be clearly perceived but not painful.

Group Type SHAM_COMPARATOR

Sham stimulation

Intervention Type OTHER

Electrical stimulation will be identical to the taVNS, but the electrodes will be placed at a different position on the ear

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

respiratory gated taVNS

Electrical stimulation will be delivered in bursts during expiration

Intervention Type OTHER

random burst stimulation

Electrical stimulation will be delivered in bursts at random timepoints during the breathing cycle

Intervention Type OTHER

continuous stimulation

Electrical stimulation will be delivered continuously for 30sec followed by a 30sec break.

Intervention Type OTHER

Sham stimulation

Electrical stimulation will be identical to the taVNS, but the electrodes will be placed at a different position on the ear

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Over 18 and below 40 years of age
2. Good general health
3. Able to give informed consent

Exclusion Criteria

1. Any major medical or psychiatric condition (e.g. heart disease, diabetes, autoimmune disorders, infectious diseases, major depressive disorder), any chronic pain condition, any respiratory problems, any acute pain at time of study
2. Inability to follow study instructions, e.g. due to language problems
3. Pregnancy (female participants will be asked if pregnancy could be possible)
4. Increased alcohol (\>2 (for women)/4 (for men) standard glasses per day or \>5 (for women)/4 (for men) glasses at least once a month within a few hours) or caffeine consumption (≥ 400mg per day)
5. Consumption of alcohol, drugs, analgesics within the last 24 h
6. Consumption of more than 100 mg of caffeine within the last 8 h
7. Scar tissue or generally reduced sensitivity in the designated testing site areas
8. Shoe size \< 38 (if experiment is conducted at the feet)
9. History of cardiovascular disease or carotid artery disease
10. Medication or Substances inferring with the autonomic nervous system or with pain sensitivity (e.g. Benzodiazepines, Nicotine)
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Schweinhardt Petra

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Schweinhardt Petra

Prof. Dr. med.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Petra Schweinhardt, PhD, M Chiro Med

Role: PRINCIPAL_INVESTIGATOR

Balgrist University Hospital, University of Zurich, Zurich, Switzerland

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Balgrist University Hospital

Zurich, Canton of Zurich, Switzerland

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Switzerland

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Petra Schweinhardt, PhD, M Chiro Med

Role: CONTACT

Phone: +41 443865724

Email: [email protected]

Madeleine Hau

Role: CONTACT

Phone: +41 443865711

Email: [email protected]

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Madeleine Hau

Role: primary

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

taVNS

Identifier Type: -

Identifier Source: org_study_id