Habituation of Brain Responses to Sensory Stimuli in Fibromyalgia

NCT ID: NCT06905171

Last Updated: 2025-08-14

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

COMPLETED

Total Enrollment

26 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-03-14

Study Completion Date

2025-05-16

Brief Summary

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

The goal of this observational study is to assess event-related potentials and habituation in patients with fibromyalgia. The main research questions are:

* Is there a measurable difference in sensory responses between fibromyalgia patients and healthy control?
* Could these measures provide evidence supporting claims of hypersensitivity?

Participants will:

\- receive randomized sensory stimuli (auditory, visual, somatosensory, audiovisual, auditory-somatosensory, visual-somatosensory, and auditory-visual-somatosensory) in blocks of 20 trials.

Detailed Description

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

Fibromyalgia is a disorder characterized primarily by widespread musculoskeletal pain. It is often accompanied by symptoms such as fatigue, insomnia, cognitive difficulties, etc. In addition to chronic pain, patients frequently report hypersensitivity to sensory stimuli, both nociceptive and non-nociceptive. Studies using psychophysical and electrophysiological tests have found altered sensory processing in fibromyalgia patients.

Research focused on event-related potentials (ERPs) have found differences in amplitude in the responses to auditory, nociceptive, and non-nociceptive somatosensory stimuli in fibromyalgia patients . One key aspect evaluated through ERPs is habituation, defined as a decrease in response due to repeated stimulation. In healthy individuals, ERPs amplitude decreases with repeated sensory input due to progressive neuronal response reduction. In fibromyalgia patients, reduced habituation has been observed for laser-induced ERPs and somatosensory ERPs, though no differences were found for auditory ERPs.

ERPs not only provide information about sensory modalities but also contain non-specific components related to stimulus expectation, motor preparation, and attentional orientation. Previous studies have attempted to isolate this non-specific component, as part of habituation may stem from a decrease in its amplitude rather than from a direct sensory response reduction. Using an analytical model, researchers successfully separated this component in experiments with individually or simultaneously presented stimuli, yielding promising results.

In the present study, participants (both fibromyalgia patients and healthy controls) will attend one experimental session in which stimulation in different sensory modalities will take place along with electroencephalographic (EEG) recordings. For each stimulus type, 2 blocks of 20 trials will be performed.The order of the stimulus will be selected randomly, but they can be divided into three categories:

* Unimodal stimulus

* Auditory (A): a 1000 Hz tone delivered at a comfortable volume through a speaker
* Visual (V): a checkerboard pattern, inverted every 25 ms, presented on a computer screen.
* Somatosensory (S): a train of 3 electrical stimuli that elicits a pricking sensation.
* Bimodal stimulus

* Auditory-Visual (AV)
* Auditivo-Somatosensory (AS)
* Visual-Somatosensory (VS)
* Trimodal Stimulus

* Auditory-Visual-Somatosensory (AVS) The aim of the study is to evaluate neurophysiological parameters related to habituation in multimodal sensory stimulation environments to characterize ERPs in fibromyalgia patients.

Conditions

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

Fibromyalgia

Study Design

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

Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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

Fibromyalgia Patients

Patients with primary fibromyalgia diagnosis. May include other chronic pain comorbidities, but the pain associated with those diseases should be less severe than the pain caused by fibromyalgia.

Auditory Stimulation

Intervention Type OTHER

A tone at a 1000 Hz frequency, delivered through speakers at a comfortable volume

Visual Stimulation

Intervention Type OTHER

A checkerboard pattern displayed on a monitor, with colors alternating every 25 ms

Somatosensory Stimulation

Intervention Type OTHER

A train of three electrical stimuli, each lasting 1 ms, separated by 8 ms, at an intensity that clearly elicits a pricking sensation

Auditory-Visual Stimulation

Intervention Type OTHER

Stimulation using auditory and visual stimuli concomitantly

Visual-Somatosensory Stimulation

Intervention Type OTHER

Stimulation using visual and somatosensory stimuli concomitantly

Auditory-Somatonsensory Stimulation

Intervention Type OTHER

Stimulation using auditory and somatosensory stimuli concomitantly

Auditory-Visual-Somatosensory Stimulation

Intervention Type OTHER

Stimulation using auditory, visual and somatosensory stimuli concomitantly

Healthy Controls

Volunteers with no clinical history of chronic pain, musculoskeletal or articular disorders

Auditory Stimulation

Intervention Type OTHER

A tone at a 1000 Hz frequency, delivered through speakers at a comfortable volume

Visual Stimulation

Intervention Type OTHER

A checkerboard pattern displayed on a monitor, with colors alternating every 25 ms

Somatosensory Stimulation

Intervention Type OTHER

A train of three electrical stimuli, each lasting 1 ms, separated by 8 ms, at an intensity that clearly elicits a pricking sensation

Auditory-Visual Stimulation

Intervention Type OTHER

Stimulation using auditory and visual stimuli concomitantly

Visual-Somatosensory Stimulation

Intervention Type OTHER

Stimulation using visual and somatosensory stimuli concomitantly

Auditory-Somatonsensory Stimulation

Intervention Type OTHER

Stimulation using auditory and somatosensory stimuli concomitantly

Auditory-Visual-Somatosensory Stimulation

Intervention Type OTHER

Stimulation using auditory, visual and somatosensory stimuli concomitantly

Interventions

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

Auditory Stimulation

A tone at a 1000 Hz frequency, delivered through speakers at a comfortable volume

Intervention Type OTHER

Visual Stimulation

A checkerboard pattern displayed on a monitor, with colors alternating every 25 ms

Intervention Type OTHER

Somatosensory Stimulation

A train of three electrical stimuli, each lasting 1 ms, separated by 8 ms, at an intensity that clearly elicits a pricking sensation

Intervention Type OTHER

Auditory-Visual Stimulation

Stimulation using auditory and visual stimuli concomitantly

Intervention Type OTHER

Visual-Somatosensory Stimulation

Stimulation using visual and somatosensory stimuli concomitantly

Intervention Type OTHER

Auditory-Somatonsensory Stimulation

Stimulation using auditory and somatosensory stimuli concomitantly

Intervention Type OTHER

Auditory-Visual-Somatosensory Stimulation

Stimulation using auditory, visual and somatosensory stimuli concomitantly

Intervention Type OTHER

Eligibility Criteria

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

Inclusion Criteria

Fibromyalgia patients:

* Primary diagnosis of fibromyalgia according to the criteria used by the healthcare professional in charge of the patient.
* Other comorbidities are accepted as long as the pain caused by them is less severe than the pain caused by fibromyalgia.
* Willingness and ability to fully understand the content and scope of the experiment and to comply with the experiment instructions.
* Normal or corrected-to-normal vision.
* Normal hearing

Healthy controls:

* No history of neurological diseases, chronic pain or musculoskeletal disorders.
* Willingness and ability to fully understand the content and scope of the experiment and to comply with the experiment instructions.
* Normal or corrected-to-normal vision.
* Normal hearing

Exclusion Criteria

Fibromyalgia patients:

* Pregnancy
* History of addictive behavior, defined as alcohol, cannabis, opioids or other drugs abuse.
* Presence of fever, tuberculosis, malignant tumors, infectious processes, acute inflammatory processes.
* Lack of cooperation

Healthy controls:

* Pregnancy
* History of chronic pain or musculoskeletal or articular disorders
* History of addictive behavior, defined as alcohol, cannabis, opioids or other drugs abuse.
* Presence of fever, tuberculosis, malignant tumors, infectious processes, acute inflammatory processes.
* Lack of cooperation
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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

National Council of Scientific and Technical Research, Argentina

OTHER_GOV

Sponsor Role lead

Responsible Party

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

José Biurrun Manresa

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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

Biurrun Manresa

Role: PRINCIPAL_INVESTIGATOR

National Council of Scientific and Technical Research, Argentina (CONICET)

Locations

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

Faculty of Engineering-National University of Entre Ríos

Oro Verde, Entre Ríos Province, Argentina

Site Status

Countries

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

Argentina

References

Explore related publications, articles, or registry entries linked to this study.

Gondan M, Roder B. A new method for detecting interactions between the senses in event-related potentials. Brain Res. 2006 Feb 16;1073-1074:389-97. doi: 10.1016/j.brainres.2005.12.050. Epub 2006 Jan 20.

Reference Type BACKGROUND
PMID: 16427613 (View on PubMed)

Thompson RF, Spencer WA. Habituation: a model phenomenon for the study of neuronal substrates of behavior. Psychol Rev. 1966 Jan;73(1):16-43. doi: 10.1037/h0022681. No abstract available.

Reference Type BACKGROUND
PMID: 5324565 (View on PubMed)

Montoya P, Sitges C, Garcia-Herrera M, Rodriguez-Cotes A, Izquierdo R, Truyols M, Collado D. Reduced brain habituation to somatosensory stimulation in patients with fibromyalgia. Arthritis Rheum. 2006 Jun;54(6):1995-2003. doi: 10.1002/art.21910.

Reference Type BACKGROUND
PMID: 16732548 (View on PubMed)

Lorenz J. Hyperalgesia or hypervigilance? An evoked potential approach to the study of fibromyalgia syndrome. Z Rheumatol. 1998;57 Suppl 2:19-22. doi: 10.1007/s003930050228.

Reference Type BACKGROUND
PMID: 10025076 (View on PubMed)

de Tommaso M, Federici A, Santostasi R, Calabrese R, Vecchio E, Lapadula G, Iannone F, Lamberti P, Livrea P. Laser-evoked potentials habituation in fibromyalgia. J Pain. 2011 Jan;12(1):116-24. doi: 10.1016/j.jpain.2010.06.004. Epub 2010 Aug 4.

Reference Type BACKGROUND
PMID: 20685171 (View on PubMed)

Alanoglu E, Ulas UH, Ozdag F, Odabasi Z, Cakci A, Vural O. Auditory event-related brain potentials in fibromyalgia syndrome. Rheumatol Int. 2005 Jun;25(5):345-9. doi: 10.1007/s00296-004-0443-3. Epub 2004 Feb 21.

Reference Type BACKGROUND
PMID: 14986061 (View on PubMed)

McDermid AJ, Rollman GB, McCain GA. Generalized hypervigilance in fibromyalgia: evidence of perceptual amplification. Pain. 1996 Aug;66(2-3):133-44. doi: 10.1016/0304-3959(96)03059-x.

Reference Type BACKGROUND
PMID: 8880834 (View on PubMed)

Young EL, Mista CA, Jure FA, Andersen OK, Biurrun Manresa JA. An analytical method to separate modality-specific and nonspecific sensory components of event-related potentials. Eur J Neurosci. 2022 Oct;56(7):5090-5105. doi: 10.1111/ejn.15798. Epub 2022 Aug 31.

Reference Type BACKGROUND
PMID: 35983754 (View on PubMed)

Staud R, Godfrey MM, Robinson ME. Fibromyalgia Patients Are Not Only Hypersensitive to Painful Stimuli But Also to Acoustic Stimuli. J Pain. 2021 Aug;22(8):914-925. doi: 10.1016/j.jpain.2021.02.009. Epub 2021 Feb 23.

Reference Type BACKGROUND
PMID: 33636370 (View on PubMed)

Lim M, Roosink M, Kim JS, Kim HW, Lee EB, Son KM, Kim HA, Chung CK. Augmented Pain Processing in Primary and Secondary Somatosensory Cortex in Fibromyalgia: A Magnetoencephalography Study Using Intra-Epidermal Electrical Stimulation. PLoS One. 2016 Mar 18;11(3):e0151776. doi: 10.1371/journal.pone.0151776. eCollection 2016.

Reference Type BACKGROUND
PMID: 26992095 (View on PubMed)

Other Identifiers

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

IS004760

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Neurophysiology of Fibromyalgia
NCT06006130 UNKNOWN NA
Sensory Stimulation in Fibromyalgia
NCT03227952 COMPLETED NA