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CompletedNCT01275573rTMSUpdated Jun 19, 2013

Evaluation of the Effect of Repetitive Transcranial Magnetic Stimulation in Pain Perception in Parkinson's Disease

A Phase 2 interventional study of Repetitive Transcranial Magnetic Stimulation in Parkinson's Disease, sponsored by University Hospital, Toulouse. Completed at 1 site in France. Open to participants aged 50 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-06-19.

Sponsored by University Hospital, Toulouse · Phase 2, Interventional, and Basic science

Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
50 Years to 80 Years
Sex
All
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Study summary

Pain is a frequent symptom in Parkinson's disease. Previous studies have shown that pain perception was altered in Parkinson's disease patients and could be related to nociceptive cortical area hyperactivation. Repetitive Transcranial Magnetic Stimulation is an electrophysiological tool which can modify cortical excitability. Its efficacy was demonstrated in neuropathic pain. This is a randomized, double blind cross-over study. In this study, subjective pain threshold (using thermal stimulation (Thermotest)).will be evaluated in 3 groups of subjects: healthy volunteers, painful Parkinson's patients and pain free Parkinson's disease patients. Each group will receive a high frequency Repetitive Transcranial Magnetic Stimulation and placebo stimulation in different order with a gap of one week.

The investigators supposed that a 20 Hz Repetitive Transcranial Magnetic Stimulation session with an infraliminary intensity on the primary cortical motor, modulating nociceptive cortical areas activity, could modify the nociceptive threshold perception in Parkinson's patients.

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Conditions studied

  • Parkinson's Disease

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Keywords

  • Repetitive Transcranial Magnetic Stimulation
  • pain threshold
  • Parkinson's disease
  • Pain threshold in Parkinson's disease
03

In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 30 is below the median of 40 across 3,294 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

University Hospital, Toulouse is the lead sponsor of 794 studies on the registry; 214 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
50 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

For patients:

  • Patients with clinical diagnosis of Parkinson's disease according to the criteria of the UKPDSBB
  • Parkinson's disease patients with a score≤3 on the Hoehn and Year scale
  • Patients treated with dopaminergic antiparkinsonian drugs (L-DOPA, dopamine agonists,ICOMT...)
  • Patients with or without neuropathic pain induced by Parkinson's disease
  • Patients without personal or familial epilepsy episode history
  • Patients from 50 to 80 years old (male or female)
  • Patients affiliated to a social protection program
  • Patient with an informed consent given

For Healthy volunteers

  • Subjects from 50 to 80 years old (male or female)
  • Subjects without any serious evolutionary pathology or any clinical significant treatment
  • Subjects without chronic pain or disease which can induce neuropathic pain
  • Subjects without personal or familial epilepsy episode history
  • Subjects affiliated to a social protection program
  • Subjects with an informed consent given

Exclusion criteria

Exclusion Criteria:

For patients:

  • Patients suffering from an other pathology causing chronic pain (rheumatic disease, traumatic or orthopaedic pathologies...)
  • Parkinson's disease patients with a score>3 on the Hoehn and Yahr scale
  • Patients with important tremors during a OFF conditions
  • Patients suffering from a cancer
  • Patients with a neuroleptic treatment
  • Patients under tutelage, curatella or law protection
  • Patients included in an other clinical study
  • Patients unable to fulfil scales of the study
  • Patients with personal or familial epilepsy episode history
  • Contraindication of IRM
  • Pregnant women

For Healthy volunteers:

  • Subjects with serious evolutionary pathology or any clinical significant treatment
  • Subjects with chronic pain or disease which can induce neuropathic pain
  • Subjects with personal or familial epilepsy episode history
  • Contraindication of IRM
  • Pregnant women
  • Subjects under tutelage, curatella or law protection
  • Subjects included in an other clinical study
05

Study design

Phase
Phase 2
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Other
    healthy volunteers

    All the patients and healthy volunteers will receive high frequency Repetitive Transcranial Magnetic Stimulation and placebo stimulation

    Device: Repetitive Transcranial Magnetic Stimulation

  • Other
    painful Parkinson's disease patients

    All the patients and healthy volunteers will receive high frequency Repetitive Transcranial Magnetic Stimulation and placebo stimulation

    Device: Repetitive Transcranial Magnetic Stimulation

  • Other
    painless Parkinson's disease patients

    All the patients and healthy volunteers will receive high frequency Repetitive Transcranial Magnetic Stimulation and placebo stimulation

    Device: Repetitive Transcranial Magnetic Stimulation

Interventions

  • DeviceRepetitive Transcranial Magnetic Stimulation

    Repetitive Transcranial Magnetic Stimulation will be applied on the contralateral primary cortical motor on the painful side for the Parkinson's disease patients and on the left primary cortical motor for the healthy volunteer. The stimulation frequency will be 20 Hz during 26 min with an intensity stimulation equal of 95% of the motor threshold.

    Also known as: non applicable

06

What researchers measure

Primary outcomes

  1. Change of subjective pain threshold determined using thermal stimulation (Thermotest) with the method of levels after rTMS session

    Change from baseline after each Repetitive Transcranial Magnetic Stimulation session (active and placebo)

    Time frame: D1 T0, D1 T1h30mn, D7 T0, D7 T1h30mn

Secondary outcomes

  1. Analgesic effect of Repetitive Transcranial Magnetic Stimulation using Visual Analogue Scale

    Change from baseline after each Repetitive Transcranial Magnetic Stimulation session (active and placebo)

    Time frame: D1 T0, D1 T1h30mn, D7 T0, D7 T1h30mn

  2. - Clinical evaluation of the severity of the motor handicap of patients using Unified's Parkinson's Disease Rating Scale (UPDRSIII)

    Change from baseline after each Repetitive Transcranial Magnetic Stimulation session (active and placebo)

    Time frame: D1 T0, D1 T1h30mn, D7 T0, D7 T1h30mn

  3. Mood assessment using Visual Analogue Scale

    Change from baseline after each Repetitive Transcranial Magnetic Stimulation session (active and placebo)

    Time frame: D1 T0, D1 T1h30mn, D7 T0, D7 T1h30mn

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Study locations

1 site
  • Purpan Hospital
    Toulouse, 31000, France
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 19, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01275573
Lead sponsor
University Hospital, Toulouse
Responsible party
Sponsor
First posted
Jan 12, 2011
Start date
Oct 2010
Primary completion
Jun 2012
Completion
Jun 2012
Last update
Jun 19, 2013

Study contacts

Christine Brefel-Courbon, MD
principal investigator · Toulouse Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2013. You cannot join it, but the record below documents what was studied.

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