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TerminatedNCT01849796TDCSUpdated Dec 10, 2015

Transcranial Stimulation (tDCS) For the Treatment of Neuropathic Facial Pain

A Phase 2 interventional study of tDCS in Facial Pain, sponsored by Beth Israel Medical Center. Terminated at 1 site in United States. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-12-10.

Sponsored by Beth Israel Medical Center · Phase 2, Interventional, and Treatment

Why this study was terminated
Investigators moved to other institutions
Phase
Phase 2
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
21 Years and older
Sex
All
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Study summary

A study to determine if transcranial direct current stimulation (tDCS, the device that regulates brain activity, can improve pain in people with neuropathic facial pain and compare which modality (inhibitory tDCS over the somatosensory cortex or excitatory tDCS over the motor cortex) can result in better pain-relief.)

Read the detailed description

This is a pilot study designed to collect preliminary data on safety and efficacy of transcranial direct current stimulation (tDCS)to relieve pain in subjects with neuropathic facial pain,and to compare two pain-treatment tDCS modalities: inhibitory tDCS stimulation over the somatosensory cortex and excitatory tDCS over the motor cortex.

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Conditions studied

  • Facial Pain

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Keywords

  • tDCS
  • Neuropathic
  • Facial
  • Pain
  • Neuralgia
  • deafferentation
  • Trigeminal
03

In context

Facies

217 studies on the registry are indexed under Facies; 35 are open to participants now.

This study's enrollment of 21 is below the median of 40 across 162 interventional studies indexed under Facies.

Browse Facies studies →

Lead sponsor

Beth Israel Medical Center is the lead sponsor of 50 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Spontaneous facial neuropathic pain due to any of following:

    1. Trigeminal neuralgia, type 1, (TN1): facial pain of spontaneous onset with predominantly episodic pain.
    2. Trigeminal neuralgia, type 2, (TN2): facial pain of spontaneous onset with predominantly constant pain.
    3. Trigeminal neuropathic pain, (TNP): facial pain resulting from unintentional injury to the trigeminal system from facial trauma, oral surgery, ear, nose and throat (ENT) surgery, root injury from posterior fossa or skull base surgery, stroke, etc.
    4. Trigeminal deafferentation pain, (TDP): facial pain in a region of trigeminal numbness resulting from intentional injury to the trigeminal system from neurectomy, gangliolysis, rhizotomy, nucleotomy, tractotomy, or other denervating procedures.
    5. Symptomatic trigeminal neuralgia, (STN): facial pain resulting from multiple sclerosis.

    e) Postherpetic neuralgia, (PHN): facial pain resulting from trigeminal Herpes zoster (shingles) outbreak in the trigeminal distribution.

  • Pain intensity score for "worst pain in the last 24 hours" >4 on a numeric scale 0-10 at the time of enrollment and before the first stimulation of each treatment block.
  • Pain intensity score for "pain right now" >4 on a numeric scale 0-10 before the first stimulation of each block of treatment.

Exclusion criteria

Exclusion Criteria:

  • Uncontrolled hypertension, uncontrolled diabetes, uncontrolled cardiovascular disease
  • Other painful conditions than neuropathic facial pain, that are not related to and can't be distinguished from the neuropathic facial pain
  • Pregnancy
  • Implanted neurostimulation devices (e.g. a spinal cord stimulator, a deep brain stimulator, etc)
  • Active illegal drug/alcohol abuse
  • Unable to follow directions or complete tools in English.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
21 participants (actual)

Study arms

  • Active comparator
    Group A: Anodal tDCS

    Group A will receive one block of real excitatory anodal tDCS over the motor cortex and one block of sham.

    Device: tDCS

  • Sham comparator
    Arm B: Cathodal tDCS

    Group B will receive one block of inhibitory cathodal tDCS over the somatosensory cortex and one block of sham.

    Device: tDCS

Interventions

  • DevicetDCS

    TDCS/sham will be delivered using the battery-operated device Phoresor II Auto with two saline-soaked sponge electrodes. To deliver excitatory (anodal) tDCS over the motor cortex, the main electrode will be placed over the motor cortex on the hemisphere contralateral to the major source of pain. The second electrode will be placed on the skin overlying the supraorbital region ipsilateral to the affected area. To deliver inhibitory (cathodal) tDCS, the main electrode will be placed over the somatosensory cortex on the hemisphere contralateral to the major source of pain. The second electrode will be placed on the skin overlying the supraorbital region ipsilateral to the affected area. The current will be delivered at the intensity of 2mA for 20 minutes. To deliver sham, the current will be delivered for 30 sec only to elicit tingling skin sensation but no cortical excitability changes.

06

What researchers measure

Primary outcomes

  1. Primary outcome will be a composite measure "Pain intensity/consumption of pain medication".

    The washout period between phase I and phase II of the study is variable as patients have to go back to their baseline.

    Time frame: Daily from Baseline to up to 17 weeks

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Study locations

1 site
  • Beth Israel Medical Center
    New York, New York 10033, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 10, 2015, 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
NCT01849796
Lead sponsor
Beth Israel Medical Center
Responsible party
Sponsor
First posted
May 9, 2013
Start date
Oct 2010
Primary completion
Dec 2013
Completion
Dec 2013
Last update
Dec 10, 2015

Study contacts

Joy Hao, MD
principal investigator · Beth Israel Medical Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Dec 2015. You cannot join it, but the record below documents what was studied.

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