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Not yet recruitingNCT05569486Updated Apr 3, 2026

Elucidating the Central Mechanisms of Action for Green Light Therapy in Managing Chronic Pain

An interventional study of Green Light in Fibromyalgia, sponsored by University of Arizona. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-03.

Sponsored by University of Arizona · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Investigators have previously shown that specific colors of light can alter nociception. Green light emitting diode exposure (GLED) provides long-lasting antinociception in rodents, through the visual system. No adverse effects were noted, and motor performance was not impaired. Investigator clinical trials have shown GLED is also effective in decreasing pain intensity of fibromyalgia patients and decreasing the number of headache-days per month in migraine patients. However, investigators do not yet understand the mechanisms by which GLED reduces pain.

Understanding the mechanisms of action of GLED will provide additional support for using light therapy as both a treatment and as a possible diagnostic tool. While investigators do not fully understand the mechanisms of action of GLED, investigators do know that it is centrally mediated.

To better elucidate the mechanism of action for GLED, investigators propose a single-blinded randomized placebo-controlled clinical trial to elucidate the central mechanism(s) of action that GLED therapy has in improving fibromyalgia pain, conducted by a team with a successful record of collaboration. Investigator's hypothesis is that GLED decreases neuroinflammation leading to modulation of the signaling in the ascending and descending pain pathways.

Read the detailed description

After a patient is consented, investigators will collect the baseline Fibromyalgia Impact Questionnaire survey (FIQ), thermal and mechanical pain detection and tolerance threshold, conditioned pain modulation (CPM), collect cerebrospinal fluid (CSF), and obtain positron emission tomography scan (PET scan) for microglia baseline activity. It is expected that the PET scan will take place on different day given the time needed and preparation for the completion of a PET scan. Investigators expect the baseline value collections to take 1-2 days to complete. Once all baseline values are obtained, the light therapy exposure will begin. The start of light exposure will be considered the start of Week 1. Investigators will follow up with the patient over the phone every 2 weeks +/- 1 week to ensure safety and compliance and to answer any questions the patient may have. Recruited patients will also have investigator's contact information to contact investigators with any urgent questions. At the end of Week 10, investigators will obtain the final values for the FIQ survey, thermal and mechanical pain detection and tolerance threshold, CPM, collect CSF, and obtain PET scan.

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Conditions studied

  • Fibromyalgia

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03

In context

Fibromyalgia

1,336 studies on the registry are indexed under Fibromyalgia; 266 are open to participants now.

This study's planned enrollment of 70 is above the median of 60 across 1,035 interventional studies indexed under Fibromyalgia.

Browse Fibromyalgia studies →

Lead sponsor

University of Arizona is the lead sponsor of 466 studies on the registry; 87 are open to participants now.

Of its 47 completed or terminated interventional studies of FDA-regulated products, 29 (62%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 18 years or older who can speak and understand English
  • Meets the diagnostic criteria for fibromyalgia accroding to the 2016 revisions to the 2010/2011 fibromyalgia diagnostic criteria.
  • Average numeric pain score of 5 out of 10 or greater over the 10 weeks prior to enrolling in the study, and failure of medical therapy to control their pain.

Exclusion criteria

Exclusion Criteria:

  • Serious mental illness defined as distortions of perception, delusions, hallucinations, and unusual behaviors resulting in loss of contact with reality. This will be assessed during the screening interview. Patients with psychiatric disorders will have their medical record reviewed prior to enrollment
  • History of color blindness or uncorrected cataracts
  • Subjects receiving remuneration for their medical condition.
  • Genotype of low affinity binders for translocator protein, (TSPO), as patients with low affinity binding TSPO may not have adequate uptake for the radioactive tracer used for the PET scan.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
70 participants (estimated)

Study arms

  • Experimental
    Green light-emitting diode (GLED)

    Subjects randomized to this arm will be exposed to GLED 2 hours a day for 10 weeks

    Device: Green Light

  • Placebo comparator
    White light-emitting diode (WLED)

    Subjects randomized to this arm will be exposed to WLED 2 hours a day for 10 weeks

    Device: Green Light

Interventions

  • DeviceGreen Light

    This is a low-energy device. It produces almost no heat because it uses an LED source for light. The device does not store energy or electrical power that can be discharged later.

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What researchers measure

Primary outcomes

  1. Decreased activation of glial cells.

    By exposure to GLED investigators hypothesize that glial cells will be decreased, investigators will measure this by using positron emission tomography (PET) scan, scans will be conducted at baseline and the end of study

    Time frame: [Time Frame: 10 - 22 weeks, depending on study arm]

Secondary outcomes

  1. Decreasing Central Nervous System inflammation (CNS), Increasing Endorphins.

    By exposure to GLED, investigators hypothesize that inflammation in the CSF will be decreased and increased endorphin levels, this will be demonstrated by measuring cerebrospinal fluid (CSF) cytokines at baseline and at the end of study.

    Time frame: [Time Frame: 10 - 22 weeks, depending on study arm]

  2. Decreasing the activity of ascending pain pathway, and increasing the activity the descending pain pathway

    Decreasing the activity of the ascending pain pathway shown by decreased pain scores from repeated noxious stimulation (temporal summation) as compared to baseline, increasing the activity of the descending pain pathway measured by increasing the pain threshold to noxious stimulation while patients submerge their hand in an ice water bath as compared to baseline.

    Time frame: [Time Frame: 10 - 22 weeks, depending on study arm]

  3. Improvement in Fibromyalgia Impact Questionnaire score

    These will be completed at baseline and at the end of study. A survey to evaluate the effects of Fibromyalgia. The scale ranges from 0-100. 0 means no impact. 100 means there is a severe negative impact secondary to fibromyalgia. The scale is subjective in nature.

    Time frame: [Time Frame: 10 - 22 weeks, depending on study arm]

  4. Decreased objective and subjective pain scores to mechanical and thermal stimulation

    Investigators will compare pain scores at baseline to end of study. The scale ranges from 0-100%. This is a reported value by the patient which is subjective in nature.

    Time frame: [Time Frame: 10 - 22 weeks, depending on study arm]

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Study locations

1 site
  • Banner University Medical Center Multispecialty Services Clinic
    Tucson, Arizona 85711, United States
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References and documents

Publications

  • Burckhardt CS, Clark SR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol. 1991 May;18(5):728-33. PubMed 1865419 ↗
  • Potvin S, Marchand S. Pain facilitation and pain inhibition during conditioned pain modulation in fibromyalgia and in healthy controls. Pain. 2016 Aug;157(8):1704-1710. doi: 10.1097/j.pain.0000000000000573. PubMed 27045524 ↗
  • Overstreet DS, Michl AN, Penn TM, Rumble DD, Aroke EN, Sims AM, King AL, Hasan FN, Quinn TL, Long DL, Sorge RE, Goodin BR. Temporal summation of mechanical pain prospectively predicts movement-evoked pain severity in adults with chronic low back pain. BMC Musculoskelet Disord. 2021 May 10;22(1):429. doi: 10.1186/s12891-021-04306-5. PubMed 33971876 ↗
  • Mackey IG, Dixon EA, Johnson K, Kong JT. Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing. J Vis Exp. 2017 Feb 16;(120):54452. doi: 10.3791/54452. PubMed 28287532 ↗
  • Yarnitsky D, Bouhassira D, Drewes AM, Fillingim RB, Granot M, Hansson P, Landau R, Marchand S, Matre D, Nilsen KB, Stubhaug A, Treede RD, Wilder-Smith OH. Recommendations on practice of conditioned pain modulation (CPM) testing. Eur J Pain. 2015 Jul;19(6):805-6. doi: 10.1002/ejp.605. Epub 2014 Oct 20. PubMed 25330039 ↗
  • Yarnitsky D, Granot M, Nahman-Averbuch H, Khamaisi M, Granovsky Y. Conditioned pain modulation predicts duloxetine efficacy in painful diabetic neuropathy. Pain. 2012 Jun;153(6):1193-1198. doi: 10.1016/j.pain.2012.02.021. Epub 2012 Apr 3. PubMed 22480803 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 3, 2026, 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
NCT05569486
Lead sponsor
University of Arizona
Collaborators
Banner Alzheimer's Institute
Responsible party
Mohab Ibrahim, PhD MD (Associate Professor, Anesthesiology, University of Arizona) — Principal investigator
First posted
Oct 6, 2022
Start date
Dec 1, 2026 (estimated)
Primary completion
Dec 30, 2029 (estimated)
Completion
Dec 30, 2029 (estimated)
Last update
Apr 3, 2026

Study contacts

Mohab M Ibrahim, PhD., MD
Contact
mibrahim@anesth.arizona.edu
520-871-7246
Virginia Ellis
Contact
virginiaellis@anesth.arizona.edu
520-626-3099
Mohab M Ibrahim, PhD., MD
principal investigator · University of Arizona

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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