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Not yet recruitingNCT07352553PHNUpdated Jan 20, 2026

Brain Stimulation for Postherpetic Neuralgia: A Randomized Sham-Controlled Trial

An interventional study of Non-invasive transcranial stimulation and Sham Non-invasive transcranial stimulation in Postherpetic Neuralgia, sponsored by Huazhong University of Science and Technology. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-01-20.

Sponsored by Huazhong University of Science and Technology · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 3 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
94
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Pharmacotherapy is the cornerstone of Postherpetic Neuralgia (PHN) management. First-line treatments for PHN include antiviral agents (e.g., acyclovir, valacyclovir, famciclovir, and brivudine), centrally acting antiepileptic drugs (pregabalin and gabapentin), antidepressants (duloxetine and venlafaxine), and peripherally acting sodium-channel blockers (lidocaine patches).

In recent years, substantial progress has been made in the prevention and treatment of PHN, including early and active antiviral therapy (acyclovir, valacyclovir, famciclovir, brivudine, etc.), analgesic therapy (calcium-channel modulators such as pregabalin and gabapentin; tricyclic antidepressants such as amitriptyline; and opioid analgesics), interventional procedures (e.g., radiofrequency modulation and spinal cord stimulation), and vaccination. Nevertheless, clinical outcomes remain unsatisfactory, with the incidence of refractory PHN still exceeding 50%. Adverse effects associated with certain first- and second-line medications (such as antidepressants and anticonvulsants), as well as the potential risk of opioid dependence, markedly reduce treatment adherence. This situation has compelled clinicians to continually seek new and effective therapeutic approaches for PHN.

Non-invasive transcranial stimulation, as an emerging noninvasive neuromodulation technique, enables targeted modulation of deep brain structures. Animal studies have demonstrated that it can noninvasively regulate neuronal firing in deep regions and induce long-term plasticity, while offering relatively high spatial selectivity and tissue penetration. These features suggest broad clinical potential in chronic pain and affective disorders.

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Conditions studied

  • Postherpetic Neuralgia
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In context

Neuralgia, Postherpetic

195 studies on the registry are indexed under Neuralgia, Postherpetic; 31 are open to participants now.

This study's planned enrollment of 94 is close to the median of 100 across 160 interventional studies indexed under Neuralgia, Postherpetic.

Browse Neuralgia, Postherpetic studies →

Lead sponsor

Huazhong University of Science and Technology is the lead sponsor of 241 studies on the registry; 60 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥ 18 years.
  • Diagnosis of postherpetic neuralgia (PHN) with disease duration ≥ 3 months.
  • NRS pain score ≥ 4.
  • Willing to receive the intervention and able to provide written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Contraindications to electrical stimulation (e.g., intracranial metal implants, cardiac pacemaker).
  • History of epilepsy, severe psychiatric disorder, or cognitive impairment.
  • Pregnant or breastfeeding women.
  • Unable to comply with the intervention procedures and follow-up assessments.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
94 participants (estimated)

Study arms

  • Experimental
    Brain Stimulation + Usual Care

    Participants receive brain stimulation in addition to usual pharmacological care for postherpetic neuralgia. Brain stimulation is delivered once daily for 30 minutes for 10 consecutive days.

    Device: Non-invasive transcranial stimulation

  • Sham comparator
    Sham Stimulation + Usual Care

    Participants receive sham stimulation in addition to usual pharmacological care. Electrodes are applied once daily for 30 minutes for 10 consecutive days; after an initial brief stimulation to mimic sensation, the output is turned off.

    Device: Sham Non-invasive transcranial stimulation

Interventions

  • DeviceNon-invasive transcranial stimulation

    Non-invasive transcranial stimulation is delivered once daily for 30 minutes for 10 consecutive days. Stimulation is administered using a multi-channel battery-powered device with five circular Ag/AgCl electrodes; current output is monitored in real time for safety.

  • DeviceSham Non-invasive transcranial stimulation

    Sham procedure with identical electrode placement and session duration (30 minutes once daily for 10 consecutive days). After an initial brief stimulation to mimic sensation, the current output is turned off.

06

What researchers measure

Primary outcomes

  1. Change in Pain Intensity (NRS)

    Numeric Rating Scale (NRS, 0-10); change from baseline in pain intensity.

    Time frame: Baseline, Day 10 (end of treatment), 1 month, and 3 months

Secondary outcomes

  1. Neuropathic pain symptoms

    Neuropathic Pain Symptom Inventory (NPSI); change from baseline.

    Time frame: Baseline, Day 10, 1 month, 3 months

  2. Pain interference

    Brief Pain Inventory (BPI) interference subscale; change from baseline.

    Time frame: Baseline, Day 10, 1 month, 3 months

  3. Health-related quality of life

    EuroQol-5 Dimension (EQ-5D); change from baseline.

    Time frame: Baseline, Day 10, 1 month, 3 months

  4. Sleep quality

    Medical Outcomes Study Sleep Scale (MOS-SS); change from baseline.

    Time frame: Baseline, Day 10, 1 month, 3 months

  5. Emotional status

    Generalized Anxiety Disorder-7 (GAD-7); change from baseline.Edinburgh Postnatal Depression Scale-10 (EPDS-10) or prespecified depression scale; change from baseline.Pain Catastrophizing Scale (PCS); change from baseline.

    Time frame: Baseline, Day 10, 1 month, 3 months

  6. Global impression

    Patient Global Impression of Change (PGIC) and Clinician Global Impression of Change (CGIC) at follow-up visits.

    Time frame: Day 10, 1 month, 3 months

07

Study locations

1 site
  • Tongji hospital
    Wuhan, Hubei 430030, China
08

References and documents

Publications

  • Jia T, Xia J, Zhang C, Sun B, Yuan K, Liu T, Xu X, Liu J. Comparing analgesic effects of temporal interference stimulation on ventral posterolateral thalamus and high-definition transcranial alternating current stimulation on sensorimotor cortex during sustained experimental pain. Brain Stimul. 2025 May-Jun;18(3):701-703. doi: 10.1016/j.brs.2025.03.013. Epub 2025 Mar 19. No abstract available. PubMed 40112912 ↗
  • Grossman N, Okun MS, Boyden ES. Translating Temporal Interference Brain Stimulation to Treat Neurological and Psychiatric Conditions. JAMA Neurol. 2018 Nov 1;75(11):1307-1308. doi: 10.1001/jamaneurol.2018.2760. No abstract available. PubMed 30264149 ↗
  • Kurklinsky S, Palmer SC, Arroliga MJ, Ghazi SM. Neuromodulation in Postherpetic Neuralgia: Case Reports and Review of the Literature. Pain Med. 2018 Jun 1;19(6):1237-1244. doi: 10.1093/pm/pnx175. PubMed 29016994 ↗
  • Plow EB, Pascual-Leone A, Machado A. Brain stimulation in the treatment of chronic neuropathic and non-cancerous pain. J Pain. 2012 May;13(5):411-24. doi: 10.1016/j.jpain.2012.02.001. Epub 2012 Apr 7. PubMed 22484179 ↗
  • Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, Thomson S, O'Callaghan J, Eisenberg E, Milbouw G, Buchser E, Fortini G, Richardson J, North RB. The effects of spinal cord stimulation in neuropathic pain are sustained: a 24-month follow-up of the prospective randomized controlled multicenter trial of the effectiveness of spinal cord stimulation. Neurosurgery. 2008 Oct;63(4):762-70; discussion 770. doi: 10.1227/01.NEU.0000325731.46702.D9. PubMed 18981888 ↗
  • Sears NC, Machado AG, Nagel SJ, Deogaonkar M, Stanton-Hicks M, Rezai AR, Henderson JM. Long-term outcomes of spinal cord stimulation with paddle leads in the treatment of complex regional pain syndrome and failed back surgery syndrome. Neuromodulation. 2011 Jul-Aug;14(4):312-8; discussion 318. doi: 10.1111/j.1525-1403.2011.00372.x. Epub 2011 Jul 7. PubMed 21992424 ↗
  • Shrestha M, Chen A. Modalities in managing postherpetic neuralgia. Korean J Pain. 2018 Oct;31(4):235-243. doi: 10.3344/kjp.2018.31.4.235. Epub 2018 Oct 1. PubMed 30310548 ↗
  • van Hecke O, Austin SK, Khan RA, Smith BH, Torrance N. Neuropathic pain in the general population: a systematic review of epidemiological studies. Pain. 2014 Apr;155(4):654-662. doi: 10.1016/j.pain.2013.11.013. Epub 2013 Nov 26. PubMed 24291734 ↗
  • Holmes D. The pain drain. Nature. 2016 Jul 14;535(7611):S2-3. doi: 10.1038/535S2a. No abstract available. PubMed 27410529 ↗
  • Scholz J, Finnerup NB, Attal N, Aziz Q, Baron R, Bennett MI, Benoliel R, Cohen M, Cruccu G, Davis KD, Evers S, First M, Giamberardino MA, Hansson P, Kaasa S, Korwisi B, Kosek E, Lavand'homme P, Nicholas M, Nurmikko T, Perrot S, Raja SN, Rice ASC, Rowbotham MC, Schug S, Simpson DM, Smith BH, Svensson P, Vlaeyen JWS, Wang SJ, Barke A, Rief W, Treede RD; Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG). The IASP classification of chronic pain for ICD-11: chronic neuropathic pain. Pain. 2019 Jan;160(1):53-59. doi: 10.1097/j.pain.0000000000001365. PubMed 30586071 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07352553
Lead sponsor
Huazhong University of Science and Technology
Responsible party
Xianwei Zhang,MD (Professor, Huazhong University of Science and Technology) — Principal investigator
First posted
Jan 20, 2026
Start date
Jan 20, 2026 (estimated)
Primary completion
Jun 30, 2026 (estimated)
Completion
Jul 30, 2026 (estimated)
Last update
Jan 20, 2026

Study contacts

Xianwei Zhang, Doctor
Contact
ourpain@163.com
13296696810

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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

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