Status:

RECRUITING

Efficacy of Home-delivered Transcranial Direct Electrical Stimulation or Chronic Pain

Lead Sponsor:

Hospital Ambroise Paré Paris

Conditions:

Neuropathic Pain

Nociplastic Pain

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

This clinical investigation aims to evaluate the efficacy and safety of a home-based device providing electrical stimulation of the brain named transcranial direct current stimulation (tDCS ) , in pat...

Detailed Description

This will be a randomised, double-blind, parallel-group, bi-centric study versus placebo stimulation. Patients undergoing previous treatment with rTMS of the motor cortex in routine in our pain center...

Eligibility Criteria

Inclusion

  • Chronic pain for at least 6 months Pain intensity ≥ 4/10 on 0-10 NRS Pain present every day or nearly every day Neuropathic pain (DN4 score ≥ 4/10) or nociplastic pain (Kosek et al Pain 2021) Patients previously treated with rTMS of the motor cortex in routine in our pain center but with only transient efficacy (ie, efficacy for less than one month, defined as pain intensity improved by at least 30 %) Affilitated to social security

Exclusion

  • Contraindications to tDCS as stated in the manufacturer brochure (ie, implantable device , severe cognitive disorders, epilepsia, skin problems where will placed the electrodes, arterial or venous thrombosis, thrombophlebitis, metallic intracranial implant, cranioth-omy, incracranial aneuvrysm, cerebral tumor, severel sleep disorders such as narcolepsia) Conciomitant treatment which might increase the risk of epilepsia such as high doses opioids (≥ 140 mg morphine equivalent) or high. doses tricyclic antidepressants (≥ 150 mg per day) Pregnancy or lactation Age below 18 or \> 80 years Pending litigation related to pain Pain more severe than neuropathic or nociplastic pain requiring treatment Severe disease such as cancer Severe psychiatric condition (psychosis) Impossible to be followed for up to 3 months Participation in a recent protocol (less than 3 months) Psychoactive drug abuse

Key Trial Info

Start Date :

January 9 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2028

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT07211256

Start Date

January 9 2025

End Date

February 1 2028

Last Update

October 7 2025

Active Locations (1)

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Centre d'Evaluation et de Traitement de la douleur, INSERM U 987

Boulogne-Billancourt, Hauts de Seine, France, 92100