Noninvasive targeted modulation of pain circuits with focused ultrasonic waves.
Thomas S Riis, Daniel A Feldman, Adam J Losser...
https://pubmed.ncbi.nlm.nih.gov/39073370/Actively Recruiting
Led by University of Utah · Updated on 2026-01-23
50
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating a new noninvasive brain stimulation method using an investigational ultrasound device to potentially help people with fibromyalgia. This research involves 50 participants diagnosed with fibromyalgia who have tried and not responded to certain medications and physical therapies. The study aims to compare the effects of active low-intensity ultrasound brain stimulation with a sham procedure that emits no ultrasound. Participants will be randomly assigned to either the treatment group receiving low-intensity ultrasound stimulation or a sham group receiving no ultrasound. The treatment involves wearing a device resembling oversized goggles that deliver ultrasound waves to targeted brain areas. Each participant will attend 6 treatment sessions lasting about 45 minutes each, spread over a two-week period. MRI scans will be done during the first and optionally the last in-person visits. Additionally, participants will complete online assessments multiple times during and after the treatment period. During the study, participants will visit the study center seven times for assessments and treatments, and complete seven online questionnaires about pain and symptoms. These include MRI scans, daily pain ratings, and symptom questionnaires conducted before, during, and up to 60 days after the first treatment session. Researchers will monitor pain levels, fibromyalgia impact, mood, and safety measures throughout. The primary outcome measured is pain intensity 15 days after starting treatment. The study ends after the last online questionnaire session.
CONDITIONS
Personalized Ultrasonic Brain Stimulation for Fibromyalgia
M
Madison Bunnell, Research Study coordinator
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University of Utah
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | BEAM ultrasonic stimulation | Sham control | Standard-of‑care (meds, exercise, CBT) |
|---|---|---|---|
| What it is | A novel noninvasive low‑intensity ultrasound device (BEAM helmet‑style) delivers targeted brain stimulation over six sessions in two weeks. | A sham procedure matching the device setup without delivering ultrasound stimulation. | Current care usually includes approved medications such as duloxetine, milnacipran, pregabalin, and amitriptyline, together with exercise and cognitive behavioral therapy. |
| Role in trial | Participants receive targeted ultrasound brain stimulation. | Participants undergo a sham procedure without active stimulation. | This represents multidisciplinary management typically offered to fibromyalgia patients outside a trial. |
| Purpose | Being evaluated for treatment of fibromyalgia pain. | Serves as control to assess efficacy of active ultrasound intervention. | Represents established treatment approach combining meds and non‑drug therapies based on clinical guidelines. |
| How it is administered | Delivered via a BEAM helmet‑style device worn on the head for 45‑minute sessions, six times over two weeks. | Same device setup and session schedule but without ultrasound output. | Delivered through routine medical and therapy visits; includes medication dosing plus scheduled exercise and therapy sessions. |
| Evidence status | Effectiveness is being established; no published results yet. | Control arm; no efficacy beyond placebo context. | Guidelines support use of medications and exercise/CBT to reduce symptoms and improve function. |
| Important risks | Safety profile not established; unknown risks from device stimulation. | Expected to carry minimal risk; essentially no active intervention. | Known side effects for medications (e.g., duloxetine, pregabalin); non‑drug therapies generally low risk. |
| Important limitations | Uncertain benefit; small trial (≈50 participants), short follow‑up, lack of long‑term outcomes. | Placebo‑effect may limit interpretation of active device effectiveness. | Many patients have incomplete response to current treatments and multimodal approaches may vary in access and effectiveness. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or virtual)
Duration - 2 days
Participants record their average and worst pain once a day for two consecutive days before starting treatment.
2 virtual pain rating sessions
Duration - 1 day
Participants undergo an MRI scan followed by the first ultrasound brain stimulation treatment session or sham session, including questionnaires.
1 in-person visit
Duration - 2 weeks
Participants receive a total of 6 ultrasound brain stimulation or sham sessions over 2 weeks with at least 24 hours between sessions. Questionnaires and side effect reports are collected during these visits.
6 in-person treatment sessions
Duration - 1 day
Participants receive the last treatment session and may undergo an optional second MRI scan. Questionnaires are completed as part of this visit.
1 in-person visit
Duration - 45 days
Participants complete online symptom questionnaires at several time points after the first treatment session to monitor pain and impact of fibromyalgia.
5 virtual questionnaire sessions at 15, 22, 29, 45, and 60 days after first treatment
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Thomas S Riis, Daniel A Feldman, Adam J Losser...
https://pubmed.ncbi.nlm.nih.gov/39073370/Thomas S Riis, Seth Lunt, Jan Kubanek
https://pubmed.ncbi.nlm.nih.gov/39755367/University of Utah
Lead Sponsor