Alleviating Headache and Pain in GWI With Neuronavigation Guided rTMS
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|ClinicalTrials.gov Identifier: NCT03030794|
Recruitment Status : Recruiting
First Posted : January 25, 2017
Last Update Posted : April 6, 2017
|Condition or disease||Intervention/treatment|
|Gulf War Syndrome Headache||Device: Repetitive transcranial magnetic stimulation Device: Repetitive transcranial magnetic stimulation (sham)|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||90 participants|
|Intervention Model:||Parallel Assignment|
|Official Title:||Alleviating Headache and Pain in GWI With Neuronavigation Guided rTMS|
|Study Start Date :||December 2016|
|Estimated Primary Completion Date :||December 2018|
|Estimated Study Completion Date :||December 2018|
Active Comparator: Repetitive TMS
Subjects will receive the repetitive transcranial magnetic stimulation study procedure.
Device: Repetitive transcranial magnetic stimulation
A non-invasive method of brain stimulation that emits a magnetic pulse.
Placebo Comparator: No (blocked) repetitive TMS
Subjects will not receive the repetitive transcranial magnetic stimulation study procedure by blocking the stimulation between the coil and the head, but the audiovisual conditions will be mimicked.
Device: Repetitive transcranial magnetic stimulation (sham)
No brain stimulation will be administered.
- Daily Headache and Pain Log [ Time Frame: 2 months for each subject (11 visits) ]This is a daily self-reporting log that tracks headache, muscle pain, and joint pain levels. The pain levels are scored from 0-10 with 10 being the worst possible pain.
- Headache Impact Test 6 (HIT-6) [ Time Frame: 2 months for each subject (11 visits) ]This 6-question form assesses the severity of headache pain and is scored with a range of 36-78. The higher score, the higher the impact of headaches on functional ability.
- 2 months for each subject (11 visits) [ Time Frame: 2 months for each subject (11 visits) ]This assessment has 9 questions about pain level, relief, and interference. Pain level and interference questions range from 0-10, with 10 being the worst. Level of relief has a range of 0-100%, with 100% being complete relief.
- Opioid Medication Assessment [ Time Frame: 2 months for each subject (11 visits) ]This is a self-reporting log that tracks opioid medication usage. Average daily dosages are converted to equal-potent oral Morphine Sulfate dosage and reported in milligrams.
- Mechanical-Visual Analogue Scale [ Time Frame: 2 months for each subject (11 visits) ]This scale measures the level of headache, muscle, and joint pain at each visit. This ranges from 0-100, with 100 being the worst possible pain.
- Neurobehavioral Symptom Inventory (NSI) [ Time Frame: 2 months for each subject (11 visits) ]This is a 22-question self-report assessment that tracks symptoms over time. Each question ranges from 0-4, with 4 being very severe. The total NSI score ranges from 0-88.
- Short-Form McGill Pain Questionnaire (SF-MPQ) [ Time Frame: 2 months for each subject (11 visits) ]This self-reporting survey contains 15 questions that describe the type of pain. Each descriptor is scored between 0-3, with 3 being severe pain. The total score then ranges from 0-45. This questionnaire is filled out one each for joint pain and one for muscle pain.
- New Clinical Fibromyalgia Diagnostic Criteria [ Time Frame: 2 months for each subject (11 visits) ]This form contains a checklist of 19 possible areas for muscle pain. The checkmarks are tallied to give the Widespread Pain Index score, which ranges from 0-19. A score of 19 would suggest muscle pain in all 19 possible locations.
- Revised Fibromyalgia Impact Questionnaire (FIQR) [ Time Frame: 2 months for each subject (11 visits) ]This 3-part questionnaire measures the level of interference the pain causes, the overall impact of the pain, and intensity of the symptoms. There are a total of 21 questions, each with a range of 0-10, with 10 being either "very difficult" or "always." The FIQR total has a range of 0-210.
- Conners Continuous Performance Test 2 (CPT2) [ Time Frame: 2 months for each subject (11 visits) ]This is a 15-minute attention task administered on a laptop. The subject is prompted to press the spacebar as quickly as possible after every letter that appears on the screen except for the letter X. The exam is automatically scored by the program and reports omission rate and response latency. The attentional cognitive function is tracked by their change in these scores over time.
- Hopkins Verbal Learning Test (HVLT) [ Time Frame: 2 months for each subject (11 visits) ]This is a memory and recall task that requires the subject to memorize a list of 10 words and recall them. There are 3 trials and they are scored just by the number of words that can be recalled each time, which can be from 0-10 for a total range of 0-30 words. The second part of this test rates their recognition discrimination index by asking if certain words were on the original list. This is scored by taking the number of true positives and subtracting the false positives. The range for this is from 0-12, with 12 indicative of better discrimination within memory.
- Trailmaking Test A&B [ Time Frame: 2 months for each subject (11 visits) ]This is a timed test that is administered to assess executive function. Both tests have a series of numbers or numbers and letters that are to be connected in sequential order. The faster the completion time, the better the executive function.
- This is a timed test that is administered to assess executive function. Both tests have a series of numbers or numbers and letters that are to be connected in sequential order. The faster the completion time, the better the executive function. [ Time Frame: 2 months for each subject (11 visits) ]This is an administered IQ test that is designed to measure intelligence and cognitive ability in adults and older adolescents. There are several parts to the test, with each response being scored from 0-2 or 0-4 based on the quality of the answer or the completion time. The raw scores are then converted to scaled scores and summed to give the Full Scale score. The higher the Full Scale score, the higher the IQ classification.
- Hamilton Rating Scale for Depression [ Time Frame: 2 months for each subject (11 visits) ]This questionnaire rates the severity of depression in 21 questions. Each question either ranges from 0-2 or 0-4. The sum of the scores would give the total score, where a higher score would mean more severe depression.
- 36-Item Short Form Survey Instrument (SF-36) [ Time Frame: 2 months for each subject (11 visits) ]This is a 38-question survey that assesses physical function, physical health limitations, emotional problem limitations, fatigue, emotional well-being, social functioning, pain, and general health. The scoring follows the official guidelines by RAND, where certain questions determine each health aspect. The questions are rated from 1-5, and then scored from 0-100. Each health aspect will have a range of 0-100, with 100 suggesting a more favorable health state.
- Sleep Quality Assessment (PSQI) [ Time Frame: 2 months for each subject (11 visits) ]This is self-reporting survey has 9 questions and determines the quality and patterns of sleep. Questions are either free-response or have a range from 0-3, with 3 being "more frequent" or "very bad." The responses will be scored based on the guidelines at the bottom of the page. The global PSQI score then has a range of 0-21, with 21 indicative of poor sleep quality.
- Insomnia Severity Index [ Time Frame: 2 months for each subject (11 visits) ]This survey has 7 questions that rate the severity of insomnia problems. All questions range from 0-4 and the sum of the answers would give the total score. The total score range from 0-28, with 28 being severe clinical insomnia.
- Flinders Fatigue Scale [ Time Frame: 2 months for each subject (11 visits) ]This questionnaire contains 7 questions in order to determine the level of fatigue one is experiencing. The questions range from 1-5, with 5 being "extremely" or "entirely." The higher one scores, the more severe the fatigue.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03030794
|Contact: Karen Lei, B.S.||858-552-8585 ext firstname.lastname@example.org|
|Contact: Albert Leung, M.D.||email@example.com|
|United States, California|
|Naval Medical Center San Diego||Recruiting|
|San Diego, California, United States, 92134|
|Contact: Karen Lei, B.S. 858-210-8908 firstname.lastname@example.org|
|Veteran Affairs Hospital||Recruiting|
|San Diego, California, United States, 92161|
|Contact: Karen Lei, B.S. 858-552-8585 ext 2684 email@example.com|
|Contact: Valerie Metzger-Smith, B.S. 858-750-0274 firstname.lastname@example.org|
|Principal Investigator: Albert Leung, M.D.|
|Principal Investigator:||Albert Leung, M.D.||VA San Diego Health Care System|