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Assessment and Treatment Patients With Atypical Facial Pain Trough Repetitive Transcranial Magnetic Stimulation (EMTr-AFP)

Primary Purpose

Atypical Facial Pain or Atypical Odontalgia

Status
Completed
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
rTMS
Sponsored by
University of Sao Paulo
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Atypical Facial Pain or Atypical Odontalgia focused on measuring atypical facial pain, atypical odontalgia, repetitive transcranial magnetic stimulation, neuropathic pain, chronic pain, assessment

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Fulfill criteria of Atypical Facial Pain by International Headache Society
  • Signed Term of Informed Consent

Exclusion Criteria:

  • Trauma of Skull, epilepsy don't treated,
  • Use of medications decrease the seizure threshold
  • Patients in use of drugs, how cocaine and alcohol
  • neurosurgical clips, pacemakers, increased intracranial pressure (risk of sequelae after seizure)
  • Pregnant or lacting women

Sites / Locations

  • Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC/FMUSP)

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Sham Comparator

Arm Label

rTMS-active

rTMS-Sham

Arm Description

patients undergoing of rTMS real

patients undergoing to placebo rTMS

Outcomes

Primary Outcome Measures

Change in Baselin of Pain
Assessing by verbal analog scale (VAS)

Secondary Outcome Measures

Excitability cortical
Changes in the measure of excitability cortical

Full Information

First Posted
November 27, 2012
Last Updated
April 24, 2014
Sponsor
University of Sao Paulo
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1. Study Identification

Unique Protocol Identification Number
NCT01746355
Brief Title
Assessment and Treatment Patients With Atypical Facial Pain Trough Repetitive Transcranial Magnetic Stimulation
Acronym
EMTr-AFP
Official Title
Assessment and Treatment Patients With Atypical Facial Pain Trough Repetitive Transcranial Magnetic Stimulation
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
March 2011 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
January 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Sao Paulo

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Atypical Facial Pain is a chronic condition and presents controversies during diagnostic and treatment, between specialist not have consensus about the pathophysiology. It is possible consider this entitie a potential neuropathic cause without pathological signs. It knows the repetitive transcranial magnetic presents good results in the treatment of chronic pain coditions. The aim this study is evaluated the thresholds and excitability cortical in patients with AFP and verify the patterns of improvement in pain for patients undergoing rTMS compared to controls, as well as the therapeutic response to neuromodulation procedures. This enroll 20 patients with DAF and 20 controls treated with rTMS (5 sessions) and evaluated through questionnaires (EDOF clinical record, McGill Pain Questionnaire, Visual Analogue Scale, Inventory of symptoms of neuropathic pain, neuropathic pain DN4 questionnaire, SF -36, brief pain inventory). At the end of the data will be statistically analyzed and expressed as mean and standard deviation, and analyzed by Student's t test, analysis of variance (ANOVA), Tukey-Kramer and Pearson correlation. The level of significance is 5%. The results will be published in journals indexed in the area both nationally and internationally and presented at conferences and scientific meetings.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atypical Facial Pain or Atypical Odontalgia
Keywords
atypical facial pain, atypical odontalgia, repetitive transcranial magnetic stimulation, neuropathic pain, chronic pain, assessment

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
rTMS-active
Arm Type
Active Comparator
Arm Description
patients undergoing of rTMS real
Arm Title
rTMS-Sham
Arm Type
Sham Comparator
Arm Description
patients undergoing to placebo rTMS
Intervention Type
Procedure
Intervention Name(s)
rTMS
Intervention Description
Patients undergoing of repetitive transcranial magnetic stimulation for treatment of AFP.
Primary Outcome Measure Information:
Title
Change in Baselin of Pain
Description
Assessing by verbal analog scale (VAS)
Time Frame
base line (moment of inclusion) and end of each session rTMS (4X in three months)
Secondary Outcome Measure Information:
Title
Excitability cortical
Description
Changes in the measure of excitability cortical
Time Frame
baseline (in the moment of inclusion) and end of each session of rTMS (4X in three months)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Fulfill criteria of Atypical Facial Pain by International Headache Society Signed Term of Informed Consent Exclusion Criteria: Trauma of Skull, epilepsy don't treated, Use of medications decrease the seizure threshold Patients in use of drugs, how cocaine and alcohol neurosurgical clips, pacemakers, increased intracranial pressure (risk of sequelae after seizure) Pregnant or lacting women
Facility Information:
Facility Name
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC/FMUSP)
City
São Paulo
State/Province
SP
ZIP/Postal Code
05403900
Country
Brazil

12. IPD Sharing Statement

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Assessment and Treatment Patients With Atypical Facial Pain Trough Repetitive Transcranial Magnetic Stimulation

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