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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06226376
Other study ID # EXOFIB2
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date January 8, 2024
Est. completion date July 1, 2025

Study information

Verified date April 2024
Source Sheikh Shakhbout Medical City
Contact Naji J Riachi, MD
Phone +97123144444
Email nriachi@ssmc.ae
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The goal of this clinical trial is to demonstrate the improvement of fibromyalgia syndrome obtained following active stimulation compared to sham, with diminished functional disability and improved health status using Exopulse Molli suit stimulation. The main questions it aims to answer are: Evaluation of pain, fatigue, mood and quality of life changes observed after active stimulation in comparison to sham. Improvement of fibromyalgia syndrome as per the Fibromyalgia Impact Questionnaire (FIQ) Study subjects will participate in: A randomized sham controlled double-blind trial to demonstrate the improvement of pain, quality of life, fatigue and mood in adult patients with fibromyalgia following a 2-week intervention of "active" versus "sham" Exopulse Mollii suit. A 2-week washout period should be enough to prevent a potential carry over effect. After this phase (phase 1), a second open label phase (phase 2) will be proposed for patients to understand the effects of Exopulse Mollii suit employed for 4 weeks (7 sessions per week) on the studied outcomes.


Recruitment information / eligibility

Status Recruiting
Enrollment 34
Est. completion date July 1, 2025
Est. primary completion date April 2, 2025
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Inclusion Criteria: - Patients aged between 18 and 75 years, with a definite diagnosis of fibromyalgia according to the American College of Rheumatology (ACR) 2010 criteria, set for at least one month. - Patients should be able to understand verbal instructions. Exclusion Criteria: - Patient with VAS < 4 - Patient included in another research protocol during the study period - Patient unable to undergo medical monitor for the study purposes due to geographical or social reasons - Patient with contraindication to wearing Exopulse Mollii suit (e.g., cardiac stimulator, a ventriculoperitoneal shunt, intrathecal baclofen pump, pregnancy, and/or body mass index above 35 kg/m2) - Patient with other somatic or psychiatric diagnoses other than anxiety and depression (e.g., arrhythmias, uncontrolled epilepsy, other diseases causing osteoarticular and muscular pain) - Any change in the pharmacological therapy in the last three months - Introduction of a medical device other than Exopulse Mollii suit during the study period - Patient under juridical protection

Study Design


Intervention

Device:
EXOPULSE Mollii Suit Stimulation
We designed a randomized sham controlled double-blind trial to demonstrate the improvement of pain, quality of life, fatigue and mood in adult patients with fibromyalgia following a 2-week intervention of "active" versus "sham" Exopulse Mollii suit. A 2-week washout period should be enough to prevent a potential carry over effect. After this phase (phase 1), a second open label phase (phase 2) will be proposed for patients to understand the effects of Exopulse Mollii suit employed for 4 weeks (7 sessions per week) on the studied outcomes.

Locations

Country Name City State
United Arab Emirates SSMC Abu Dhabi

Sponsors (1)

Lead Sponsor Collaborator
Sheikh Shakhbout Medical City

Country where clinical trial is conducted

United Arab Emirates, 

References & Publications (40)

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Dailey DL, Rakel BA, Vance CGT, Liebano RE, Amrit AS, Bush HM, Lee KS, Lee JE, Sluka KA. Transcutaneous electrical nerve stimulation reduces pain, fatigue and hyperalgesia while restoring central inhibition in primary fibromyalgia. Pain. 2013 Nov;154(11):2554-2562. doi: 10.1016/j.pain.2013.07.043. Epub 2013 Jul 27. — View Citation

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Ghavidel-Parsa B, Bidari A, Amir Maafi A, Ghalebaghi B. The Iceberg Nature of Fibromyalgia Burden: The Clinical and Economic Aspects. Korean J Pain. 2015 Jul;28(3):169-76. doi: 10.3344/kjp.2015.28.3.169. Epub 2015 Jul 1. — View Citation

Johnson MI, Claydon LS, Herbison GP, Jones G, Paley CA. Transcutaneous electrical nerve stimulation (TENS) for fibromyalgia in adults. Cochrane Database Syst Rev. 2017 Oct 9;10(10):CD012172. doi: 10.1002/14651858.CD012172.pub2. — View Citation

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Kim SK, Kim SH, Lee CK, Lee HS, Lee SH, Park YB, Park HJ, Son MJ, Lee SS. Effect of fibromyalgia syndrome on the health-related quality of life and economic burden in Korea. Rheumatology (Oxford). 2013 Feb;52(2):311-20. doi: 10.1093/rheumatology/kes255. Epub 2012 Sep 28. — View Citation

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* Note: There are 40 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Primary Visual Analogue Scale for Pain Pain will be measured using a visual analog score from 0 to 10, 0 being no pain, to 10 being the worst possible pain. This to be assessed at baseline, then at week 2, week 4, week 6, week 8 and week 12.
Secondary Fibromyalgia Impact Questionnaire (FIQ) It is an 11-item scale that assesses health status and functional disability by exploring the impact of fibromyalgia on work, wellbeing, fatigue, sleep, stiffness, anxiety, and depression. FIQ scores can range from 0 to 100, with higher scores reflecting worse health status. Scores could be used to classify fibromyalgia as mild (scores: 0-38), moderate (scores: 39-58), and severe (scores: 59-100) This to be assessed at baseline, then at week 2, week 4, week 6, week 8 and week 12.
Secondary Brief Pain Inventory (BPI) will be used to assess pain severity (4 items) and pain interference (7 items). BPI items are rated on a 10-point scale running from 0 (no pain/does not interfere) to 10 (pain as bad as the participant can imagine/interferes completely). This to be assessed at baseline, then at week 2, week 4, week 6, week 8 and week 12.
Secondary Pain Catastrophizing Scale (PCS) Pain Catastrophizing Scale (PCS) will be employed, which is a valid and reliable scale that includes 13 items assessing the presence and severity of feelings or thoughts that emerge when experiencing pain. Each item is rated on a 5-point Likert scale ranging from 0 (not at all) to 4 (all the time). It is possible to calculate a total and three subscale scores (i.e., helplessness, magnification, and rumination) This to be assessed at baseline, then at week 2, week 4, week 6, week 8 and week 12.
Secondary Quality of life as per the Short Form 36 Health Survey (SF-36) It is a generic survey that contains 36 items which assess the quality of life and yield eight dimensions: physical functioning, physical role, emotional role, bodily pain, general health, vitality, social functioning, and mental health. The score of each dimension ranges from 0 to 100, with higher scales implying better health status. This to be assessed at baseline, then at week 2, week 4, week 6, week 8 and week 12.
Secondary Visual Analogue Scale for Fatigue Fatigue will be measured using a visual analog score from 0 to 10, 0 being no fatigue, to 10 being the worst possible fatigue This to be assessed at baseline, then at week 2, week 4, week 6, week 8 and week 12.
Secondary Hospital Anxiety and Depression Scale (HADS) It is a 14-item generic scale with good psychometric properties and consists of seven items assessing anxiety and seven others assessing depression. Scores can range from 0 to 21 on each subscale, with higher scores indicating worse symptomatology. This to be assessed at baseline, then at week 2, week 4, week 6, week 8 and week 12.
Secondary Clinical Global Impression (CGI) Evaluation of overall Clinical improvement will be done using the 7-point Clinical Global Impression (CGI). Patient will fill a questionnaire that will address their clinical situation as follows:
Very much improved. Much improved. Slightly improved. No change. Slightly worse Much worse. Very much worse The score will range from 1-7, 1 being the best clinical outcome and 7 the worst.
This to be assessed at week 2, week 6 and week 12.
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