Can magnetic pulses to the brain quiet nerve pain?
NCT ID NCT07805057
First seen Sep 04, 2026 · Last updated Sep 04, 2026
Summary
Small fiber neuropathy damages tiny nerve fibers, causing severe pain that often resists standard painkillers. This trial tests whether repetitive transcranial magnetic stimulation (rTMS), a non-invasive technique that sends magnetic pulses to specific brain regions, can reduce that pain. About 124 adults with skin-biopsy-confirmed small fiber neuropathy and moderate to severe pain will receive either real rTMS or a sham version over six weeks. Researchers will compare the proportion of responders in each group, defined as at least a 1-point drop on a 0 to 10 pain scale.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Repetitive transcranial magnetic stimulation (rTMS), a non-invasive technique that delivers magnetic pulses to specific brain regions to reduce pain
- What this could lead to
- If rTMS eases pain in small fiber neuropathy, it could offer a new, non-drug option for people who get little relief from current pain medications.
- What could go wrong
- This is an early test in one condition, and pain relief from rTMS may be temporary. The sham comparison will show whether any benefit is real or a placebo effect.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 124 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 18 years of age or older. * Skin-biopsy proven idiopathic SFN. * Pain intensity (maximum pain) rated ≥5 on the PI-NRS, that must have existed for at least 12 weeks before the study. * Written informed consent. Exclusion Criteria: * Signs of large nerve fiber dysfunction (i.e., weakness, loss of vibration sense, hyporeflexia or areflexia, abnormal nerve conduction studies). * Identifiable underlying cause of SFN (diabetes, SCN9A/SCN10A/SCN11A mutations, hypothyroidism, vitamin B12 deficiency, monoclonal gammopathy, alcohol abuse (more than 5 IU/day), malignancies, or drugs that cause neuropathy). * Implanted ferromagnetic devices or other magnetic-sensitive metal implants close to the magnetic coil. * History of epilepsy. * Using pain medication that has changed in the 30 days prior to randomization. * Pregnancy. * Mentally challenged subjects unable to give independent informed consent. * Clinically significant or unstable psychiatric disorder including major depression, (history of) substance abuse and other major disorders in accordance with DSM-V,
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Maastricht University Medical Centre +
Maastricht, Limburg, 6229 HX, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could hidden nerve damage explain pain in kids with developmental delays?
- Gene therapy targets chronic nerve pain in new trial
- Could immune therapy ease nerve pain? new trial tests IVIG for small fiber neuropathy