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Fibromyalgia (FM)NCT07835516

Electroconvulsive Therapy for Refractory Fibromyalgia

A study testing Electroconvulsive Therapy and Standard medical treatment in people with Fibromyalgia (FM), run by Beijing Tiantan Hospital.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This multicenter, prospective, randomized, open-label, wait-list controlled trial will evaluate the efficacy and safety of bilateral electroconvulsive therapy (ECT) for adults with refractory fibromyalgia (FM). Participants will be recruited from Beijing Tiantan Hospital and Beijing Jianjia Rehabilitation Hospital. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Fibromyalgia (FM)
What is being tested?
Electroconvulsive Therapy and Standard medical treatment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
58 participants
Where
No sites listed yet
Study dates
1 Dec 2026to 1 Apr 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of fibromyalgia according to the 2010 American College of Rheumatology criteria.
  • Age 18-70 years.
  • Refractory fibromyalgia, defined as a FIQR score of 39 or higher and stable standard medical treatment consisting of at least two combined pharmacological treatments, including tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors, and/or antiepileptic drugs, during the previous 3 months.
  • Concomitant medications maintained at stable doses for at least 4 weeks before inclusion.
  • Availability to receive 4 weeks of ECT immediately after inclusion or after a 16-week waiting period, and availability for a 3-month follow-up visit after completion of all ECT sessions.
  • Sufficient cognitive and language skills to comply with all study requirements.

Who cannot join

  • History of epilepsy, psychiatrist-diagnosed depression, or head trauma.
  • Pregnancy or breastfeeding.
  • Severe systemic disease or poor overall condition.
  • Contraindication to general anesthesia, including allergy to anesthetic agents or impaired liver or kidney function.
  • History of ECT within the previous 6 months or previous nonresponse to ECT.
  • Concomitant presence of other painful medical conditions in addition to fibromyalgia.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Fang Luo, Doctor contact

13611326978

13611326978@163.com

About this study

Official title: Electroconvulsive Therapy for Refractory Fibromyalgia: a Multicenter, Prospective, Randomized, Open-labelled, Wait-list Controlled Trial

This multicenter, prospective, randomized, open-label, wait-list controlled trial will evaluate the efficacy and safety of bilateral electroconvulsive therapy (ECT) for adults with refractory fibromyalgia (FM). Participants will be recruited from Beijing Tiantan Hospital and Beijing Jianjia Rehabilitation Hospital.

Eligible participants will have FM diagnosed according to the 2010 American College of Rheumatology criteria, will have received stable standard medical treatment including at least two combined pharmacological treatments during the previous 3 months, and will have substantial disease-related functional impairment as indicated by a Revised Fibromyalgia Impact Questionnaire (FIQR) score of 39 or higher. Concomitant medications will remain at stable doses during the study whenever possible.

Read more

Participants will be randomized to an immediate ECT group or a wait-list control group. Participants in the immediate group will receive bilateral ECT in addition to their usual standard treatment. ECT will be administered under general anesthesia using a standardized bilateral electrode placement and individualized stimulus dosing, with 1 to 2 treatment sessions per week for a total of 6 sessions over 4 weeks. Participants in the wait-list group will continue usual standard treatment during the initial randomized control period and will subsequently be offered the same 4-week ECT course.

The primary outcome is the change in average pain intensity, measured using the 0-10 Numeric Rating Scale (NRS), from baseline to 1 month after completion of the initial 4-week treatment or control period. Secondary outcomes include pain intensity, FM-related functional impairment, sleep quality, depressive symptoms, health-related quality of life, patient-reported global improvement, cognitive function, memory complaints, postictal confusion, and adverse events. Follow-up assessments will continue for 3 months after ECT or the corresponding control period. Outcome assessors and statisticians will be blinded to treatment allocation.

Read the detailed description

Fibromyalgia is a chronic condition characterized by widespread pain and frequently accompanied by sleep disturbance, fatigue, cognitive symptoms, and impaired daily functioning. Its pathophysiology is complex and is thought to involve abnormal central pain processing and sensitization, together with biological and psychosocial factors. Although current management combines pharmacological and nonpharmacological approaches, many patients continue to experience substantial symptoms despite optimized treatment. These patients may be described as having refractory fibromyalgia.

Electroconvulsive therapy (ECT) is an established neuromodulation treatment that is usually used for severe psychiatric disorders. Previous clinical observations and small prospective studies have suggested that ECT may also influence chronic pain through effects on central sensitization, pain-related cortical networks, descending pain inhibition, and neuroplasticity. However, the analgesic effect of ECT in fibromyalgia remains uncertain because previous studies were limited by small sample sizes, heterogeneous patient populations, and nonrandomized designs. A prospective randomized study is therefore needed to evaluate this treatment approach more rigorously.

This study will compare bilateral ECT plus stable usual treatment with stable usual treatment alone during an initial randomized phase. Participants assigned to immediate treatment will receive a standardized course of bilateral ECT under general anesthesia, with stimulus dosing adjusted according to seizure adequacy and clinical tolerability. Participants assigned to the wait-list group will continue their usual treatment during the initial control period and will subsequently be offered ECT. Usual treatment will continue during the study, and permitted as-needed analgesic medication may be used according to the protocol.

The study will assess whether ECT is associated with improvement in pain and broader fibromyalgia-related outcomes, including functional impact, sleep quality, mood symptoms, quality of life, and participants' global perception of change. Cognitive function, subjective memory complaints, postictal confusion, concomitant medication use, and adverse events will also be monitored to characterize the safety and tolerability of ECT. Outcome assessments and statistical analyses will be conducted by personnel blinded to treatment allocation where feasible. The study may provide preliminary randomized evidence to guide future research on ECT parameters, patient selection, treatment durability, and the role of neuromodulation in refractory fibromyalgia.

Being tested
Electroconvulsive Therapy, Standard medical treatment
Keywords
refractory fibromyalgia, electroconvulsive therapy, Neuromodulation
Medical subject headings
Fibromyalgia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Electroconvulsive TherapyProcedure or surgery

    Participants will continue their usual stable standard treatment for fibromyalgia throughout the study and will receive bilateral electroconvulsive therapy (ECT) beginning within 1 week after enrollment. ECT will be performed under general anesthesia using intravenous propofol for induction and succinylcholine for muscle relaxation, with bilateral electrode placement and individualized stimulus dosing. Participants will receive 1-2 ECT sessions per week, for a total of 6 sessions over 4 weeks. Standard treatment and concomitant medications will be maintained at stable doses whenever possible. Celecoxib 200 mg as needed, up to twice daily, and tramadol 100 mg as needed, up to 400 mg daily, may be used for analgesia according to the protocol.

  • Standard medical treatmentDrug

    Participants will continue their usual stable standard treatment for fibromyalgia during the initial 4-week randomized control period without receiving ECT. Standard treatment and concomitant medications will be maintained at stable doses whenever possible. Celecoxib 200 mg as needed, up to twice daily, and tramadol 100 mg as needed, up to 400 mg daily, may be used for analgesia according to the protocol. After completion of the randomized control phase and the specified follow-up assessments, participants will be offered a 4-week course of bilateral ECT combined with their usual standard treatment, using the same ECT procedures as the immediate-treatment group.

Study groups in NCT07835516
Study groupRoleWhat they receive
Wait-list Control With Usual Standard TreatmentActive comparatorParticipants will continue their usual stable standard treatment for fibromyalgia during the initial 4-week randomized control period without receiving ECT. Celecoxib and tramadol may be used as-needed for analgesia according to the study protocol. After completion of the randomized control phase and the required follow-up assessments, participants will be offered the same 4-week course of bilateral ECT as the immediate-treatment group.
Receives: Drug: Standard medical treatment
Immediate Bilateral Electroconvulsive TherapyActive comparatorParticipants will continue their usual standard treatment and will receive a 4-week course of bilateral electroconvulsive therapy (ECT) beginning within 1 week after enrollment. ECT will be administered under general anesthesia using bilateral electrode placement, with 1-2 treatment sessions per week for a total of 6 sessions. Stimulus dosing will be individualized according to seizure adequacy and the predefined dose-escalation protocol. As-needed analgesia with celecoxib or tramadol may be used according to the study protocol.
Receives: Procedure: Electroconvulsive Therapy; Drug: Standard medical treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Average Pain Intensity From Baseline to 1 Month After Completion of the Initial 4-Week Treatment

    Average pain intensity during the preceding week will be assessed using an 11-point Numeric Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst pain imaginable), with higher scores indicating greater pain intensity. The primary outcome is the change in NRS score from baseline to 1 month after completion of the initial 4-week electroconvulsive therapy (ECT) treatment.

    Measured: Baseline and 1 month after completion of the initial 4-week ECT treatment

Secondary outcomes (9)
  1. Average Pain Intensity During the Randomized Controlled Phase

    Average pain intensity using an 11-point Numeric Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst pain imaginable), with higher scores indicating greater pain intensity.

    Measured: 3 days, 2 weeks, and 3 months after completion of the initial 4-week ECT treatment period

  2. Fibromyalgia-related Functional Impairment

    Fibromyalgia-related functional impairment and symptom impact during the preceding week will be assessed using the Revised Fibromyalgia Impact Questionnaire (FIQR). The total score ranges from 0 to 100, with higher scores indicating greater disease impact and a worse outcome.

    Measured: 3 days, 2 weeks, 1 month, and 3 months after completion of the initial 4-week ECT treatment period

  3. Sleep Quality

    Sleep quality and sleep disturbances assessed using the Pittsburgh Sleep Quality Index (PSQI). The global score ranges from 0 to 21, with higher scores indicating poorer sleep quality and a worse outcome.

    Measured: 3 days, 2 weeks, 1 month, and 3 months after completion of the initial 4-week ECT treatment period

  4. Depressive Symptoms

    Depressive symptoms will be assessed using the Beck Depression Inventory-II (BDI-II). The questionnaire contains 21 items, each scored from 0 to 3, yielding a total score ranging from 0 to 63. Higher scores indicate more severe depressive symptoms and a worse outcome.

    Measured: 3 days, 2 weeks, 1 month, and 3 months after completion of the initial 4-week ECT treatment period.

  5. Health-related Quality of Life

    Health-related quality of life will be assessed using the 36-Item Short Form Health Survey (SF-36). The questionnaire assesses eight domains: physical functioning, role limitations due to physical health problems, bodily pain, general health, vitality, social functioning, role limitations due to emotional problems, and mental health. Each domain is scored separately from 0 to 100, with higher scores indicating better health status and a better outcome.

    Measured: 3 days, 2 weeks, 1 month, and 3 months after completion of the initial 4-week ECT treatment period

  6. Patient Global Impression of Change

    Participants' overall perception of change since the start of the study, rated on a 7-point scale ranging from "very much improved" to "very much worse."

    Measured: 3 days, 2 weeks, 1 month, and 3 months after completion of the initial 4-week ECT treatment period

  7. Average Pain Intensity After Delayed ECT

    Average pain intensity during the preceding week will be assessed in the wait-list group after delayed electroconvulsive therapy using the Numeric Rating Scale (NRS). Scores range from 0 (no pain) to 10 (worst pain imaginable), with higher scores indicating greater pain intensity and a worse outcome.

    Measured: 3 days, 2 weeks, 1 month, and 3 months after completion of the delayed 4-week ECT treatment course

  8. Cognitive function measures

    Cognitive function will be assessed using the Mini-Mental State Examination (MMSE). The total score ranges from 0 to 30, with higher scores indicating better cognitive function and a better outcome.

    Measured: Baseline and 3 days, 2 weeks, 1 month, and 3 months after completion of the initial 4-week ECT treatment period

  9. Adverse Events

    All adverse events occurring during the study will be monitored, recorded, and summarized.

    Measured: From enrollment through completion of follow-up assessments

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Sep 2026
  2. Study start1 Dec 2026 (estimated)
  3. Primary completion1 Feb 2028 (estimated)
  4. Study completion1 Apr 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
58 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07835516
Sponsor's protocol ID
KY2026-185
Status last verified
Sep 2026
First submitted
10 Sep 2026
Last updated
23 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: The plan for sharing individual participant data has not yet been finalized. A decision will be made after considering participant consent, confidentiality, institutional policies, and the feasibility of providing access to de-identified data.

Questions about this trial

What is this clinical trial studying?

A study testing Electroconvulsive Therapy and Standard medical treatment in people with Fibromyalgia (FM), run by Beijing Tiantan Hospital.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 23 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Fang Luo, Doctor (13611326978, 13611326978@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Average Pain Intensity From Baseline to 1 Month After Completion of the Initial 4-Week Treatment (time frame: Baseline and 1 month after completion of the initial 4-week ECT treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Sep 2026.

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