Clinical Trial: Pulsed Electromagnetic Fields for Multiple Chemical Sensitivity

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Transcranial Pulsed Electromagnetic Fields for Multiple Chemical Sensitivity: a Study Protocol for a Randomized, Double-blind, Placebo-controlled Trial

Brief Summary: The purpose of this study is to determine whether pulsed electromagnetic fields(PEMF) is effective in the treatment of multiple chemical sensitivity in terms of life impact, symptoms, psychological distress, markers of central sensitization and the immune system, and quality of life.

Detailed Summary:
Sponsor: The Danish Research Centre for Chemical Sensitivities

Current Primary Outcome: Change from baseline in Life Impact Scale (Quick Environmental Exposure and Sensitivity Inventory) [ Time Frame: Week 1, 2, 3, 4, 5, 6, and 2½ and 4½ month follow-ups ]

The Life Impact Scale is part of the Quick Environmental Exposure and Sensitivity Inventory (QEESI). The QEESI consists of five scales measuring different domains related to chemical sensitivities, i.e. commonly reported symptoms, chemical (inhalant) intolerances, other intolerances, life impact attributed to chemical intolerances, and on-going exposures from routinely used products (Masking Index). The Life Impact Scale consists of 10 items, where responses are rated on an 11 point scale ranging from "not at all a problem" (0) to "disabling symptoms" (10)), resulting in a score range from 0 to 100.


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Change from baseline in Symptom Severity Scale (Quick Environmental Exposure and Sensitivity Inventory) [ Time Frame: Week 1, 2, 3, 4, 5, 6, and 2½ and 4½ month follow-ups ]
    The Symptom severity scale from the QEESI consist of ten items where responses are rated on an eleven point scale ranging from "not at all a problem" (0) to "disabling symptoms" (10), resulting in a score range from 0 to 100.
  • Change from baseline in Chemical Intolerance Scale (Quick Environmental Exposure and Sensitivity Inventory) [ Time Frame: Week 1, 2, 3, 4, 5, 6, and 2½ and 4½ month follow-ups ]
    The Chemical Intolerance scale from the QEESI consist of ten items where responses are rated on an eleven point scale ranging from "not at all a problem" (0) to "disabling symptoms" (10), resulting in a score range from 0 to 100.
  • Change from baseline in Sheehan Disability Scale [ Time Frame: Week 1, 2, 3, 4, 5, 6, and 2½ and 4½ month follow-ups ]
    The Sheehan Disability Scale (SDS) is widely used in psychiatry, but has also been applied to many other chronic medical illnesses. It uses visuo-spatial, numeric and descriptive anchors to measure impaired functioning in three domains: work, social life and family life. The scale generates four disability scores, one for each domain and a total score by adding up the three individual domain scores
  • Change from baseline in individual self-selected tasks [ Time Frame: Week 1, 2, 3, 4, 5, 6, and 2½ and 4½ month follow-ups ]
    In addition to the Life Impact scale used as the primary outcome measure, the participants will need to select three tasks in the areas of work, social life and family life, which are impaired by MCS at baseline. The degree of impairment associated with each task is scored on a scale from 0-10 with visuo-spatial, numeric and descriptive anchors similar to SDS.
  • Change from baseline in noise sensitivity [ Time Frame: Week 6, and 2½ and 4½ month follow-ups ]
    To measure the participants' sensitivity to noise, they will be asked to grade their responses to 10 different noises (e.g. drone of a machine, stroke of a hammer, rustling of paper) on a 5-point Likert scale.
  • Change from baseline in depression (Symptom Check List-92) [ Time Frame: Week 1, 2, 3, 4, 5, 6, and 2½ and 4½ month follow-ups ]
    The Symptom Checklist 92 (SCL-92) subscales for depression, anxiety and somatization will be included. These subscales comprise 35 items on which responses are rated on a 5-point Likert scale ranging from not at all to very much.
  • Change from baseline in anxiety (Symptom Check List-92) [ Time Frame: Week 1, 2, 3, 4, 5, 6, and 2½ and 4½ month follow-ups ]
  • Change from baseline in somatization (Symptom Check List-92) [ Time Frame: Week 1, 2, 3, 4, 5, 6, and 2½ and 4½ month follow-ups ]
  • Change from baseline in 6-item Hamiltons Depression Scale [ Time Frame: Week 1, 2, 3, 4, 5, 6, and 2½ and 4½ month follow-ups ]
    The 6-item Hamilton Depression Rating Scale (HAM-D6) is a short self-administered measure of depression. The scale has been shown to be as sensitive as the more widely used 17-item Hamilton Depression Rating Scale (HAM-D17) to measure antidepressive treatment effects.
  • Change from baseline in Perceived Stress Scale [ Time Frame: Week 1, 2, 3, 4, 5, 6, and 2½ and 4½ month follow-ups ]
    The short version of the Perceived Stress Scale (PSS-10) consists of 10 questions and measures the self-perception of stress by grading how different life situations are perceived. The PSS-10 has been shown to be a valid and reliable measure of perceived stress.
  • Change from baseline in World Health Organization Quality Of Life Brief version [ Time Frame: Week 6 and 4½ month follow-ups ]
    The brief version of World Health Organization Quality Of Life (WHOQOL-BREF) is a short multidimensional questionnaire, which measures health-related quality of life. The scale consists of four domains: physical health, psychological well-being, social relationships and environment.
  • Change from baseline in capsaicin-induced secondary punctate hyperalgesia [ Time Frame: Week 6 ]
  • Change from baseline in immunological markers in serum [ Time Frame: Week 6 ]
    IL-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, IL-12, IL-13, IL-17, IL-21, IL-22, IL-23, TNFα, IFNγ


Original Secondary Outcome: Same as current

Information By: The Danish Research Centre for Chemical Sensitivities

Dates:
Date Received: April 12, 2013
Date Started: April 2013
Date Completion:
Last Updated: April 15, 2014
Last Verified: April 2014