Evidence map›Paper›PMID 36849977›Full record

Trial reportBMC palliative care2023

Bicentre, randomized, parallel-arm, sham-controlled trial of transcranial direct-current stimulation (tDCS) in the treatment of palliative care patients with refractory cancer pain.

Jean-Paul Nguyen, Hélène Gaillard, Alcira Suarez, Élie Terzidis-Mallat, Diane Constant-David, Aurélien Van Langhenhove, Adrien Evin, Catherine Malineau, Son V O Tan, Alaa Mhalla and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Analgesic efficacy of non-invasive neuromodulation techniques in chronic cancer pain: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  2. Cancer pain.Nature reviews. Disease primers · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Jean-Paul NguyenUnité de Stimulation Transcrânienne, Clinique Bretéché, Groupe Elsan, Nantes, 44000, France.
Hélène GaillardUIC22 et Service Douleur Soins Palliatifs et Soins de Support, Centre Hospitalo-Universitaire (CHU), Nantes, 44930, France.
Alcira SuarezUnité de Stimulation Transcrânienne, Clinique Bretéché, Groupe Elsan, Nantes, 44000, France.
Élie Terzidis-MallatUnité de Soins Continus, Clinique Bretéché, Groupe Elsan, Nantes, 44000, France.
Diane Constant-DavidUIC22 et Service Douleur Soins Palliatifs et Soins de Support, Centre Hospitalo-Universitaire (CHU), Nantes, 44930, France.
Aurélien Van LanghenhoveUIC22 et Service Douleur Soins Palliatifs et Soins de Support, Centre Hospitalo-Universitaire (CHU), Nantes, 44930, France.
Adrien EvinUIC22 et Service Douleur Soins Palliatifs et Soins de Support, Centre Hospitalo-Universitaire (CHU), Nantes, 44930, France.
Catherine MalineauUnité de Stimulation Transcrânienne, Clinique Bretéché, Groupe Elsan, Nantes, 44000, France.
Son V O TanService de Neurochirurgie, University Hospital, Ho Chi Minh ville, Vietnam.
Alaa MhallaEA43910, Faculté de Médecine, Université Paris-Est, Créteil, 94000, France.
Jean-Pascal LefaucheurEA43910, Faculté de Médecine, Université Paris-Est, Créteil, 94000, France.
Julien NizardUIC22 et Service Douleur Soins Palliatifs et Soins de Support, Centre Hospitalo-Universitaire (CHU), Nantes, 44930, France. julien.nizard@chu-nantes.fr.ORCID http://orcid.org/0000-0003-1907-8628
Centre National des Soins Palliatifs et de la Fin de Vie · FRUniversité Paris-Est Créteil · FRUniversity of Medicine and Pharmacy at Ho Chi Minh City · VN

Funding

ELSAN STIMPAL succeeded at 2019 Groupe Elsan (Clinique Brétéché, Nantes, France) Call for Research Projects, with a grand of 80000 euros.
6 · The paper itself

Abstract

backgroundPain is a common symptom in palliative care cancer patients and is often insufficiently relieved. In recent years, transcranial direct-current stimulation (tDCS) of the motor cortex has been shown to be effective to treat chronic pain, essentially neuropathic pain. We propose to test the efficacy of tDCS in patients experiencing cancer pain in the palliative care setting. METHOD/

designThis article describes the protocol of a bicentre, randomized, parallel-arm, sham-controlled clinical trial evaluating tDCS in the treatment of palliative care patients with refractory cancer pain. Seventy patients between the ages of 18 and 80 years experiencing refractory pain with a pain score of 4/10 on a numerical rating scale (NRS) ranging from 0 to 10 will be enrolled in this trial. The main exclusion criteria are patients unable to fill in the various rating scales and life expectancy less than 3 weeks. Treatment consists of 5 consecutive tDCS sessions targeting the motor cortex (one daily session for 5 days) on the contralateral side to the pain. After randomization (1:1 ratio), 35 patients will receive active stimulation and 35 patients will receive sham stimulation. The primary endpoint is the NRS score and the primary objective is a significant improvement of this score between the baseline score recorded between D-3 and D-1 and the score recorded 4 days after stopping treatment (D8). The secondary objectives are to evaluate whether this improvement is maintained 16 days after stopping treatment (D21) and whether the following scores are improved on D14 and D21: Brief Pain Inventory, Edmonton Symptom Assessment System, Hospital Anxiety and Depression scale, State-Trait Anxiety Inventory and Medication Quantification Scale. DISCUSSION: Positive results of this trial would indicate that tDCS can improve pain and quality of life of cancer patients in the palliative care setting. Reduction of analgesic consumption and improvement of activities of daily living should allow many patients to return home with a decreased workload for caregivers.

Indexed as

Cancer PainIntractable PainNeoplasmsTranscranial Direct Current StimulationActivities of Daily LivingAdolescentAdultAgedAged, 80 and overHumansMiddle AgedPalliative CareQuality of LifeYoung AdultCancer painPalliative careRandomized trialtDCSTreatment

Identifiers

PMID36849977
PMCPMC9972710
OpenAlexW4322487037

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.