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Trial registered on ANZCTR
Registration number
ACTRN12623000801617
Ethics application status
Approved
Date submitted
11/07/2023
Date registered
26/07/2023
Date last updated
26/07/2023
Date data sharing statement initially provided
26/07/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
What are the effects of an open-label placebo on pain?
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Scientific title
What are the effects of an open-label placebo on pain? A three-arm parallel randomised controlled trial on healthy adults.
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Secondary ID [1]
310089
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
pain
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Condition category
Condition code
Anaesthesiology
327465
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
There will be one 45-minute session for the participants with the researcher. After completing the baseline questionnaire, participants will be randomised to three conditions.
Arm 1: Control group, receives no placebo pills and no explanation about placebos.
Arm 2: Experimental group, will be asked to take two placebo pills containing microcrystalline cellulose while supervised by the researcher. A standard verbal explanation about open-label placebos will be given by the researcher, explaining the effects a placebo might have in reducing their pain. This explanation will take approximately 15 minutes.
Arm 3: Experimental group, will be asked to take two placebo pills containing microcrystalline cellulose while supervised by the researcher. A standard verbal explanation about open-label placebos will be given by the researcher, explaining the effects a placebo might have in reducing their pain. In addition to this, they have a short additional explanation suggesting them to keep an open mind about the treatment. This explanation will take approximately 15 minutes, with the additional explanation by the researcher suggesting the participant keep an open mind taking approximately 30 seconds.
After being randomised and undergoing their conditions, all participants will be asked to fill out a post-allocation questionnaire.
After this, all participants will undergo a cold pressor pain test which involves placing one of their hands into water cooled to 3 degrees.
During the test they will be assessed for pain intensity, pain tolerance (how long they keep their hand in), whether they remove their hand before the maximum time, and pain threshold (time until first feel pain).
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Intervention code [1]
326494
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Treatment: Other
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Comparator / control treatment
The control group does not receive any placebo pills, nor any explanation about placebos.
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Control group
Active
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Outcomes
Primary outcome [1]
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Pain intensity measured by a 0-10 numeric rating scale.
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Assessment method [1]
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Timepoint [1]
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15 seconds into the cold pressor pain test, as well at time points of 45, 75 and 106 seconds into the task.
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Primary outcome [2]
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Participants' expectations of treatment measured 2 items on a 0-10 numeric rating scale.
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Assessment method [2]
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Timepoint [2]
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At one time point, after they have undergone their group condition.
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Primary outcome [3]
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Participants' openness to treatment, measured by 1 item on a 0-10 numeric rating scale.
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Assessment method [3]
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Timepoint [3]
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At one time point, after they have undergone their group condition.
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Secondary outcome [1]
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Withdrawal (whether participants removed their hand from the water bath before the maximum time). This is recorded as a categorical Y/N
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Assessment method [1]
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Timepoint [1]
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During the cold pressor pain test.
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Secondary outcome [2]
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Pain tolerance, the time in seconds, measured by a digital stopwatch, that the participant holds their hand in the water.
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Assessment method [2]
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Timepoint [2]
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During the cold pressor pain test.
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Eligibility
Key inclusion criteria
To be eligible for the study, participants must be English-speaking adults aged 18 or over, who are willing to undergo an experimentally induced pain paradigm.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Participants will be excluded if they have chronic pain conditions, cognitive impairment, lack of sensation in hands, open sores, amputations, health issues that may be exacerbated by cold-exposure, or who are currently taking pain medication.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people administering the treatment/s
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
A power analysis was conducted to calculate the required sample size.
Data will be analysed by mixed model ANCOVA in IBM SPSS v29 to detect differences between groups on pain.
If any differences are found between groups, this will be investigated closer via post-hoc analyses with appropriate Bonferroni corrections.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
31/07/2023
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Actual
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Date of last participant enrolment
Anticipated
11/09/2023
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Actual
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Date of last data collection
Anticipated
11/09/2023
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Actual
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Sample size
Target
42
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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The University of Auckland
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Address [1]
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85 Park Road, Grafton, Auckland, New Zealand, 1023
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
The University of Auckland
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Address
85 Park Road, Grafton, Auckland, New Zealand, 1023
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Other collaborator category [1]
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Individual
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Name [1]
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Professor Keith Petrie
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Address [1]
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The University of Auckland
M&HS BUILDING 503 - Bldg 503
Level 3, Room 320
85 PARK RD
GRAFTON
AUCKLAND 1023
New Zealand
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Auckland Health Research Ethics Committee
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Ethics committee address [1]
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The University of Auckland, 34 Princes Street, Auckland CBD, Auckland 1010
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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19/05/2023
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Approval date [1]
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28/06/2023
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Ethics approval number [1]
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25992
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Summary
Brief summary
This research aims to investigate whether a participant's openness to treatment can enhance the pain-reducing effects of an open-label placebo (OLP). An OLP is a placebo where participants know they're receiving a non-active treatment, removing the deception involved in traditional placebos. Our study hypothesises that individuals receiving OLP will experience less experimental pain, measured via a cold pressor task, compared to a control group. Further, we expect that participants who receive an openness-enhancing rationale along with the OLP will report even less pain. This study contributes to ongoing research on open-label placebos, aiming to understand and potentially enhance their beneficial effects. Findings could help optimise OLP use in pain management, maintaining ethical standards and patient trust.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Keith Petrie
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Address
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The University of Auckland
M&HS Building 507
Level 3, Room 320
85 Park Road, Grafton
Auckland 1023
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Country
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New Zealand
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Phone
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+64 49 923 6564
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Keith Petrie
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Address
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The University of Auckland
M&HS Building 507
Level 3, Room 320
85 Park Road, Grafton
Auckland 1023
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Country
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New Zealand
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Phone
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+64 49 923 6564
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Keith Petrie
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Address
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The University of Auckland
M&HS Building 507
Level 3, Room 320
85 Park Road, Grafton
Auckland 1023
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Country
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New Zealand
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Phone
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+64 49 923 6564
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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