A Prospective, Multicentre, Randomized, Controlled, Blinded-endpoint Study to Evaluate the Efficacy and Safety of Sphenopalatine Ganglion Pulsed Radiofrequency Treatment for Cluster Headache
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cluster Headache
- Sponsor
- Beijing Tiantan Hospital
- Enrollment
- 80
- Locations
- 3
- Primary Endpoint
- Duration of the cluster period
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The investigators aim to investigate the effectiveness and safety of sphenopalatine ganglion pulsed radiofrequency on cluster headache.
Detailed Description
The investigators aim to investigate whether the sphenopalatine ganglion pulsed radiofrequency treatment is better than traditional sphenopalatine ganglion nerve block technology and provides medical evidence for the clinical application and promotion of sphenopalatine ganglion pulsed radiofrequency treatment to provide a minimally invasive, safe, and effective treatment for patients with cluster headache who do not respond to drug treatment.
Investigators
Fang Luo
Director of Department of Pain Management
Beijing Tiantan Hospital
Eligibility Criteria
Inclusion Criteria
- •diagnosis of cluster headache is confirmed according to the diagnostic criteria of the 2018 International Classification of Headache Disorders 3rd edition (ICHD-3);
- •patient's age is between 18 and 60 years;
- •patients seek treatment in the pain clinics of hospitals participating in the study within 5 days of the onset of the cluster period; pain conditions of patients remain the same after conservative treatment of conventional oral medication, or the reduction rates are less than 50% in pain degree during headache attacks, headache attack frequency, duration of each headache attack, and auxiliary analgesic drug dosage; and
- •patients signed the informed consent.
Exclusion Criteria
- •abnormalities in blood measurements, liver and kidney function, blood glucose, coagulation, electrocardiogram, and chest radiograph;
- •infection at the puncture site;
- •previous mental illness;
- •previous history of narcotic drug abuse;
- •history of anticoagulant and antiplatelet aggregation drugs;
- •implantable pulse generator;
- •previous history of invasive treatments such as sphenopalatine ganglion radiofrequency thermocoagulation and chemical destruction;
- •pregnant or breastfeeding patients.
Outcomes
Primary Outcomes
Duration of the cluster period
Time Frame: Within 1 year (the cluster period is not over 3 months generally)
The duration of the cluster period is defined as the total duration of the headache, including the pain attack time before and after treatment.
Secondary Outcomes
- The degree of pain during headache attacks after treatment(1 day, 3 days, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after surgery)
- Headache attack frequency(1 day, 3 days, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after surgery)
- Duration of each headache attack(1 day, 3 days, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after surgery)
- Dose of auxiliary analgesic drugs(1 day, 3 days, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after surgery)
- Duration of remission period(1 day, 3 days, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after surgery)
- Patient satisfaction(1 day, 3 days, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after surgery)
- Effective rate(1 day, 3 days, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after surgery)