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临床试验/2024-514311-10-00
2024-514311-10-00招募中3 期

(REGON) Repeated corticosteroid injections around the Greater Occipital Nerve (GON) as prophylactic treatment in chronic cluster headache

Leids Universitair Medisch Centrum (LUMC)2 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2024年8月9日最近更新:
适应症

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
50
试验地点
2
主要终点
Retention rate (= time between the first injection and end-of-treatment; survival curves verum vs. placebo)

研究概览

简要总结

To show that repeated GON-injections are a safe, well-tolerated, convenient, and cost-effective therapy to rapidly and long-term reduce the attack frequency in chronic cluster headache.

入排标准

年龄范围
18 years 至 64 years(18-64 Years)
接受健康志愿者

入选标准

  • Chronic cluster headache (International Classification of Headache Disorders – third edition; ICHD-3)
  • Ictal pain must be always at the same side
  • ≥4 weekly attacks of cluster headache in the prospective one-month baseline observation period
  • On a stable regimen of cluster headache prophylactics for >4 weeks prior to onset of study treatment and agreeing not to increase the dose and not starting a new cluster prophylactic during the study period

排除标准

  • Contra-indication against, or current use of, corticosteroids
  • Occipital nerve stimulation (ONS)
  • Use of anticoagulation medication or a known bleeding disorder
  • Inability to use an electronic diary to monitor individual attacks and other items
  • Other headaches if the patient cannot reliably distinguish them from attacks of cluster headache
  • Current use of prophylactic medication for other headaches -

结局指标

主要结局

Retention rate (= time between the first injection and end-of-treatment; survival curves verum vs. placebo)

Retention rate (= time between the first injection and end-of-treatment; survival curves verum vs. placebo)

次要结局

  • Frequency of daily cluster headache attacks
  • The use of acute attack medication per day (subcutaneous sumatriptan and 100% oxygen)
  • Mean duration and severity (1-10) of attacks
  • Injection interval
  • Total number of injections in study period
  • Proportion of participants still in study at 1 year
  • Participants idea: did they receive placebo or verum?
  • Physician's idea: did they administer placebo or verum?
  • Adverse events + ultrasound structural integrity measurements greater occipital nerve
  • Proportion of subjects with a >50% and 100% reduction in attack frequency
  • Daily quality of life (EQ 5D)
  • Healthcare use & productivity losses

研究者

发起方
Leids Universitair Medisch Centrum (LUMC)
申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Rolf Fronczek

Scientific

Leids Universitair Medisch Centrum (LUMC)

研究点 (2)

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