MedPath

Transnasal Sphenopalatine Ganglia Block for Management of Chronic Migraines in Pediatric Patients

Phase 2
Withdrawn
Conditions
Pain, Neuropathic
Migraine in Children
Interventions
Other: Headache Journal
Drug: Sphenopalatine Block
Device: Tx360
Registration Number
NCT04466826
Lead Sponsor
Washington University School of Medicine
Brief Summary

Single-center, open-label, pre-post treatment pilot study to evaluate the safety and effectiveness of sphenopalatine ganglia blocks for the treatment of chronic migraine in the pediatric population. 50 children with a diagnosis of chronic migraines will undergo a series of three transnasal sphenopalatine ganglia blocks to measure their effect on headache frequency, headache intensity, headache duration, and use of headache medication.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

Children ages 8 to 17 years old Meet the criteria for chronic migraines Have remained stable on their current headache medication for a minimum of 4 weeks.

Able to provide informed consent from parent or legal guardian Able to provide assent if subject is a minor of appropriate age

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Exclusion Criteria

Allergy to local anesthetic Developmental delay (e.g. non-verbal) Inability to use numeric pain scale Inability to perform or tolerate transnasal procedure Substance abuse disorders Known pregnancy

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Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Minors with chronic migrainesTx360-
Minors with chronic migrainesSphenopalatine Block-
Minors with chronic migrainesHeadache Journal-
Primary Outcome Measures
NameTimeMethod
Reduction in frequency of headache days: pre-treatmentUp to 4 weeks following consent

Weekly headache journal check in - 5 questions with y/n answers and free text entry

Reduction in frequency of headache days: post-treatmentUp to one year following consent

Weekly headache journal check in - 5 questions with y/n answers and free text entry

Secondary Outcome Measures
NameTimeMethod
Headache duration: pre-treatmentUp to 4 weeks following consent

Participant records headache duration by documenting the start and end time of the headache

Headache duration: post-treatmentUp to one year following consent

Participant records headache duration by documenting the start and end time of the headache

Maximum headache severity: pre-treatmentup to 4 weeks following consent

Participant records headache intensity on headache journal. Scale is 0-10, with 0 being the least severity and 10 being the worst severity

Use of rescue medication: post-treatmentUp to one year following consent

Participant records use with a y/n answer and provides the name of the medication

Maximum headache severity: post-treatmentup to one year following consent

Participant records headache intensity on headache journal. Scale is 0-10, with 0 being the least severity and 10 being the worst severity

Use of rescue medication: pre-treatmentUp to 4 weeks following consent

Participant records use with a y/n answer and provides the name of the medication

Trial Locations

Locations (1)

St. Louis Children's Hospital

🇺🇸

Saint Louis, Missouri, United States

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