Transnasal Sphenopalatine Ganglia Block for Management of Chronic Migraines in Pediatric Patients
- Conditions
- Pain, NeuropathicMigraine in Children
- Interventions
- Other: Headache JournalDrug: Sphenopalatine BlockDevice: 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- WITHDRAWN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
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
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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description Minors with chronic migraines Tx360 - Minors with chronic migraines Sphenopalatine Block - Minors with chronic migraines Headache Journal -
- Primary Outcome Measures
Name Time Method Reduction in frequency of headache days: pre-treatment Up 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-treatment Up to one year following consent Weekly headache journal check in - 5 questions with y/n answers and free text entry
- Secondary Outcome Measures
Name Time Method Headache duration: pre-treatment Up to 4 weeks following consent Participant records headache duration by documenting the start and end time of the headache
Headache duration: post-treatment Up to one year following consent Participant records headache duration by documenting the start and end time of the headache
Maximum headache severity: pre-treatment up 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-treatment Up to one year following consent Participant records use with a y/n answer and provides the name of the medication
Maximum headache severity: post-treatment up 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-treatment Up 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