Treatment of Chronic Migraine Headaches.

NCT ID: NCT03220113

Last Updated: 2018-04-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-01

Study Completion Date

2019-07-01

Brief Summary

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The purpose of the study is assessment of the safety and efficacy of the De-Novo therapy in the treatment of craniofacial neuralgia and migraine headaches.This is an open-label study of simultaneous administration of combination of dexamethasone, lidocaine, and thiamine into the trigeminal nerve branches as well as greater and lesser occipital nerve bilaterally in one session.

Patients who meet the exclusion and inclusion criteria are eligible for trial if they have experienced chronic migraine and craniofacial pain not responding to other prior therapies.

Detailed Description

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A combination of dexamethasone, lidocaine and thiamine (pat.), may bring changes in the pattern of sympathetic and parasympathetic nerve signaling at the level vasa nervorum. These changes may down-regulate the hyperexcitable sympathetic signals at the level of adventitia and consequently the medial layer of vasa nervorum and providing long term relief from migraine headaches. However, a bilateral and simultaneous treatment of trigeminal and occipital nerves in migraine and craniofacial neuralgia using a combination of dexamethasone, thiamine and lidocaine has been rarely studied.

The objective of this study is to assess the safety and efficacy of concomitant administration of dexamethasone, lidocaine, and thiamine compounds into the trigeminal nerve branches, the greater and lesser occipital nerve for the treatment of chronic migraine, and craniofacial neuralgia.

Conditions

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Chronic Migraine Without Aura, Intractable Migraine With Typical Aura Migraine Disorders

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Prospective Open Label Study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dexamethasone,Lidocaine,Thiamine cohort

Simultaneous administration of a combination of sterile dexamethasone phosphate total dose (bilaterally) of 20 mg, 4 mg/ml, Lidocaine Hydrochloride 1% 40 mg, 10 mg/ml, and Thiamine Hydrochloride 100 mg, 100 mg/ml in a single session into the accessible branches of the trigeminal nerve of the first, second, and third divisions, as well as into the greater and lesser occipital nerve. In first,patient placed in supine position then in prone position for comfortable access to injection site.

De-Novo Treatment medication 'Dexamethasone, Lidocaine, Thiamine Cohort' prepared in single 1 milliliter volume sterile syringes, using 27 Gauge-30 Gauge needles.

Group Type EXPERIMENTAL

Dexamethasone, Lidocaine, Thiamine cohort

Intervention Type COMBINATION_PRODUCT

Bilateral and simultaneous administration of composition of De-Novo Treatment Cohort medication (Dexamethasone, Lidocaine, Thiamine) into the trigeminal and greater/lesser occipital nerves in one session.In children and hypersensitive individuals with needle phobia pre-treatment of skin with Lidocaine 2.5% Prilocaine 2.5% cream, and oral Alprazolam 0.25 mg (an Anxiolytic) 2 hours prior to initiation of procedure will be used.

Interventions

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Dexamethasone, Lidocaine, Thiamine cohort

Bilateral and simultaneous administration of composition of De-Novo Treatment Cohort medication (Dexamethasone, Lidocaine, Thiamine) into the trigeminal and greater/lesser occipital nerves in one session.In children and hypersensitive individuals with needle phobia pre-treatment of skin with Lidocaine 2.5% Prilocaine 2.5% cream, and oral Alprazolam 0.25 mg (an Anxiolytic) 2 hours prior to initiation of procedure will be used.

Intervention Type COMBINATION_PRODUCT

Other Intervention Names

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De-Novo Treatment Cohort medication

Eligibility Criteria

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Inclusion Criteria

* • Age: 10-90 years

* Ability to describe headache and its symptoms
* Ability to read, comprehend, and legibly and reliably record information
* Ability to provide written, informed consent, and respond to pre and post treatment questionnaires, children's guardian accepts responsibility. Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures
* Already diagnosed with chronic craniofacial neuralgia and chronic migraine headache
* Exhausted all or most of available abortive and preventive treatment modalities.

Exclusion Criteria

* • Uncontrollable hypertension, acute Myocardial Infarct within last 6 months

* History of cerebral vascular aneurysm/known atherosclerosis of cerebral system, brain tumor
* Implanted of neuro-stimulator, trigeminal tractotomy, neurectomy partial or complete, history of gamma knife treatment, microsurgical decompression procedure.
* Hypersensitivity or allergy to any components of De-Novo formula
* Presence or known anatomic craniofacial deformities or severe spondylosis/spondylolisthesis of cervical spine, profound dental caries, Maxillofacial deformities
* Pregnancy and current breast feeding status
* Headaches attribute to acute head and neck injuries, chronicity of cervicogenic headaches
* Skin infection or micro abscesses dermatogen or dental, ongoing treatment for Methicillin Resistant Streptococcus Aureus ( MRSA) unless treatment completed.
Minimum Eligible Age

10 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Corona Doctors Medical Clinics, Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Faro T. Owiesy, M.D.

Role: PRINCIPAL_INVESTIGATOR

Corona Doctors Medical Clinics, Inc.

Locations

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Corona Doctors Medical Clinics Inc

Corona, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Faro T. Owiesy, M.D.

Role: CONTACT

9513719500

Jovana Martin Murillo

Role: CONTACT

9513719500

Facility Contacts

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Faro T Owiesy

Role: primary

951-371-9500

Jovana Martin Murillo

Role: backup

9513719500

References

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Shoeb M, Ramana KV. Anti-inflammatory effects of benfotiamine are mediated through the regulation of the arachidonic acid pathway in macrophages. Free Radic Biol Med. 2012 Jan 1;52(1):182-90. doi: 10.1016/j.freeradbiomed.2011.10.444. Epub 2011 Oct 24.

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Other Identifiers

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2017/05/1

Identifier Type: -

Identifier Source: org_study_id

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