Is Theophylline More Effective Than Sumatriptan in the Treatment of Post-dural Puncture Headache

NCT ID: NCT04257851

Last Updated: 2021-06-03

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-15

Study Completion Date

2021-05-15

Brief Summary

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Objectives: To compare the safety and efficacy of oral theophylline versus oral sumatriptan in the treatment of post-dural puncture headache (PDPH).

Background: PDPH is the most frequent complication of procedures associated with dural puncture for spinal anesthesia or following accidental dural puncture during epidural anesthesia. Since invasive treatments have known complications, pharmacologic management may be preferable.

Patients and Methods: This was a prospective, randomized, double-blind, phase four clinical trial; carried out on 60 patients presented with PDPH at our hospital. Patients were randomly allocated into two equal groups (30 patients each); group T, received oral theophylline, and group S, received oral sumatriptan.

Detailed Description

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Conditions

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Post-Dural Puncture Headache

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Group T (n=30)

Theophylline group

Group Type ACTIVE_COMPARATOR

Theophylline Anhydrous Oral Tablet

Intervention Type DRUG

Theophylline tablet (150 mg/12h)

Group S (n=30)

Sumatriptan group

Group Type ACTIVE_COMPARATOR

Sumatriptan Succinate Oral Tablet

Intervention Type DRUG

Sumatriptan tablet (25 mg/12h)

Interventions

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Theophylline Anhydrous Oral Tablet

Theophylline tablet (150 mg/12h)

Intervention Type DRUG

Sumatriptan Succinate Oral Tablet

Sumatriptan tablet (25 mg/12h)

Intervention Type DRUG

Other Intervention Names

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Quibron-T/SR tablets Sumigran tablets

Eligibility Criteria

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Inclusion Criteria

* Patients with NPRS score of ≥ 5
* American Society of Anesthesiologists (ASA) physical status ≤ II
* Age from 21 to 50 years

Exclusion Criteria

* Patients with NPRS score \< 5
* ASA physical status \> II
* Age \< 21 years or \> 50 years
* Pregnant women
* History of; Chronic headache, Cluster headache, Migraine
* History of; Convulsions, Cerebrovascular accident, Previous neurological diseases
* History of peripheral vascular disease (ischemic colitis)
* Signs of meningismus
* Dysrhythmia
* Hypertension
* Ischemic heart disease
* Hyperthyroidism
* Liver or Renal impairment
* Use of selective serotonin reuptake inhibitors (SSRIs)
* Use of ergotamine derivatives in the past 24 hours
* Use of monoamine oxidase inhibitors (MAOIs) in the last two weeks
* Use of any kind of opiates
* Allergy to the study medications
* Any contraindication of oral intake
Minimum Eligible Age

21 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Damanhour Teaching Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ahmed M Shaat, MD

Role: PRINCIPAL_INVESTIGATOR

Damanhour Teaching Hospital

Locations

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Damanhour Teaching Hospital

Damanhūr, El-Beheira, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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DTH: 20001

Identifier Type: -

Identifier Source: org_study_id

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