- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06935552
Ketamine and Lidocaine Infusion in Refractory Chronic Migraine
April 11, 2025 updated by: AbdElRahman Mohamed Mohamed Mohamed, Assiut University
Ketamine and Lidocaine Infusion for Refractory Chronic Migraine: Comparative Study
Ketamine and lidocaine infusion for refractory chronic migraine: Comparative Study
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
44
Phase
- Early Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: AbdElRahman Mohamed Mohamed
- Phone Number: +201066586931
- Email: hmdmhmmdl1692@gmail.com
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
N/A
Description
Inclusion Criteria:
All participants must fulfill the following inclusion criteria
- medically stable outpatients with confirmed diagnosis of refractory chronic migraine according to American Headache society
- Are reliable and willing to make themselves available for the duration of the study and are willing to follow up.
- Men or women older than 18years of age.
- clear written informed consent from each participant in the trial.
- Adult patients with refractory migraine or refractory chronic migraine defined according to the American headache society
Exclusion Criteria:
- Pregnancy, active psychosis, liver disease, uncontrolled cardiac disease or cardiac rhythm abnormalities
- presence of clinically significant medical or psychiatric condition that may increase the risk associated with the study
- participation in any other type of medical research that may interfere with the interpretation of the study.
- patients with hemocoagulation disorders, local infection or those who refused to consent
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Placebo Comparator: Dextrose
|
group C will only receive Dextrose 5% in water
|
|
Experimental: Ketamine
will receive ketamine
|
group A will receive ketamine intravenous infusion
|
|
Experimental: Lidocaine
will receive lidocaine
|
group B will receive lidocaine intravenous infusion
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in pain scale using Numeric rating scale
Time Frame: From enrollment to the end of treatment at 6 weeks
|
Pain assessment by using a Numeric rating scale (0 (no pain) to 10 (worst possible pain).
Scores of 1-3 are considered mild, 4-6 moderate, and 7-10 severe) before the infusion and daily for 1-week post infusion, then weekly for 6 weeks post infusion
|
From enrollment to the end of treatment at 6 weeks
|
|
Changes in pain scale using Migraine disability assessment
Time Frame: From enrollment to the end of treatment at 6 weeks
|
Migraine disability assessment test before the infusion and daily for 1-week post infusion, then weekly for 6 weeks post infusion
|
From enrollment to the end of treatment at 6 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Chair: Nageh Fouly Kamel, PhD., Assiut University
- Study Chair: Mohamed Ahmed Abdelhameed, PhD., Assiut University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Lauretti GR. Mechanisms of analgesia of intravenous lidocaine. Rev Bras Anestesiol. 2008 May-Jun;58(3):280-6. doi: 10.1590/s0034-70942008000300011. English, Portuguese.
- Kohrs R, Durieux ME. Ketamine: teaching an old drug new tricks. Anesth Analg. 1998 Nov;87(5):1186-93. doi: 10.1097/00000539-199811000-00039. No abstract available.
- Schulman EA, Lake AE 3rd, Goadsby PJ, Peterlin BL, Siegel SE, Markley HG, Lipton RB. Defining refractory migraine and refractory chronic migraine: proposed criteria from the Refractory Headache Special Interest Section of the American Headache Society. Headache. 2008 Jun;48(6):778-82. doi: 10.1111/j.1526-4610.2008.01132.x. Epub 2008 May 14.
- Ray JC, Cheng S, Tsan K, Hussain H, Stark RJ, Matharu MS, Hutton E. Intravenous Lidocaine and Ketamine Infusions for Headache Disorders: A Retrospective Cohort Study. Front Neurol. 2022 Mar 9;13:842082. doi: 10.3389/fneur.2022.842082. eCollection 2022.
- Natoli JL, Manack A, Dean B, Butler Q, Turkel CC, Stovner L, Lipton RB. Global prevalence of chronic migraine: a systematic review. Cephalalgia. 2010 May;30(5):599-609. doi: 10.1111/j.1468-2982.2009.01941.x.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
June 1, 2025
Primary Completion (Estimated)
November 1, 2026
Study Completion (Estimated)
December 1, 2026
Study Registration Dates
First Submitted
April 7, 2025
First Submitted That Met QC Criteria
April 11, 2025
First Posted (Actual)
April 20, 2025
Study Record Updates
Last Update Posted (Actual)
April 20, 2025
Last Update Submitted That Met QC Criteria
April 11, 2025
Last Verified
April 1, 2025
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Headache Disorders, Primary
- Headache Disorders
- Migraine Disorders
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Anesthetics, Local
- Anesthetics
- Central Nervous System Depressants
- Sensory System Agents
- Analgesics
- Neurotransmitter Agents
- Anti-Arrhythmia Agents
- Voltage-Gated Sodium Channel Blockers
- Sodium Channel Blockers
- Membrane Transport Modulators
- Anesthetics, Intravenous
- Anesthetics, General
- Excitatory Amino Acid Agents
- Anesthetics, Dissociative
- Excitatory Amino Acid Antagonists
- Lidocaine
- Ketamine
Other Study ID Numbers
- ketamine vs lidocaine in RCM
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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-
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-
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-
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