Localized Injection of Lidocaine Via the Middle Meningeal Artery for Headache Treatment (LIGHT 2)
Localized Injection of Lidocaine Via the Middle Meningeal Artery for Headache Treatment: A Randomized, Double-Blinded, Parallel Phase 2 Clinical Trial
The goal of this clinical trial is to test whether injecting lidocaine into two blood vessels of the brain can help treat chronic headaches (migraines)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Daniel A Tonetti, MD
- Telefonnummer: (855) 306-3876
- E-mail: tonetti-daniel@cooperhealth.edu
Undersøgelse Kontakt Backup
- Navn: Manisha Koneru, MD
- E-mail: koneru-manisha@cooperhealth.edu
Studiesteder
-
-
New Jersey
-
Camden, New Jersey, Forenede Stater, 08103
- Rekruttering
- Cooper University Health Care
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Age 18 years or above
- Diagnosis of chronic migraine
- Referred for diagnostic cerebral angiography to screen for intracranial pathology
- Written informed consent able to be obtained from subject
Exclusion Criteria:
- Baseline HIT-6 score less than 50
- Pregnant, breastfeeding, or unwilling to practice contraception during participation in the study
- Presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data
- Concomitant intracranial pathology (eg, intracranial malignancy)
- Known hypersensitivity and/or contraindication to lidocaine or local anesthetics of the amide type
- Taking chronic medications that, when co-administered with lidocaine and other local anesthetics, are at increased risk of developing methemoglobinemia (nitrates/nitrites, local anesthetics, antineoplastic agents, antibiotics, antimalarials, anticonvulsants, acetaminophen, metoclopramide, quinine, sulfasalazine)
- Known contraindications for angiography (eg, ESRD not requiring hemodialysis). Patients with contrast allergy with be premeditated with diphenhydramine and steroids.
- Contraindication to anesthetic agents used for conscious sedation/monitored anesthesia care (MAC)
- Concurrent participation in another research protocol for investigation of an experimental therapy
- Per DSA imaging, presence of a cerebrovascular pathology known to cause headache (eg, arteriovenous malformation, dural arteriovenous fistula)
- Per DSA imaging, presence of anastomosis or anatomical variation (eg, branches of middle meningeal artery) that could lead to increased procedural risk
- Per DSA imaging, lack of endovascular access to either middle meningeal artery, or origin of the middle meningeal artery other than from the external carotid artery
- Known or suspected inability to adhere to study protocol or protocol requirements, as per discretion of the Investigator or treating provider
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Treatment
Intra-arterial lidocaine |
Intra-arterial lidocaine infusion into bilateral middle meningeal arteries
Andre navne:
|
|
Sham-komparator: Sham
Intra-arterial saline |
Intra-arterial saline infusion into bilateral middle meningeal arteries
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in Headache Impact Test-6 Scores (1 Month)
Tidsramme: From baseline to 1 month follow-up
|
Difference in Headache Impact Test-6 Scores, with larger decreases in scores correlating with improvement in symptoms |
From baseline to 1 month follow-up
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in Numeric Pain Scores
Tidsramme: From baseline to periprocedural
|
Difference in Numeric Pain Scores (0-10), with larger decreases in scores correlating with improvement in symptoms |
From baseline to periprocedural
|
|
Change in Migraine Disability Assessment Scores
Tidsramme: From baseline to 3 month follow-up
|
Difference in Migraine Disability Assessment Scores, with larger decreases in scores correlating with improvement in symptoms |
From baseline to 3 month follow-up
|
|
Change in Headache Impact Test-6 Scores Over Time (2 Months)
Tidsramme: From baseline to 2 month follow-up
|
Difference in Headache Impact Test-6 Scores, with larger decreases in scores correlating with improvement in symptoms |
From baseline to 2 month follow-up
|
|
Change in Headache Impact Test-6 Scores Over Time (3 Months)
Tidsramme: From baseline to 3 month follow-up
|
Difference in Headache Impact Test-6 Scores, with larger decreases in scores correlating with improvement in symptoms |
From baseline to 3 month follow-up
|
|
Proportion with Substantial or Severe Headache Impact Test-6 Scores (1 Month)
Tidsramme: From baseline to 1 month follow-up
|
Proportion of patients with substantial (56-59) or severe (>= 60) Headache Impact Test-6 scores, with higher scores correlating with worser symptoms |
From baseline to 1 month follow-up
|
|
Proportion with Substantial or Severe Headache Impact Test-6 Scores (2 Months)
Tidsramme: From baseline to 2 month follow-up
|
Proportion of patients with substantial (56-59) or severe (>= 60) Headache Impact Test-6 scores, with higher scores correlating with worser symptoms |
From baseline to 2 month follow-up
|
|
Proportion with Substantial or Severe Headache Impact Test-6 Scores (3 Months)
Tidsramme: From baseline to 3 month follow-up
|
Proportion of patients with substantial (56-69) or severe (>= 60) Headache Impact Test-6 scores, with higher scores correlating with worser symptoms |
From baseline to 3 month follow-up
|
|
Proportion with Low Patient Global Impression of Change Scores (Post-Treatment)
Tidsramme: From baseline to periprocedural
|
Proportion of patients with Patient Global Impression of Change Scores that are low (1-3), with lower scores correlating with better perception of symptoms |
From baseline to periprocedural
|
|
Proportion with Low Patient Global Impression of Change Scores (1 Month)
Tidsramme: From baseline to 1 month follow-up
|
Proportion of patients with Patient Global Impression of Change Scores that are low (1-3), with lower scores correlating with better perception of symptoms |
From baseline to 1 month follow-up
|
|
Proportion with Low Patient Global Impression of Change Scores (2 Months)
Tidsramme: From baseline to 2 month follow-up
|
Proportion of patients with Patient Global Impression of Change Scores that are low (1-3), with lower scores correlating with better perception of symptoms |
From baseline to 2 month follow-up
|
|
Proportion with Low Patient Global Impression of Change Scores (3 Months)
Tidsramme: From baseline to 3 month follow-up
|
Proportion of patients with Patient Global Impression of Change Scores that are low (1-3), with lower scores correlating with better perception of symptoms |
From baseline to 3 month follow-up
|
|
Related or Serious Adverse Events
Tidsramme: From post-treatment to 1 week
|
Incidence of related adverse events or serious adverse events |
From post-treatment to 1 week
|
|
New Stroke or All-Cause Death
Tidsramme: From post-treatment to 1 month follow-up
|
Incidence of new, disabling stroke or death from any cause |
From post-treatment to 1 month follow-up
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Smerte
- Neurologiske manifestationer
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Hovedpinelidelser, Primær
- Hovedpine lidelser
- Patologiske tilstande, tegn og symptomer
- Tegn og symptomer
- Migræne lidelser
- Hovedpine
- Organiske kemikalier
- Terapeutik
- Lægemiddelterapi
- Anilider
- Amider
- Anilinforbindelser
- Aminer
- Acetanilider
- Uorganiske kemikalier
- Klorforbindelser
- Natriumforbindelser
- Chlorider
- Hydrochlorsyre
- Lidokain
- Fluidbehandling
- Farmaceutiske præparater
- Natriumchlorid
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 24-279
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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