Post-traumatic headache – Trials in Disease

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Ongoing Clinical Trials for Post-traumatic Headache

There is currently 1 ongoing clinical trial investigating treatment options for post-traumatic headache. This trial is evaluating the safety and effectiveness of botulinum toxin A in patients who experience persistent headaches following a mild head injury. The study is being conducted in Denmark and aims to determine whether this treatment can reduce the frequency of moderate to severe headache days compared to placebo.

Clinical trial locations

Study on the Safety and Effectiveness of Botulinum Toxin A for Patients with Persistent Post-Traumatic Headache

This clinical trial is investigating whether botulinum toxin A can help patients who suffer from persistent headaches that began after a mild head injury. These headaches can last for a long time and cause significant discomfort, affecting daily life and overall well-being.

Who can participate:

  • Adults between 18 and 80 years old who have been diagnosed with persistent post-traumatic headache
  • Individuals who experience headaches on at least 15 days each month
  • Those who have moderate to severe headaches on at least 8 days during the initial monitoring period
  • Participants must be fluent in Danish

Who cannot participate:

  • Patients with headaches unrelated to a past injury
  • Those currently enrolled in another clinical trial
  • Individuals who have had allergic reactions to botulinum toxin type A in the past
  • Women who are pregnant, planning to become pregnant, or breastfeeding
  • People with a history of drug or alcohol abuse within the past year
  • Patients with uncontrolled psychiatric disorders or medical conditions that could make participation unsafe
  • Those who have had major surgery or serious injury within the past month
  • Individuals unable to follow study procedures or attend required visits

Study focus and approach:

The trial begins with a four-week baseline phase where participants track the frequency and severity of their headaches. This monitoring period helps establish each person’s typical headache pattern before any treatment begins.

After the baseline phase, eligible participants are randomly assigned to receive either botulinum toxin A or a placebo. The treatment is given through subcutaneous injection, meaning it is injected just under the skin. Neither the participants nor the researchers know who receives the actual medication and who receives placebo during the study.

The main evaluation period occurs between weeks 5 and 8 of the study. During this time, researchers compare the number of moderate to severe headache days to the baseline period. A successful response is defined as a reduction of 30% or more in headache days. A secondary evaluation continues from weeks 9 to 12, providing additional information about the treatment’s effectiveness over time.

Throughout the study, participants are monitored for any side effects, changes in their use of headache medications, and the need for additional treatments. The trial also investigates whether certain biological markers in the body, called neuro-inflammatory biomarkers, can help predict how well the treatment will work for different individuals.

Investigational drug:

Botulinum toxin A is the medication being tested in this trial. This drug is commonly used to relax muscles and works by blocking the release of certain chemical messengers in the body. Researchers believe it may help reduce headache frequency either by decreasing muscle tension or by affecting the way pain signals are transmitted. In this study, the medication is being evaluated specifically for its ability to reduce the number of moderate to severe headache days in people with persistent post-traumatic headaches.

Summary

Currently, there is one active clinical trial for post-traumatic headache, taking place in Denmark. This trial focuses specifically on persistent headaches that develop after mild head injury and investigates whether botulinum toxin A can provide relief for patients experiencing frequent moderate to severe headaches. The study takes a comprehensive approach by monitoring participants over multiple phases and looking at various aspects of treatment response, including changes in headache frequency, psychological well-being, sleep quality, and potential biological markers that might predict treatment success. While only one trial is currently active for this condition, it represents an important step in understanding potential treatment options for people whose headaches persist long after a head injury.

Ongoing Clinical Trials on Post-traumatic headache

  • Study on the Safety and Effectiveness of Botulinum Toxin A for Patients with Persistent Post-Traumatic Headache

    Recruiting

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    Denmark