NCT03066544

Brief Summary

The main goal of this study is to determine whether it is possible - in the setup of routine clinical care - to identify in individual patients who are clear responders to drug X, common denominators that are absent in individual patients who are non-responders to the same drug, and vice versa. All currently available knowledge about migraine pathophysiology will be utilized, using as much time as is needed to ask as many questions as are necessary, in an attempt to profile clear responders and clear non-responders.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Nov 2016

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 30, 2016

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

February 21, 2017

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 28, 2017

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2019

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2020

Completed
Last Updated

August 31, 2018

Status Verified

August 1, 2018

Enrollment Period

3.1 years

First QC Date

February 21, 2017

Last Update Submit

August 29, 2018

Conditions

Keywords

migrainerespondernon-respondertreatment

Outcome Measures

Primary Outcomes (1)

  • time to headache relief

    time to headache relief

    first week

Study Arms (4)

bupivacaine (Exparel)

ACTIVE COMPARATOR

subjects assigned by clinician's judgment - standard care choice A

Drug: Bupivacaine

naratriptan pill (Amerge)

ACTIVE COMPARATOR

subjects assigned by clinician's judgment - standard care choice B

Drug: Naratriptan Pill

dexamethasone tablet (Decadron)

ACTIVE COMPARATOR

subjects assigned by clinician's judgment - standard care choice C

Drug: Dexamethasone

ketorolac (Toradol)

ACTIVE COMPARATOR

subjects assigned by clinician's judgment - standard care choice D

Drug: Ketorolac

Interventions

Nerve blocks with bupivacaine will be performed at initial visit

Also known as: Exparel
bupivacaine (Exparel)

one pill will be administered twice each day for 5 days

Also known as: Amerge
naratriptan pill (Amerge)

one tablet will be administered twice each day for 3 days

Also known as: Decadron
dexamethasone tablet (Decadron)

ketorolac will be administered intramuscularly (IM) or intravenously (IV) at initial visit

Also known as: Toradol
ketorolac (Toradol)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • males and females
  • ≥18 years old with no upper age limit
  • patients with status migrainosus - defined as a severe migraine headache without aura lasting longer than 72 hours and considered primarily as a complication of migraine
  • patients who are willing and able to provide written, informed consent

You may not qualify if:

  • \<18 years old
  • unable or unwilling to provide written, informed consent
  • females who are pregnant, breastfeeding, or who are trying to become pregnant
  • patients who do not speak English
  • any medical condition or other reason that in the opinion of the investigators makes the patient unfit or at risk to participate in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hartford HealthCare Headache Center

Wethersfield, Connecticut, 06109, United States

RECRUITING

MeSH Terms

Conditions

Migraine Disorders

Interventions

BupivacainenaratriptanDexamethasoneCalcium DobesilateKetorolacKetorolac Tromethamine

Condition Hierarchy (Ancestors)

Headache Disorders, PrimaryHeadache DisordersBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Intervention Hierarchy (Ancestors)

AnilidesAmidesOrganic ChemicalsAniline CompoundsAminesPregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, FluorinatedBenzenesulfonatesBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsArylsulfonatesArylsulfonic AcidsSulfonic AcidsSulfur AcidsSulfur CompoundsIndomethacinIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • Brian Grosberg, MD

    physician

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This will be a prospective, non-blinded, non-randomized, proof-of-concept study.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
statistician/senior scientist

Study Record Dates

First Submitted

February 21, 2017

First Posted

February 28, 2017

Study Start

November 30, 2016

Primary Completion

December 31, 2019

Study Completion

June 30, 2020

Last Updated

August 31, 2018

Record last verified: 2018-08

Data Sharing

IPD Sharing
Will not share

Locations