ClinicalTrials.gg
CompletedNCT03462290Updated Dec 17, 2021

Botox Injections for Patients With Persistent Facial Pain

A Phase 2 interventional study of botulinum toxin type A and placebo in Facial Pain, sponsored by Norwegian University of Science and Technology. Completed at 1 site in Norway. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-12-17.

Sponsored by Norwegian University of Science and Technology · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
31
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The main objective of this study is to investigate efficacy and safety of injecting botulinum toxin towards the sphenopalatine ganglion using MultiGuide in patients with persistent idiopathic facial pain

02

Conditions studied

  • Facial Pain

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Keywords

  • Botulinum Toxins, Type A
  • Injections
  • Sphenopalatine Ganglion Block
03

In context

Facial Pain

182 studies on the registry are indexed under Facial Pain; 61 are open to participants now.

This study's enrollment of 31 is below the median of 50 across 132 interventional studies indexed under Facial Pain.

Browse Facial Pain studies →

Lead sponsor

Norwegian University of Science and Technology is the lead sponsor of 495 studies on the registry; 48 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Persistent Idiopathic Facial Pain fulfilling diagnostic criteria as classified in The International Classification of Headache Disorders, 3rd edition (ICHD-3 beta version) as modified by the authors of this trial. See below.
  • Unsatisfactory effect of available treatment methods as evaluated by a neurologist, ENT specialist or maxillofacial surgeon. The patient should have failed treatment with both anticonvulsant as carbamazepine (Tegretol, Carbatrol) and antidepressant as tricyclic antidepressants
  • Average Pain intensity ≥4 (0-10) in Numeric Pain Rating Scale (NRS) on the affected side during the 4-week baseline period
  • Written from the patient

Modified diagnostic criteria for PIFP according to The International

Classification of Headache Disorders, 3rd edition (ICHD-3 beta version):

A. Facial and/or oral pain fulfilling criteria B and C.

B. Recurring daily for >2 hr per day for >3 months

C. Pain has both of the following characteristics:

  1. Poorly localized and may radiate beyond the trigeminal nerve distribution
  2. Dull, aching or nagging quality D. Clinical neurological examination is normal, however patient may denote paresthesia E. A dental cause has been excluded by appropriate investigations; signs of structural pathology or other specific causes of pain are not identified. Minor operation and injury (insignificant trauma e.g. tooth extraction) to the face, maxilla, teeth and gums without a direct causal relationship with the pain regarding both time and site is accepted. F. Not better accounted for by another ICHD-3 diagnosis.

Exclusion criteria

Exclusion Criteria:

  • Bilateral symmetrically affected
  • Neurological disorders or other related systemic diseases that can explain the pain
  • MRI/CT examination confirming intracranial pathology.
  • Systemic or local disease or condition that can give a significantly increased risk of complications to the particular procedure
  • Not competent to asses based on neurological assessment
  • Psychiatric disorder that prevents the completion of the study
  • Pregnancy
  • Inappropriate use of
  • Breastfeeding
  • Abuse or unauthorized use of medication, drugs or alcohol
  • Allergy or other reactions to marcaine, lidocaine, xylocaine, or adrenaline, possibly similar related drugs
  • Anatomical factors that prevent or impede the injection
  • Known hypersensitivity to botulinum toxin type A or to any of the
  • Treatment with drugs that can interact with botulinum toxin type A: aminoglycoside antibiotics, spectinomycin, neuromuscular blockers, both depolarizing (succinylcholine) and non-depolarizing (tubocurarine derivatives), lincosamides, polymyxins, quinidine, magnesium sulfate, anticholinesterases.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    Botulinum toxin

    Drug: botulinum toxin type A · Drug: placebo

  • Placebo comparator
    placebo

    Drug: botulinum toxin type A · Drug: placebo

Interventions

  • Botulinum toxin type A, powder for solution, 25 international units (IU), injected towards the sphenopalatine ganglion using MultiGuide

    Also known as: botox

  • Drugplacebo

    solution without botulinum toxin A, injected towards the sphenopalatine ganglion using MultiGuide

06

What researchers measure

Primary outcomes

  1. Changes from baseline to weeks 5-8 in Numeric Pain Rating Scale (NRS) score for persistent idiopathic facial pain (PIFP)

    NRS score for persistent idiopathic facial pain (PIFP) as registered in the pain diary in the active group versus the placebo group. Responders are defined as those with at least 30% reduction in NRS for PIFP in weeks 5- 8 compared to baseline

    Time frame: 5-8 weeks

Secondary outcomes

  1. Percentage of patients with pain intensity rating 1-3 (mild pain)

    Time frame: 8 weeks

  2. Physical functioning assessed by a Multidimensional Pain Inventory or Brief Pain Inventory interference scale

    the total range of the scale is 10, ranging from 0-10 where 0 is no pain and 10 is worst pain imaginable. No subscale. The higher values the worse outcome.

    Time frame: 8 weeks

  3. Physical functioning assessed by Norwegian Pain association - minimal questionnaire (NOSF-MISS)

    Time frame: 8 weeks

  4. Quality of life according to Questionnaire for quality of life, Patient Global Impression of Change (PGIC)

    Time frame: 8 weeks

  5. Number of days without persistent idiopathic facial pain

    Time frame: 8 weeks

  6. number of doses of analgesics per 4 weeks

    Time frame: 8 weeks

  7. Sick leave due to persistent idiopathic facial pain

    Time frame: 8 weeks

07

Study locations

1 site
  • Department of Neuroscience, Faculty of Medicine and Health Science, NTNU
    Trondheim, Norway
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2018 to primary completion in Nov 2021, 42 months.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 26, 2018
First posted
Mar 12, 2018
StartActual
May 1, 2018
Primary completionActual
Nov 23, 2021
CompletionActual
Nov 23, 2021
Last update
Dec 17, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 17, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03462290
Collaborators
St. Olavs Hospital
Responsible party
Sponsor
First posted
Mar 12, 2018
Start date
May 1, 2018
Primary completion
Nov 23, 2021
Completion
Nov 23, 2021
Last update
Dec 17, 2021

Study contacts

Jorunn L Helbostad, PhD prof
study director · Norwegian University of Science and Technology

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Botulinum toxin type A

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