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CompletedNCT05108688Updated Jan 22, 2024

Mirtazapine vs Sumatriptan in the Treatment of Postdural Puncture Headache

A Phase 4 interventional study of Mirtazapine and Sumatriptan in Headache, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2024-01-22.

Sponsored by Ain Shams University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
210
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

Postdural puncture headache (PDPH) is a potential complication after spinal anesthesia caused by traction on pain-sensitive structures from low cerebrospinal fluid pressure (intracranial hypotension) following a leak of cerebrospinal fluid at the puncture site. Symptoms of this condition include a bilateral frontal or occipital headache that is worse in the upright position, along with nausea, neck pain, dizziness, visual changes, tinnitus, hearing loss, or radicular symptoms in the arms.

This study will examine the efficacy of mirtazapine in in the treatment of PDPH after obstetric surgery under spinal anesthesia and compared its efficacy with that of sumatriptan.

02

Conditions studied

03

In context

Post-Dural Puncture Headache

125 studies on the registry are indexed under Post-Dural Puncture Headache; 25 are open to participants now.

This study's enrollment of 210 is above the median of 80 across 82 interventional studies indexed under Post-Dural Puncture Headache.

Browse Post-Dural Puncture Headache studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,876 studies on the registry; 423 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • ASA I and II Patients.
  • Patients undergoing obstetric surgeries under spinal anesthesia. and complaining from moderate-to-severe PDPH after 25G or 27G spinal needle puncture.

Exclusion criteria

Exclusion Criteria:

  • Refusal of the intervention or participation in the study.
  • Patient under age of 18 years old.
  • Psychiatric illness.
  • Patients with a history of ischemic heart disease, pregnancy-induced hypertension, chronic hypertension, cardiac, vascular, liver or renal impairment.
  • Patients with a history of migraine.
  • Patients with known hypersensitivity to study drugs.
  • Patients currently using ergotamine, monoamine oxidase inhibitors, or selective serotonin reuptake inhibitors.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
210 participants (actual)

Study arms

  • Active comparator
    Mirtazapine Therapy group (M group)

    Drug: Mirtazapine

  • Active comparator
    Sumatriptan Therapy group (S group)

    Drug: Sumatriptan

  • Placebo comparator
    Control group ( C group)

    Other: Placebo

Interventions

  • DrugMirtazapine

    Mirtazapine 30 mg tablet once daily for 3 successive days

  • DrugSumatriptan

    Sumatriptan 50 mg tablet once daily for 3 successive days

  • OtherPlacebo

    Placebo tablets once daily for 3 successive days.

06

What researchers measure

Primary outcomes

  1. Incidence of refractory headache ((number of patients)(n),% of patients) (refractory: failed intervention and conservative treatment) after 72 hours

    Incidence of refractory headache ((number of patients)(n),% of patients) (refractory: failed intervention and conservative treatment) after 72 hours after intervention (Day 0)

    Time frame: 72 hours after intervention (Day 0)

07

Study locations

1 site
  • Ain-Shams University Hospitals
    Cairo, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05108688
Lead sponsor
Ain Shams University
Responsible party
Ibrahim Mamdouh Esmat (Assistant Professor of Anesthesia and Intensive Care Department, Faculty of Medicine, Ain- shams University, Cairo, Egypt., Ain Shams University) — Principal investigator
First posted
Nov 5, 2021
Start date
Nov 15, 2021
Primary completion
Dec 20, 2023
Completion
Dec 20, 2023
Last update
Jan 22, 2024

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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