ClinicalTrials.gg
RecruitingNCT06787677Updated Jan 27, 2025

SPG Pulsed Radiofrequency for Chronic Cluster Headache

An interventional study of PRF and NB in Headache, Cluster, sponsored by Beijing Tiantan Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-27.

Sponsored by Beijing Tiantan Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Cluster headache (CH) is a devastating disorder characterized by ipsilateral headache and associated trigeminal autonomic symptoms, with a yearly prevalence of 0.1%. There is a huge clinically unmet demand for an effective therapeutic method for CH. Previous evidences indicate that pulse radiofrequency (PRF) targeting the sphenopalatine ganglion (SPG) is a safe, minimally invasive, effective treatment for CH. This randomized, controlled trial aimed to establish the safety and efficacy of SPG PRF for patients with chronic CH.

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Conditions studied

  • Headache, Cluster

Browse trials for

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In context

Cluster Headache

123 studies on the registry are indexed under Cluster Headache; 26 are open to participants now.

This study's planned enrollment of 108 is above the median of 42 across 90 interventional studies indexed under Cluster Headache.

Browse Cluster Headache studies →

Lead sponsor

Beijing Tiantan Hospital is the lead sponsor of 489 studies on the registry; 293 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
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

  • Chronic cluster headache;
  • At least four attacks per week;
  • Minimum age of 18 years;
  • Non-response to verapamil and lithium treatment in the past, intolerance, or to verapamil and lithium, along with non-response, intolerance, or contraindica-tion to topiramate, or gabapentin.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or breastfeeding;
  • Presence of cardiac pacemaker or other neuromodulatory devices;
  • Pyschiatric and cognitive disorders;
  • Serious drug habituation or overuse of acute-headache medication;
  • History of stroke or intracranial aneurysm, or at risk for serious or acute cardiovascular events;
  • Infection at the puncture site;
  • Previous history of invasive treatments such as sphenopalatine ganglion radiofrequency thermocoagulation and chemical destruction.
Terms in these criteria, in plain language(1)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
108 participants (estimated)

Study arms

  • Experimental
    PRF group

    Procedure: PRF

  • Active comparator
    Nerve Block Group

    Procedure: NB

Interventions

  • ProcedurePRF

    After the puncture needle reached the sphenopalatine ganglion (SPG), patients in the PRF group received PRF treatment in automatic mode for 360 s, at a maximum of 42°C, pulse frequency of 2 Hz, and pulse width of 20 ms.

  • ProcedureNB

    After the puncture needle reached the sphenopalatine ganglion (SPG), patients in the NB group received nerve block with a mixture of 40 mg of triamcinolone and 2 ml of 0.75% bupivacaine with 2 ml of normal saline and 1:100000 epinephrine.

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What researchers measure

Primary outcomes

  1. The mean attack frequency in the last 4 weeks (week 8-12) after procedure

    The overall mean change from baseline in mean weekly attack frequency

    Time frame: In the last 4 weeks (week 8-12) after procedure

Secondary outcomes

  1. Mean attack frequency

    Mean change in mean attack frequency

    Time frame: From baseline to each 4-week interval through 1 year after procedure

  2. 50% reduction of mean attack frequency

    Percentage of patients with a 50% reduction in mean attack frequency

    Time frame: From baseline to each 4-week interval through 1 year after procedure

  3. 30% reduction of mean attack frequency

    Percentage of patients with a 30% reduction in mean attack frequency

    Time frame: From baseline to each 4-week interval through 1 year after procedure

  4. Patient Global Impression of Improvement

    Percentage of patients reporting a score of 1 (''very much better'') or 2 (''much better'')

    Time frame: At month 1, month 2, month 3, month 6, and month 12 after procedure

  5. Mean attack intensity

    0-10 on the numeric rating scale, with 0 equating no pain and 10 the worst pain possible

    Time frame: From baseline to each 4-week interval through 1 year after procedure

  6. Patient satisfaction scores

    0 point indicates unsatisfied to 10 points indicate very satisfied. The higher the score, the more dissatisfied the patient is.

    Time frame: At month 1, month 2, month 3, month 6, and month 12 after procedure

  7. The incidence of perioperative adverse events

    Perioperative adverse events (AEs) including headache, dizziness, nausea, vomiting, facial hematoma, and numbness in the area innervated by the maxillary nerve

    Time frame: Across 1 year after procedure

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Goadsby PJ, Sahai-Srivastava S, Kezirian EJ, Calhoun AH, Matthews DC, McAllister PJ, Costantino PD, Friedman DI, Zuniga JR, Mechtler LL, Popat SR, Rezai AR, Dodick DW. Safety and efficacy of sphenopalatine ganglion stimulation for chronic cluster headache: a double-blind, randomised controlled trial. Lancet Neurol. 2019 Dec;18(12):1081-1090. doi: 10.1016/S1474-4422(19)30322-9. PubMed 31701891 ↗
  • Schoenen J, Snoer AH, Brandt RB, Fronczek R, Wei DY, Chung CS, Diener HC, Dodick DW, Fontaine D, Goadsby PJ, Matharu MS, May A, McGinley JS, Tepper SJ, Jensen RH, Ferrari MD; IHS Standing Committee for Clinical Trials; IHS cluster headache trial guideline subcommittee. Guidelines of the International Headache Society for Controlled Clinical Trials in Cluster Headache. Cephalalgia. 2022 Dec;42(14):1450-1466. doi: 10.1177/03331024221120266. Epub 2022 Oct 21. PubMed 36268950 ↗
  • Wilbrink LA, de Coo IF, Doesborg PGG, Mulleners WM, Teernstra OPM, Bartels EC, Burger K, Wille F, van Dongen RTM, Kurt E, Spincemaille GH, Haan J, van Zwet EW, Huygen FJPM, Ferrari MD; ICON study group. Safety and efficacy of occipital nerve stimulation for attack prevention in medically intractable chronic cluster headache (ICON): a randomised, double-blind, multicentre, phase 3, electrical dose-controlled trial. Lancet Neurol. 2021 Jul;20(7):515-525. doi: 10.1016/S1474-4422(21)00101-0. PubMed 34146510 ↗

Individual participant data

Plan to share: Yes — Derived data supporting the findings of this study are available from the corresponding author Fang Luo on request.

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2025 (actual). Primary completion is estimated for Dec 2029, 59 months after the start.

Of 26 interventional studies with no phase under Cluster Headache, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 25. This study's planned 59 months is above that.

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

Registered
Jan 15, 2025
First posted
Jan 22, 2025
StartActual
Jan 24, 2025
Primary completionEst.
Dec 31, 2029
CompletionEst.
Dec 31, 2030
Last update
Jan 27, 2025
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 Jan 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06787677
Responsible party
Fang Luo (Director of Department of Pain Management, Beijing Tiantan Hospital) — Principal investigator
First posted
Jan 22, 2025
Start date
Jan 24, 2025
Primary completion
Dec 31, 2029 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
Jan 27, 2025

Study contacts

Fang Luo
Contact
13611326978@163.com
59976661

Oversight

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

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