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Investigation of Efficacy and Safety of Botulinum Toxin A (Botox-Allergan Inc) in Migraine Headaches
This study is currently recruiting participants.
Verified by Yale University, April 2008
Sponsored by: Yale University
Information provided by: Yale University
ClinicalTrials.gov Identifier: NCT00660192
  Purpose

The hypothesis of this study is that injection of botulinum toxin A into the muscles around the head (frontal, temporal, posterior neck, occipital) can reduce the intensity and frequency of migraine headaches by 50% and more and this effect is even more positive after second treatment.


Condition Intervention Phase
Refractory Migraine
Drug: Botulinum toxin A
Phase III

Genetics Home Reference related topics: familial hemiplegic migraine
MedlinePlus related topics: Botox Headache Migraine
Drug Information available for: Clostridium botulinum toxin Botulinum toxin A
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Single Group Assignment, Safety/Efficacy Study
Official Title: Investigation of Efficacy and Safety of Botulinum Toxin A (Botox-Allergan Inc) in Migraine Headaches

Further study details as provided by Yale University:

Primary Outcome Measures:
  • 1- Pain Intensity (VAS) 2- Pain frequency [ Time Frame: Quality of life (HIT-6) and MSQ ] [ Designated as safety issue: No ]

Estimated Enrollment: 50
Study Start Date: January 2008
Estimated Study Completion Date: December 2009
Estimated Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Placebo Comparator
arm 1: compares the effect of Botox with placebo (blinded protocol)
Drug: Botulinum toxin A
Series of injections of botulinum toxin totalling 200 to 300 units vs placebo. Final dose is determined by based size of patient and patient neck size.
2: Active Comparator
Arm 2- Open label- every subject receives Botox
Drug: Botulinum toxin A
Open label arm with injection of active drug via a series of injections as used in Arm 1 (closed label). A series of intramuscular injections totalling 200 to 300 units of toxin administered.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adults 18 and older
  • Migraine for more than three months, that fail to respond to two or more major anti-migraine drug, meeting criteria of chronic migraine

Exclusion Criteria:

  • Age below 18
  • Pregnant or may become pregnant
  • Disease of neuromuscular junction or drugs that affect N-M junction
  • Allergy to Botox
  • Previous use of Botox for migraine by similar methodology
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00660192

Contacts
Contact: Diana Richardson, M.D. (203) 737-1831 diana.richardson@yale.edu
Contact: Diana Miller, M.D. (203) 737-1831 diana.miller@yale.edu

Locations
United States, Connecticut
Yale Neurology Clinic, 6C, 40 Temple Street Recruiting
New Haven, Connecticut, United States, 06520
Principal Investigator: Bahman Jabbari, M.D            
Principal Investigator: Bahman Jabbari, M.D.            
Sponsors and Collaborators
Yale University
Investigators
Principal Investigator: Bahman Jabbari, M.D. Yale University
  More Information

Responsible Party: Yale University School of Medicne ( Bahman Jabbari, Professor of Neurology )
Study ID Numbers: 0709003056
Study First Received: April 10, 2008
Last Updated: April 10, 2008
ClinicalTrials.gov Identifier: NCT00660192  
Health Authority: United States: Institutional Review Board

Keywords provided by Yale University:
Migraine, refractory migraine, Pain, Botulinum Toxin , Botox

Study placed in the following topic categories:
Botulinum Toxins
Migraine Disorders
Headache
Central Nervous System Diseases
Headache Disorders, Primary
Pain
Botulinum Toxin Type A
Brain Diseases
Headache Disorders

Additional relevant MeSH terms:
Anti-Dyskinesia Agents
Therapeutic Uses
Physiological Effects of Drugs
Nervous System Diseases
Neuromuscular Agents
Peripheral Nervous System Agents
Central Nervous System Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 15, 2009