Botulinum Toxin for Chronic Neuropathic Pain
NCT06036043 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 12
Last updated 2023-09-13
Summary
Treatment of peripheral neuropathic pain with Botulinum Toxin (BoNT) has showed promising results since the first study was released in 2001. Further research, however, is needed in order to strengthen the treatment, and a number of questions are unanswered. This includes which indication is the treatment the most effective, how should the treatment be administered, what is the duration of the effect? This study is a prospective interventional open label study, designed to assess the efficacy and safety of Botolinum toxin in the treatment of chronic neuropathic pain.
Conditions
- Neuralgia
- Chronic Pain
Interventions
- DRUG
-
Botulinum toxin type A
The treatment will be administered either as a) subcutaneous infiltration with BoNT, covering the painful area, identified as allodynia during sensory examination, or b) perineural injection corresponding to the peripheral nerve(s) innervating the area where the pain is localized. 1. 100 IU Xeomin is mixed with 4 ml NaCl. Injections are performed with a 1.5 cm spacing. Maximum of 40 injections (200 IU). 2. 100 IU of botulinum toxin is mixed with 10 ml NaCl. For administration around multiple nerves, 50-100 IU per nerve (maximum 300 IU). The treatment will primarily be provided by the principal investigator, or an anesthesiologist specializing in nerve blocks. The specific method will be determined on an individual basis. If there is no effect after one to two treatments, the treatment will be considered ineffective and discontinued. A treatment interval of 3 months has been established in accordance with a previous larger study.
Sponsors & Collaborators
-
Region Zealand
lead OTHER
Principal Investigators
-
Thomas Peter Enggaard, MD, PHD · Rigshospitalet, Denmark
-
Ole Mathiesen, MD, PHD · University Hospital of Region Zealand
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-08-01
- Primary Completion
- 2024-11-01
- Completion
- 2024-12-30
Countries
- Denmark
Study Locations
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