Tension-Type Headache
Conditions
Keywords
Gonyautoxins, Tension-type Headache, Human Treatment
Brief summary
The purpose of this study is to evaluate the clinical efficacy of Gonyautoxin 2/3 epimers in the treatment of patients diagnosed with chronic tensional-type headache in accordance with International Headache Society guidelines
Detailed description
Gonyautoxin are phycotoxins, whose molecular mechanism of action is a reversible block of the voltage-gated sodium channels at neuronal level. They are axonal conduction blockers impeding nerve impulse propagation. In order to evaluate the clinical efficacy of Gonyautoxin 2/3 epimers in the treatment of patients diagnosed with chronic tensional-type headache, the patients were locally injected with placebo versus Gonyautoxin following a painful spots injection standarized protocol
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic tensional-type headache patients according to the International Headache Society criteria: patients with headache of a pressing or tightening quality with episodic frequency above 15 days a month * Refractory to conventional treatments such as, orally administered analgesics, systemic muscular relaxant, corticoids and antidepressant like Amytriptiline * Treated and controlled in the University Hospital Neurology Clinic over 2 years with duration of symptoms over 3 years
Exclusion criteria
* Pregnancy * Use of headache prophylactic treatment a month prior to infiltration * Myasthenic syndromes * Muscular dystrophies * Inflammatory myopathies * Acute and chronic polineuropathies * Use of psychotropic substances 24-hour before infiltration * Anticoagulant treatment * terminal illnesses (AIDS, cancer) * drugs or alcohol abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| a) Drop off in the patient acute headache pain (2 minutes, weekly for 20 weeks) | — |
| b) Number of days without headache pain following infiltration | — |
Countries
Chile