Actively Recruiting

Phase Not Applicable
Age: 16Years +
All Genders
NCT06745648

Carotid Sinus Massage in Trendelenburg Position for Headache Relief

Led by Hospital Municipal Pedro T. Orellana · Updated on 2025-06-15

18

Participants Needed

1

Research Sites

53 weeks

Total Duration

On this page

Sponsors

H

Hospital Municipal Pedro T. Orellana

Lead Sponsor

D

Duke University Medical Center, Durham, NC

Collaborating Sponsor

AI-Summary

What this Trial Is About

Headaches significantly impact patients' quality of life, with tension-type headaches and migraines being among the most prevalent types. There is growing evidence suggesting that blood pressure regulation and baroreceptor activity play a role in headache pathophysiology. Carotid sinus massage (CSM), particularly when combined with the modified Trendelenburg position, may modulate autonomic nervous system activity to relieve headache symptoms. An initial open-label pilot study (n = 17) was completed, and the results were published in a preprint server for health sciences, the Medical Research Archive (medRxiv), demonstrating the feasibility, safety, and promising preliminary efficacy of CSM+T. Based on these findings, a follow-up randomized, sham-controlled, parallel-arm trial will further evaluate the efficacy of the treatment.

CONDITIONS

Official Title

Carotid Sinus Massage in Trendelenburg Position for Headache Relief

Who Can Participate

Age: 16Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants must be at least 16 years of age.
  • Diagnosed with migraine, tension-type headache, or mixed headache according to ICHD-3.
  • Current headache episode started within the past 24 hours.
Not Eligible

You will not qualify if you...

  • Contraindications to carotid sinus massage, including carotid bruits, recent myocardial infarction, history of stroke, or suspected carotid artery stenosis.
  • Contraindications to Trendelenburg position, including increased intracranial pressure, respiratory distress, congestive heart failure, history of syncope, or cardiac arrhythmias.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Hospital Pedro T.Orellana, Trenque Lauquen

Trenque Lauquen, Buenos Aires, Argentina, 6400

Actively Recruiting

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Research Team

H

Heberto J Suarez-Roca, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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