Actively Recruiting

Age: 18Years +
All Genders
ID06851910

Intravenous Lacosamide for the Treatment of Acute Pain in Trigeminal Neuralgia: A Prospective Observational Study

Led by Hospital Universitari de Bellvitge · Updated on 2025-04-29

20

Participants Needed

1

Research Sites

21 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the use of intravenous lacosamide as a rescue treatment for sudden worsening of pain in patients with trigeminal neuralgia, a condition marked by severe facial pain that can be difficult to manage with standard treatments. This prospective observational study aims to assess the effectiveness and safety of lacosamide when given in an emergency department setting. The trial is sponsored by Hospital Universitari de Bellvitge and involves about 20 patients over two years. During the study, patients presenting with acute trigeminal neuralgia pain will receive intravenous lacosamide based on their doctor's decision. The medication will be given following standard clinical practice, with continuous monitoring of heart function during and after the infusion. Patients will stay in the emergency department for at least two hours after treatment, with follow-up calls scheduled at 24 hours and seven days to check on their condition. Participants will be assessed using several measures including an 11-point pain rating scale at different times after treatment, changes in attack frequency, impact on daily activities, patient satisfaction, duration of pain relief, and any side effects. Data collection will include patient demographics, pain characteristics, prior treatments, and medication details. The study will provide real-world information on lacosamide's role in managing acute pain episodes in trigeminal neuralgia and may help guide future research and treatment recommendations.

CONDITIONS

Brief Title

Intravenous Lacosamide for the Treatment of Acute Pain in Trigeminal Neuralgia

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of classical or idiopathic trigeminal neuralgia according to International Classification of Headache Disorders (ICHD-3) criteria
  • Age over 18 years
  • Signed informed consent
Not Eligible

You will not qualify if you...

  • Contraindication to lacosamide (previous hypersensitivity reaction or known atrioventricular block)
  • Mental or psychiatric illness that interferes with understanding or signing informed consent
  • Language barrier
  • Lack of cooperation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Single acute treatment event

Participants receive intravenous lacosamide as a rescue treatment for acute trigeminal neuralgia pain exacerbations during their emergency department visit with continuous monitoring.

1 visit (in-person) including 2 hours of monitoring in the emergency department

Follow-up

Duration - 7 days

Participants are followed up after treatment to assess pain relief, impact on daily activities, patient satisfaction, and any adverse events.

Telephone follow-ups at 24 hours and 7 days post-infusion

Trial Site Locations

Total: 1 location

1

Hospital de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain, 08907

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How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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