A Personalised Radiosurgery Procedure for People With Trigeminal Neuralgia to Improve Pain, Quality of Life and Reduce Complications - a Confidence in Concept Pilot Study (PROMOTION)

Status unknownNot a drug-phase studyMS (type not specified)NCT04117035

We could not find results for this trial

What it found

No results found

We found no results in the registry or in papers.

What was tested

Treatment tested

  • Gamma Knife Radiosurgery (GKRS) personalised procedure

Placebo

  • GKRS standard care

What it measured

Main measures

  • Barrow Neurological Institute (BNI) pain measure

    6 MONTHS

    Pain
  • Barrow Neurological Institute (BNI) numbness measure

    6 MONTHS

Other measures (4)

  • Current medication and dosage

    12 MONTHS

  • Vision complications

    12 MONTHS

    VisionSafety
  • Motor impairment

    12 MONTHS

  • Cognitive impairment

    12 MONTHS

    Thinking and memory

Who could take part

MS (type not specified) · 18 to 100

Show the full criteria

Inclusion criteria

1. Subject has idiopathic TN or MS-related TN. 2. Subject is available for follow up. 4. Subject can understand the informed consent form in English. 5. Age over 18 years at the time of signing the Informed Consent Form 6. Have been treatment planned to receive GKRS treatment

Exclusion criteria

Patients who: 1. Have no capacity to complete written informed consent 2. Do not understand English 3. Repeat GKRS treatment

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

The aim of this study is to evaluate prospectively the feasibility and impact of personalised gamma knife radiosurgery treatment protocol versus current standard protocol for people with idiopathic or Multiple Sclerosis-related Trigeminal Neurolgia (MS related TN) on effectiveness in pain relief, the development of morbidity and quality of life. Patients with TN or MS-related TN are referred to the National Centre for Stereotactic Radiosurgery in Sheffield for clinical consultation, and will undergo gamma knife radiosurgery (GNRS) for treating trigeminal neuralgia if eligible. The GKRS treatment is provided as a standard National Health Service (NHS) routine care. The current procedure has been proven to be safe and effectiveness in reducing the pain caused by TN. The current GKRS treatment protocol performs the treatment on the trigeminal nerve close to the brainstem, which might result in higher complication rate (mainly facial numbness). This study will conduct a pilot randomised controlled trial to evaluate an alternative treatment protocol, which will perform the GKRS treatment at the retrogasserian zone (further away from the brainstem). This treatment protocol has been widely used in Europe and USA, and is safe and effective. Most studies adopting this protocol have shown less complication rate after treatment.

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History

    1. Started

      Nov 2019

    2. Main results due

      Dec 2022

    3. Finished

      Dec 2023

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