RECRUITING

BOTOX® vs. XEOMIN® for Chronic Migraine

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Chronic migraine (CM) is a disabling disorder that sidelines active duty personnel and diminishes their quality of life. It affects 1.3% to 2.4% of the general population. These numbers increase in active duty personnel, especially those returning from deployment, as well as in veterans. Furthermore, these numbers are 4-5 times higher in military members who experienced at least one mild traumatic brain injury. CM leads to impaired cognition and poor decision-making. These impairments on critical active duty tasks could have a significant impact on task readiness and military performance. Therefore, CM presents a challenge for the "return to duty" mission. Currently, onabotulinumtoxinA is the only FDA-approved prophylactic treatment for CM; however, this treatment requires refrigeration, to which there is little access for the forward-deployed members who have limited access to adequate storage for this treatment. Therefore, it is imperative to identify a CM treatment that does not require refrigeration. Furthermore, in light of the ongoing COVID-19 pandemic and resulting international shortages in critical medication production and delivery, it is imperative to identify more than one treatment option for the management of CM. In this study, we will test the efficacy of incobotulinumtoxinA, a neurotoxin that, unlike onabotulinumtoxinA, does not require refrigeration, but is an effective off-label alternative for the treatment of migraine. OnabotulinumtoxinA and incobotulinumtoxinA are comparable in strength, with a conversion ratio of 1:1.

Official Title

Single Center Study on the Sustained Effect of OnabotulinumtoxinA (BOTOX®) vs. IncobotulinumtoxinA (XEOMIN®) Botulinum Toxin in Adults With Chronic Migraine

Quick Facts

Study Start:2023-02-24
Study Completion:2025-08-24
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05598723

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 89 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Between ages of 18-89
  2. * 15 or more headaches days experienced per month lasting 4 hours or longer
  3. * Department of Defense (DoD) Beneficiary/TriCare Eligible
  4. * Failure, contraindication or intolerance to two migraine medications from two different classes.
  5. * Able to provide informed consent and be able to read and write English.
  6. * Able to read, comprehend, and complete the assessment and diary
  7. * Women must provide a negative urine pregnancy test
  1. * Currently pregnant, breastfeeding, or planning to become pregnant
  2. * Allergic to botulinum toxin or to any of the ingredients of the medication
  3. * Has myasthenia gravis, amyotrophic lateral sclerosis, or Eaton Lambert syndrome, mitochondrial disease, fibromyalgia, any temporomandibular disfunction, or any other significant disease that might interfere with neuromuscular function.
  4. * Uncontrolled epilepsy defined as more than 1 generalized seizure in any month within the 3 months prior to the day 0 visit
  5. * Those on oral anticoagulation
  6. * Previous botulinum toxin treatment on the cephalic/upper lumbar region within 6 months for any indication
  7. * Localized infections on face, neck or on antibiotics for areas in this region
  8. * Unable to attend study follow up visits for any reason (i.e. Training, deployment, or PCS)
  9. * Use of any prophylactic headache medication between -4 weeks and week 0 visits
  10. * Any person taking chronic pain medication for a chronic indication
  11. * Any diagnosed psychiatric condition which would prohibit a participant from completing the trial in its totality.

Contacts and Locations

Study Contact

Kathleen T Tilman, MD
CONTACT
‪(910) 226-2258‬
kathleen.t.tilman.mil@health.mil
Mario G Oyola, PhD
CONTACT
mario.g.oyola.ctr@health.mil

Principal Investigator

Kathleen T Tilman, MD
PRINCIPAL_INVESTIGATOR
Naval Medical Center Camp Lejeune
Mario G Oyola, PhD
STUDY_DIRECTOR
Naval Medical Center Camp Lejeune

Study Locations (Sites)

Naval Medical Center Camp Lejeune
Jacksonville, North Carolina, 28547
United States

Collaborators and Investigators

Sponsor: Naval Medical Center Camp Lejeune

  • Kathleen T Tilman, MD, PRINCIPAL_INVESTIGATOR, Naval Medical Center Camp Lejeune
  • Mario G Oyola, PhD, STUDY_DIRECTOR, Naval Medical Center Camp Lejeune

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-02-24
Study Completion Date2025-08-24

Study Record Updates

Study Start Date2023-02-24
Study Completion Date2025-08-24

Terms related to this study

Keywords Provided by Researchers

  • Botox
  • Xeomin
  • onabotulinumtoxinA
  • incobotulinumtoxinA
  • Botulinum Toxin
  • refrigeration
  • HIT-6

Additional Relevant MeSH Terms

  • Chronic Migraine