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A Pilot Study of SPG Block for PTSD

Primary Purpose

Post Traumatic Stress Disorder

Status
Not yet recruiting
Phase
Early Phase 1
Locations
Study Type
Interventional
Intervention
Sphenopalatine ganglion block
Sponsored by
New York State Psychiatric Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Post Traumatic Stress Disorder

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Participants with a principal diagnosis of PTSD on stable dose of psychiatric medication or in stable psychotherapy for at least 3 months, who experience residual symptoms. Participants who understand all study procedures and can undergo informed consent Exclusion Criteria: Participants with a medical disorder, for whom study participation could be deleterious (neurologic, cardiac, renal or infectious disease) Pregnant or breast feeding participants Participants who are on an anticoagulant, such as warfarin, or otherwise have a medical condition that increases bleeding risk

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Active SPG block

    Arm Description

    The block will be performed using a topical aerosolized nasal spray followed by the administration of a local anesthetic.

    Outcomes

    Primary Outcome Measures

    feasibility: number of participants completing the 8-week study
    feasibility: number of participants completing the 8-week study
    tolerability: number of adverse events
    tolerability: number of adverse events

    Secondary Outcome Measures

    Full Information

    First Posted
    January 31, 2023
    Last Updated
    June 30, 2023
    Sponsor
    New York State Psychiatric Institute
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05743543
    Brief Title
    A Pilot Study of SPG Block for PTSD
    Official Title
    A Feasibility Study of a Sphenopalatine Ganglion (SPG) Block for Post Traumatic Stress Disorder (PTSD)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    May 28, 2025 (Anticipated)
    Primary Completion Date
    March 30, 2030 (Anticipated)
    Study Completion Date
    March 30, 2035 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    New York State Psychiatric Institute

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Some patients with Post Traumatic Stress Disorder (PTSD) respond only partially to medication. This study is a pilot study investigating whether blocking the SPG helps reduce the symptoms of PTSD. This study does not involve treatment with medications. It is a proof of principal study.
    Detailed Description
    The sphenopalatine ganglion (SPG) is a collection of neurons involved in autonomic regulation (which refers to bodily processes that are automatic like heart rate and blood pressure). Blocking the SPG is used to treat disorders, such as migraines or cluster headaches (short, severe headaches that occur together). The procedure will be performed by a doctor who specializes in ear, nose throat surgery. The block consists of the injection of a numbing agent (similar to the type used by dentists) to the SPG. After the SPG block, we will follow patients for 8 weeks to see how they feel.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Post Traumatic Stress Disorder

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Early Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    20 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Active SPG block
    Arm Type
    Experimental
    Arm Description
    The block will be performed using a topical aerosolized nasal spray followed by the administration of a local anesthetic.
    Intervention Type
    Other
    Intervention Name(s)
    Sphenopalatine ganglion block
    Intervention Description
    The block is performed with a nasoscope and the administration of a local anesthetic.
    Primary Outcome Measure Information:
    Title
    feasibility: number of participants completing the 8-week study
    Description
    feasibility: number of participants completing the 8-week study
    Time Frame
    8 weeks
    Title
    tolerability: number of adverse events
    Description
    tolerability: number of adverse events
    Time Frame
    8 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Participants with a principal diagnosis of PTSD on stable dose of psychiatric medication or in stable psychotherapy for at least 3 months, who experience residual symptoms. Participants who understand all study procedures and can undergo informed consent Exclusion Criteria: Participants with a medical disorder, for whom study participation could be deleterious (neurologic, cardiac, renal or infectious disease) Pregnant or breast feeding participants Participants who are on an anticoagulant, such as warfarin, or otherwise have a medical condition that increases bleeding risk

    12. IPD Sharing Statement

    Learn more about this trial

    A Pilot Study of SPG Block for PTSD

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