About this trial
This phase 1 multi-site study investigates the safety and initial effectiveness of focused ultrasound lesioning of the contralateral mesencephalon for severe, opioid-resistant pain associated with head and neck cancer and brachial cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men and women, between 18 and 85 years, inclusive
Cancer that arises in the head and neck region: nasal cavity, sinuses, lips, mouth, salivary glands, throat, or larynx (typically squamous cell carcinoma)
Cancer occurring in the nasopharynx, skin, thyroid gland, and eye
Cancer involving the brachial region including brachial plexus, upper lung apex, and Pancoast tumors.
Disqualifiers
Idiopathic trigeminal neuralgia
Trigeminal neuropathic pain from trauma, infection, or iatrogenic
Post-herpetic neuralgia
Headache syndromes like migraine, cluster headache
Trial design
Single group
Treatments tested in this trial
ExAblate Neuro
DeviceExablate Neuro uses focused ultrasound waves to precisely target and ablate tissue deep within the brain with no incisions or implants. The treatment is done under Magnetic Resonance Imaging (MRI) guidance for real time treatment monitoring.
Treatment groups
Trial outcomes
Primary outcomes
Primary Safety Outcome
Safety as assessed from adverse event reporting.
Primary Efficacy Outcome
To compare the change of WORST pain experienced. 11-point Numeric Pain Rating Scale (NPRS)
Secondary outcomes
Secondary Outcomes
Patient Global Impression of Change and the Pain Domain from the PROMIS Inventory including items for intensity, quality, behavior and interference.
Sponsors and contacts
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University of Virginia
Lead sponsor
Focused Ultrasound Foundation
Collaborator