Can a Nerve-Blocking drug stop the worst headaches after a brain bleed?
NCT ID NCT07816159
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Researchers test whether infusing lidocaine into the middle meningeal artery reduces headache severity in adults who have had a bleeding brain aneurysm. Participants receive either lidocaine or a saline placebo during their endovascular aneurysm repair. The trial measures headache intensity over the first 72 hours and tracks opioid use and overall relief.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- lidocaine hydrochloride, a local anesthetic, infused into the middle meningeal artery
- What this could lead to
- If it works, this could give doctors a targeted way to relieve severe headaches after a bleeding brain aneurysm, possibly reducing the need for opioid painkillers.
- What could go wrong
- This is a Phase 2 trial with 90 participants, so results may not hold in larger groups. The infusion carries risks such as allergic reactions or unintended effects of lidocaine reaching the brain.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 90 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria 1. Age ≥ 18 years 2. Imaging showing a SAH and intracranial aneurysm 3. Undergo endovascular therapy within 72 hours\* 4. Glasgow coma scale (GCS) score of 14-15 5. Maximum headache severity of NRS score ≥ 4 at a time \> 1 hour after ictus or the ad-ministration of opioids due to headache Exclusion criteria 6. The patient is unable to understand information provided in the national language or English 7. Known allergies to amide-type local anesthetics or iodinated contrast media 8. Pregnancy or lactation 9. Severe hepatic impairment 10. History of epilepsy 11. History of chronic opioid use 12. Renal impairment with eGFR \< 30 mL/min/1.73m2 13. Current treatment with class III antiarrhythmics (e.g. amiodarone) 14. Atrioventricular block of II and III degree 15. Unsuccessful endovascular aneurysm securement or procedural complications
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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