Blood patch showdown: could Platelet-Rich plasma beat whole blood for rare headache condition?
NCT ID NCT07602556
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a patch made from a patient's own platelet-rich plasma works better than a standard whole blood patch for treating spontaneous intracranial hypotension, a condition causing severe headaches from spinal fluid leaks. About 218 adults who haven't improved with conservative care will be randomly assigned to one of the two patch types. The main goal is to see which approach provides more complete headache relief after the procedure.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 218 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2029
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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Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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: * Informed consent to participate the research obtained from the patient * Satisfies the criteria for SIH according to the International Classification of Headache Disorders. Exclusion Criteria: * There was concern for other causes of intracranial hypotension, such as postdural puncture, postsurgical and post-traumatic CSF leaks * Prior treatment with EBP at any time previously * Any contraindication to epidural puncture, such as space-occupying intracranial or intraspinal lesions, spinal defect, suspected infection over the puncture site, bleeding disorder and current anticoagulation therapy * History of drug and alcohol abuse, cognitive dysfunction, or mental illness * Unable to cooperate with postoperative evaluation, treatment, rehabilitation, and follow-up visits
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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
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Eye ultrasound may reveal hidden brain pressure disorder
- New scanner may spot more spinal fluid leaks in mystery headache patients
- Nerve block offers hope for debilitating headache sufferers
- Withdrawn study on plasma patches for rare headaches leaves questions unanswered
- New procedure aims to stop debilitating headaches from spinal fluid leaks