Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 80

Endoscopic injection of Exparel for craniofacial pain relief

Official title: Prospective, Randomized, Double-blinded, Placebo-controlled, Cross-over Trial of Endoscopically Guided Injection of Exparel (Bupivacaine) Towards the Ipsilateral Pterygopalatine Fossa for the Treatment of Craniofacial Pain

Run by Stanford University · NCT04930887 · Data updated 2026-11-12

This study is testing if an injection of Exparel can help people with craniofacial pain, like migraines and cluster headaches, feel better compared to a placebo.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment15 (estimated)
SponsorStanford University
Academic / other
Locations1 site (Stanford, California)
StatusRecruiting
StartedFebruary 1, 2023
Main results expectedJune 2028
Study endsJune 2030
Registry record updatedApril 27, 2026
Trial IDNCT04930887 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 80 with a chief complaint of craniofacial pain who have visited the Stanford Pain & ENT clinic.

Probably not a fit

Patients outside the age range of 18 to 80, pregnant women, or those with allergies to bupivacaine will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial evaluates the effectiveness of endoscopically guided injection of Exparel (Bupivacaine) for treating craniofacial pain, including conditions like migraines and cluster headaches. The study employs a prospective, randomized, double-blinded, placebo-controlled, and cross-over design to assess the impact of Exparel on pain relief and functional outcomes. Participants will receive either the active treatment or a saline placebo, with the aim of determining if Exparel can provide significant pain relief compared to standard topical Lidocaine. The trial is designed to gather robust data on the efficacy of this novel approach to pain management.

Why it matters

Potential benefit: If successful, this treatment could provide significant pain relief for patients suffering from various forms of craniofacial pain.

How similar studies have gone: While the use of Exparel for pain relief is established, this specific application for craniofacial pain is novel and has not been extensively tested in prior studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with a chief complaint of craniofacial pain (migraine, cluster headache, trigeminal autonomic cephalgia, sphenopalatine ganglioneuraligia, paroxysmal hemicrania) who has Stanford Pain \& ENT clinic visit

Exclusion Criteria:

* age \<18 or \>80
* pregnant women
* economically disadvantaged (not able to afford clinic visits/treatments)
* decisionally impaired (unable to obtain informed consent)
* has allergy to bupivacaine
* unable or unwilling to participate plans to participate in another clinical study at any time during this study

Where it's running

  • Peter H Hwang
    Stanford, California, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.