Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 60

Botulinum toxin for jaw myofascial pain in adults

Official title: Clinical Evaluation of Botulinum Toxin a in the Management of Temporomandibular Myofascial Pain

Run by Riphah International University · NCT07847541 · Data updated 2026-11-12

This study tests whether injecting botulinum toxin into jaw muscles helps reduce pain and improve mouth opening in adults with stubborn temporomandibular myofascial pain.

More Temporomandibular Disorder trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 60 Years
SexAll
Enrollment118 (estimated)
SponsorRiphah International University
Academic / other
Locations1 site (Islamabad)
StatusRecruiting
StartedAugust 15, 2026
Main results expectedDecember 15, 2026
Study endsDecember 15, 2026
Registry record updatedSeptember 29, 2026
Trial IDNCT07847541 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18-60 with bilateral arthrogenous disorder and myalgia due to temporomandibular disorder who did not improve after at least 3 months of conservative treatment.

Probably not a fit

Patients without pain reduction or functional improvement after BoNT-A may not experience benefit.

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

What this trial studies

This is a randomized, double-blind, placebo-controlled Phase 2 trial evaluating botulinum toxin type A for adults with temporomandibular myofascial pain after at least three months of unsuccessful conservative treatment. Participants receive either 100 units of BoNT-A injected into the masseter and temporalis muscles or placebo injections with the same technique. Primary outcomes are pain intensity on a 0-10 scale and maximal mouth opening, measured at baseline, 1 week, 1 month, and 3 months. Safety monitoring for injection-related adverse events is included. The study aims to determine if BoNT-A provides greater pain relief and functional improvement compared with placebo.

Why it matters

Potential benefit: If successful, BoNT-A could offer meaningful pain relief and improved jaw function for people who do not respond to standard therapies.

How similar studies have gone: Previous small studies suggest potential benefits of BoNT-A for myofascial TMD, but results have been variable and further randomized trials are needed.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* History of TMD, no relief with conservative therapy after at least three months.
* Clinical diagnosis of bilateral arthrogenous disorder and myalgia.
* Moreover, TMD can be confirmed by diagnosis through MRI and CT examinations
* Pregnancy or lactation.
* Previous mandible or significant facial trauma.
* History of prior TMD treatment or cosmetic treatments of the face with BoNT/A.
* Any contraindication to BoNT/A as outlined in the XEOMIN package insert.

Exclusion Criteria:

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Where it's running

  • Islamic International Dental Hospital
    Islamabad, Pakistan
    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.