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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 60 Years |
| Sex | All |
| Enrollment | 118 (estimated) |
| Sponsor | Riphah International University Academic / other |
| Locations | 1 site (Islamabad) |
| Status | Recruiting |
| Started | August 15, 2026 |
| Main results expected | December 15, 2026 |
| Study ends | December 15, 2026 |
| Registry record updated | September 29, 2026 |
| Trial ID | NCT07847541 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: \-
Where it's running
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Islamic International Dental Hospital
Islamabad, Pakistan Recruiting
Study contacts
- Principal investigator: Uzair Luqman, FCPS — Riphah International University
- Study coordinator: Muhammad Sohaib Arshad
- Email: muhammadsohaibarshad542@gmail.com
- Phone: +923345635938
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.