Combined trigeminal (V1) and occipital nerve stimulation to prevent chronic cluster headache
Official title: Response to Combined Trigeminal and Occipital Nerve Stimulation for the Preventive Treatment in Chronic Cluster Headache: The RESPONSE-II Study
Run by Salvia BioElectronics · NCT07113470 · Data updated 2026-11-12
The PRIMUS implant will be tried to see if stimulating both the trigeminal (V1) and occipital nerves reduces attack frequency and severity in adults with chronic cluster headache who haven't responded to verapamil.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 10 (estimated) |
| Sponsor | Salvia BioElectronics Industry-sponsored |
| Locations | 1 site (Leiden) |
| Status | Recruiting |
| Started | April 13, 2026 |
| Main results expected | May 31, 2027 |
| Study ends | December 1, 2028 |
| Registry record updated | July 16, 2026 |
| Trial ID | NCT07113470 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with primary chronic cluster headache for at least one year by ICHD‑3 criteria who are willing to consent and who have not had adequate response to verapamil are the intended candidates.
✕Probably not a fit
People whose cluster headaches respond well to verapamil, or those with secondary cluster headache or other chronic headache disorders that cannot be clearly differentiated, are unlikely to benefit from this targeted neurostimulation approach.
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 small open‑label study performed at centers in the Netherlands in which all participants receive the same implanted PRIMUS neurostimulator and both patients and clinicians know the treatment. The device is designed to stimulate the V1 branch of the trigeminal nerve and the occipital nerves simultaneously to interrupt pain signaling and modify pain‑processing regions such as the hypothalamus and brainstem. The trial focuses on adults with primary chronic cluster headache of at least one year who did not respond adequately to verapamil. Safety, impact on attack frequency and severity, and patient experience with the system will be collected during follow‑up.
Why it matters
Potential benefit: If successful, the PRIMUS implant could reduce how often and how severely cluster attacks occur and improve daily functioning for people with chronic cluster headache who have not benefited from verapamil.
How similar studies have gone: Small early reports and case series of combined trigeminal and occipital stimulation have shown promising results in a few patients, but robust controlled evidence is still limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Able and willing to provide informed consent 2. 18 years of age or older 3. Documented Primary Chronic Cluster Headache, for at least 1 year as per ICHD-3 criteria Exclusion Criteria: 1. Any other chronic primary or secondary headache disorder, unless they can clearly differentiate them from cluster headache attacks based on the quality and associated symptoms 2. Secondary Cluster Headache
Where it's running
-
LUMC Leids Universitair Medisch Centrum
Leiden, Netherlands Recruiting
Study contacts
- Study coordinator: Rolf Fronczek, Dr.
- Email: hoofdpijnonderzoek@lumc.nl
- Phone: +31715262197
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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.