Recruiting
Not applicable
Induction of Migraine Attacks With Aura Using Calcitonin Gene-Related Peptide
Condition(s) studied
Migraine AuraMigraine With Aura
Investigational drug(s) / intervention(s)
Calcitonin-gene related peptide (CGRP)Placebo
Calcitonin-gene related peptide (CGRP): The participants will receive a continuous intravenous infusion of 1.5 μg/min of CGRP over 60 minutes.
Placebo: The participants will receive a continuous intravenous infusion of 60 mL of placebo (isotonic saline) over 60 minutes.
Study summary
Calcitonin gene-related peptide (CGRP) is a key neuropeptide in migraine pathophysiology and treatment. This study investigates whether CGRP administration can trigger aura in individuals with a diagnosis of migraine with aura.
Eligibility
Inclusion Criteria:
* Age 18 to 65 years of age upon entry into screening
* History of migraine with aura for ≥ 12 months according to the International Classification of Headache Disorders 3rd Edition (ICHD-3) criteria
* ≥ 1 monthly day with aura that meets criteria as aura on average across the three months before screening
* Provision of informed consent prior to initiation of any study-specific activities/procedures.
Exclusion Criteria:
* Any history of a primary or secondary headache disorder other than migraine without aura, migraine with aura, chronic migraine, and episodic tension-type headache
* History or evidence of any other clinically significant disorder, condition, or disease (except for those outlined above) that, in the opinion of the site investigator, would pose a risk to subject safety or interfere with study evaluation, procedures or completion
* The subject is at risk of self-harm or harm to others as evidenced by past suicidal behavior
* Female subjects of childbearing potential with a positive pregnancy test during any study visit
* Cardiovascular disease of any kind, including cerebrovascular diseases
* Hypertension (systolic blood pressure of ≥150 mmHg and/or diastolic blood pressure of ≥100 mmHg) prior to the start of infusion on the experimental day
* Hypotension (systolic blood pressure of ≤90 mmHg and/or diastolic blood pressure of ≤50 mmHg)
* Initiation, discontinuation, or change of dosing of prophylactic medications within 2 months prior to study inclusion
* Intake of acute medications (e.g. analgesics, triptans) within 48 hours of infusion start
* Headache of any intensity within 48 hours of infusion start
* Aura within 48 hours of infusion start
Primary outcome measure(s)
- Incidence of migraine attacks with aura — 12 hours
Difference in incidence of migraine attack with aura between CGRP and placebo during the 12-hour observational period after infusion start.
Trial sites (1)
| Facility | City | Region | Status |
| Rigshospitalet Glostrup |
Glostrup Municipality |
Denmark |
Recruiting |
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