DRUG
Calcitonin-Gene Related Peptide
1,5 µg/min of IV CGRP over 20 mins
Status
Completed
Phase
Not applicable
Enrollment
37
Locations
1
Results
Not posted
Publications
1
Study summary
It has previously been shown that nitroglycerine induces cluster headache attacks in episodic cluster headache patients (ECH patients) in bouts but not in remission phase. Furthermore, plasma concentrations of calcitonin gene-related peptide (CGRP) have been shown to be significantly higher during, but not before and after, an attack. The attack appears around 20-40 min after nitroglycerine infusion with vasodilatation. During this latency period preceding the attack, no increase in CGRP plasma concentrations is seen. CGRP induces migraine attacks in 65% of migraine patients, and CGRP antagonists as well as monoclonal antibodies against CGRP are effective in migraine treatment. Based on the above the investigators hypothesize the following: 1. Provoking ECH patients in bout with CGRP triggers cluster headache attacks 2. Provoking ECH patients in remission with CGRP does not trigger cluster headache attacks 3. Provoking chronic cluster headache patients with CGRP triggers cluster headache attacks more often than in ECH patients.
Interventions
DRUG
1,5 µg/min of IV CGRP over 20 mins
DRUG
40 ml of normal saline over 20 mins
Timeline
First posted
Jun 9, 2015
Study start
Jun 2015
Primary completion
Mar 2017
Study completion
Dec 2018
Results posted
Not reported
Registry updated
Aug 2, 2022
Outcomes
Differences in occurence of cluster headache attacks on CGRP day compared to placebo day in all three groups
Time frame · 90 min after administration of study drug
Occurence of experimentally induced cluster headache attack yes/no
AUC headache on CGRP day compared to placebo day in all three groups
Time frame · 90 min after administration of study drug
Using 90 min headache questionnaire
Time to maximum headache score on CGRP day compared to placebo day in all three
Time frame · 90 min after administration of study drug
Using 90 min headache questionnaire
Not reported in the indexed record.
Eligibility
Inclusion Criteria: * Fulfillment of IHS criteria for cluster headache either chronic or episodic * Patients in bouts 1-32 attacks per week * Patients in remission minimum of 1 month remission time * fertile women must use safe contraception Exclusion Criteria: * All other primary types of headache * headache 8 hours or less before study day begins * pregnant or lactating women * any history or clinical sigs of hyper/hypotension, heart disease, mental disorder, substance abuse, or other illness deemed relevant by the medical doctor assessing the patient
Study locations
Denmark. Showing up to 24 locations stored in the fast local snapshot.
Danish Headache Center
Copenhagen, Glostrup, Denmark
Publications
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