Current partner codePEPTIDESDE
NCT02466334·Not applicable·INTERVENTIONAL

CGRP's Cluster Headache Inducing Abilities in Cluster Headache Patients

Status

Completed

Phase

Not applicable

Enrollment

37

Locations

1

Results

Not posted

Publications

1

Study summary

What the protocol is testing.

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

Treatment arms and agents.

DRUG

Calcitonin-Gene Related Peptide

1,5 µg/min of IV CGRP over 20 mins

DRUG

Placebo

40 ml of normal saline over 20 mins

Timeline

From registration to results.

  1. First posted

    Jun 9, 2015

  2. Study start

    Jun 2015

  3. Primary completion

    Mar 2017

  4. Study completion

    Dec 2018

  5. Results posted

    Not reported

  6. Registry updated

    Aug 2, 2022

Outcomes

What the study measures.

Primary 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

Secondary outcomes

Not reported in the indexed record.

Eligibility

Who can take part.

Minimum age
18 Years
Maximum age
65 Years
Sex
ALL
Healthy volunteers
No

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

1 registered sites.

Denmark. Showing up to 24 locations stored in the fast local snapshot.

Danish Headache Center

Copenhagen, Glostrup, Denmark

Related trials

More studies on Calcitonin.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.