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CompletedNCT03422796Updated Jan 29, 2020

The Effect of Sumatriptan and Placebo Injection on Cilostazol Induced Headache

An interventional study of Cilostazol 200mg and SUMAtriptan 6 MG/ML in Migraine, sponsored by Danish Headache Center. Completed at 1 site in Denmark. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2020-01-29.

Sponsored by Danish Headache Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

To develop a pragmatic migraine model the investigators will induce headache in patients with migraine without aura with a phosphodiesterase inhibitor (cilostazol). If the headache responds to sumatriptan injection, the model can be used to test new drug candidates.

Read the detailed description

There remains a great need for more effective anti-migraine drugs with fewer side effects. Human experimental models are valuable in early phase development of new anti-migraine drugs but useful models have not yet been developed. The investigators' group has shown that Cilostazol, a phosphodiesterase inhibitor induce headache/migraine in both healthy volunteers and in patients with migraine without aura (MO). To validate this model, the headache must respond to specific migraine treatment with sumatriptan.

Hypothesis: Cilostazol induces a migraine-like headache in MO-patients and the induced headache responds to sumatriptan injection Aim: Developing a pragmatic and valid model for the testing of new anti-migraine drugs.

02

Conditions studied

  • Migraine

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03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Migraine patients who meet IHS criteria for migraine with or without aura of both sexes
  • 18-70 years
  • 45-95 kg.

Exclusion criteria

Exclusion Criteria:

  • Any other type of headache then migraine without aura (except episodic tension-type headache \< 1 day per week)
  • Serious somatic or psychiatric disease
  • Pregnancy
  • Intake of daily medication (except oral contraceptives)
  • Triptan non-responders
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
30 participants (actual)

Study arms

  • Active comparator
    Sumatriptan

    headache is induced with Cilostazol. This headache is treated double-blinded with 6mg/ml sumatriptan

    Drug: Cilostazol 200mg · Drug: SUMAtriptan 6 MG/ML

  • Placebo comparator
    Placebo

    headache is induced with Cilostazol. This headache is treated double-blinded with 1 tablet of placeb

    Drug: Cilostazol 200mg · Drug: Placebo

Interventions

  • DrugCilostazol 200mg

    Cilostazol is given both study days to induce headache. One day the headache is treated with placebo and the other day with sumatriptan

    Also known as: Pletal

  • DrugSUMAtriptan 6 MG/ML

    Cilostazol is given both study days to induce headache. One day the headache is treated with placebo and the other day with sumatriptan

    Also known as: Imigran

  • DrugPlacebo

    Cilostazol is given both study days to induce headache. One day the headache is treated with placebo and the other day with sumatriptan

05

What researchers measure

Primary outcomes

  1. Difference in median headache score after sumatriptan/placebo

    The investigators will assess the outcome measures 1 year after the beginning of the study

    Time frame: 2hours

  2. difference in AUC 0-4h post treatment

    The difference in area under the curve 0-4h after treatment with sumatriptan and placebo

    Time frame: 4hours

06

Study locations

1 site
  • Rigshospitalet Glostrup
    Glostrup, 2600, Denmark
07

References and documents

Publications

  • Falkenberg K, Bjerg HR, Olesen J. Subcutaneous sumatriptan reduces cilostazol induced headache in migraine patients. Cephalalgia. 2020 Jul;40(8):842-850. doi: 10.1177/0333102420915166. Epub 2020 Mar 26. PubMed 32216457 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03422796
Lead sponsor
Danish Headache Center
Responsible party
Katrine Falkenberg (Medical doctor, Danish Headache Center) — Principal investigator
First posted
Feb 6, 2018
Start date
Nov 1, 2017
Primary completion
Sep 1, 2018
Completion
Sep 1, 2018
Last update
Jan 29, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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