ClinicalTrials.gg
CompletedNCT03490500S100Updated Oct 13, 2022

Using the S100B Protein for Emergency Headache Management Care (S100)

An observational study in Headache, Migraine and Hemorrhage, sponsored by Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer. Completed at 3 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-10-13.

Sponsored by Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
63
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 71 studies in Migraine Disorders with a site in France — 14 open to participants now, 20 under way, 6 of them phase 3. Migraine Disorders · France.

Enrollment
16th of 20
63 · median 155
Started
2018
with 2 others
Observational
20 of 71
4 open now
Registered
26th of 71
by date

Among the 71 studies in Migraine Disorders with a site in France, this one is the 16th largest by enrollment of the 20 observational ones that give a count, is one of 3 that started in 2018, is one of 20 observational ones, and was the 26th registered.

Migraine Disorders

1,657 studies on the registry are indexed under Migraine Disorders; 339 are open to participants now.

Browse Migraine Disorders studies →

Open to participants now

14 of the 71 studies in Migraine Disorders with a site in France are open now. Recruiting first, the newest first:

9 more — sign in →

All 14 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 217 Migraine Disorders studies recruiting now, 66 (30%) set no upper age limit and 136 (63%) stop at 75 or younger; 44 take children under 18; 37 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this study is to determine the negative predictive value of protein S100B that could exclude subarachnoid and intracranial haemorrhage for patient that present severe headache within the last 3 hours.

Read the detailed description

This study will be proposed to every patient that correspond to eligibility criteria, such as presenting a severe headache (Visual Analog Scale ≥ 6/10) within 3 hours before arriving to the emergency.

After signing the informed consent, a blood sample will be taken in order to dosage S100B protein of each patient, and then they will have a brain scan.

The trial ends after the brain scan for each patient. Results of brain scans will be compared with results of S100B dosage.

03

Conditions studied

  • Headache, Migraine
  • Hemorrhage

Keywords

  • protein S100B
  • negative predictive value
  • headache
  • intracranial hemorrhage
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The population will be recruited in the emergency unit

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female over 18 years-old
  • Patient presenting at the Emergency Service a non-traumatic severe headache lasting for less than 3 hours. The severity is defined as a VAS ≥ 6/10
  • Blood sample can be taken within 1 hour following the emergency admission
  • VAS > 6 or Glasgow \< 8
  • Signed and dated by patient, or trusted person, or family

Exclusion criteria

Exclusion Criteria:

  • Patient presenting headache after head trauma
  • Pregnant or breastfeeding women
  • Patient with a pathology causing the elevation of PS100B's rate such as Alzheimer's disease, Creuzfeld-Jacob's disease, Multiple Sclerosis, cerebral tumour, trisomy 21, melanoma (diabetes excluded)
  • Patient covered by social security regimen or equivalent
  • Patient under guardianship (legal protection)
  • Patient deprived of liberty by court or administrative order
  • Any condition that could influence PS100B's dosage results according to the physician.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
63 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • S100B protein dosage

    Biological

06

What researchers measure

Primary outcomes

  1. Evaluate the interest of PS100B dosage in the severe headache therapeutic management

    Negative predictive value of PS100B dosage below the reference value of 0.10 µG/L for intracerebral haemorrhage lesion

    Time frame: 15 months

Secondary outcomes

  1. Frequency of Intracranial Bleeding in patient with severe headache

    Incidence of intracranial bleeding in patient with severe headache

    Time frame: 15 months

  2. Frequency of subarachnoid hemorrhage in patient with severe headache

    Incidence of subarachnoid haemorrhage in patient with severe headache

    Time frame: 15 months

  3. Frequency of intracranial haemorrhage in migraine patient with severe headache at inclusion

    Incidence of intracranial haemorrhage in migraine patient with severe headache at inclusion

    Time frame: 15 months

  4. Evaluate the number of lumbar puncture that could have been avoided

    The ratio of patient with a normal scan and a PS100 dosage \< 0.10µg/L, on patient eligible for lumbar puncture according to the usual practice

    Time frame: 15 months

  5. Evaluate the number of cerebral scan that could have been avoided

    The ratio of patient with a normal scan and a PS100 dosage \< 0.10 µg/L, on patient eligible for cerebral scan according to the usual practice

    Time frame: 15 months

  6. Evaluate the number of lumbar puncture's complications that could have been avoided.

    The ratio of patients with PS100 \< 0.10µg/L and normal cerebral scan on the total number of patients included

    Time frame: 15 months

07

Study locations

3 sites
  • Hôpital d'Instruction des Armées Laveran
    Marseille, Bouches-du-Rhône 13000, France
  • Hôpital d'Instruction des Armées Sainte Anne
    Toulon, Var 83000, France
  • Centre Hospitalier Intercommunal de Toulon La Seyne-sur-Mer
    Toulon, Var 83056, France
08

References and documents

Publications

  • Latinovic R, Gulliford M, Ridsdale L. Headache and migraine in primary care: consultation, prescription, and referral rates in a large population. J Neurol Neurosurg Psychiatry. 2006 Mar;77(3):385-7. doi: 10.1136/jnnp.2005.073221. PubMed 16484650 ↗
  • Edlow JA, Panagos PD, Godwin SA, Thomas TL, Decker WW; American College of Emergency Physicians. Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with acute headache. Ann Emerg Med. 2008 Oct;52(4):407-36. doi: 10.1016/j.annemergmed.2008.07.001. PubMed 18809105 ↗
  • Biberthaler P, Linsenmeier U, Pfeifer KJ, Kroetz M, Mussack T, Kanz KG, Hoecherl EF, Jonas F, Marzi I, Leucht P, Jochum M, Mutschler W. Serum S-100B concentration provides additional information fot the indication of computed tomography in patients after minor head injury: a prospective multicenter study. Shock. 2006 May;25(5):446-53. doi: 10.1097/01.shk.0000209534.61058.35. PubMed 16680008 ↗
  • Gilbert JW, Johnson KM, Larkin GL, Moore CL. Atraumatic headache in US emergency departments: recent trends in CT/MRI utilisation and factors associated with severe intracranial pathology. Emerg Med J. 2012 Jul;29(7):576-81. doi: 10.1136/emermed-2011-200088. Epub 2011 Aug 19. PubMed 21856709 ↗
  • Morgenstern LB, Huber JC, Luna-Gonzales H, Saldin KR, Grotta JC, Shaw SG, Knudson L, Frankowski RF. Headache in the emergency department. Headache. 2001 Jun;41(6):537-41. doi: 10.1046/j.1526-4610.2001.041006537.x. PubMed 11437887 ↗
  • Edlow JA, Caplan LR. Avoiding pitfalls in the diagnosis of subarachnoid hemorrhage. N Engl J Med. 2000 Jan 6;342(1):29-36. doi: 10.1056/NEJM200001063420106. No abstract available. PubMed 10620647 ↗
  • Muller P, Mitri F, Houlle A, Vidal PO, Gasperini G, Cazes N, Renard A. S100ss protein for non-traumatic subarachnoid hemorrhage diagnosis. Am J Emerg Med. 2022 Jul;57:39-41. doi: 10.1016/j.ajem.2022.04.030. Epub 2022 Apr 25. PubMed 35500528 ↗

Individual participant data

Plan to share: No — There is no IPD sharing plan

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2018 to primary completion in Jan 2020, 15 months.

Of 132 non-industry observational studies under Migraine Disorders, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 72. This study's 15 months is below that.

Counting every sponsor, half of 160 studies reached it within 27 months; a quarter within 13 and three quarters within 63.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 26, 2018
First posted
Apr 6, 2018
StartActual
Oct 24, 2018
Primary completionActual
Jan 24, 2020
CompletionActual
Jan 24, 2020
Last update
Oct 13, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 13, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03490500
Lead sponsor
Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer
Responsible party
Sponsor
First posted
Apr 6, 2018
Start date
Oct 24, 2018
Primary completion
Jan 24, 2020
Completion
Jan 24, 2020
Last update
Oct 13, 2022

Study contacts

Aurélien Renard, MD
study director · Hôpital d'instruction des armées Sainte-Anne

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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