ClinicalTrials.gg
Enrolling by invitationNCT03511846PBSUpdated Feb 18, 2026

Pain Biomarker Study

A Phase 1 interventional study of Oral capsaicin and Topical capsaicin in Migraine, Cluster Headache and Trigeminal Autonomic Cephalgia, sponsored by The University of Texas Health Science Center, Houston. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-18.

Sponsored by The University of Texas Health Science Center, Houston · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
371
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study investigates molecular and physical biomarkers of headaches in order to better understand mechanisms of these diseases.

There are 3 main parts:

  1. Use of capsaicin (active ingredient in hot chili peppers) to trigger release of calcitonin gene related peptide - the hypothesis is that this will be different in headache subjects compared to controls (and if so might be used to predict how these patients will respond to certain medications that modulate calcitonin gene-related peptide). Subjects will be given capsaicin as a cream applied to the forehead or the inner nostril, or a hot sauce that is ingested.
  2. Use of capsaicin to trigger eye watering - the hypothesis is that oxygen gas will slow down the amount of eye watering. Cluster headache patients respond very powerfully to oxygen gas but to very little else. The mechanism for oxygen is unknown but in rodents there is data that it works on the parasympathetic / lacrimal gland system. This study translates rodent data into humans in a non-invasive way to confirm the mechanism of this very effective treatment.
  3. Use of ice water to trigger headaches - brain freeze causes a very short-lived but intense headache that may cause similar biomarker release as other headache disorders. This may be a useful human model for other headache disorders.
02

Conditions studied

  • Migraine
  • Cluster Headache
  • Trigeminal Autonomic Cephalgia
  • Hemicrania Continua
  • Paroxysmal Hemicrania
  • SUNCT
  • Short-Lasting Unilateral Neuralgiform Headache With Conjunctival Injection and Tearing

Keywords

  • Brain Freeze
  • Capsaicin
03

In context

Migraine Disorders

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

This study's planned enrollment of 371 is above the median of 80 across 1,269 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 897 studies on the registry; 214 are open to participants now.

Of its 173 completed or terminated interventional studies of FDA-regulated products, 142 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Diagnosis of one of the following: a. Diagnosis of a primary headache disorder according to the International Headache Classification, including migraine with aura, migraine without aura, chronic migraine, tension headache, cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA), and hemicrania continua; b. Diagnosed by a pain medicine physician with lumbar radiculopathy (possibly including neuropathic features, nerve impingement on MRI, or electromyography (EMG) report suggestive of lumbar radiculopathy); or c. Healthy control subject with no history of debilitating headaches or debilitating back pain / radiculopathy pain, and no headaches or back pain within the previous 3 months.
  • Able to provide HIPAA authorization to share prior medical records/imaging
  • Age 18 and older

Exclusion criteria

Exclusion Criteria:

  • The following items exclude the subject from all portions of the study: a. Known history of cardiovascular or neurovascular diseases. These diseases may include carotid stenosis of >50%, vertebral stenosis, peripheral vascular disease, angina or myocardial infarction, stroke, or vascular malformations; b. History of brain tumors or epilepsy; c. Active pregnancy or lactation; d. Daily cigarette, tobacco or nicotine use; e. less than 1 year, co-existing disease or other characteristic that precludes appropriate diagnosis of headache or spine pain; f. Active drug / alcohol use or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements; or g. Inability or unwillingness of subject to give (e.g., ward of the state)
  • The following items exclude the subject only from the capsaicin portion of the study: a. Known allergy to capsaicin or hot peppers
  • The following items exclude the subject only from the oxygen portion of the study: a. Pulmonary or other non-headache diseases that require the use of supplemental oxygen
  • The following items exclude the subject only from the cold water irrigation (ice water) portion of the study: a. Trauma, fractures, or congenital abnormalities of the soft palate
Terms in these criteria, in plain language(2)

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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

Phase
Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
371 participants (estimated)

Study arms

  • Experimental
    Oral capsaicin

    Drug: Oral capsaicin

  • Sham comparator
    Oral capsaicin and Medical Air

    Drug: Oral capsaicin · Other: Medical Air

  • Experimental
    Oral Capsaicin and Low Flow Oxygen

    Drug: Oral capsaicin · Drug: Low Flow Oxygen

  • Experimental
    Oral capsaicin and High Flow Oxygen

    Drug: Oral capsaicin · Drug: High Flow Oxygen

  • Experimental
    Topical capsaicin

    Drug: Topical capsaicin

  • Sham comparator
    Topical capsaicin and Medical Air

    Drug: Topical capsaicin · Other: Medical Air

  • Experimental
    Topical capsaicin and Low Flow Oxygen

    Drug: Topical capsaicin · Drug: Low Flow Oxygen

  • Experimental
    Topical capsaicin and High Flow Oxygen

    Drug: Topical capsaicin · Drug: High Flow Oxygen

  • Experimental
    Intranasal capsaicin

    Drug: Intranasal capsaicin

  • Sham comparator
    Intranasal capsaicin and Medical Air

    Drug: Intranasal capsaicin · Other: Medical Air

  • Experimental
    Intranasal capsaicin and Low Flow Oxygen

    Drug: Intranasal capsaicin · Drug: Low Flow Oxygen

  • Experimental
    Intranasal capsaicin and High Flow Oxygen

    Drug: Intranasal capsaicin · Drug: High Flow Oxygen

  • Experimental
    Cold water irrigation

    Other: Cold Water Irrigation

  • Sham comparator
    Cold water irrigation and Medical Air

    Other: Cold Water Irrigation · Other: Medical Air

  • Experimental
    Cold water irrigation and Low Flow Oxygen

    Other: Cold Water Irrigation · Drug: Low Flow Oxygen

  • Experimental
    Cold water irrigation and High Flow Oxygen

    Other: Cold Water Irrigation · Drug: High Flow Oxygen

Interventions

  • Subjects will drink a solution with capsaicin

  • Capsaicin cream will be applied to the skin of the forehead, cheek, or leg

  • Capsaicin cream will be applied to the nostril

  • OtherCold Water Irrigation

    Subjects will be asked to drink up to 2000 ml of cold water or ice water (temperature 0-10 degrees Celsius) as fast as possible, either continuously or intermittently (i.e. 200-800 ml at a time)

  • OtherMedical Air

    Subjects will be exposed to medical air

  • DrugLow Flow Oxygen

    Subjects will be exposed to oxygen gas between 1-9 L/min

  • DrugHigh Flow Oxygen

    Subjects will be exposed to oxygen gas between 10-25 L/min

06

What researchers measure

Primary outcomes

  1. Activation of trigeminoautonomic reflex as assessed by change in Calcitonin gene-related peptide (CGRP) levels from before stimulation to after stimulation.

    Time frame: 10 minutes before pain stimulation and 10 minutes, 20 minutes, 30 minutes, 60 minutes, and 90 minutes after pain stimulation

  2. Activation of trigeminoautonomic reflex as assessed by tear fluid production

    The amount of tear fluid after each intervention will be measured via Schirmer strips

    Time frame: 90 minutes after pain stimulation

Secondary outcomes

  1. Activation of trigeminoautonomic reflex as assessed by change in pituitary adenylate cyclase activating polypeptide-38 (PACAP-38) levels levels from before stimulation to after stimulation.

    Time frame: 10 minutes before pain stimulation and 10 minutes, 20 minutes, 30 minutes, 60 minutes, and 90 minutes after pain stimulation

  2. Activation of trigeminoautonomic reflex as assessed by saliva production

    Time frame: 90 minutes after pain stimulation

  3. Activation of trigeminoautonomic reflex as assessed by nasal fluid production

    Time frame: 90 minutes after pain stimulation

  4. Activation of trigeminoautonomic reflex as assessed by tactile threshold measurement with von Frey Filaments

    Time frame: 90 minutes after pain stimulation

  5. Activation of trigeminoautonomic reflex as assessed by dermal blood flow

    Time frame: 90 minutes after pain stimulation

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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

Started Mar 2018 (actual). Primary completion is estimated for May 2028, 122 months after the start.

Of 53 phase 1 interventional studies under Migraine Disorders, half reached primary completion within 6 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 19. This study's planned 122 months is above that.

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

Registered
Apr 17, 2018
First posted
Apr 30, 2018
StartActual
Mar 21, 2018
Primary completionEst.
May 31, 2028
CompletionEst.
May 31, 2028
Last update
Feb 18, 2026
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 Feb 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03511846
Responsible party
Mark J Burish (Assistant Professor, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Apr 30, 2018
Start date
Mar 21, 2018
Primary completion
May 31, 2028 (estimated)
Completion
May 31, 2028 (estimated)
Last update
Feb 18, 2026

Study contacts

Mark Burish, MD PhD
principal investigator · The University of Texas Health Science Center, Houston

Oversight

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

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Studies of the drug tested here: Capsaicin

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