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CompletedNCT03989817Updated Aug 20, 2020

The Effects of a Long-lasting Infusion of Vasoactive Intestinal Peptide (VIP) on Headache, Cranial Hemodynamic and Autonomic Symptoms in Healthy Volunteers

An interventional study of Vasoactive Intestinal Peptide (VIP) and Saline in Headache Disorders, sponsored by Danish Headache Center. Completed at 1 site in Denmark. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-08-20.

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

Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
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Study summary

Vasoactive intestinal peptide (VIP) is a peptide of 28 amino acid residues that belongs to the glucagon/secretin superfamily of peptides. It is produced in different regions of the nervous system, including the brain, trigeminovascular system and several autonomic nerves. Once released from neurons, it acts on vasoactive intestinal peptide receptor 1 (VPAC1), vasoactive intestinal peptide receptor 2 (VPAC2) and pituitary adenylate cyclase-activating polypeptide type I receptor (PAC1), by mediating smooth muscle relaxation, vasodilation and water secretion. Along with other neuropeptides, such as calcitonin gene-related peptide (CGRP) and pituitary adenylate cyclase-activating polypeptide (PACAP), it is released from the trigeminal afferents and exerts a strong vasodilating activity on the cranial vasculature, sharing the activation of adenylate cyclase. Especially, it shares 70% structure with PACAP and acts on the same receptors. But, unlike it, VIP cannot induce a long-lasting vasodilation and has a modest capability to induce migraine attacks. Whether a long-lasting infusion of VIP may induce a prolonged vasodilation in the cerebral vessels and migraine, as a twenty-minute infusion of PACAP, is unknown.

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Conditions studied

  • Headache Disorders
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In context

Headache Disorders

162 studies on the registry are indexed under Headache Disorders; 40 are open to participants now.

This study's enrollment of 12 is below the median of 60 across 103 interventional studies indexed under Headache Disorders.

Browse Headache Disorders studies →

Lead sponsor

Danish Headache Center is the lead sponsor of 125 studies on the registry; 15 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

18-60 years. 50-90 kg. Women of childbearing potential must use adequate contraception.

Exclusion criteria

Exclusion Criteria:

Headache less than 48 hours before the tests start All primary headaches Daily consumption of drugs of any kind other than oral contraceptives Pregnant or nursing women. A cardiovascular disease of any kind, including cerebrovascular diseases.

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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
12 participants (actual)

Study arms

  • Active comparator
    VIP

    To investigate the role of VIP on cranial hemodynamic and headache in healthy volunteers.

    Drug: Vasoactive Intestinal Peptide (VIP) and Saline

  • Placebo comparator
    Saline

    To investigate the role of saline on cranial hemodynamic and headache in healthy volunteers.

    Drug: Vasoactive Intestinal Peptide (VIP) and Saline

Interventions

  • DrugVasoactive Intestinal Peptide (VIP) and Saline

    12 healthy volunteers of both genders will be included in the main study. Participants will meet twice, with at least one week in between. The main study is a double-blind, randomized, cross-over trial among placebo (sterile saline, non-active substance) and VIP. Intravenous infusion of VIP / placebo (saline) will be conducted over 120 minutes. Patients will be asked after each trial day to record headache strength, accompanying symptoms, and drug use for up to 24 post-infusion.

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What researchers measure

Primary outcomes

  1. Change in cranial hemodynamic

    Change on diameter of superficial temporal artery. Change on diameter will be measured with milletimeter.

    Time frame: Before (-10 minutes) and after infusion (+2 hours) of VIP compared with before and after infusion of saline]

  2. Occurrence and change of headache

    Occurrence of headache measured by numerical rating scale (NRS)

    Time frame: [Time Frame: Before (-10 minutes) and after infusion (+12 hours) of maxipost compared with before and after infusion of saline]

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Study locations

1 site
  • Danish headache center
    København S, Danmark 2300, Denmark
08

References and documents

Publications

  • Pellesi L, Al-Karagholi MA, De Icco R, Chaudhry BA, Lopez CL, Snellman J, Hannibal J, Amin FM, Ashina M. Plasma Levels of CGRP During a 2-h Infusion of VIP in Healthy Volunteers and Patients With Migraine: An Exploratory Study. Front Neurol. 2022 Apr 1;13:871176. doi: 10.3389/fneur.2022.871176. eCollection 2022. PubMed 35432170 ↗
  • Pellesi L, Al-Karagholi MA, Chaudhry BA, Lopez CL, Snellman J, Hannibal J, Amin FM, Ashina M. Two-hour infusion of vasoactive intestinal polypeptide induces delayed headache and extracranial vasodilation in healthy volunteers. Cephalalgia. 2020 Oct;40(11):1212-1223. doi: 10.1177/0333102420937655. Epub 2020 Jun 27. PubMed 32594760 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 20, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03989817
Lead sponsor
Danish Headache Center
Responsible party
Mohammad Al-Mahdi Al-Karagholi (MD, PhD student, Principal investigator, Danish Headache Center) — Principal investigator
First posted
Jun 18, 2019
Start date
Jun 14, 2019
Primary completion
Jun 30, 2020
Completion
Jun 30, 2020
Last update
Aug 20, 2020

Oversight

Data monitoring committee
Yes
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 Aug 2020. You cannot join it, but the record below documents what was studied.

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