ClinicalTrials.gg
CompletedNCT04220606Updated Jan 7, 2020

1H Magnetic Resonance Spectroscopy in Migraine Patients

An interventional study of Glyceryl trinitrate (I.V. infusion 0.5 µg/kg/min over 20 min) in Migraine Disorders, Migraine Without Aura and Headache Disorders, Primary, sponsored by Leiden University Medical Center. Completed. Open to female participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-01-07.

Primary conditionMigraine without AuraRegistry: Migraine DisordersReclassifiedWhy we changed it
Registry
Migraine Disorders — the first condition term the registry derived for this study.
ClinicalTrials.gg
Migraine without Aura
Why
  1. The study's listed conditions name Migraine without Aura, a narrower term within Migraine Disorders.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Leiden University Medical Center · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 4 years 8 months after the study started (first participant enrolled Apr 2015, registered Dec 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
39
Allocation
Non-randomized
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

To investigate the glutaminergic system in the onset of migraine-like attacks.

Read the detailed description

Glyceryl trinitrate infusion (GTN) is used to provoke migraine-like attacks in female migraine without aura patients. Apart from migraine without aura patients healthy female controls are also included as a control group. Over the course of a single day these females (migraineurs and healthy controls) were scanned three times on fixed time slots: before GTN infusion (baseline), 90 minutes and 270 minutes after start of GTN infusion. Scans are acquired on a 7 tesla scanner (Philips, Cleveland, USA) on software release 3 using a 32 channel receive array using single-volume proton magnetic resonance spectroscopy (1H MRS) with a volume of interest in the visual cortex glutamate, in which glutamate, GABA and other metabolites will be assessed. The primary endpoint; glutamate level changes towards the pre-ictal and ictal state with other metabolite (e.g. glutamine and GABA) changes as secondary endpoints.

02

Conditions studied

  • Migraine Disorders
  • Migraine Without Aura
  • Headache Disorders, Primary
  • Headache Disorders
  • Brain Diseases
  • Central Nervous System Diseases
  • Nervous System Diseases
03

In context

Migraine without Aura Reclassified

109 studies on the registry are indexed under Migraine without Aura; 18 are open to participants now.

This study's enrollment of 39 is below the median of 87 across 87 interventional studies indexed under Migraine without Aura.

Browse Migraine without Aura studies →

Lead sponsor

Leiden University Medical Center is the lead sponsor of 334 studies on the registry; 110 are open to participants now.

Compared within Migraine without Aura, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Migraine Disorders. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
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

  • Diagnosed with migraine without aura according to the International Classification of Headache Disorders (ICHD)-3 beta criteria from 2013.
  • At least one migraine attack per month in the preceding six months

Exclusion criteria

Exclusion Criteria:

  • Other neurological disorders apart from migraine
  • Chronic medication apart from oral
  • Migraine with aura
  • Chronic migraine with 15 or more headache days per month/with 8 or more migraine days per month
  • Medication-overuse headache (ICHD-3 beta criteria)
  • Women who are breastfeeding, pregnant, or planning to become pregnant
  • for 7 tesla MRI scanner
  • Contra-indications for GTN administration (e.g. nitrate allergy, heart condition)
  • Healthy controls (with no first degree relative with migraine or trigeminal autonomic cephalalgia)
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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
39 participants (actual)

Study arms

  • Other
    Migraine without aura subjects

    Drug: Glyceryl trinitrate (GTN)

    Drug: Glyceryl trinitrate (I.V. infusion 0.5 µg/kg/min over 20 min)

  • Other
    Healthy subjects

    Drug: Glyceryl trinitrate (GTN)

    Drug: Glyceryl trinitrate (I.V. infusion 0.5 µg/kg/min over 20 min)

Interventions

  • DrugGlyceryl trinitrate (I.V. infusion 0.5 µg/kg/min over 20 min)

    Drug page: Nitroglycerin

06

What researchers measure

Primary outcomes

  1. Glutamate

    Changes in glutamate level

    Time frame: From baseline towards the pre-ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) and ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) state

Secondary outcomes

  1. Glutamine

    Changes in glutamine level

    Time frame: From baseline towards the pre-ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) and ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) state

  2. GABA

    Changes in GABA level

    Time frame: From baseline towards the pre-ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) and ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) state

  3. N-acetylaspartate

    Changes in N-acetylaspartate level

    Time frame: From baseline towards the pre-ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) and ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) state

  4. Phosphoethanolamine

    Changes in phosphoethanolamine level

    Time frame: From baseline towards the pre-ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) and ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) state

  5. Myo-inositol

    Changes in myo-inositol level

    Time frame: From baseline towards the pre-ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) and ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) state

  6. Glutathione

    Changes in glutathione level

    Time frame: From baseline towards the pre-ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) and ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) state

  7. Aspartate

    Changes in aspartate level

    Time frame: From baseline towards the pre-ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) and ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) state

  8. Creatine

    Changes in creatine level

    Time frame: From baseline towards the pre-ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) and ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) state

  9. Choline

    Changes in choline level

    Time frame: From baseline towards the pre-ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) and ictal (assessed at 90 and/or 270 minutes after GTN depending on clinical condition) state

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

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

Ran from Apr 2015 to primary completion in Apr 2016, 12 months.

Of 29 non-industry interventional studies with no phase under Migraine without Aura, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 34. This study's 12 months is below that.

Counting every sponsor, half of 33 studies reached it within 19 months; a quarter within 12 and three quarters within 34.

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

Registered
Dec 30, 2019
First posted
Jan 7, 2020
StartActual
Apr 2015
Primary completionActual
Apr 2016
CompletionActual
Apr 2016
Last update
Jan 7, 2020
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 Jan 7, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04220606
Collaborators
Netherlands Organisation for Scientific Research, European Commission
Responsible party
G.M. Terwindt, MD (Associate professor, Leiden University Medical Center) — Principal investigator
First posted
Jan 7, 2020
Start date
Apr 2015
Primary completion
Apr 2016
Completion
Apr 2016
Last update
Jan 7, 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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Studies of the drug tested here: Nitroglycerin

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