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Active, not recruitingNCT04406259SEVAUpdated Dec 2, 2025

Atrioventricular Block and Cluster Headache (SEVA)

A Phase 4 interventional study of Verapamil in Cluster Headache, sponsored by Centre Hospitalier Universitaire de Nice. Active, not recruiting at 2 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-02.

Sponsored by Centre Hospitalier Universitaire de Nice · Phase 4, Interventional, and Other

Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Verapamil is a calcium channel blocker widely used to treat cardiovascular diseases however it is also the first line treatment in the prevention of cluster headaches. In France, its prescription in that indication is based on compliance with the Temporary Recommendation for Use (RTU) that insists on the possible the cardiac side effects that can occur as the doses required for cluster headache are significantly higher than the doses used in cardiology.

02

Conditions studied

  • Cluster Headache

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03

In context

Cluster Headache

123 studies on the registry are indexed under Cluster Headache; 26 are open to participants now.

This study's planned enrollment of 60 is above the median of 42 across 90 interventional studies indexed under Cluster Headache.

Browse Cluster Headache studies →

Lead sponsor

Centre Hospitalier Universitaire de Nice is the lead sponsor of 723 studies on the registry; 176 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 and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • patient 18 years old, and older
  • patient suffering from Cluster Headache (according to the l'ICHD-3 diagnostic criterias)
  • patients affiliated to the social security
  • patient that has given his full written consent to participate in the study
  • female patients participating in the study must be using an efficient for more than 1 month prior to the beginning of the study

Exclusion criteria

Exclusion Criteria:

  • patient presenting to the use of verapamil
  • patient observing a treatment with ivabradine (Procoralan®), bétablockers, colchicine, l'esmolol, triazolam, quinidine.
  • patient under justicial protection
  • patient breastfeeding, or pregnant
  • patient suffering from a neuromuscular transmisson disease
  • patient with a pacemaker
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
Phase 4
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Other
    Verapamil

    administration of verapamil to treat cluster headache

    Drug: Verapamil

Interventions

  • Patients in groupe A require verapamil initiation as a preventive treatment and patients in group B are patients already undergoing a verapamil treatment for their Cluster Headache. The doses of verapamil are increased for the patients in group A, after a clinical examination an electrocardiogram, and a blood test.

06

What researchers measure

Primary outcomes

  1. Evaluation of the atrioventricular block when verapamil is used in prevention of Cluster Headache.

    Occurrence of the ratio of patients presenting a first degree atrioventricular block

    Time frame: 27 months

Secondary outcomes

  1. Description of the different atrioventricular conduction abnormities and their incidence

    Study of ECG results

    Time frame: 27 months

  2. Evaluation of the plasmatic concentration of verapamil and its metabolite (nor verapamil) in parallel with the occurrence of conduction abnormalities detected by electrocardiogram

    Plasmatic concentration of verapamil and its metabolite (nor verapamil) dosed at each visit

    Time frame: 27 months

  3. Relation between pharmacokinetic/ pharmacodynamics of verapamil and the appearance of conduction abnormalities to determinate the maximal tolerated dose of verapamil.

    The maximal tolerated dose of verapamil will be determined thanks to correlation between ECG results and Pharmacocinetics and pharmacodynamics

    Time frame: 27 months

07

Study locations

2 sites
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References and documents

Individual participant data

Plan to share: No — No data sharing plan ahs been established

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2020 to primary completion in Sep 2025, 58 months.

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

Registered
May 14, 2020
First posted
May 28, 2020
StartActual
Nov 2, 2020
Primary completionActual
Sep 5, 2025
CompletionEst.
Sep 5, 2027
Last update
Dec 2, 2025
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 Dec 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04406259
Responsible party
Sponsor
First posted
May 28, 2020
Start date
Nov 2, 2020
Primary completion
Sep 5, 2025
Completion
Sep 5, 2027 (estimated)
Last update
Dec 2, 2025

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 active, not recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Verapamil

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