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RecruitingNCT05415020RLBUpdated Jun 8, 2026

Determining the Utility of a Behavioral Intervention in Chronic Migraine

An interventional study of Lifestyle Behavior Protocol and Sham Behavior Protocol in Migraine, Headache and Migraine Disorders, sponsored by Mayo Clinic. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-08.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2022; still recruiting 4 years 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This proposal will involve a pilot study to evaluate the feasibility, acceptability, and outcomes of a lifestyle behavior protocol in managing chronic migraine. Additionally, the proposal will investigate biomolecules that are uniquely involved in chronic migraine patients who respond to the protocol. Successful completion of this proposal will inform the design of a future full-scale behavioral clinical trial to control chronic migraine.

02

Conditions studied

  • Migraine
  • Headache
  • Migraine Disorders
  • Chronic Migraine
  • Lifestyle Factors
  • Headache Disorders

Keywords

  • Migraine Disorders
  • Headache
  • Lifestyle
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 60 is below the median of 80 across 1,269 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,269 studies on the registry; 672 are open to participants now.

Of its 452 completed or terminated interventional studies of FDA-regulated products, 321 (71%) 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
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

  • have chronic migraine for a minimum of 1-year
  • aged 18 years and older

Exclusion criteria

Exclusion Criteria:

  • other headache disorders including secondary headache disorders
  • children younger than 18 years old
  • current pregnancy
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Virtual Therapy Group

    Behavioral: Lifestyle Behavior Protocol

  • Sham comparator
    Attention Placebo Group

    Behavioral: Sham Behavior Protocol

Interventions

  • BehavioralLifestyle Behavior Protocol

    Virtual training on building a skillset to improve lifestyle behavior that reduces migraine attacks

  • BehavioralSham Behavior Protocol

    Virtual training on the disease of migraine and how migraine can progress to chronic migraine.

06

What researchers measure

Primary outcomes

  1. Number of Interested Participants that are Enrolled

    Recruitment rate (Feasibility Outcome)

    Time frame: 12 weeks

  2. Acceptability

    Retention rate

    Time frame: 12 weeks

Secondary outcomes

  1. Mean change from baseline monthly migraine frequency

    Change in the mean of monthly migraine frequency

    Time frame: 12 weeks

  2. Migraine severity

    severity of migraine attacks rated from 0 to 10

    Time frame: 12 weeks

Other outcomes

  1. Headache self-efficacy

    Headache self-efficacy measured using the validated Headache Self-Efficacy Questionnaire. Scores range from 25 to 175. Higher scores mean a better outcome.

    Time frame: 12 weeks

  2. Levels of candidate biomarkers

    Using mass spectrometry, serum levels of candidate biomarkers acryloyl-CoA, glutaminylhistidine, HABP2 will be compared at baseline and end of study (end of week-12)

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Woldeamanuel YW, Blayney DW, Jo B, Fisher SE, Benedict C, Oakley-Girvan I, Kesler SR, Palesh O. Headache outcomes of a sleep behavioral intervention in breast cancer survivors: Secondary analysis of a randomized clinical trial. Cancer. 2021 Dec 1;127(23):4492-4503. doi: 10.1002/cncr.33844. Epub 2021 Aug 6. PubMed 34357593 ↗
  • Woldeamanuel YW, Sanjanwala BM, Cowan RP. Endogenous glucocorticoids may serve as biomarkers for migraine chronification. Ther Adv Chronic Dis. 2020 Jul 21;11:2040622320939793. doi: 10.1177/2040622320939793. eCollection 2020. PubMed 32973989 ↗
  • Woldeamanuel YW, Sanjanwala BM, Peretz AM, Cowan RP. Exploring Natural Clusters of Chronic Migraine Phenotypes: A Cross-Sectional Clinical Study. Sci Rep. 2020 Feb 18;10(1):2804. doi: 10.1038/s41598-020-59738-1. PubMed 32071349 ↗
  • Woldeamanuel YW, DeSouza DD, Sanjanwala BM, Cowan RP. Clinical Features Contributing to Cortical Thickness Changes in Chronic Migraine - A Pilot Study. Headache. 2019 Feb;59(2):180-191. doi: 10.1111/head.13452. Epub 2018 Nov 23. PubMed 30468246 ↗
  • Woldeamanuel YW, Cowan RP. Migraine affects 1 in 10 people worldwide featuring recent rise: A systematic review and meta-analysis of community-based studies involving 6 million participants. J Neurol Sci. 2017 Jan 15;372:307-315. doi: 10.1016/j.jns.2016.11.071. Epub 2016 Dec 3. PubMed 28017235 ↗
  • Woldeamanuel YW, Cowan RP. The impact of regular lifestyle behavior in migraine: a prevalence case-referent study. J Neurol. 2016 Apr;263(4):669-76. doi: 10.1007/s00415-016-8031-5. Epub 2016 Jan 25. PubMed 26810728 ↗

Individual participant data

Plan to share: Yes — all IPD that underlie results in a publication

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: starting 6 months after publication, for 5 years

Access criteria: Access to trial IPD can be requested by qualified researchers engaging in independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Sharing Agreement (DSA).

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05415020
Lead sponsor
Mayo Clinic
Responsible party
Yohannes Woubishet Woldeamanuel (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Jun 10, 2022
Start date
Jun 29, 2022
Primary completion
May 31, 2027 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Jun 8, 2026

Study contacts

Dr. Yohannes W. Woldeamanuel, MD
Contact
Woldeamanuel.YohannesWoubishet@mayo.edu
650-933-3560
Migraine Study
Contact
azmigrainetrial@mayo.edu
480-342-1385
Dr. Yohannes W. Woldeamanuel, MD
principal investigator · Mayo Clinic

Oversight

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

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