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RecruitingNCT05943457ViKEMUpdated Nov 18, 2025

Vitamin K2 Supplementation in Adult Episodic Migraine

An interventional study of Vitamin K2 or menaquinone-7 and Placebo in Migraine Headache, Arterial Stiffness and Vitamin K Deficiency, sponsored by Sola Aoun Bahous, M.D. Ph.D.. Recruiting at 1 site in Lebanon. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-18.

Sponsored by Sola Aoun Bahous, M.D. Ph.D. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2024; still recruiting 2 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
160
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Migraine is a debilitating illness and a major cause of disability in the world. It is highly prevalent, especially among women. Vitamin supplementation is a potential therapeutic option for migraines that remains largely under-explored. Several studies have shown that people with migraine tend to have higher arterial stiffness than people without migraine. Vitamin K2 deficiency is an important mediator of arterial stiffness and calcification due to decreased carboxylation of matrix Gla protein (MGP). Supplementation reverses these changes and improves vascular health in patients with end stage renal disease according to previous studies. Therefore, vitamin K2 supplementation could serve a potential role in migraine patients. The purpose of the study is to test the effect of vitamin K2 on decreasing the frequency of migraine attacks and decreasing arterial stiffness. The population will be recruited from the neurology clinic at LAU Medical Center-Rizk Hospital and will constitute of adult patients. They will be randomized to receive either the supplement of vitamin K2 or a placebo for the duration of 6 months. Laboratory tests and arterial stiffness measurements will be done at the beginning, middle, and at the end of the study for comparison.

02

Conditions studied

  • Migraine Headache
  • Arterial Stiffness
  • Vitamin K Deficiency

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Keywords

  • Migraine
  • Arterial stiffness
  • Vitamin K deficiency
  • Migraine attack
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 160 is above the median of 80 across 1,269 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

This is the only study on the registry with Sola Aoun Bahous, M.D. Ph.D. as lead sponsor.

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

  • Adults aged 18 years or above
  • History of episodic migraine with or without aura since > 12 months according to the ICHD-3 criteria.
  • Migraine frequency from 4-14 days per month over the 3 months prior to screening.
  • Migraine frequency from 4-14 days per month during the baseline period of assessment.
  • Successful completion of the migraine diary during the baseline evaluation period.

Exclusion criteria

Exclusion Criteria:

  • Migraine patients with superimposed tension type or other forms of primary headaches
  • Patients who are currently on any of the migraine prophylactic treatments (Sodium valproate, Topiramate, Beta-blockers, Tricyclic antidepressants, SRNI, Flunarizine, Verapamil, Lisinopril, Candesartan)
  • Patients who have been on any of the previously listed medications within 3 months of screening
  • Patient who takes the following medications:

    • Ergotamine or Triptans > 10 days per month
    • NSAIDs or paracetamol > 15 days per month
    • Opioids more than 4 days per month
    • Patients on anticoagulants
  • Other active chronic pain syndromes (i.e. fibromyalgia, painful peripheral neuropathy, post-herpetic neuralgia…)
  • History of to the vitamin K2
  • History of soy protein, cheese, eggs and meat allergy
  • History of thrombotic events
  • Diagnosed coagulopathy or any condition related to coagulation
  • Cardiovascular event in the past month
  • Current or planned pregnancy
  • Lactation
  • Inability to tolerate oral medications
  • Known intestinal malabsorption or hypomotility syndromes
  • Atrial fibrillation
  • Active
  • Any acute illness in the past month
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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
160 participants (estimated)

Study arms

  • Experimental
    Intervention (MK7) Arm

    This corresponds to the sub-group of subjects who will receive the supplement (vitamin K2 or Menaquinone-7).

    Dietary Supplement: Vitamin K2 or menaquinone-7

  • Placebo comparator
    Control Arm

    This corresponds to the sub-group of subjects who will receive placebo.

    Other: Placebo

Interventions

  • Dietary supplementVitamin K2 or menaquinone-7

    Vitamin K2 (MK7) 360 mcg/day orally once daily for 6 months

    Also known as: MenaQ7

  • OtherPlacebo

    Placebo pills will be administered orally once daily for 6 months

06

What researchers measure

Primary outcomes

  1. Changes of monthly migraine days

    Effect of Vitamin K2 supplementation on the changes from baseline in monthly migraine days as compared to placebo. This will be assessed clinically using a questionnaire to be administered at the start, monthly, and at the end of the study (6 months) about frequency and number of migraine days per month.

    Time frame: 6 months

Secondary outcomes

  1. Changes from baseline in the headache impact score (HIT-6) as compared to placebo.

    Time frame: 6 months

  2. Changes from baseline in monthly severe migraine days.

    Changes from baseline in monthly severe migraine days as defined by a visual analogue scale rating above 7, as compared to placebo.

    Time frame: 6 months

  3. Changes from baseline on the modified migraine disability assessment (MIDAS) score as compared to placebo.

    Time frame: 6 months

  4. Changes from baseline on the modified migraine physical function impact diary (MPFID) as compared to placebo.

    Time frame: 6 months

  5. Changes from baseline on the quality of life as measure by the EuroQoL compared to placebo.

    Time frame: 6 months

  6. Changes from baseline of arterial stiffness level.

    Changes of arterial stiffness level assessed by measuring the cfPWV using Complior Analyze.

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Stovner Lj, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, Steiner T, Zwart JA. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007 Mar;27(3):193-210. doi: 10.1111/j.1468-2982.2007.01288.x. PubMed 17381554 ↗
  • Kurth T, Winter AC, Eliassen AH, Dushkes R, Mukamal KJ, Rimm EB, Willett WC, Manson JE, Rexrode KM. Migraine and risk of cardiovascular disease in women: prospective cohort study. BMJ. 2016 May 31;353:i2610. doi: 10.1136/bmj.i2610. PubMed 27247281 ↗
  • Mozos I, Stoian D, Luca CT. Crosstalk between Vitamins A, B12, D, K, C, and E Status and Arterial Stiffness. Dis Markers. 2017;2017:8784971. doi: 10.1155/2017/8784971. Epub 2017 Jan 12. PubMed 28167849 ↗
  • Westenfeld R, Krueger T, Schlieper G, Cranenburg EC, Magdeleyns EJ, Heidenreich S, Holzmann S, Vermeer C, Jahnen-Dechent W, Ketteler M, Floege J, Schurgers LJ. Effect of vitamin K2 supplementation on functional vitamin K deficiency in hemodialysis patients: a randomized trial. Am J Kidney Dis. 2012 Feb;59(2):186-95. doi: 10.1053/j.ajkd.2011.10.041. Epub 2011 Dec 9. PubMed 22169620 ↗
  • Mansour AG, Hariri E, Daaboul Y, Korjian S, El Alam A, Protogerou AD, Kilany H, Karam A, Stephan A, Bahous SA. Vitamin K2 supplementation and arterial stiffness among renal transplant recipients-a single-arm, single-center clinical trial. J Am Soc Hypertens. 2017 Sep;11(9):589-597. doi: 10.1016/j.jash.2017.07.001. Epub 2017 Jul 13. PubMed 28756183 ↗
  • Mansour AG, Ahdab R, Daaboul Y, Korjian S, Morrison DA, Hariri E, Salem M, El Khoury C, Riachi N, Aoun Bahous S. Vitamin K2 Status and Arterial Stiffness Among Untreated Migraine Patients: A Case-Control Study. Headache. 2020 Mar;60(3):589-599. doi: 10.1111/head.13715. Epub 2019 Nov 25. PubMed 31769041 ↗

Individual participant data

Plan to share: Yes

Supporting information: Study protocol

Time frame: We have a plan to publish the study protocol as soon as possible.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05943457
Lead sponsor
Sola Aoun Bahous, M.D. Ph.D.
Collaborators
Lesaffre International, Omicron Pharmaceuticals
Responsible party
Sola Aoun Bahous, M.D. Ph.D. (Professor of Medicine, Lebanese American University) — Sponsor-investigator
First posted
Jul 13, 2023
Start date
Mar 6, 2024
Primary completion
Sep 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Nov 18, 2025

Study contacts

Sola Aoun Bahous, MD, PhD
Contact
sola.bahous@lau.edu.lb
+9613259450
Cedric Mhaseb, MD
Contact
cedric.mhasseb@lau.edu
+96176489620
Sola Aoun Bahous, MD, PhD
principal investigator · Lebanese American University School of Medicine

Oversight

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

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