ClinicalTrials.gg
RecruitingNCT07021859Updated Aug 6, 2025

Induction of Migraine Attacks With Aura Using Calcitonin Gene-Related Peptide

An interventional study of Calcitonin-gene related peptide (CGRP) and Placebo in Migraine Aura and Migraine With Aura, sponsored by Danish Headache Center. Recruiting at 1 site in Denmark. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-08-06.

Sponsored by Danish Headache Center · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Jun 2025; still recruiting 1 year 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Calcitonin gene-related peptide (CGRP) is a key neuropeptide in migraine pathophysiology and treatment. This study investigates whether CGRP administration can trigger aura in individuals with a diagnosis of migraine with aura.

Read the detailed description

Recent open-label findings show that calcitonin gene-related peptide (CGRP), a key player in migraine, can trigger aura attacks-despite its limited ability to cross the blood-brain barrier. This suggests CGRP might induce migraine aura via trigeminovascular activation, the same pathway involved in migraine headache. If confirmed, this could reshape treatment strategies for patients diagnosed with migraine with aura. To validate this effect and rule out nocebo influence, a randomized, double-blind, placebo-controlled trial is essential. Its outcomes could inform future therapies targeting the migraine-aura connection.

02

Conditions studied

  • Migraine Aura
  • Migraine With Aura

Keywords

  • Migraine
  • Aura
  • Calcitonin gene-related peptide
03

In context

Migraine with Aura

114 studies on the registry are indexed under Migraine with Aura; 22 are open to participants now.

This study's planned enrollment of 21 is below the median of 89 across 86 interventional studies indexed under Migraine with Aura.

Browse Migraine with Aura studies →

Lead sponsor

Danish Headache Center is the lead sponsor of 129 studies on the registry; 15 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
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

  • Age 18 to 65 years of age upon entry into screening
  • History of migraine with aura for ≥ 12 months according to the International Classification of Headache Disorders 3rd Edition (ICHD-3) criteria
  • ≥ 1 monthly day with aura that meets criteria as aura on average across the three months before screening
  • Provision of prior to initiation of any study-specific activities/procedures.

Exclusion criteria

Exclusion Criteria:

  • Any history of a primary or secondary headache disorder other than migraine without aura, migraine with aura, chronic migraine, and episodic tension-type headache
  • History or evidence of any other disorder, condition, or disease (except for those outlined above) that, in the opinion of the site investigator, would pose a risk to subject safety or interfere with study evaluation, procedures or completion
  • The subject is at risk of self-harm or harm to others as evidenced by past suicidal behavior
  • Female subjects of with a positive pregnancy test during any study visit
  • Cardiovascular disease of any kind, including cerebrovascular diseases
  • Hypertension (systolic blood pressure of ≥150 mmHg and/or diastolic blood pressure of ≥100 mmHg) prior to the start of infusion on the experimental day
  • Hypotension (systolic blood pressure of ≤90 mmHg and/or diastolic blood pressure of ≤50 mmHg)
  • Initiation, discontinuation, or change of dosing of prophylactic medications within 2 months prior to study inclusion
  • Intake of acute medications (e.g. analgesics, triptans) within 48 hours of infusion start
  • Headache of any intensity within 48 hours of infusion start
  • Aura within 48 hours of infusion start
Terms in these criteria, in plain language(3)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
21 participants (estimated)

Study arms

  • Experimental
    Calcitonin gene-related peptide (CGRP)

    CGRP will be administered by intravenous infusion.

    Drug: Calcitonin-gene related peptide (CGRP)

  • Placebo comparator
    Placebo

    Placebo (isotonic saline) will be administered by intravenous infusion.

    Drug: Placebo

Interventions

  • The participants will receive a continuous intravenous infusion of 1.5 μg/min of CGRP over 60 minutes.

  • DrugPlacebo

    The participants will receive a continuous intravenous infusion of 60 mL of placebo (isotonic saline) over 60 minutes.

06

What researchers measure

Primary outcomes

  1. Incidence of migraine attacks with aura

    Difference in incidence of migraine attack with aura between CGRP and placebo during the 12-hour observational period after infusion start.

    Time frame: 12 hours

Secondary outcomes

  1. Incidence of migraine attacks without aura

    Difference in incidence of migraine headache between CGRP and placebo during the 12-hour observational period after infusion start.

    Time frame: 12 hours

  2. Headache intensity scores

    Difference in area under the curve (AUC) for headache intensity scores between CGRP and placebo during the 12-hour observational period after infusion start.

    Time frame: 12 hours

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Anonymized data not published within this article will be made available on reasonable request from any qualified investigator.

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

Started Jun 2025 (actual). Primary completion is estimated for Jun 2026, 11 months after the start.

Of 23 interventional studies with no phase under Migraine with 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 planned 11 months is below that.

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

Registered
Jun 6, 2025
First posted
Jun 15, 2025
StartActual
Jun 27, 2025
Primary completionEst.
Jun 1, 2026
CompletionEst.
Dec 30, 2026
Last update
Aug 6, 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 Aug 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07021859
Responsible party
Haidar Al-Khazali (Principal Investigator, Rigshospitalet, Denmark) — Principal investigator
First posted
Jun 15, 2025
Start date
Jun 27, 2025
Primary completion
Jun 1, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Aug 6, 2025

Study contacts

Haidar Al-Khazali, MD
Contact
haidardk@hotmail.com
+4541598494
Hakan Ashina, MD, PhD
Contact
haakan.ashina@regionh.dk
+4528102495

Oversight

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

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