ClinicalTrials.gg
Not yet recruitingNCT07340788Updated Jan 14, 2026

Amylin-Induced Migraine Attacks Without Aura

An interventional study of Amylin and Placebo in Headache Disorders, Primary, Headache Disorders and Brain Diseases, sponsored by Danish Headache Center. Not yet recruiting at 1 site in Denmark. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-01-14.

Primary conditionMigraine DisordersRegistry: Headache Disorders, PrimaryReclassifiedWhy we changed it
Registry
Headache Disorders, Primary — the first condition term the registry derived for this study.
ClinicalTrials.gg
Migraine Disorders
Why
  1. The study's listed conditions name Migraine Disorders, a narrower term within Headache Disorders, Primary.
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 Danish Headache Center · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Pramlintide is a peptide analogue of human amylin which is a vasoactive signaling molecule involved in the pathogenesis of migraine. This study investigates whether pramlintide induces migraine attacks without aura in people with migraine without aura.

Read the detailed description

Amylin is a vasoactive substance that acts on vascular smooth muscle and can cause vasodilation. It is naturally present in the trigeminovascular system, an important structure involved in headache development. Recent studies indicate that intravenous infusion of pramlintide, an amylin analogue, can trigger migraine attacks in people with migraine. This study aims to determine whether intravenous pramlintide can induce migraine attacks without aura in individuals who experience migraine without aura. To test this, the investigators will conduct a randomized, double-blind, placebo-controlled, two-way crossover trial.

02

Conditions studied

  • Headache Disorders, Primary
  • Headache Disorders
  • Brain Diseases
  • Nervous System Diseases
  • Central Nervous System Diseases
  • Neurologic Manifestations
  • Signs and Symptoms
  • Pathological Conditions, Signs and Symptoms
  • Migraine Disorders
  • Headache
  • Pain
  • Peptide Hormones
  • Hormones
  • Hormones, Hormone Substitutes, and Hormone Antagonists
  • Peptides
  • Amino Acids, Peptides, and Proteins
  • Amylin
  • Pramlintide

Keywords

  • Migraine
  • Headache
  • Pain
  • Amylin
03

In context

Migraine Disorders Reclassified

1,657 studies on the registry are indexed under Migraine Disorders; 339 are open to participants now.

This study's planned enrollment of 21 is below the median of 80 across 1,269 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

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

Compared within Migraine Disorders, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Headache Disorders, Primary. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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
  • A body weight of 50 to 100 kg
  • History of migraine without aura for ≥12 months and in accordance with ICHD-3
  • Between 1-5 monthly migraine days without aura on average across the 3 months prior to 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 and infrequent episodic tension-type headache
  • Any history of moderate to severe traumatic brain injury
  • Any history of cardiovascular disease, including cerebrovascular diseases
  • Any history of pulmonary disease
  • Any other disorders, conditions, or diseases that might impact the safety of the subject or interfere with the study's evaluation, procedures, or completion, aside from those mentioned above. This includes any relevant medical history or evidence that, in the opinion of the site investigator, might pose a risk to the subject or impact the validity of the study results
  • 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)
  • Abnormalities on the that, in the opinion of the site investigator, might pose a risk to the subject or impact the validity of the study results
  • Daily use of any medication other than
  • Intake of any medication other than contraceptives within 48 hours of infusion start
  • Intake of caffeine, nicotine, and alcohol within 12 hours of infusion start
  • Headache of any intensity within 48 hours of infusion start
  • Migraine attack within 48 hours of infusion start
  • Aura within 48 hours of infusion start
Terms in these criteria, in plain language(5)

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

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
    Amylin

    Pramlintide (Amylin) will be administered by intravenous infusion.

    Drug: Amylin

  • Placebo comparator
    Placebo

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

    Drug: Placebo

Interventions

  • DrugAmylin

    The participants will receive continuous intravenous infusion of 20 mL (6 μg/min) of pramlintide (amylin) over 20 minutes.

  • DrugPlacebo

    The participants will receive continuous intravenous infusion of 20 mL of placebo (isotonic saline) over 20 minutes.

06

What researchers measure

Primary outcomes

  1. Incidence of migraine attacks without aura

    The difference in the incidence of migraine attacks without aura between pramlintide and placebo during the 12-hour observational period after infusion start.

    Time frame: 12 hours

Secondary outcomes

  1. Headache intensity scores

    The secondary outcome is the difference in the area under the curve (AUC) for median headache intensity scores between pramlintide and placebo during the 12-hour observational period after infusion start.

    Time frame: 12 hours

Other outcomes

  1. Superficial temporal artery dilation

    The difference in AUC for relative superficial temporal artery (STA) dilation between pramlintide and placebo from the start of infusion to 2 hours after the infusion.

    Time frame: 2 hours

  2. Middle cerebral artery blood flow velocity

    The difference in AUC for change in middle cerebral artery (MCA) mean blood flow velocity between pramlintide and placebo from the start of infusion to 2 hours after the infusion.

    Time frame: 2 hours

07

Study locations

1 site
08

References and documents

Publications

  • Asmar M, Bache M, Knop FK, Madsbad S, Holst JJ. Do the actions of glucagon-like peptide-1 on gastric emptying, appetite, and food intake involve release of amylin in humans? J Clin Endocrinol Metab. 2010 May;95(5):2367-75. doi: 10.1210/jc.2009-2133. Epub 2010 Mar 1. PubMed 20194711 ↗
  • Hay DL, Chen S, Lutz TA, Parkes DG, Roth JD. Amylin: Pharmacology, Physiology, and Clinical Potential. Pharmacol Rev. 2015 Jul;67(3):564-600. doi: 10.1124/pr.115.010629. PubMed 26071095 ↗
  • Ghanizada H, Al-Karagholi MA, Walker CS, Arngrim N, Rees T, Petersen J, Siow A, Morch-Rasmussen M, Tan S, O'Carroll SJ, Harris P, Skovgaard LT, Jorgensen NR, Brimble M, Waite JS, Rea BJ, Sowers LP, Russo AF, Hay DL, Ashina M. Amylin Analog Pramlintide Induces Migraine-like Attacks in Patients. Ann Neurol. 2021 Jun;89(6):1157-1171. doi: 10.1002/ana.26072. Epub 2021 Apr 8. PubMed 33772845 ↗
  • Hansen JM, Hauge AW, Olesen J, Ashina M. Calcitonin gene-related peptide triggers migraine-like attacks in patients with migraine with aura. Cephalalgia. 2010 Oct;30(10):1179-86. doi: 10.1177/0333102410368444. Epub 2010 May 12. PubMed 20855363 ↗
  • Ashina M, Hansen JM, Do TP, Melo-Carrillo A, Burstein R, Moskowitz MA. Migraine and the trigeminovascular system-40 years and counting. Lancet Neurol. 2019 Aug;18(8):795-804. doi: 10.1016/S1474-4422(19)30185-1. Epub 2019 May 31. PubMed 31160203 ↗
  • Ashina M, Terwindt GM, Al-Karagholi MA, de Boer I, Lee MJ, Hay DL, Schulte LH, Hadjikhani N, Sinclair AJ, Ashina H, Schwedt TJ, Goadsby PJ. Migraine: disease characterisation, biomarkers, and precision medicine. Lancet. 2021 Apr 17;397(10283):1496-1504. doi: 10.1016/S0140-6736(20)32162-0. Epub 2021 Mar 25. PubMed 33773610 ↗
  • Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. doi: 10.1177/0333102417738202. No abstract available. PubMed 29368949 ↗
  • Ashina M. Migraine. N Engl J Med. 2020 Nov 5;383(19):1866-1876. doi: 10.1056/NEJMra1915327. No abstract available. PubMed 33211930 ↗

Related links

Individual participant data

Plan to share: Yes

Access criteria: Anonymized data not published within this article will be made available on reasonable request from any qualified investigator.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07340788
Responsible party
Håkan Ashina (Associate Professor, Danish Headache Center) — Principal investigator
First posted
Jan 14, 2026
Start date
Feb 2026 (estimated)
Primary completion
Oct 30, 2028 (estimated)
Completion
Oct 30, 2028 (estimated)
Last update
Jan 14, 2026

Study contacts

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

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2026. 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: Islet Amyloid Polypeptide

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