The Effect of Histamine H1 Receptor Antagonist, Clemastin, on PACAP38 Induced Headache in Migraine Patients

NCT ID: NCT02364453

Last Updated: 2018-02-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2016-04-30

Brief Summary

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The purpose of this study is to determine the effects of antihistamine (Clemastin) on migraines triggered by pituitary adenylate cyclase activating peptide-38 (PACAP38) as well as on biochemical markers for mast cell degranulation in migraine patients. Also, to investigate the occurrence of migraine in migraine patients after infusion of PACAP38 in lower dosages than previously investigated. As this has never been done before it is unknown how a lower dose of PACAP38 will affect 1) the incidence of migraine attacks, 2) the accompanying symptoms, 3) head pain characteristics, and 4) debut and duration of migraine attacks.

Our three hypotheses are:

1. Pre-treatment with Clemastin reduces PACAP38 sensitivity and inhibits development of migraine in migraine patients.
2. Clemastin inhibits the increase in plasma concentration of TNF-alpha, histamine and tryptase after PACAP38-infusion.
3. PACAP38 in lower dosages (4, 6 and 8 pmol/kg/min) induces migraine in migraine patients.

Detailed Description

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The purpose of this study is to determine the effects of antihistamine (Clemastin) on migraines triggered by pituitary adenylate cyclase activating peptide-38 (PACAP38) as well as on biochemical markers for mast cell degranulation in migraine patients. Also, to investigate the occurrence of migraine in migraine patients after infusion of PACAP38 in lower dosages than previously investigated. As this has never been done before it is unknown how a lower dose of PACAP38 will affect 1) the incidence of migraine attacks, 2) the accompanying symptoms, 3) head pain characteristics, and 4) debut and duration of migraine attacks.

Conditions

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Migraine Without Aura

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Placebo to PACAP38

Pre-treatment with placebo. PACAP38 8pmol/kg/min

Group Type EXPERIMENTAL

PACAP38

Intervention Type DRUG

Giving doses of 4, 6 or 8 pg/kg/min on three separate trial days.

Clemastin 1 mg/ml to PACAP38 8pmol/kg/min

Pre-treatment with Clemastin 1 mg/ml PACAP38 8 pmol/kg/min

Group Type EXPERIMENTAL

PACAP38

Intervention Type DRUG

Giving doses of 4, 6 or 8 pg/kg/min on three separate trial days.

Interventions

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PACAP38

Giving doses of 4, 6 or 8 pg/kg/min on three separate trial days.

Intervention Type DRUG

Other Intervention Names

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Pituitary Adenylate Cyclase Activating Peptide 38

Eligibility Criteria

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Inclusion Criteria

* migraine patients fulfilling IHS criteria for migraine without aura, ages 18-50, 50-100 kg, fertile women must be using safe prevention

Exclusion Criteria

* other types of primary headache than migraine
* headache on trial day or later than 48 hours before trial day
* migraine up to three days before trial day
* any type of cardiovascular disease
* clinical signs or patient history of any type of illness that the medical doctor in charge of trials deems relevant for participation
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Song Guo

OTHER

Sponsor Role lead

Responsible Party

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Song Guo

Medical Doctor, PhD.-student

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Messoud Ashina, Professor

Role: STUDY_DIRECTOR

Danish Headache Center

Locations

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Danish Headache Center & Department of Neurology

Copenhagen, Glostrup, Denmark

Site Status

Countries

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Denmark

Other Identifiers

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H-4-2014-103

Identifier Type: -

Identifier Source: org_study_id

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