Migraine and CVD Risk in Women

NCT ID: NCT03081390

Last Updated: 2025-09-08

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-01

Study Completion Date

2026-06-30

Brief Summary

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The primary goal of this study is to test the effects of a high-fat, high-carbohydrate mixed meal on candidate modulators of cardiovascular disease risk (inflammation, vascular reactivity, sympathetic nervous system tone, and response to pain) in young adult women with migraine compared with healthy young women. This is study enrolling both cases (women with migraine) and controls (women without migraine), with equal numbers of normal weight and obese women in each group. Participants will undergo a telephone screening and a single day in-person study visit.

Detailed Description

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Conditions

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Migraine

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

There are four total groups of participants, stratified according to migraine status (yes/no) and obesity status (yes/no). All undergo the same experimental phenotyping procedures.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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No migraine, normal weight

* Mixed meal tolerance testing
* Skin conductance \& cold pressor test
* Flow-mediated dilation testing

Group Type EXPERIMENTAL

Mixed meal tolerance testing

Intervention Type OTHER

An intravenous catheter is placed for serial blood draws for inflammatory markers and ancillary studies. The participant consumes a test meal, and measurements are made for 4 hours.

Skin conductance & cold pressor test

Intervention Type OTHER

Skin conductance will be monitored continuously with 2 electrodes placed on the plantar surface of the foot. To induce pain, we will use the cold pressor test. Participants submerge one hand in a bath with iced water (2-4ºC) for 2 minutes. Blood pressure and heart rate are monitored every minute starting 5 minutes before the cold pressor test and for 10 minutes after the participant withdraws the hand from the bath. This testing will be performed at baseline and post-meal.

Flow-mediated dilation testing

Intervention Type OTHER

At baseline and post-meal, we will assess flow-mediated dilation at the brachial artery using well-validated ultrasound techniques.

No migraine, obese

* Mixed meal tolerance testing
* Skin conductance \& cold pressor test
* Flow-mediated dilation testing

Group Type EXPERIMENTAL

Mixed meal tolerance testing

Intervention Type OTHER

An intravenous catheter is placed for serial blood draws for inflammatory markers and ancillary studies. The participant consumes a test meal, and measurements are made for 4 hours.

Skin conductance & cold pressor test

Intervention Type OTHER

Skin conductance will be monitored continuously with 2 electrodes placed on the plantar surface of the foot. To induce pain, we will use the cold pressor test. Participants submerge one hand in a bath with iced water (2-4ºC) for 2 minutes. Blood pressure and heart rate are monitored every minute starting 5 minutes before the cold pressor test and for 10 minutes after the participant withdraws the hand from the bath. This testing will be performed at baseline and post-meal.

Flow-mediated dilation testing

Intervention Type OTHER

At baseline and post-meal, we will assess flow-mediated dilation at the brachial artery using well-validated ultrasound techniques.

Migraine, normal weight

* Mixed meal tolerance testing
* Skin conductance \& cold pressor test
* Flow-mediated dilation testing

Group Type EXPERIMENTAL

Mixed meal tolerance testing

Intervention Type OTHER

An intravenous catheter is placed for serial blood draws for inflammatory markers and ancillary studies. The participant consumes a test meal, and measurements are made for 4 hours.

Skin conductance & cold pressor test

Intervention Type OTHER

Skin conductance will be monitored continuously with 2 electrodes placed on the plantar surface of the foot. To induce pain, we will use the cold pressor test. Participants submerge one hand in a bath with iced water (2-4ºC) for 2 minutes. Blood pressure and heart rate are monitored every minute starting 5 minutes before the cold pressor test and for 10 minutes after the participant withdraws the hand from the bath. This testing will be performed at baseline and post-meal.

Flow-mediated dilation testing

Intervention Type OTHER

At baseline and post-meal, we will assess flow-mediated dilation at the brachial artery using well-validated ultrasound techniques.

Migraine, obese

* Mixed meal tolerance testing
* Skin conductance \& cold pressor test
* Flow-mediated dilation testing

Group Type EXPERIMENTAL

Mixed meal tolerance testing

Intervention Type OTHER

An intravenous catheter is placed for serial blood draws for inflammatory markers and ancillary studies. The participant consumes a test meal, and measurements are made for 4 hours.

Skin conductance & cold pressor test

Intervention Type OTHER

Skin conductance will be monitored continuously with 2 electrodes placed on the plantar surface of the foot. To induce pain, we will use the cold pressor test. Participants submerge one hand in a bath with iced water (2-4ºC) for 2 minutes. Blood pressure and heart rate are monitored every minute starting 5 minutes before the cold pressor test and for 10 minutes after the participant withdraws the hand from the bath. This testing will be performed at baseline and post-meal.

Flow-mediated dilation testing

Intervention Type OTHER

At baseline and post-meal, we will assess flow-mediated dilation at the brachial artery using well-validated ultrasound techniques.

Interventions

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Mixed meal tolerance testing

An intravenous catheter is placed for serial blood draws for inflammatory markers and ancillary studies. The participant consumes a test meal, and measurements are made for 4 hours.

Intervention Type OTHER

Skin conductance & cold pressor test

Skin conductance will be monitored continuously with 2 electrodes placed on the plantar surface of the foot. To induce pain, we will use the cold pressor test. Participants submerge one hand in a bath with iced water (2-4ºC) for 2 minutes. Blood pressure and heart rate are monitored every minute starting 5 minutes before the cold pressor test and for 10 minutes after the participant withdraws the hand from the bath. This testing will be performed at baseline and post-meal.

Intervention Type OTHER

Flow-mediated dilation testing

At baseline and post-meal, we will assess flow-mediated dilation at the brachial artery using well-validated ultrasound techniques.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Female 18-35 years of age, inclusive
* BMI 18.5-24.9 kg/m2, inclusive
* BMI ≥30 kg/m2


* Diagnosis of migraine per ICHD-3-beta (1-10 migraine days per month)

Exclusion Criteria

* Smoking (current or former)
* Chronic use of medications, including oral contraceptives
* Major medical or psychiatry illness (e.g. diabetes, fibromyalgia, major depression/anxiety)
* Pregnant or nursing
* Allergies or sensitivity to any of the ingredients of the meal
* Inability to fast for 10 hours and/or abstain from caffeine intake for 24 hours
* Treatment with antibiotics or steroids within the previous 3 months
* Treatment with NSAIDs within the previous 1 week


* Migraine headaches, or headaches other than tension-type headaches with a frequency of 1 or fewer days per month
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Pennsylvania

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shana E McCormack, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Philadelphia

Locations

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University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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826251

Identifier Type: -

Identifier Source: org_study_id

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