The Effect of Sumatriptan and Placebo Injection on Cilostazol Induced Headache

NCT ID: NCT03422796

Last Updated: 2020-01-29

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-01

Study Completion Date

2018-09-01

Brief Summary

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To develop a pragmatic migraine model the investigators will induce headache in patients with migraine without aura with a phosphodiesterase inhibitor (cilostazol). If the headache responds to sumatriptan injection, the model can be used to test new drug candidates.

Detailed Description

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There remains a great need for more effective anti-migraine drugs with fewer side effects. Human experimental models are valuable in early phase development of new anti-migraine drugs but useful models have not yet been developed. The investigators' group has shown that Cilostazol, a phosphodiesterase inhibitor induce headache/migraine in both healthy volunteers and in patients with migraine without aura (MO). To validate this model, the headache must respond to specific migraine treatment with sumatriptan.

Hypothesis: Cilostazol induces a migraine-like headache in MO-patients and the induced headache responds to sumatriptan injection Aim: Developing a pragmatic and valid model for the testing of new anti-migraine drugs.

Conditions

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Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Sumatriptan

headache is induced with Cilostazol. This headache is treated double-blinded with 6mg/ml sumatriptan

Group Type ACTIVE_COMPARATOR

Cilostazol 200mg

Intervention Type DRUG

Cilostazol is given both study days to induce headache. One day the headache is treated with placebo and the other day with sumatriptan

SUMAtriptan 6 MG/ML

Intervention Type DRUG

Cilostazol is given both study days to induce headache. One day the headache is treated with placebo and the other day with sumatriptan

Placebo

headache is induced with Cilostazol. This headache is treated double-blinded with 1 tablet of placeb

Group Type PLACEBO_COMPARATOR

Cilostazol 200mg

Intervention Type DRUG

Cilostazol is given both study days to induce headache. One day the headache is treated with placebo and the other day with sumatriptan

Placebo

Intervention Type DRUG

Cilostazol is given both study days to induce headache. One day the headache is treated with placebo and the other day with sumatriptan

Interventions

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Cilostazol 200mg

Cilostazol is given both study days to induce headache. One day the headache is treated with placebo and the other day with sumatriptan

Intervention Type DRUG

SUMAtriptan 6 MG/ML

Cilostazol is given both study days to induce headache. One day the headache is treated with placebo and the other day with sumatriptan

Intervention Type DRUG

Placebo

Cilostazol is given both study days to induce headache. One day the headache is treated with placebo and the other day with sumatriptan

Intervention Type DRUG

Other Intervention Names

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Pletal Imigran

Eligibility Criteria

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Inclusion Criteria

* Migraine patients who meet IHS criteria for migraine with or without aura of both sexes
* 18-70 years
* 45-95 kg.

Exclusion Criteria

* Any other type of headache then migraine without aura (except episodic tension-type headache \< 1 day per week)
* Serious somatic or psychiatric disease
* Pregnancy
* Intake of daily medication (except oral contraceptives)
* Triptan non-responders
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Danish Headache Center

OTHER

Sponsor Role lead

Responsible Party

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Katrine Falkenberg

Medical doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Rigshospitalet Glostrup

Glostrup Municipality, , Denmark

Site Status

Countries

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Denmark

References

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Falkenberg K, Bjerg HR, Olesen J. Subcutaneous sumatriptan reduces cilostazol induced headache in migraine patients. Cephalalgia. 2020 Jul;40(8):842-850. doi: 10.1177/0333102420915166. Epub 2020 Mar 26.

Reference Type DERIVED
PMID: 32216457 (View on PubMed)

Other Identifiers

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H-17026731

Identifier Type: -

Identifier Source: org_study_id

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