Acid-Sensing Ion Channel and Migraine Disease Proof of Concept Study on the Efficacy of Amiloride in the Prophylaxis of Migraine Aura

NCT ID: NCT04063540

Last Updated: 2025-12-04

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-11

Study Completion Date

2027-12-31

Brief Summary

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Recent data suggest involvement of Acid-Sensing Ion Channel channels in the pathophysiology of migraine making these channels a therapeutic target of migraine disease. The implication of Acid-Sensing Ion Channels is discussed through Acid-Sensing Ion Channel-1 which is the most expressed Acid-Sensing Ion Channel channel subtype in the central nervous system. In a mouse model, cortical spreading depression is inhibited by different Acid-Sensing Ion Channel blockers including amiloride which is a non-selective blocker of the Acid-Sensing Ion Channel-1 channel. From a translational perspective, an efficacy of amiloride on a series of migraine patients suffering from severe aura in open conditions. The APAM study is a proof-of-concept study that aims to evaluate the effect of amiloride in the prophylaxis of migraine with aura. This is a randomized crossover study versus placebo conducted in 3 French headache centers.

Detailed Description

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Conditions

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Migraine With Aura

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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placebo-amiloride

Patients will be treated for 12 weeks with placebo and then after a 4 week wash-out period, will be treated for 12 weeks with amiloride.

Group Type OTHER

Amiloride

Intervention Type DRUG

Treatment by Amiloride vs placebo in crossover

Placebos

Intervention Type DRUG

Treatment by Amiloride vs placebo in crossover

amiloride -placebo

Patients will be treated for 12 weeks with amiloride and then after a 4 week wash-out period, will be treated for 12 weeks with placebo.

Group Type OTHER

Amiloride

Intervention Type DRUG

Treatment by Amiloride vs placebo in crossover

Placebos

Intervention Type DRUG

Treatment by Amiloride vs placebo in crossover

Interventions

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Amiloride

Treatment by Amiloride vs placebo in crossover

Intervention Type DRUG

Placebos

Treatment by Amiloride vs placebo in crossover

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of migraine with aura code
* At least 1 aura with aura per month in the 3 months prior to inclusion
* No prophylactic antimigraine treatment for at least 1 month prior to inclusion
* For women of childbearing age, use of a reliable contraceptive method at least 3 months before and 1 month after the study
* Signature of written informed consent
* Patient affiliated with Social Security

Exclusion Criteria

* Existence of contraindication to taking amiloride:

* Known hypersensitivity to the molecule
* Hyperkalemia (potassium level (\> 5.5 mmol / l))
* Use of another hyperkalemic diuretic or potassium salts
* Renal insufficiency (clearance \<60 ml / min)
* Severe hepatocellular insufficiency
* In combination with lithium, converting enzyme inhibitors, angiotensin II inhibitors (except if there is hypokalemia), ciclosporin, tacrolimus, non-antiarrhythmic drugs giving torsades de pointes
* Cardiovascular and renal history, for subjects over 75 years old
* Patient, who from an investigator's point of view would not be compliant to the procedure of the study
* Pregnant or lactating patient
* Patient under trusteeship, under guardianship, protected by law
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Nice

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michel LANTERI-MINET, Dr

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier Universitaire de Nice

Locations

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Hôpital Pierre Wertheimer

Bron, , France

Site Status NOT_YET_RECRUITING

CHU Gabriel Montpied

Clermont-Ferrand, , France

Site Status NOT_YET_RECRUITING

AP-HM

Marly, , France

Site Status RECRUITING

CHU de Montpellier

Montpellier, , France

Site Status RECRUITING

CHU de NICE

Nice, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Michel LANTERI-MINET, Dr

Role: CONTACT

04 92 03 76 46

sylvie ROMETTINO

Role: CONTACT

Facility Contacts

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Geneviève DEMARQUAY, Dr

Role: primary

Xavier MOISSET, Dr

Role: primary

Anne DONNET, Dr

Role: primary

Anne DUCROS, Pr

Role: primary

Michel LANTERI-MINET, Dr

Role: primary

References

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Charles AC, Baca SM. Cortical spreading depression and migraine. Nat Rev Neurol. 2013 Nov;9(11):637-44. doi: 10.1038/nrneurol.2013.192. Epub 2013 Sep 17.

Reference Type BACKGROUND
PMID: 24042483 (View on PubMed)

Ayata C, Jin H, Kudo C, Dalkara T, Moskowitz MA. Suppression of cortical spreading depression in migraine prophylaxis. Ann Neurol. 2006 Apr;59(4):652-61. doi: 10.1002/ana.20778.

Reference Type RESULT
PMID: 16450381 (View on PubMed)

Ligthart L, Boomsma DI, Martin NG, Stubbe JH, Nyholt DR. Migraine with aura and migraine without aura are not distinct entities: further evidence from a large Dutch population study. Twin Res Hum Genet. 2006 Feb;9(1):54-63. doi: 10.1375/183242706776403019.

Reference Type RESULT
PMID: 16611468 (View on PubMed)

Other Identifiers

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16-API-01

Identifier Type: -

Identifier Source: org_study_id

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