Study for Prevent Chronification Migraine Through Prediction of Response to Treatment With Anti-CGRP Antibodies

NCT ID: NCT06459648

Last Updated: 2025-09-24

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

Total Enrollment

350 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-04-26

Study Completion Date

2025-12-31

Brief Summary

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Being able to predict each patients response to a specific treatment can mean a significant improvement in socioeconomic costs, but above all in their quality of life. With the present study, the investigators aim to analyze in a combined way different clinical, biological and neuroimaging variables, which allow the clinical staff to anticipate the response to treatment with anti-CGRP monoclonal antibodies in patients with migraine.

Detailed Description

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The study consists of an initial visit coinciding with the start of treatment, a subsequent visit after 6 months of treatment and finally another after 12 months, coinciding with the end of treatment. In case of worsening after suspension, a clinical visit will be carried out at the time of worsening to evaluate the reintroduction of the drug and in case of reintroduction, a visit will be carried out after 3 months. If patients do not worsen, a visit will be made 6 months after completing treatment.

At each visit, demographic and clinical variables will be collected. In addition, 3 blood tests will be performed corresponding to the beginning of treatment, after 6 months and a month and a half from the last infiltration. Likewise, a brain MRI will be obtained prior to the start of treatment. These blood samples and neuroimaging data will be processed for subsequent analysis.

Conditions

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Migraine

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with migraine under treatment with monoclonal antibodies against CGRP

Patients with diagnosis of episodic or chronic migraine who, under the criteria of their neurologist and according to the clinical practice guidelines and standard of care, receive treatment with monoclonal antibodies against CGRP (Galcanezumab, Fremanezumab, Eptinezumab) or else its receptor (Erenumab) will be included.

Headache record

Intervention Type OTHER

The patient will keep a record of the presence/absence of headache, average intensity, and need for acute medication.

Scales

Intervention Type OTHER

Each patient performs different scales that measure the impact of the migraine on their daily life as well as the disability it may be causing. In turn, each patient performs different scales that measure associated comorbidities such as depression, anxiety or insomnia.

Monoclonal antibody anti-CGRP

Intervention Type DRUG

Erenumab, Galcenazumeb, Fremanezumab, Eptinezumab

Interventions

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Headache record

The patient will keep a record of the presence/absence of headache, average intensity, and need for acute medication.

Intervention Type OTHER

Scales

Each patient performs different scales that measure the impact of the migraine on their daily life as well as the disability it may be causing. In turn, each patient performs different scales that measure associated comorbidities such as depression, anxiety or insomnia.

Intervention Type OTHER

Monoclonal antibody anti-CGRP

Erenumab, Galcenazumeb, Fremanezumab, Eptinezumab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients aged between 18 and 65 years.
* Caucasian ethnicity.
* Patients diagnosed with migraine with and without high-frequency episodic aura (more than 8 days of migraine per month) or chronic by a neurologist expert in headaches and according to the criteria proposed in the International Classification of Headache Diseases, 3rd edition (ICHD- 3).
* Have at least one year of history of migraine.
* Patients must maintain stable preventive treatment in the previous month and not have received botulinum toxin in the month prior to starting the monoclonal antibody.
* Patients able to describe their clinical situation and the characteristics of their headache.
* Grant your informed consent.

Exclusion Criteria

* Patients who present with another type of non-migraine headache, with the exception of headache due to excessive use of analgesic medication.
* Neurological focus in the examination.
* Pregnancy or breastfeeding period.
* Patients with cognitive deficiency or pathology that may prevent or hinder the correct completion of the study.
* Patients who require changes in preventive treatment during the first 6 months after starting treatment with monoclonal antibodies.
* Patients who present any significant adverse effect that requires withdrawal or change of anti-CGRP drug.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundación de Investigación Biomédica - Hospital Universitario de La Princesa

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ana Beatriz Gago Veiga

Role: PRINCIPAL_INVESTIGATOR

Fundación de Investigación Biomédica - Hospital Universitario de La Princesa

Locations

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Hospital Clínico Universitario Lozano Blesa

Zaragoza, Aragon, Spain

Site Status RECRUITING

Hospital Universitario Donostia

Donostia / San Sebastian, Basque Country, Spain

Site Status RECRUITING

Hospital Universitario Marqués de Valdecilla

Santander, Cantabria, Spain

Site Status RECRUITING

Hospital Clínico Universitario de Valladolid

Valladolid, Castille and León, Spain

Site Status RECRUITING

Hospital Universitari Vall d'Hebron Research Institute

Barcelona, Catalonia, Spain

Site Status RECRUITING

Hospital Universitario de La Princesa

Madrid, Madrid, Spain

Site Status RECRUITING

Hospital Universitario Politécnico La Fe

Valencia, Valencia, Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Ana Beatriz Gago Veiga

Role: CONTACT

+34 915202416

Iris Fernández Lázaro

Role: CONTACT

Facility Contacts

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Sonia Santos-Lasaosa

Role: primary

+34 976765700 ext. 162354

Ane Mínguez Olaondo

Role: primary

Julio Pascual Gómez

Role: primary

+34 942202520

Gabriel Gárate

Role: backup

David García Azorín

Role: primary

+34 983420000

Yésica González Osorio

Role: backup

Patricia Pozo-Rosich

Role: primary

+34 934893000 ext. 2479

Edoardo Caronna

Role: backup

Ana Beatriz Gago Veiga

Role: primary

+34 915202416

Iris Fernández Lázaro

Role: backup

Samuel Díaz Insa

Role: primary

Other Identifiers

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PI 23- 3054

Identifier Type: -

Identifier Source: org_study_id

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