Cocoa Extract for Migraine Trial

NCT ID: NCT06808230

Last Updated: 2025-07-14

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

NA

Total Enrollment

114 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-23

Study Completion Date

2026-12-01

Brief Summary

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The goal of this clinical trial is to assess the feasibility of recruitment and adherence to a high-dose cocoa extract supplement in individuals diagnosed with episodic migraine. The main questions it aims to answer are:

* Will we be able to enroll 114 participants during the recruitment period?
* Will participants take study pills daily during the pill-taking period?

Researchers will compare two doses of cocoa extract to placebo to determine the acceptability of higher doses of cocoa extract supplementation in this patient population.

Participants will be asked to:

* Provide two urine samples
* Complete daily questionnaires
* Take four study pills a day for 12 weeks

Detailed Description

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Conditions

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Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Participants assigned to this arm will take four placebo pills per day.

Group Type PLACEBO_COMPARATOR

Cocoa extract placebo

Intervention Type DIETARY_SUPPLEMENT

Cocoa extract placebo

500 mg cocoa extract

Participants assigned to this arm will take two 250 mg cocoa extract pills per day and two placebo pills per day

Group Type EXPERIMENTAL

Cocoa extract

Intervention Type DIETARY_SUPPLEMENT

Cocoa extract manufactured as 250 mg capsules

1000 mg cocoa extract

Participants assigned to this arm will take four 250 mg cocoa extract pills per day

Group Type EXPERIMENTAL

Cocoa extract

Intervention Type DIETARY_SUPPLEMENT

Cocoa extract manufactured as 250 mg capsules

Interventions

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Cocoa extract

Cocoa extract manufactured as 250 mg capsules

Intervention Type DIETARY_SUPPLEMENT

Cocoa extract placebo

Cocoa extract placebo

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Women and men aged ≥18 years
* Self-reported clinician diagnosis of migraine with or without aura which does not meet criteria for chronic migraine (according to the International Classification of Headache Disorders 3rd edition)

* Individuals with self-reported migraine will need to report a clinician diagnosis of migraine and be classified as having migraine or probable migraine by the American Migraine Study (AMS) migraine screener. The AMS migraine screener, which has a sensitivity of 100% and a specificity of 82% for the diagnosis of migraine will be used to confirm self-reported migraine status.
* History of migraine dating for at least one year
* Self-report of 4 to 14 migraine attacks during the 30 days prior to enrollment in the study
* Completion of at least 22 headache diary days during the 28 day run-in period

o Report migraine frequency between 4 to 14 days during the 28 day run-in period
* If currently using medications to prevent or treat migraine, no new medication use within the past 3 months
* No new use of behavioral interventions within the past 3 months and/or agree to not begin new behavioral interventions during this trial
* Be willing to complete all study procedures and be randomized to all interventional groups
* Be fluent in English
* Own an iPhone or Android device and be willing to download MyCap to the device

Exclusion Criteria

* Self-reported history of stroke or transient ischemic attack; history of brain surgery or spine surgery; currently receiving treatment for a concussion; and self-reported diagnosis of cluster headache, brain tumor, brain aneurysm, traumatic brain injury, multiple sclerosis, epilepsy, schizophrenia, or bipolar disorder
* Kidney failure or current dialysis treatment or any medical condition which the participant believes could lead to difficulty complying with the protocol
* Current alcohol or substance abuse (self-reported)
* Self-reported clinician diagnosis of medication overuse headache
* Currently or recently (past 6 months) received Botox treatment for migraine
* Failure to return the baseline urine sample
* Currently pregnant, nursing, or intending to become pregnant during the study period.
* Unwilling to forgo use of out-of-study supplements of cocoa extract during the trial
* Extreme sensitivity to caffeine
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Center for Complementary and Integrative Health (NCCIH)

NIH

Sponsor Role collaborator

Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Pamela M. Rist, ScD

Associate Epidemiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Pamela M Rist, ScD

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Locations

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Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Pamela M Rist, ScD

Role: CONTACT

877-517-2555

Facility Contacts

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Pamela M Rist, ScD

Role: primary

Other Identifiers

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U01AT012611

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2024P003655

Identifier Type: -

Identifier Source: org_study_id

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