RecruitingNot ApplicableNCT07071506

New Methods for Evaluating Preventive Migraine Treatment


Sponsor

University of Aarhus

Enrollment

60 participants

Start Date

Mar 4, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The study aims to test interactions between drug and placebo-responses in acute migraine treatment and to assess variation in adverse events according to treatment information provided. Using a clinical within-subjects, balanced placebo design, patients with chronic migraine will receive four treatment conditions in a randomized order.


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria5

  • Adults (18-65 years)
  • ≥ 1-year history of migraine with or without aura according to the International Classification of Headache Disorders (ICHD-3) diagnostic criteria
  • Known chronic migraine (headache occurring ≥ 15 days per month for > 3 months, which on at least 8 days per month has the features of migraine headache) diagnosed before age 65
  • Eligibility for preventive migraine treatment
  • Ability to speak and read Danish

Exclusion Criteria7

  • Use of onabotulinumtoxinA as preventive migraine treatment during the 4 months before inclusion
  • Use of other preventive migraine treatment except CGRP antagonists (However, participants are allowed to be on two stable preventive medication (antidepressant, calcium channel blockers, beta blockers or antiepileptic)- 2 months prior to inclusion until end of study), devices for migraine prevention such as transcranial magnetic stimulation and use of nerve blocks 3 months prior to inclusion
  • Use of opioid or barbiturate medications in the last four weeks before inclusion
  • Secondary headache disorders including medication overuse headache
  • Severe psychiatric, vascular disease, or known liver disease
  • Alcohol abuse or substance abuse
  • Current or planned pregnancy and lactation

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Interventions

DRUGActive drug for chronic migraine treatment.

Standard dose of Fremanezumab, 225 mg (Ajovy) injected subcutaneously

DRUGPlacebo Subcutaneous injection

Inactive placebo (saline) injected subcutaneously in the same volume as the active drug


Locations(2)

Department of Psychology and Behavioral sciences, Aarhus BSS, Aarhus University

Aarhus C, Denmark, Denmark

Department of Neurology, Aarhus University Hospital

Aarhus N, Denmark, Denmark

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