The investigators aim to investigate the incidence of migraine attacks after calcitonin gene-related peptide (CGRP) infusion in patients who have tried anti-CGRP monoclonal antibody treatment for the prevention of migraine.
Calcitonin gene-related peptide (CGRP) plays a role in migraine pathophysiology. Infusions of CGRP can trigger migraine-like attacks in migraine patients and antibodies against CGRP or the CGRP receptor significantly reduces the number of migraine days per month when administered regularly. Some patients however, do not experience migraine attack after CGRP infusion, and some do not experience migraine reduction with antibodies. The underlying mechanisms of these effects are largely unknown. The purpose of this study is to examine CGRP-induced migraine in patients who have evaluated the efficacy of anti-CGRP monoclonal antibody treatment for migraine using a purpose-developed standardized interview. The investigators will use a double-blind, placebo-controlled crossover study design to examine migraine susceptibility to CGRP in these patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
40
Calcitonin gene-related peptide intravenous infusion (1.5 micrograms/min for 20 mins)
Isotonic saline
Danish Headache Center, Rigshospitalet Glostrup
Copenhagen, Glostrup, Denmark
RECRUITINGIncidence of migraine
Incidence of migraine after CGRP infusion
Time frame: From 0 to 12 hours after CGRP infusion
Area under the curve of headache intensity
Area under the curve of headache intensity from 0-90 min and 90 min-12 hours post infusion
Time frame: From 0 to 90 minutes after infusion and from 90 minutes to 12 hours after infusion
Heart rate
Heart rate (beats per minute)
Time frame: From 0 to 90 minutes after infusion
Blood pressure
Blood pressure (millimeter of mercury)
Time frame: From 0 to 90 minutes after infusion
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.