Efficacy and Tolerability of Erenumab in the Prophylactic Treatment of Persistent Post-Traumatic Headache
Post-Traumatic Headache, Mild Traumatic Brain Injury, Post-Concussion Syndrome
About this trial
This is an interventional treatment trial for Post-Traumatic Headache
Eligibility Criteria
Inclusion Criteria:
- Men and women between 18 - 65 years who suffer from PPTH following a concussion / mild traumatic brain injury more than 12 months ago.
- Fertile women must use safe contraceptives and present with a negative u-HCG on the experimental day. Safe contraceptives are defined as intra-uterine devices, contraceptive pills or implants and surgical sterilization.
Exclusion Criteria:
- Pre-trauma primary headache disorders, including tension-type headache > 1 days/months
- Medication-overuse headache
- Whiplash injury
- Cardiovascular disease of any kind, including cerebrovascular disease
- Hypertension on the experimental day (systolic blood pressure > 150 mmHg and/or diastolic blood pressure > 100 mmHg)
- Hypotension on the experimental day (systolic blood pressure < 90 mmHg and/or diastolic blood pressure < 50 mmHg)
- Pre-trauma psychiatric disorder of any kind - unless effectively treated
- Anamnestic or clinical symptoms of any kind that are deemed relevant for study participation by the physician who examines the patient
- Pregnant or breastfeeding, or is a female expecting to conceive during the study,
- including through 4 weeks after the last dose of erenumab
- Female subject of childbearing potential who is unwilling to use an acceptable
Method of effective contraception during treatment through 4 weeks after the last dose of erenumab. Acceptable methods of effective birth control include not having intercourse (true abstinence, when this is in line with the preferred and usual lifestyle of the subject), hormonal birth control methods (pills, shots/injections, implants, or patches), intrauterine devices, surgical contraceptive methods (vasectomy with medical assessment of the surgical success of this procedure or bilateral tubal ligation), or two barrier methods (each partner must use one barrier method) with spermicide - males must use a condom with spermicide; females must choose either a diaphragm with spermicide, OR cervical cap with spermicide, OR contraceptive sponge with spermicide. Female subjects not of childbearing potential are defined as any female who: is post-menopausal by history, defined as:
- Age ≥ 55 years with cessation of menses for 12 or more months, OR
- Age < 55 years but no spontaneous menses for at least 2 years, OR
Age < 55 years and spontaneous menses within the past 1 year, but currently amenorrheic (eg, spontaneous or secondary to hysterectomy), AND with postmenopausal gonadotropin levels (luteinizing hormone and follicle-stimulating hormone levels > 40 IU/L) or postmenopausal estradiol levels (< 5 ng/dL) or according to the definition of "postmenopausal range" for the laboratory involved. OR
- Underwent bilateral oophorectomy OR
- Underwent hysterectomy OR
- Underwent bilateral salpingectomy
- Known sensitivity to any component of erenumab
- Previously randomized into an erenumab study
- Member of investigational site staff or relative of the investigator
- Unlikely to be able to complete all protocol required study visits or procedures, and/or to comply with all required study procedures to the best of the subject's and investigator's knowledge
Sites / Locations
- Danish Headache Center
Arms of the Study
Arm 1
Experimental
Erenumab
100 subjects with persistent post-traumatic headache will be allocated to receive monthly subcutaneous injections of 140 mg erenumab at three time points (week 0, week 4, week 8)