Can DFN-15 Terminate Migraine With Allodynia?
Migraine With AuraMigraine Without Aura1 moreThe majority of migraineurs seeking secondary or tertiary medical care develop cutaneous allodynia during the course of migraine, a sensory abnormality mediated by sensitization of central trigeminovascular neurons in the spinal trigeminal nucleus. Triptan therapy can render allodynic migraineurs pain-free within a narrow window of time (20-120 min) that opens with the onset of pain and closes with the establishment of central sensitization. This calls for the development of drugs that can tackle ongoing central sensitization and render allodynic migraineurs pain-free after the window for triptan therapy has expired. There are two main objectives the investigators seek to achieve from this study: to determine whether oral administration of DFN-15 (solution of a COX2 inhibitor, Celecoxib) terminates migraine attacks when given to allodynic participants 3 hours after attack onset; and to determine whether mechanical and heat allodynia that develop during acute migraine attacks could be reversed by late (> 3hrs after attack onset) treatment with DFN-15. Participants will be recruited from the Headache Center and randomized in a double-blinded fashion to receive either the active drug (DFN-15) or placebo in a ratio of 4:1.The participants will be instructed to return to the clinic during a migraine. At the 'during-migraine' visit, which will begin 3 hours after onset of headache, the investigators will document headache intensity, associated symptoms, and mechanical and heat pain threshold (first) before treatment (at 180 min after onset of headache) and (second) at a 120 min after treatment (5 hours after headache onset). Based on our prior experience studying migraine patients, the investigators plan to screen 100 patients to achieve 50 participants completing the 2 study visits as planned. The active drug group will consist of 80/100 patients and 20/100 patients will receive the placebo. The study will be terminated as soon as the first 40 participants who received the DFN-15 and first 10 patients who received placebo completed visit 2.
Eletriptan Provides Consistent Migraine Relief: Results Of A Within-Patient Multiple-Dose Study...
Migraine Without AuraMigraine With AuraEvaluation of headache response at 2 hours for active treated attacks for increasing dose.
The Impact of Triptan and Doxycycline on Neuroinflammatory Biomarkers in Acute Migraine
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Evaluation of the Efficacy and Safety of Laxymig® as Prophylactic Treatment in Patients With Migraine...
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Efficacy and Safety of TMS for the Preemptive Treatment of Migraine With Aura
Migraine With AuraAssess safety and efficacy of Transcranial Magnetic Stimulation (TMS) for the treatment of migraine with aura The hypothesis is that TMS treatments delivered to the occipital cortex of the brain can stop or interrupt the spreading cortical brain activity that causes or contributes to the migraine headache. Two TMS treatments at an intensity of <1 Tesla for ~500 microseconds, approximately 30 seconds apart, may stop the aura and prevent the subsequent headache.
Dose Ranging Study of the Efficacy and Tolerability of Tonabersat in the Prophylaxis of Migraine...
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Efficacy and Tolerability of Tonabersat in the Prophylaxis of Migraine Headache
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Tonabersat in the Prophylaxis of Migraine With Aura
Migraine With AuraOverall trial objectives: Can treatment with tonabersat reduce the number of days with aura and/or migraine headache in patients with migraine with aura How well tolerated is treatment with tonabersat The study is based on the hypothesis that the unique mechanism of action of tonabersat will inhibit some of the early events in the generation of aura and migraine headache and so be effective as prophylactic treatment
Optical Coherence Tomography Findings in Migraine
Migraine With AuraMigraine Without AuraThis study aims to detect changes in RNFL thickness in patients with different types of migraine in comparison to healthy control. This will be accomplished by comparing the optic nerve head (ONH) parameters, RNFL thickness, and ocular perfusion pressure (OPP) in migraine patients with age and sex matched healthy control.
Dose Comparison Study of Topiramate in Pediatric Subjects With Basilar/Hemiplegic Migraine
Basilar MigraineThe objective of this study is to assess the effectiveness and safety of topiramate in the prevention of basilar and hemiplegic migraine in children and adolescents.