About this trial
Flunarizine and propranolol have demonstrated efficacy in reducing migraine frequency across age groups, though evidence in pediatric populations remains limited and inconsistent. Therefore, the current study has been planned to evaluate and compare the effectiveness of flunarizine and propranolol in reducing migraine frequency in children aged 8-15 using the Pediatric Migraine Disability Assessment Scale (PedMIDAS) score.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children of any gender
Aged 8-15 years
Diagnosed with migraine (with/without aura) per International Classification of Headache Disorders, 3rd Edition (ICHD-3) criteria
A history of ≥4 migraine attacks/month for the preceding 3 months
Disqualifiers
Children with secondary headache disorders (e.g., due to infections, trauma, structural brain lesions)
Known hypersensitivity or contraindications to flunarizine or propranolol
Presence of cardiovascular disorders (e.g., bradycardia, heart block, hypotension, asthma)
Non-compliance or inability to attend regular follow-ups
Trial design
Parallel
Treatments tested in this trial
Flunarizine
DrugPatients will be receiving flunarizine beginning with 5 mg at bedtime and increasing it to 10 mg at bedtime after 1 month, over a 3-month treatment period.
Propranolol
DrugPatient will be given propranolol beginning with 10 mg/24 hours and increase at the rate of 10 mg/week to the maximum of 60 mg/24 hour, over a 3-month treatment period.
Treatment groups
Trial outcomes
Primary outcomes
Reduction in migraine disability
Any reduction in migraine disability score measured by PedMIDAS will be labeled as reduction (efficacy).
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Muhammad Aamir Latif
Lead sponsor
RESnTEC, Institute of Research
Sponsor institution