About this trial
Pramlintide is a peptide analogue of human amylin which is a vasoactive substance involved in the pathogenesis of headache. This study investigates whether pramlintide induces migraine-like headache in people with persistent post-traumatic headache (PTH) attributed to mild traumatic brain injury (mTBI).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 to 65 years of age upon entry into screening
History of persistent headache attributed to mild traumatic injury to the head for ≥ 12 months and in accordance with the International Classification of Headache Disorders, 3rd Edition (ICHD-3)
≥ 4 monthly headache days on average across the 3 months prior to screening
Provision of informed consent prior to initiation of any study-specific activities/procedures
Disqualifiers
> 1 mild traumatic injury to the head
History of any primary or secondary headache disorder prior to mild traumatic injury to the head (except for infrequent episodic tension-type headache)
History of moderate or severe injury to the head
History of whiplash injury
Trial design
Crossover
Treatments tested in this trial
Amylin
DrugThe participants will receive continuous intravenous infusion of 6 μg/min of pramlintide (amylin) over 20 minutes.
Placebo
DrugThe participants will receive continuous intravenous infusion of 20 mL of placebo (isotonic saline) over 20 minutes.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of migraine-like headache
Difference in incidence of migraine-like headache (0 to 12 hours) between pramlintide and placebo.
Secondary outcomes
Headache Intensity Scores
Difference in area under the curve (AUC) for headache intensity scores (0 to 12 hours) between pramlintide and placebo.
Sponsors and contacts
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