About this trial
The main objective of this study is to see whether the favorable preventative effect of Atorvastatin 40mg per day in episodic migraine, that was found previously in three smaller randomized controlled cross-over studies, can be confirmed in a larger, multicenter, randomized controlled parallel group study. In addition it will be investigated whether 1) there is an effect of a daily dose of 20mg Atorvastatin, 2) whether the favorable side effect profile, seen in previous studies, can be confirmed, and whether it is even better with the smaller dose, and 3) estimating the cost of Atorvastatin treatment, considering cost of medicine, cost of acute attack medicine, and cost of lost worktime.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age 18 to 65 years.
Signed informed consent.
Episodic migraine with or without aura according to ICHD-3 criteria.
At inclusion, patients should retrospectively have from 4 to 14 migraine attacks per month during the last 3 months. This frequency must be confirmed in the headache diary before randomisation to treatment.
Disqualifiers
Interval headache not distinguishable from migraine.
Chronic migraine, chronic tension-type headache, medication overuse headache or other headache occurring on ≥ 15 days/month.
Pregnancy, planning to get pregnant, inability to use contraceptives, and lactating.
Clinical information on or signs of cholestasis or decreased hepatic or renal function.
Trial design
Parallel
Treatments tested in this trial
Atorvastatin 40mg
DrugEach tablet will be taken once daily for 84 days.
Placebo
DrugEach tablet will be taken once daily for 84 days
Atorvastatin 20mg
DrugEach tablet will be taken once daily for 84 days.
Treatment groups
Trial outcomes
Primary outcomes
Number of migraine days
Change in number of migraine days/4 weeks from the baseline period to the treatment period.
Secondary outcomes
Number of responders
Number of responders (≥ 50% improvement from baseline)
Rate of adverse events
Number of patients with adverse events
Number of doses with acute medication
Doses of triptans or analgesics per 4 weeks
Number of days with sick leave
Days with sick leave per 4 weeks
Sponsors and contacts
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St. Olavs Hospital
Lead sponsor
Haukeland University Hospital
Collaborator
University Hospital of North Norway
Collaborator
University Hospital, Akershus
Collaborator
Ullevaal University Hospital
Collaborator