Clinical trial

New Daily Persistent Headache (NDPH): Biomarker Study and Therapy in Children and Adolescents

Name
Pro00113907
Description
This study will recruit pediatric patients with NDPH (New Daily Persistent Headache), characterize their headache in a standard manner, and treat the NDPH with standard medications used for treatment of headaches in this population. Response to treatment with CGRP blocking Ab medications will be evaluated. Biomarkers related to headache disorders will be measured before and after treatment.
Trial arms
Trial start
2024-03-01
Estimated PCD
2025-07-01
Trial end
2025-07-01
Status
Recruiting
Treatment
CGRP antibody
treatment with CGRP antibody for 4 months
Arms:
Chronic Migraine, NPDH (New Persistent Daily Headache)
Size
150
Primary endpoint
Change in Calcitonin Gene Related Peptide (CGRP) levels in blood
baseline and 4 months
Change in Pituitary Adenylate Cyclase-activating Peptide (PACAP) levels in blood
baseline and 4 months
Change in Brain derived Neurotrophic factor (BDNF) levels in blood
baseline and 4 months
Change in Nerve Growth Factor (NGF) levels in blood
baseline and 4 months
Change in Tumor Necrosis Factor alpha levels in blood
baseline and 4 months
Change in Vaso Intestinal peptide(VIP) levels in blood
baseline and 4 months
Eligibility criteria
Inclusion Criteria: * Patients between 12-18 yo with diagnosis of new daily persistent headache (ICHD-3 criteria) who have normal developmental history for age * Subject and parent legal guardian able to communicate in English, understand and consent to study * Subject will to undergo monthly injections at home for treatment of NDPH * Normal neuro imaging * No prior treatment with CGRP blocking medications or botulinum toxin Exclusion Criteria: * History of Reynauds syndrome * History of concussion or prior neurosurgery * Any structural brain lesion including hydrocephalus, congenital anomalies (including chiari malformation) * History of psychiatric disorders * History of any headache disorder (including migraine) prior to the diagnosis of NDPH * Pregnancy * Prior treatment with any CGRP blocking medication * Treatment with Botulinum toxin injections previously * Any other condition that in the opinion of the PI would interfere with the planned study treatment
Protocol
{'studyType': 'OBSERVATIONAL', 'patientRegistry': True, 'targetDuration': '4 Months', 'designInfo': {'observationalModel': 'COHORT', 'timePerspective': 'PROSPECTIVE'}, 'bioSpec': {'retention': 'SAMPLES_WITHOUT_DNA', 'description': 'whole blood, serum,'}, 'enrollmentInfo': {'count': 150, 'type': 'ESTIMATED'}}
Updated at
2024-03-20

1 organization

1 product

1 indication

Organization
Duke University