Migraine HeadacheViKEMNCT05943457
Vitamin K2 Supplementation in Adult Episodic Migraine
A study testing Vitamin K2 or menaquinone-7 in people with Migraine Headache and Arterial Stiffness, run by Sola Aoun Bahous, M.D. Ph.D. at 1 site in Lebanon.
Trial summary
Migraine is a debilitating illness and a major cause of disability in the world. It is highly prevalent, especially among women. Vitamin supplementation is a potential therapeutic option for migraines that remains largely under-explored. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Migraine Headache, Arterial Stiffness, Vitamin K Deficiency
- What is being tested?
- Vitamin K2 or menaquinone-7
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 160 participants
- Where
- 1 siteLebanon
- Study dates
- 6 Mar 2024to Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adults aged 18 years or above
- History of episodic migraine with or without aura since > 12 months according to the ICHD-3 criteria.
- Migraine frequency from 4-14 days per month over the 3 months prior to screening.
- Migraine frequency from 4-14 days per month during the baseline period of assessment.
- Successful completion of the migraine diary during the baseline evaluation period.
Who cannot join
- Migraine patients with superimposed tension type or other forms of primary headaches
- Patients who are currently on any of the migraine prophylactic treatments (Sodium valproate, Topiramate, Beta-blockers, Tricyclic antidepressants, SRNI, Flunarizine, Verapamil, Lisinopril, Candesartan)
- Patients who have been on any of the previously listed medications within 3 months of screening
- Patient who takes the following medications:
- Ergotamine or Triptans > 10 days per month
- NSAIDs or paracetamol > 15 days per month
Show all 21Show fewer
- Opioids more than 4 days per month
- Patients on anticoagulants
- Other active chronic pain syndromes (i.e. fibromyalgia, painful peripheral neuropathy, post-herpetic neuralgia…)
- History of hypersensitivity to the vitamin K2
- History of soy protein, cheese, eggs and meat allergy
- History of thrombotic events
- Diagnosed coagulopathy or any condition related to coagulation
- Cardiovascular event in the past month
- Current or planned pregnancy
- Lactation
- Inability to tolerate oral medications
- Known intestinal malabsorption or hypomotility syndromes
- Atrial fibrillation
- Active malignancy
- Any acute illness in the past month
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Lebanon1 site, 1 recruiting
- Recruiting
Lebanese American University Medical Center - Rizk Hospital
Beirut, Beirut, 11-3288
Sola Aoun Bahous, M.D. Ph.D., +9613259450, sola.bahous@lau.edu.lb
About this study
Official title: Efficacy of Vitamin K2 Supplementation in Adult Episodic Migraine
Migraine is a debilitating illness and a major cause of disability in the world. It is highly prevalent, especially among women. Vitamin supplementation is a potential therapeutic option for migraines that remains largely under-explored. Several studies have shown that people with migraine tend to have higher arterial stiffness than people without migraine. Vitamin K2 deficiency is an important mediator of arterial stiffness and calcification due to decreased carboxylation of matrix Gla protein (MGP). Supplementation reverses these changes and improves vascular health in patients with end stage renal disease according to previous studies. Therefore, vitamin K2 supplementation could serve a potential role in migraine patients. The purpose of the study is to test the effect of vitamin K2 on decreasing the frequency of migraine attacks and decreasing arterial stiffness. The population will be recruited from the neurology clinic at LAU Medical Center-Rizk Hospital and will constitute of adult patients. They will be randomized to receive either the supplement of vitamin K2 or a placebo for the duration of 6 months. Laboratory tests and arterial stiffness measurements will be done at the beginning, middle, and at the end of the study for comparison.
- Conditions
- Migraine Headache, Arterial Stiffness, Vitamin K Deficiency
- Being tested
- Vitamin K2 or menaquinone-7, Placebo
- Keywords
- Migraine, Arterial stiffness, Vitamin K deficiency, Migraine attack
- Medical subject headings
- Migraine Disorders, Vitamin K Deficiency
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vitamin K2 or menaquinone-7Dietary supplement
Also called MenaQ7
Vitamin K2 (MK7) 360 mcg/day orally once daily for 6 months
PlaceboOther
Placebo pills will be administered orally once daily for 6 months
| Study group | Role | What they receive |
|---|---|---|
| Intervention (MK7) Arm | Experimental | This corresponds to the sub-group of subjects who will receive the supplement (vitamin K2 or Menaquinone-7). Receives: Dietary Supplement: Vitamin K2 or menaquinone-7 |
| Control Arm | Placebo comparator | This corresponds to the sub-group of subjects who will receive placebo. Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes of monthly migraine days
Effect of Vitamin K2 supplementation on the changes from baseline in monthly migraine days as compared to placebo. This will be assessed clinically using a questionnaire to be administered at the start, monthly, and at the end of the study (6 months) about frequency and number of migraine days per month.
Measured: 6 months
Secondary outcomes (6)
Changes from baseline in the headache impact score (HIT-6) as compared to placebo.
Measured: 6 months
Changes from baseline in monthly severe migraine days.
Changes from baseline in monthly severe migraine days as defined by a visual analogue scale rating above 7, as compared to placebo.
Measured: 6 months
Changes from baseline on the modified migraine disability assessment (MIDAS) score as compared to placebo.
Measured: 6 months
Changes from baseline on the modified migraine physical function impact diary (MPFID) as compared to placebo.
Measured: 6 months
Changes from baseline on the quality of life as measure by the EuroQoL compared to placebo.
Measured: 6 months
Changes from baseline of arterial stiffness level.
Changes of arterial stiffness level assessed by measuring the cfPWV using Complior Analyze.
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jul 2023
- Study start6 Mar 2024
- Primary completionSep 2026 (estimated)
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Migraine HeadacheStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Migraine subjects will be randomized to receive either the supplement of vitamin K2 or a placebo for the duration of 6 months.
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 160 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sola Aoun Bahous, M.D. Ph.D.
- Sponsor type
- University, hospital or other
- Collaborators
- Lesaffre International, Omicron Pharmaceuticals
- Responsible party
- Sponsor-investigator, Sola Aoun Bahous, M.D. Ph.D., Lebanese American University
- Investigators
- Sola Aoun Bahous, MD, PhD, Principal investigator, Lebanese American University School of Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05943457
- Sponsor's protocol ID
- MK7-003
- Acronym
- ViKEM
- Status last verified
- Nov 2025
- First submitted
- 5 Jul 2023
- Last updated
- 18 Nov 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Stovner Lj, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, Steiner T, Zwart JA. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007 Mar;27(3):193-210. doi: 10.1111/j.1468-2982.2007.01288.x.
PubMed 17381554Kurth T, Winter AC, Eliassen AH, Dushkes R, Mukamal KJ, Rimm EB, Willett WC, Manson JE, Rexrode KM. Migraine and risk of cardiovascular disease in women: prospective cohort study. BMJ. 2016 May 31;353:i2610. doi: 10.1136/bmj.i2610.
PubMed 27247281Mozos I, Stoian D, Luca CT. Crosstalk between Vitamins A, B12, D, K, C, and E Status and Arterial Stiffness. Dis Markers. 2017;2017:8784971. doi: 10.1155/2017/8784971. Epub 2017 Jan 12.
PubMed 28167849Westenfeld R, Krueger T, Schlieper G, Cranenburg EC, Magdeleyns EJ, Heidenreich S, Holzmann S, Vermeer C, Jahnen-Dechent W, Ketteler M, Floege J, Schurgers LJ. Effect of vitamin K2 supplementation on functional vitamin K deficiency in hemodialysis patients: a randomized trial. Am J Kidney Dis. 2012 Feb;59(2):186-95. doi: 10.1053/j.ajkd.2011.10.041. Epub 2011 Dec 9.
PubMed 22169620Mansour AG, Hariri E, Daaboul Y, Korjian S, El Alam A, Protogerou AD, Kilany H, Karam A, Stephan A, Bahous SA. Vitamin K2 supplementation and arterial stiffness among renal transplant recipients-a single-arm, single-center clinical trial. J Am Soc Hypertens. 2017 Sep;11(9):589-597. doi: 10.1016/j.jash.2017.07.001. Epub 2017 Jul 13.
PubMed 28756183Mansour AG, Ahdab R, Daaboul Y, Korjian S, Morrison DA, Hariri E, Salem M, El Khoury C, Riachi N, Aoun Bahous S. Vitamin K2 Status and Arterial Stiffness Among Untreated Migraine Patients: A Case-Control Study. Headache. 2020 Mar;60(3):589-599. doi: 10.1111/head.13715. Epub 2019 Nov 25.
PubMed 31769041
Study at a glance
From the registry record, last updated by the sponsor on 18 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of Vitamin K2 Supplementation in Adult Episodic Migraine
- ClinicalTrials.gov ID
- NCT05943457
- Acronym / sponsor ID
- ViKEM / MK7-003
- Conditions
- Migraine Headache, Arterial Stiffness, Vitamin K Deficiency
- Keywords
- Migraine, Arterial stiffness, Vitamin K deficiency, Migraine attack
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 160 participants (estimated)
- Lead sponsor
- Sola Aoun Bahous, M.D. Ph.D.University, hospital or other
- Collaborators
- Lesaffre International, Omicron Pharmaceuticals
- Study start
- 6 Mar 2024 (actual)
- Primary completion
- Sep 2026 (estimated)
- Study completion
- Dec 2026 (estimated)
- First posted
- 13 Jul 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Migraine is a debilitating illness and a major cause of disability in the world. It is highly prevalent, especially among women. Vitamin supplementation is a potential therapeutic option for migraines that remains largely under-explored. Several studies have shown that people with migraine tend to have higher arterial stiffness than people without migraine. Vitamin K2 deficiency is an important mediator of arterial stiffness and calcification due to decreased carboxylation of matrix Gla protein (MGP). Supplementation reverses these changes and improves vascular health in patients with end stage renal disease according to previous studies. Therefore, vitamin K2 supplementation could serve a potential role in migraine patients. The purpose of the study is to test the effect of vitamin K2 on decreasing the frequency of migraine attacks and decreasing arterial stiffness. The population will be recruited from the neurology clinic at LAU Medical Center-Rizk Hospital and will constitute of adult patients. They will be randomized to receive either the supplement of vitamin K2 or a placebo for the duration of 6 months. Laboratory tests and arterial stiffness measurements will be done at the beginning, middle, and at the end of the study for comparison.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Migraine subjects will be randomized to receive either the supplement of vitamin K2 or a placebo for the duration of 6 months.
| Arm | Type | Receives |
|---|---|---|
| Intervention (MK7) Arm | Experimental | Dietary Supplement: Vitamin K2 or menaquinone-7This corresponds to the sub-group of subjects who will receive the supplement (vitamin K2 or Menaquinone-7). |
| Control Arm | Placebo comparator | Other: PlaceboThis corresponds to the sub-group of subjects who will receive placebo. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Adults aged 18 years or above
- History of episodic migraine with or without aura since > 12 months according to the ICHD-3 criteria.
- Migraine frequency from 4-14 days per month over the 3 months prior to screening.
- Migraine frequency from 4-14 days per month during the baseline period of assessment.
- Successful completion of the migraine diary during the baseline evaluation period.
Key exclusion criteria (21 listed)
- Migraine patients with superimposed tension type or other forms of primary headaches
- Patients who are currently on any of the migraine prophylactic treatments (Sodium valproate, Topiramate, Beta-blockers, Tricyclic antidepressants, SRNI, Flunarizine, Verapamil, Lisinopril, Candesartan)
- Patients who have been on any of the previously listed medications within 3 months of screening
- Patient who takes the following medications:
- Other active chronic pain syndromes (i.e. fibromyalgia, painful peripheral neuropathy, post-herpetic neuralgia…)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Vitamin K2 or menaquinone-7Also: MenaQ7Vitamin K2 (MK7) 360 mcg/day orally once daily for 6 months | Dietary supplement | Intervention (MK7) Arm |
| PlaceboPlacebo pills will be administered orally once daily for 6 months | Other | Control Arm |
Primary outcome
Changes of monthly migraine days
Time frame: 6 months
Effect of Vitamin K2 supplementation on the changes from baseline in monthly migraine days as compared to placebo. This will be assessed clinically using a questionnaire to be administered at the start, monthly, and at the end of the study (6 months) about frequency and number of migraine days per month.
6 secondary outcomes
Changes from baseline in the headache impact score (HIT-6) as compared to placebo.
Time frame: 6 months
Changes from baseline in monthly severe migraine days.
Time frame: 6 months
Changes from baseline on the modified migraine disability assessment (MIDAS) score as compared to placebo.
Time frame: 6 months
Changes from baseline on the modified migraine physical function impact diary (MPFID) as compared to placebo.
Time frame: 6 months
Changes from baseline on the quality of life as measure by the EuroQoL compared to placebo.
Time frame: 6 months
Changes from baseline of arterial stiffness level.
Time frame: 6 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Nov 2025.
- Background: PubMed 17381554Stovner Lj, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, Steiner T, Zwart JA. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007 Mar;27(3):193-210. doi: 10.1111/j.1468-2982.2007.01288.x.
- Background: PubMed 27247281Kurth T, Winter AC, Eliassen AH, Dushkes R, Mukamal KJ, Rimm EB, Willett WC, Manson JE, Rexrode KM. Migraine and risk of cardiovascular disease in women: prospective cohort study. BMJ. 2016 May 31;353:i2610. doi: 10.1136/bmj.i2610.
- Background: PubMed 28167849Mozos I, Stoian D, Luca CT. Crosstalk between Vitamins A, B12, D, K, C, and E Status and Arterial Stiffness. Dis Markers. 2017;2017:8784971. doi: 10.1155/2017/8784971. Epub 2017 Jan 12.
- Background: PubMed 22169620Westenfeld R, Krueger T, Schlieper G, Cranenburg EC, Magdeleyns EJ, Heidenreich S, Holzmann S, Vermeer C, Jahnen-Dechent W, Ketteler M, Floege J, Schurgers LJ. Effect of vitamin K2 supplementation on functional vitamin K deficiency in hemodialysis patients: a randomized trial. Am J Kidney Dis. 2012 Feb;59(2):186-95. doi: 10.1053/j.ajkd.2011.10.041. Epub 2011 Dec 9.
- Background: PubMed 28756183Mansour AG, Hariri E, Daaboul Y, Korjian S, El Alam A, Protogerou AD, Kilany H, Karam A, Stephan A, Bahous SA. Vitamin K2 supplementation and arterial stiffness among renal transplant recipients-a single-arm, single-center clinical trial. J Am Soc Hypertens. 2017 Sep;11(9):589-597. doi: 10.1016/j.jash.2017.07.001. Epub 2017 Jul 13.
- Background: PubMed 31769041Mansour AG, Ahdab R, Daaboul Y, Korjian S, Morrison DA, Hariri E, Salem M, El Khoury C, Riachi N, Aoun Bahous S. Vitamin K2 Status and Arterial Stiffness Among Untreated Migraine Patients: A Case-Control Study. Headache. 2020 Mar;60(3):589-599. doi: 10.1111/head.13715. Epub 2019 Nov 25.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Sola Aoun Bahous, MD, PhD principal investigator
Lebanese American University School of Medicine
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Vitamin K2 or menaquinone-7 in people with Migraine Headache and Arterial Stiffness, run by Sola Aoun Bahous, M.D. Ph.D. at 1 site in Lebanon.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 18 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Lebanon. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Sola Aoun Bahous, MD, PhD (+9613259450, sola.bahous@lau.edu.lb), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Changes of monthly migraine days (time frame: 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05943457, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Nov 2025.