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Primary HeadacheNCT06883955

Clinical Features and Current Treatment of Primary Headache

An observational study of Primary Headache, run by Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study is a prospective, observational cohort study. The plan of this study is to consecutively enroll 2,000 primary headache patients who meet the inclusion criteria from the neurology outpatient department and inpatient department of Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Read more about this study

Who is it for?
Ages Up to 65 years
Conditions the study is for
Primary Headache
What is being tested?
Disease education, pharmacological treatment, Non-pharmacological treatment
How many people
2,000 participants
Where
1 siteChina
Study dates
8 Mar 2025to 31 Dec 2037
How long will I take part?
60 Years
Phase
Observational
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 Up to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Primary headache is a common neurological disease worldwide, with a prevalence rate of approximately 10% - 20%. Its occurrence is not related to brain structural damage, infection, metabolic abnormalities, or other diseases, but is directly caused by the abnormal function of the central or peripheral nervous system. According to the ICHD-3, primary headache mainly includes migraine, tension - type headache, and cluster headache etc. The attack frequency, duration, and severity of primary headache show a high degree of heterogeneity. Primary headache is highly comorbid with anxiety, depression, and sleep disorders. The quality of life of patients with chronic primary headache significantly declines, and the work absenteeism rate and economic burden increase. Analgesic drugs are mainly used in the acute phase. Preventive treatment is applicable to patients with frequent or chronic attacks, and non-pharmacological interventions are also effective strategies.

Who may be able to join

  • Age is less than 65 years old.
  • Meets the diagnostic criteria for relevant primary headaches (such as tension-type headache, migraine, cluster headache, trigeminal autonomic cephalalgia, etc.) in the third edition of the International Classification of Headache Disorders (ICHD - 3).
  • Is willing and able to participate throughout the entire study period and sign the informed consent form.
  • Has the ability to complete the "Headache Diary" independently or with the help of a guardian.

Who cannot join

  • Secondary headache
  • High - risk populations, such as those with severe heart disease, impaired liver and kidney function, malignant tumors, etc.
  • Patients with mental illness, cognitive impairment, or those who are unable to cooperate with the research requirements
  • History of intracranial lesions or other nervous system diseases (including stroke, epilepsy, etc.)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Yamei Tang, MD, PhD contact

86-13556001992

tangym@mail.sysu.edu.cn

Yi Li, MD, PhD contact

86-15018761512

eleam2002@163.com

China1 site
  • Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University

    Guangzhou, Guangdong, 510000

    Yamei Tang, MD, PhD, 86-13556001992, tangym@mail.sysu.edu.cn

    Yi Li, MD, PhD, 86-15018761512, eleam2002@163.com

Other trials in China

About this study

Official title: Prospective Cohort Study of the Clinical Features and Current Treatment of Primary Headache

This study is a prospective, observational cohort study. The plan of this study is to consecutively enroll 2,000 primary headache patients who meet the inclusion criteria from the neurology outpatient department and inpatient department of Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Basic clinical data registration, various scale evaluations, cranial imaging examinations, and collection of blood and fecal biological samples will be completed. During the 10-year follow-up plan, systematic clinical evaluations of the disease severity, diagnosis and treatment, living ability and health status of patients will be carried out regularly every 6 - 12 months. Imaging and other functional evaluations will be conducted when necessary. Data collection includes:

Demographic data (including age, gender, education, ethnicity, marital status, occupation, etc.); General clinical data (past medical history, medication history, personal history, menstrual and childbearing history, family history, etc.); Clinical data of primary headache: headache frequency, duration, severity (Numeric Rating Scale for pain, NRS), headache-related medication use, drug efficacy and side effects; Scale evaluations: MIDAS, HIT-6, BPI, MSQ, ADL, CDR, PGIC, CGIC, PHQ-4, mTOQ-4, ASC-12, MIBS-4, HARDSHIP, WHO-QOL BREF, HAMD, HAMA, TNQ; Records of neurological imaging examinations, blood sample and fecal sample collection.

Read the detailed description

Background Headache is one of the most common diseases in the nervous system. Approximately 52% of adults worldwide suffer from primary headache. The third edition of the International Classification of Headache Disorders in 2018 classified primary headache into migraine, tension-type headache, trigeminal autonomic cephalalgia, and other primary headaches. Although primary headache has no obvious organic lesions, it can lead to transient or permanent central nervous system dysfunction, affecting people's daily life and work, and imposing a huge economic burden on society. This study intends to establish a prospective cohort of patients with primary headache, observe the relevant risk factors, clinical treatment efficacy, and prognosis of patients with primary headache, and explore the relevant clinical factors and biomarkers for a favorable prognosis. During the 10-year follow-up plan, systematic clinical evaluations will be regularly carried out on the disease severity, diagnosis and treatment status, living ability, and health status of patients. When necessary, blood and fecal samples will be collected and imaging evaluations will be conducted to complete the construction of a clinical diagnosis and treatment information database for patients with primary headache, and analyze the clinical factors related to the prognosis.

Research Objectives To observe the risk factors, clinical characteristics, treatment regimens and their efficacy, and prognosis of patients with primary headache, and to explore the relevant clinical factors and biomarkers for a favorable prognosis.

Research Design This study adopts a single-center, prospective cohort design.

Baseline Assessment Demographic data (including: age, gender, education level, ethnicity, marital status, occupation, etc.); General clinical data (past medical history, medication history, personal history, menstrual, marital and childbearing history, and family history, etc.); Clinical data of primary headache: headache frequency, duration, severity (Numerical Rating Scale for Pain, NRS), past headache-related medication use, medication efficacy and side effects; Scale Evaluation: MIDAS, HIT-6, BPI, MSQ, ADL, CDR, PGIC, CGIC, PHQ-4, mTOQ-4, ASC-12, MIBS-4, HARDSHIP, WHO-QOL BREF, HAMD, HAMA, TNQ; Biochemical Indicators: White blood cell count and classification, inflammatory indicators in the blood; fecal bacteriological examination; Changes in Imaging Biomarkers: Changes in brain structure, brain function, and metabolism.

Follow-up Study

Within 6 months after enrollment, follow-up assessments will be conducted every 1-3 months; from half a year to 10 years after enrollment, follow-up assessments will be conducted every 6-12 months (the assessment methods include in-person interviews, telephone follow-ups, and online follow-ups). The following data will be collected:

Clinical data of primary headache: headache frequency, duration, severity (Numerical Rating Scale for Pain, NRS), the use of headache-related medications (types, dosages, efficacy, and side effects); Scale Evaluation: MIDAS, HIT-6, BPI, MSQ, ADL, CDR, PGIC, CGIC, PHQ-4, mTOQ-4, ASC-12, MIBS-4, HARDSHIP, WHO-QOL BREF, HAMD, HAMA, TNQ; Blood and fecal tests and cranial imaging examinations (when clinically necessary and with the patient's/family member's consent and cooperation).

Being tested
Disease education, pharmacological treatment, Non-pharmacological treatment
Keywords
primary headache, prospective cohort study, clinical features, current treatment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Disease education, pharmacological treatment, Non-pharmacological treatmentCombination product

    Disease education: Provide patients with education on knowledge related to primary headache, including the causes, pathogenesis, symptoms, treatment methods, and preventive measures of headache, etc., to help patients better understand their own diseases and improve their self-management ability.

    Non-pharmacological treatment: Although specific non-pharmacological treatment methods are not elaborated in detail in the research protocol, they may include psychotherapy, physical therapy, etc. For example, biofeedback therapy, relaxation training, transcranial magnetic stimulation, etc. These can all be recorded as possible intervention measures.

    Pharmacological treatment: Record the medications used for the treatment of acute episodes and preventive treatment by patients during the research process, including the types of medications, dosages, frequency of use, etc. For instance, non-steroidal anti-inflammatory drugs and triptan drugs used during acute episodes, and β-blockers.

Study groups in NCT06883955
Study groupRoleWhat they receive
primary headacheSubjects who are younger than 65 years old and meet the diagnostic criteria for relevant primary headaches (such as tension-type headache, migraine, cluster headache, trigeminal autonomic cephalalgia, etc.) in the third edition of the International Classification of Headache Disorders (ICHD-3).
Receives: Combination Product: Disease education, pharmacological treatment, Non-pharmacological treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The number of headache days per month.

    The number of headache days per month: This indicator is used to count the actual number of days each research subject experiences headache symptoms within each month. Through the recording and analysis of the number of headache days per month, it can directly reflect the frequency of headache attacks, helping researchers understand the duration of the interference of primary headache with the daily life of patients, and further evaluate the severity and development trend of the disease.

    Measured: 10 years

  2. Changes in scores of headache assessment scales: NRS.

    NRS (The Numerical Rating Scale for Pain) is a commonly used simple pain measurement tool. Patients select a value within the numerical range from 0 (representing no pain) to 10 (representing the most severe pain) according to the degree of pain they feel, to quantify the intensity of pain.

    Measured: 10 years

  3. Changes in scores of headache assessment scales: HIT-6.

    The HIT - 6 scale (the Headache Impact Test - 6) is mainly used to evaluate the impact of headache on various aspects of patients' lives, such as daily activities, social interaction, work, etc.

    Measured: 10 years

Secondary outcomes (15)
  1. The number of days of emergency medication use per month.

    Measured: 10 years

  2. The types of preventive medications and the number of days of use per month.

    Measured: 10 years

  3. Changes in scale scores at MIDAS.

    Changes in scale scores at Migraine Disability Assessment Scale (MIDAS)

    Measured: 10 years

  4. Changes in scale scores at BPI.

    Changes in scale scores at Brief Pain Inventory (BPI).

    Measured: 10 years

  5. Changes in scale scores at MSQ.

    Changes in scale scores at Migraine Specific Quality of Life Questionnaire (MSQ).

    Measured: 10 years

  6. Changes in scale scores at PGIC and CGIC.

    Changes in scale scores at Patient Global Impression of Change (PGIC) and Clinician Global Impression of Change (CGIC).

    Measured: 10 years

  7. Changes in scale scores at HAMD and HAMA.

    Changes in scale scores at Hamilton Depression Rating Scale (HAMD) and Hamilton Anxiety Rating Scale (HAMA).

    Measured: 10 years

  8. Changes in scale scores at WHO - QOLBREF.

    Changes in scale scores at World Health Organization Quality of Life - BREF (WHO - QOL BREF).

    Measured: 10 years

  9. Changes in scale scores at HARDSHIP.

    Changes in scale scores at Headache - Related Disability Scale (HARDSHIP).

    Measured: 10 years

  10. Concentration of White Blood Cell Count and Subtypes in Peripheral Blood.

    Absolute counts (×10^9/L) and percentage (%) of neutrophils, lymphocytes, monocytes, eosinophils, and basophils.

    Measured: 10 years

  11. Change in serum inflammatory cytokine levels.

    Concentration of pro-inflammatory cytokines (IL-6, TNF-α, CRP) in serum measured by chemiluminescence immunoassay.

    Measured: 10 years

  12. Diversity and Abundance of Fecal Microbiota.

    Shannon index (unitless), Firmicutes/Bacteroidetes ratio (%).

    Measured: 10 years

  13. Change in gray matter volume.

    Regional gray matter volume in pain-processing areas (insula, thalamus, anterior cingulate cortex) quantified by voxel-based morphometry (VBM) on 3T MRI.

    Measured: 10 years

  14. Change in resting-state functional connectivity.

    Functional connectivity strength within the default mode network (DMN) measured by fMRI BOLD signal.

    Measured: 10 years

  15. Change in brain metabolic profile.

    Concentration ratio of N-acetylaspartate (NAA) to creatine (Cr) in the thalamus measured by proton magnetic resonance spectroscopy.

    Measured: 10 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Mar 2025
  2. Study start8 Mar 2025 (estimated)
  3. Primary completion31 Dec 2037 (estimated)
  4. Study completion31 Dec 2037 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
2,000 participants (estimated)
Target duration
60 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT06883955
Sponsor's protocol ID
SYSKY-2025-081-01
Status last verified
Mar 2025
First submitted
5 Mar 2025
Last updated
19 Mar 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Stovner LJ, Hagen K, Linde M, Steiner TJ. The global prevalence of headache: an update, with analysis of the influences of methodological factors on prevalence estimates. J Headache Pain. 2022 Apr 12;23(1):34. doi: 10.1186/s10194-022-01402-2.

    PubMed 35410119
  • Steiner TJ, Stovner LJ, Jensen R, Uluduz D, Katsarava Z; Lifting The Burden: the Global Campaign against Headache. Migraine remains second among the world's causes of disability, and first among young women: findings from GBD2019. J Headache Pain. 2020 Dec 2;21(1):137. doi: 10.1186/s10194-020-01208-0. No abstract available.

    PubMed 33267788

Questions about this trial

What is this clinical trial studying?

An observational study of Primary Headache, run by Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University at 1 site in China.

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 4 inclusion and 4 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: opening soon, as of the sponsor's last update on 19 Mar 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 China. 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. 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 Yamei Tang, MD, PhD (86-13556001992, tangym@mail.sysu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The number of headache days per month. (time frame: 10 years). The study lists 3 primary outcomes in all. 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 NCT06883955, which also lists 2 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 19 Mar 2025.

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