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Chronic Migraine, HeadacheCALM-MigraineNCT07802860

Comprehensive Approach to Lifestyle Modification in Chronic Migraine

A study testing Comprehensive Lifestyle Intervention in people with Chronic Migraine, Headache, run by Hacettepe University at 1 site in Turkey (Türkiye).

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

Migraine is a highly prevalent neurological disorder and one of the leading causes of disability worldwide, substantially affecting quality of life and individuals during their most productive years. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Chronic Migraine, Headache
What is being tested?
Comprehensive Lifestyle Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteTurkey (Türkiye)
Study dates
Sep 2026to 1 Feb 2028
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 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Having been diagnosed with chronic migraine according to the ICHD-3 diagnostic criteria after a neurological examination by a Neurology Specialist
  • Not having a regular medication habit other than for migraine pain
  • No changes in current medication management during the study period
  • Being between 18-55 years of age

Who cannot join

  • Having headache types other than chronic migraine
  • Having rheumatological diseases characterized by chronic widespread pain, such as fibromyalgia
  • Having neurological, orthopedic, or cardiovascular conditions that may prevent the individual from participating in exercise
  • Comorbid conditions other than migraine that are known to adversely affect cognitive functioning (e.g., traumatic brain injury, personality disorders, post-traumatic stress disorder, bipolar affective disorder, etc.)
  • Use of medications that may affect autonomic function
  • Receiving hormone replacement therapy
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  • Receiving antihypertensive treatment
  • Having undergone botulinum toxin application within the last six months
  • Having undergone invasive procedures such as dry needling/injection within the last six months
  • Pregnancy
  • For female patients, being postmenopausal

Trial locations and contacts

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

Ozlem Ulger, PhD contact

+903123051576

ozlemulger@yahoo.com

Sinan Buran, MSc contact

+903123052525

pt.sinanburan@gmail.com

Turkey (Türkiye)1 site
  • Hacettepe University Faculty of Physical Therapy and Rehabilitation

    Ankara, 06100

    Ozlem Ulger, PhD, +903123051576, ozlem.ulger@hacettepe.edu.tr

Other trials in Turkey (Türkiye)

About this study

Official title: Investigation of the Effectiveness of a Lifestyle-Based Intervention on Migraine-Related Clinical Outcomes, Neuroinflammatory Biomarkers, Health-Related Lifestyle Behaviors, Body Composition, Autonomic Nervous System Function, Cognitive Function, Self-Efficacy, and Quality of Life in Patients With Chronic Migraine

Migraine is a highly prevalent neurological disorder and one of the leading causes of disability worldwide, substantially affecting quality of life and individuals during their most productive years. Chronic migraine, defined as headache occurring on ≥15 days per month for more than three months, is a particularly disabling form of the disease. Physical inactivity, unhealthy dietary behaviors, stress, sleep disturbances, risky substance use, and inadequate social support may contribute to the burden and chronification of migraine. The CALM-Migraine trial aims to investigate the effects of a comprehensive lifestyle-based intervention in individuals with chronic migraine. Participants will be randomly assigned to either a lifestyle intervention group or a wait-list control group. Participants allocated to the lifestyle intervention group will receive an 8-week comprehensive lifestyle intervention alongside their usual pharmacological treatment. The intervention will consist of supervised exercise training, structured patient education, and peer support sessions delivered under the supervision of a physiotherapist. It will address the six pillars of lifestyle medicine: physical activity, diet, mental health and stress management, sleep, risky substance use, and social connections. The study will evaluate the intervention's effects on migraine-related clinical outcomes, neuroinflammatory biomarkers, health-related lifestyle behaviors, body composition, autonomic nervous system function, cognitive function, self-efficacy, and quality of life. Participants will be followed after the intervention to assess whether the effects are maintained over time.

Being tested
Comprehensive Lifestyle Intervention
Keywords
Lifestyle, Physical Activity, Exercise, Nutrition, Stress Management, Sleep, Social Support, Cognitive Function, Heart Rate Variability, Neuroinflammation, Quality of Life, Patient Education, Peer Support, Relaxation Training
Medical subject headings
Headache, Motor Activity, Neuroinflammatory Diseases

What participants receive

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

  • Comprehensive Lifestyle InterventionBehavioural

    Participants allocated to the lifestyle intervention group will receive an 8-week comprehensive lifestyle intervention alongside their usual pharmacological treatment. The intervention will consist of 24 individual, face-to-face sessions delivered three times per week under a physiotherapist's supervision. The intervention will address the six pillars of lifestyle medicine: physical activity, diet, mental health and stress management, sleep, risky substance use, and social connections. It will include three main components: supervised exercise training, structured patient education, and peer support sessions.

Study groups in NCT07802860
Study groupRoleWhat they receive
Lifestyle Intervention GroupExperimentalParticipants in this arm will receive an 8-week comprehensive lifestyle intervention in addition to their usual pharmacological treatment. The intervention will include supervised exercise training, structured patient education, and peer support sessions and will address the six pillars of lifestyle medicine: physical activity, diet, mental health and stress management, sleep, risky substance use, and social connections.
Receives: Behavioral: Comprehensive Lifestyle Intervention
Wait-list control groupNo interventionParticipants in this arm will continue their usual pharmacological treatment and will not receive the lifestyle intervention during the study period. They will be asked to maintain a migraine diary throughout the study. After the study, wait-list control group participants will be offered the same intervention protocol as the lifestyle intervention group, in compliance with ethical standards.

What is being measured

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

  1. Migraine severity

    Migraine severity will be assessed using the Visual Analog Scale (VAS). For each migraine attack, participants will indicate pain intensity on a 10-cm horizontal line anchored from "no pain" to "worst imaginable pain." The distance from the left endpoint to the participant's mark will be measured in centimeters, with higher values indicating greater migraine severity. Participants will prospectively record migraine severity for each attack in a migraine diary throughout the study.

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  2. Average Attack Duration

    Average migraine attack duration will be determined using prospectively recorded migraine diary data. Participants will record each migraine attack duration in hours, and the average attack duration will be calculated for the relevant assessment period.

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  3. Total Number of Attacks

    Participants will prospectively record each migraine attack using a migraine diary throughout the study. The diary records will determine the total number of migraine attacks for each relevant assessment period.

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  4. Migraine Disability Assessment (MIDAS)

    Migraine-related disability will be assessed using the Migraine Disability Assessment (MIDAS) questionnaire. The MIDAS total score is calculated by summing the first five items, which assess the number of days with missed or reduced productivity at work or school, in household activities, and in social or leisure activities during the previous 3 months. Higher total scores indicate greater migraine-related disability.

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

Secondary outcomes (18)
  1. High Mobility Group Box 1 (HMGB1) Level

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  2. NOD-Like Receptor Family Pyrin Domain Containing 3 (NLRP3) Level

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  3. Objective Physical Activity Measurement (ActiGraph LEAP™ Activity Monitor)

    Physical activity outcomes will include step count, sedentary time (ST), light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA).

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  4. Consumption of Migraine-Triggering Foods and Associated Headache Severity

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  5. Healthy Eating Index-2020 (HEI-2020)

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  6. 10-item Perceived Stress Scale (PSS-10)

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  7. Hospital Anxiety and Depression Scale (HADS)

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  8. Objective Sleep Measurement (ActiGraph LEAP™ Activity Monitor)

    Objective sleep outcomes will include total sleep time, sleep latency, and sleep efficiency.

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  9. Pittsburgh Sleep Quality Index (PSQI)

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  10. Epworth Sleepiness Scale (ESS)

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  11. Risky Substance Use

    Risky substance use will be assessed based on smoking exposure (pack-years) and alcohol consumption (drinks/week).

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  12. Multidimensional Scale of Perceived Social Support (MSPSS)

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  13. Body Composition (Tanita MC-780-MA Body Composition Analyzer)

    Body composition outcomes will include body weight, body fat percentage, fat mass, fat-free mass, and skeletal muscle mass.

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  14. Heart Rate Variability (HRV)

    HRV outcomes will include mean RR interval, SDNN, RMSSD, pNN50, low-frequency (LF) power, high-frequency (HF) power, and the LF/HF ratio.

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  15. Montreal Cognitive Assessment (MoCA)

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  16. Task-Specific Cognitive Assessment

    Computerized Stroop and N-Back Tasks

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  17. Chronic Headache Self-Efficacy Scale (CHASE)

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

  18. Migraine Specific Quality of Life Questionaire version 2.1 (MSQ v2.1)

    Measured: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)

Timeline

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

  1. First posted3 Sep 2026
  2. Study startSep 2026 (estimated)
  3. Primary completion1 Feb 2028 (estimated)
  4. Study completion1 Feb 2028 (estimated)

Resources

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
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07802860
Sponsor's protocol ID
CALM-Migraine-01
Acronym
CALM-Migraine
Status last verified
Aug 2026
First submitted
31 Aug 2026
Last updated
3 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Comprehensive Lifestyle Intervention in people with Chronic Migraine, Headache, run by Hacettepe University at 1 site in Turkey (Türkiye).

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 11 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 3 Sep 2026. 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 Turkey (Türkiye). 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 Ozlem Ulger, PhD (+903123051576, ozlemulger@yahoo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Migraine severity (time frame: Baseline (T0), post-intervention at 8 weeks (T1), 3 months after baseline (T2), and 6 months after baseline (T3)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Sep 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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