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NCT06485726 | RECRUITING | Migraine Disorders


Valproate Versus Propranolol in Migraine
Sponsor:

Kafrelsheikh University

Information provided by (Responsible Party):

Mohamed G. zeinhom, MD

Brief Summary:

Investigators aim to compare the effect of valproate versus propranolol in migraine by assessing the absolute reduction in MMD in each group and the percentage of patients who achieved ≥ 50% reduction in the monthly headache days frequency compared to the baseline frequency.

Condition or disease

Migraine Disorders

Intervention/treatment

Valproic Acid 500 MG

Propranolol

Phase

PHASE4

Detailed Description:

Investigators will enrol 600 migraine patients who are diagnosed according to ICHD3-beta criteria in our study and will use a questionnaire to detect their demographic and clinical features (disease duration, attack frequency, and duration, pain intensity assessed by the visual analogic scale and we have two groups the first group will include 300 patients and will receive 500-1000 mg valproate daily, and the second group will receive propranolol 160 mg per day. Investigators will assess The number of migraine days after three months of treatment and the percentage of patients who achieved ≥ 50% reduction in the monthly headache days frequency compared to the baseline frequency. The safety of lacosamide was evaluated by monitoring and documenting treatment-emergent adverse events (TEAE) in patients through regular follow-up procedures for three months.

Study Type : INTERVENTIONAL
Estimated Enrollment : 600 participants
Masking : DOUBLE
Masking Description : An independent statistician generated a blocked randomization sequence using computer-generated random numbers; participants received either lacosamide or propranolol from a specially trained and qualified nurse. We prepared Sequentially numbered opaque sealed envelopes and 600 labels for each drug labelled Drug A or B. According to the randomization chart, put them into envelopes numbered 1 to 600. Envelopes were attached to the patient's files. Patients were recruited sequentially and were given enrollment numbers starting from 1, which were mentioned in their files. Files with the same number as the patient enrolment number were opened, and the patients were assigned to receive drugs A or B. Drug A included valproate, and Drug B included propranolol. The statistical analysis was performed by an independent statistician who did not know the treatment protocol of groups A or B.
Primary Purpose : TREATMENT
Official Title : Valproate Versus Propranolol in Migraine, a Randomized Controlled Trial
Actual Study Start Date : 2023-01-23
Estimated Primary Completion Date : 2024-07-01
Estimated Study Completion Date : 2024-07-05

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years to 75 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • Naive migraine patients, according to the International Classification of Headache Disorders 3rd edition, aged 18-75 years,
Exclusion Criteria
  • * Patients with major neurological disorders such as (epilepsy, ischemic or hemorrhagic stroke, multiple sclerosis, mitochondrial diseases, brain tumours, and patients with essential tremors.
  • * Patients with major systemic diseases such as malignancy, collagen, liver, and renal diseases.
  • * Patients with cardiovascular diseases like hypertension (systolic blood pressure of more than 130 and/or diastolic blood pressure of more than 85 mm/Hg on at least three different occasions, diabetes (fasting plasma glucose level \>126 mg/dl and/or a casual plasma glucose \>200 mg/dl and/or HbA1C more than 6.5.
  • * patients with valvular and ischemic heart diseases, bradycardia or heart blocks, congestive heart failure
  • * patients who received prophylactic treatment for migraine,
  • * patients with any contraindications to drugs used in the study
  • * patients with bronchial asthma, chronic obstructive pulmonary disease

Valproate Versus Propranolol in Migraine

Location Details

NCT06485726


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Locations


RECRUITING

Egypt,

Kafr Elsheikh University Hospital

Kafr Ash Shaikh, Egypt, 33511

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