NCT04891848

Brief Summary

Headache is the most common neurological complaint accounting for % 1 to % 4 in the emergency department (ED).Every year, nearly one million people with headache attacks have been consulted by healthcare professionals at the emergency room in the United States.The International Classification of Headache Disorders (ICHD) divided headaches into two main groups: primary headaches and secondary headaches. The vast majority of cases who presented with acute headache attack in ED had a diagnosis of primary headache disorders (tension- type headache, migraine, cluster- type headache, and other primary headaches). However, secondary headache is often associated with underlying intracranial pathologies, and noted in % 10 of cases in emergency rooms. Despite the frequent presence of primary headaches, limited time setting and busy periods of medical assessment, leading diagnostic and therapeutic options due to the pathophysiological factors to be overlooked. To date, no study in the emergency care setting has explored the role of inflammation in patients with acute migraine and TTH. Investigators aimed to explore inflammatory markers \[white blood cells (WBC), neutrophil, lymphocyte, platelet, neutrophil / lymphocyte ratio (NLR), and platelet / lymphocyte ratio (PLR)\] in complete blood count (CBC) among MA, MO, and TTH participants who admitted to ED with acute headache attack and healthy volunteers.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
230

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2018

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2018

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2019

Completed
1.9 years until next milestone

First Submitted

Initial submission to the registry

April 20, 2021

Completed
29 days until next milestone

First Posted

Study publicly available on registry

May 19, 2021

Completed
Last Updated

May 19, 2021

Status Verified

May 1, 2021

Enrollment Period

1.1 years

First QC Date

April 20, 2021

Last Update Submit

May 12, 2021

Conditions

Keywords

primary headachemigraine with auramigraine without auratension type headacheinflammationneuroinflammation

Outcome Measures

Primary Outcomes (6)

  • White blood cells

    White blood cells (x10³/μL) counted in complete blood count and compared between patients and healthy controls

    Up to 1 year

  • Neutrophil

    Neutrophil (x10³/μL) levels counted in complete blood count and compared between patients and healthy controls

    Up to 1 year

  • Lymphocyte

    Lymphocyte (x10³/μL) levels counted in complete blood count and compared between patients and healthy controls

    Up to 1 year

  • Platelet

    Platelet (x10³/μL) levels counted in complete blood count and compared between patients and healthy controls

    Up to 1 year

  • Neutrophil/lymphocyte ratio

    Neutrophil/lymphocyte ratio calculated by dividing absolute neutrophil to absolute lymphocyte and compared between patients and healthy controls.

    Up to 1 year

  • Platelet/lymphocyte ratio

    Platelet/lymphocyte ratio calculated by dividing absolute platelet to absolute lymphocyte and compared between patients and healthy controls.

    Up to 1 year

Study Arms (4)

migraine with aura

51 patients with MA

Other: inflammation

migraine without aura

51 patients with migraine without aura

Other: inflammation

tension type headache

48 patients with tension type headache

Other: inflammation

healthy controls

80 healthy participants

Other: inflammation

Interventions

inflammatory values in complete blood count (CBC)

healthy controlsmigraine with auramigraine without auratension type headache

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Migraine and tension-type headache patients who admitted to emergency department with an acute headache attack

You may qualify if:

  • Clinical diagnosis of Migraine
  • Clinical diagnosis of Tension- type headache
  • Age between 18 and 65 years
  • Body mass index between 18 kg/m2 and 30 kg/m2

You may not qualify if:

  • Secondary headaches
  • Chronic inflammatory disorders
  • Infectious diseases
  • Hematologic abnormalities
  • A prior history of surgery (within the preceding 6 months)
  • Receiving analgesics
  • Blood transfusion before admission

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Halil Okay Albayrak

Kocaeli, İzmit, 41100, Turkey (Türkiye)

Location

Related Publications (1)

  • Albayrak HO, Gurbuz H, Basaran S, Yilmaz S. Assessment of inflammation with hematological parameters in patients with migraine and tension-type headache: a prospective study from a tertiary care center. Pain Manag. 2022 Mar;12(2):141-148. doi: 10.2217/pmt-2021-0036. Epub 2021 Aug 25.

MeSH Terms

Conditions

Headache DisordersMigraine with AuraMigraine without AuraTension-Type HeadacheInflammationNeuroinflammatory Diseases

Condition Hierarchy (Ancestors)

Brain DiseasesCentral Nervous System DiseasesNervous System DiseasesMigraine DisordersHeadache Disorders, PrimaryPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Serkan Yılmaz, Prof

    Kocaeli University Department of Emergency Medicine

    STUDY CHAIR
  • Serkan Yılmaz, Prof

    Kocaeli University Department of Emergency Medicine

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Target Duration
1 Year
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator, Department of Emergency Medicine

Study Record Dates

First Submitted

April 20, 2021

First Posted

May 19, 2021

Study Start

May 1, 2018

Primary Completion

May 31, 2019

Study Completion

May 31, 2019

Last Updated

May 19, 2021

Record last verified: 2021-05

Data Sharing

IPD Sharing
Will not share

Locations