NCT05334927

Brief Summary

It is planned to include 10000 patients. In the China HeadAche DIsorders RegiStry CHAIRS), patients aged over 12 years with primary headache and medication-overuse headache(MOH) were collected. The biomarkers, imaging features, cognition, genetic characteristics, ocial and demographic data, medical data, therapeutics used, and outcome of headache-related diseases were studied, and long-term follow-up was planned.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
10,000

participants targeted

Target at P75+ for all trials

Timeline
81mo left

Started Aug 2022

Longer than P75 for all trials

Geographic Reach
1 country

20 active sites

Status
recruiting

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 Progress36%
Aug 2022Dec 2032

First Submitted

Initial submission to the registry

January 20, 2022

Completed
3 months until next milestone

First Posted

Study publicly available on registry

April 19, 2022

Completed
4 months until next milestone

Study Start

First participant enrolled

August 29, 2022

Completed
9.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2031

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2032

Last Updated

January 15, 2026

Status Verified

December 1, 2025

Enrollment Period

9.3 years

First QC Date

January 20, 2022

Last Update Submit

January 12, 2026

Conditions

Outcome Measures

Primary Outcomes (9)

  • Headache Days

    The number of days of headache is the number of days in which headache occurs.

    long term: 10 years

  • MRI change

    Patients will accept MRI scans will be done at baseline and once per year.

    long term: 10 years

  • Genetic analysis of familial headache

    Blood samples will be collected from all participants who consent to participate in the study, for the purposes of genetic analysis of familial headache.

    1 year

  • Montreal Cognitive Assessment (MoCA)

    The Montreal Cognitive Assessment (MoCA) will be used to assess changes in cognitive functions.

    long term: 10 years

  • Mini-Mental State Exam (MMSE)

    The Mini-Mental State Examination (MMSE) is a 30-point questionnaire that is used in clinical and research settings to assess cognitive function.

    long term: 10 years

  • Migraine Disability Assessment (MIDAS)

    The MIDAS is a 7-item questionnaire designed to quantify headache-related disability over a 3- month period. The MIDAS score is the sum of missed work or school days, days at work or school plus days of household work where productivity was reduced by half or more, missed household work days, and missed non-work activity days due to headaches in the last 3 months.

    long term: 10 years

  • Generalized Anxiety Disorder (GAD-7)

    GAD-7 is a proven, self-administered and concise tool for screening and diagnosing mental health disorders, which has been tested in the field in office practice. The GAD-7 scale score ranges from 0 to 21.

    long term: 10 years

  • Patient Health Questionnaire (PHQ)-9

    The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day). A PHQ-9 score total of 0-4 points equals "normal" or minimal depression. Scoring between 5-9 points indicates mild depression, 10-14 points indicates moderate depression, 15-19 points indicates moderately severe depression, and 20 or more points indicates severe depression.

    long term: 10 years

  • Pain freedom at 2 hours

    It refers to the complete resolution of headache symptoms within 2 hours after taking the investigational drug, without the use of any rescue medication, and without recurrence of headache during this period.

    2 hours post-dose

Secondary Outcomes (17)

  • Social and demographic data, medical history

    long term: 10 years

  • Use of Rescue Medication

    long term: 10 years

  • Moderate / Severe Headache Days

    long term: 10 years

  • Pain severity

    long term: 10 years

  • MEG

    long term: 10 years

  • +12 more secondary outcomes

Study Arms (4)

Medicine Overuse Headache/New Daily Persistent Headache

The first 18 months were followed up once a month,then followed up once at the 24th month,follow-up visits were made annually after 24 months

Behavioral: Medicine Overuse Headache/New Daily Persistent Headache

Chronic Migraine

The patients were followed up at 1, 2, 3, 6, 9, 12, 18 and 24 months,then follow-up visits were made annually

Behavioral: Episodic Migraine and Chronic MigraineDrug: Yangxue Qingnao Granules (Pills)Biological: ErenumabBiological: Eptinezumab

Patients with other types of primary headache

The patients were followed up at 3, 6, 9months

Behavioral: Patients with other types of primary headache

Episodic migraine

The patients were followed up at 1, 2, 3, 6, 9, 12, 18 and 24 months,then follow-up visits were made annually.

Drug: Yangxue Qingnao Granules (Pills)Biological: ErenumabBiological: Eptinezumab

Interventions

long-term follow-up

Chronic Migraine

No collection Brain imaging、Cognitive function test、Biological sample

Patients with other types of primary headache

Participants who, in routine clinical practice, were prescribed Yangxue Qingnao Granules/Pills for acute headache relief and/or preventive management were enrolled. Treatment initiation, dosing, frequency, and duration were determined by the treating physician and the patient and were not assigned by the study protocol. During the 12-week observation period, participants were followed and outcomes were recorded, including relief of up to four headache episodes (for those using the medication for acute treatment) and longitudinal symptom measures at weeks 4, 8, and 12 (for those receiving preventive management).

Chronic MigraineEpisodic migraine
ErenumabBIOLOGICAL

Participants who received eptinezumab for migraine prophylaxis in routine clinical practice were included. Treatment decisions (including whether to initiate eptinezumab, the selected dose \[e.g., 100 mg or 300 mg\], infusion interval, and duration) were made by the treating physician in consultation with the patient, and were not assigned by the study protocol. Patients were followed prospectively/retrospectively according to routine clinic visits, with outcome assessments captured at approximately 4-week intervals during the 12-week observation window (and additional follow-up when available).

Chronic MigraineEpisodic migraine
EptinezumabBIOLOGICAL

Participants who received eptinezumab for migraine prophylaxis in routine clinical practice were included. Treatment decisions (including whether to initiate eptinezumab, the selected dose \[e.g., 100 mg or 300 mg\], infusion interval, and duration) were made by the treating physician in consultation with the patient, and were not assigned by the study protocol. Patients were followed prospectively/retrospectively according to routine clinic visits, with outcome assessments captured at approximately 4-week intervals during the 12-week observation window (and additional follow-up when available).

Chronic MigraineEpisodic migraine

At the end of the 24th month visit, the patient is free to choose whether to conduct a face-to-face visit once a year until death.

Medicine Overuse Headache/New Daily Persistent Headache

Eligibility Criteria

Age12 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients diagnosed with primary headache (migraine, tension headache and other types of primary headache) or primary headache complicated with MOH according to ICHD-3.

You may qualify if:

  • Age ≥ 12 years old,Any gender;
  • The first onset age of primary headache was less than 50 years old(Age \<65 years at first diagnosis of chronic migraine);
  • patients with primary headache (migraine, tension headache and other types of primary headache) or primary headache complicated with MOH according to ICHD-3;
  • Sign the informed consent form.

You may not qualify if:

  • According to the ICHD-3 diagnostic criteria, there are still headaches directly related to secondary factors (except drug overuse) at the time of enrollment;
  • Those who cannot be diagnosed as primary headache or primary headache combined with medication overuse headache according to ICHD-3;
  • According to DSM-V diagnostic criteria, patients with severe mental diseases (such as schizophrenia, mental disorders associated with mental retardation, etc.);
  • Patients with severe organic diseases, such as malignant tumors, and the expected survival time is less than 1 year;
  • Pregnant,planning pregnancy or Lactating women;
  • Subjects participating in other clinical trials;
  • Unable to cooperate to complete the follow-up due to geographical or other reasons

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (20)

Beijing Tiantan Hospital, Capital Medical University

Beijing, Beijing Municipality, 100070, China

RECRUITING

Beijing Chaoyang Hospital

Beijing, Beijing Municipality, China

RECRUITING

Chongqing People's Hospital

Chongqing, Chongqing Municipality, China

RECRUITING

Fujian Provincial Hospital

Fuzhou, Fujian, China

RECRUITING

The First Affiliated Hospital of Guangxi University of Chinese Medicine

Nanning, Guangxi, China

RECRUITING

The First People's Hospital of Zunyi

Zunyi, Guizhou, China

RECRUITING

Ruijin-Hainan Hospital Shanghai Jiao Tong University School Of Medicine

Qionghai, Hainan, China

RECRUITING

Zhangjiakou First Hospital

Zhangjiakou, Hebei, China

RECRUITING

Luohe Central Hospital

Luohe, Henan, China

RECRUITING

Luoyang Central Hospital

Luoyang, Henan, China

RECRUITING

The Second Affiliated Hospital of Henan University of Science and Technology

Luoyang, Henan, China

RECRUITING

The 7th People's Hospital of Zhengzhou

Zhengzhou, Henan, China

RECRUITING

Changzhou First People's Hospital

Changzhou, Jiangsu, China

RECRUITING

Jiujiang First People's Hospital

Jiujiang, Jiangxi, China

RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

RECRUITING

Huludao Central Hospital

Huludao, Liaoning, China

RECRUITING

Zibo Municipal Hospital

Zibo, Shandong, China

RECRUITING

Dachuan District People's Hospital

Dazhou, Sichuan, China

RECRUITING

Deyang People's Hospital

Deyang, Sichuan, China

RECRUITING

The First People's Hospital of Guangyuan

Guangyuan, Sichuan, China

RECRUITING

Related Publications (3)

  • Xiong Z, Qiu D, Liang J, Li X, Guo Z, Zhang M, Liu G, Gao T, Wang Y. Disrupted functional network topology in tension-type headache: A cross-sectional magnetoencephalography study. Cephalalgia. 2025 Oct;45(10):3331024251386425. doi: 10.1177/03331024251386425. Epub 2025 Oct 15.

  • Wang W, Qiu D, Mei Y, Bai X, Yuan Z, Zhang X, Xiong Z, Tang H, Zhang P, Zhang Y, Yu X, Wang Z, Ge Z, Sui B, Wang Y. Altered functional connectivity of brainstem nuclei in new daily persistent headache: Evidence from resting-state functional magnetic resonance imaging. CNS Neurosci Ther. 2024 Mar;30(3):e14686. doi: 10.1111/cns.14686.

  • Wang W, Yuan Z, Zhang X, Bai X, Tang H, Mei Y, Qiu D, Zhang Y, Zhang P, Zhang X, Zhang Y, Yu X, Sui B, Wang Y. Mapping the aberrant brain functional connectivity in new daily persistent headache: a resting-state functional magnetic resonance imaging study. J Headache Pain. 2023 Apr 26;24(1):46. doi: 10.1186/s10194-023-01577-2.

Biospecimen

Retention: SAMPLES WITH DNA

Whole Blood;serum; Saliva; Feces; Urine; Cerebral Spinal Fluid

MeSH Terms

Conditions

Headache Disorders, PrimaryMigraine DisordersHeadache Disorders, SecondaryTension-Type HeadacheTrigeminal Autonomic Cephalalgias

Interventions

erenumabeptinezumab

Condition Hierarchy (Ancestors)

Headache DisordersBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Central Study Contacts

Yong Gang Wang, Doctor

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
1 Month
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

January 20, 2022

First Posted

April 19, 2022

Study Start

August 29, 2022

Primary Completion (Estimated)

December 31, 2031

Study Completion (Estimated)

December 31, 2032

Last Updated

January 15, 2026

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will share
Shared Documents
CSR

Locations