The headache-inducing effects of cilostazol in men and women with migraine without aura

2025-521520-29-00 Phase I and Phase II (Integrated) - Other Ongoing, recruiting

Start 21 Nov 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruiting
Participants planned 29
Countries 1
Sites 1

Migraine

The main objective of this study is to investigate the role of the intracellular messenger cAMP in migraine by exploring potential sex-related differences in the response to cilostazol in individuals with migraine.

Key facts

Sponsor
Syddansk Universitet (University of Southern Denmark)
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
21 Nov 2025 → ongoing
Decision date (initial)
2025-06-20
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Oda og Hans Svenningsens Fond

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

The main objective of this study is to investigate the role of the intracellular messenger cAMP in migraine by exploring potential sex-related differences in the response to cilostazol in individuals with migraine.

Conditions and MedDRA coding

Migraine

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Healthy men and women with a diagnosis of episodic migraine without aura according to the International Classification
  2. Age: 18-65 years
  3. Weight: 50-100 kg
  4. Safe contraception (including hormonal therapies, intrauterine devices and/or oral pills) for women during the entire period of the study
  5. Fluency in Danish or English

Exclusion criteria 14

  1. Any other type of headache (excluding < 3 days of tension-type headache per month), according to the International Classification
  2. Concomitant use of anticoagulants, antiaggregants and drugs that inhibit CYP3A4 and CYP2C19 activity
  3. Positive pregnancy test at the Screening and/or before the start of the experiment
  4. Known allergy to any component of cilostazol “Aliud”
  5. Member of investigational site staff or relative of investigators
  6. Headache less than 24 hours before the start of the experiment
  7. Drinking coffee, cola or alcohol less than 8 hours before the start of the experiment
  8. Assumption of analgesic medications in the 24 hours preceding the experimental days
  9. Hypertension (> 150/100 mmHg) or hypotension (< 90/50 mmHg) at the Screening Visit
  10. History or clinical signs of cardiovascular disease, cardiac arrhythmia, unstable angina pectoris, impaired liver function and/or kidney function
  11. Recent history of myocardial infarction or major cardiac surgery
  12. Anamnestic or clinical signs of mental illness, abuse or smoking
  13. Anamnestic or clinical signs of diseases of any kind considered by the investigating physician relevant for participation in the study
  14. Use of concomitant medications that have changed in dosage within 14 days prior to screening or are expected to change during the study period

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. The difference in the incidence of migraine-like attacks during the entire observational period (until 12 hours post-administration) between cilostazol- and placebo-treated men with migraine without aura
  2. The difference in the incidence of migraine-like attacks during the entire observational period (until 12 hours post-administration) between cilostazol-treated men and women with migraine without aura

Secondary endpoints 3

  1. The difference in the incidence of headache during the entire observational period (until 12 hours post-administration) between cilostazol- and placebo-treated men with migraine without aura
  2. Difference in heart rate and mean arterial pressure until 90 minutes post-administration between cilostazol- and placebo-treated men with migraine without aura
  3. Difference in the incidence of adverse events during the entire observational period (until 12 hours post-administration) between cilostazol- and placebo-treated men with migraine without aura

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Cilostazol AL 100 mg Tabletten

PRD1863912 · Product

Active substance
Cilostazol
Pharmaceutical form
TABLET
Route of administration
ORAL
Authorisation status
Authorised
ATC code
B01AC23 — -
Marketing authorisation
89798.00.00
MA holder
ALIUD PHARMA GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

White, round, convex tablets with a diameter of 8 mm containing no active pharmaceutical ingredient. The composition (per 1000 tablets) includes lactose monohydrate (85 g), potato starch (86 g), gelatin A (3 g), purified water (72 g) and magnesium stearate (0.9 g), talc (8.1 g).

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
Route of administration
ORAL
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The preparation of placebo is performed at the hospital pharmacy of Herlev.

Auxiliary 2

Ibuprofen Teva 400 mg, omhulde tabletten

PRD590961 · Product

Active substance
Ibuprofen
Pharmaceutical form
COATED TABLET
Route of administration
ORAL
Authorisation status
Authorised
ATC code
M01AE01 — IBUPROFEN
Marketing authorisation
RVG 09590
MA holder
TEVA NEDERLAND B.V.
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sumatriptan Accord 100 mg, filmomhulde tabletten

PRD1168824 · Product

Active substance
Sumatriptan Succinate
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Authorisation status
Authorised
ATC code
N02CC01 — SUMATRIPTAN
Marketing authorisation
RVG 113184
MA holder
ACCORD HEALTHCARE B.V.
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Syddansk Universitet (University of Southern Denmark)

Sponsor organisation
Syddansk Universitet (University of Southern Denmark)
Address
Campusvej 55
City
Odense M
Postcode
5230
Country
Denmark

Scientific contact point

Organisation
Syddansk Universitet (University of Southern Denmark)
Contact name
Lanfranco Pellesi

Public contact point

Organisation
Syddansk Universitet (University of Southern Denmark)
Contact name
Lanfranco Pellesi

Third parties 1

OrganisationCity, countryDuties
Odense University Hospital
ORG-100007716
Odense C, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 29 1
Rest of world 0

Investigational sites

Denmark

1 site · Ongoing, recruiting
Syddansk Universitet (University of Southern Denmark)
Clinical Pharmacology, Pharmacy and Environmental Medicine, Campusvej 55, 5230, Odense M

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2025-11-21 2025-12-08

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 11 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_ Protocol 2025-521520-29-00_signed 1
Protocol (for publication) D4_ Appendix 1_Hovedpineskema_0-90 1
Protocol (for publication) D4_ Appendix 2_Hovedpineskema_derhjemme 1
Protocol (for publication) D4_ Appendix 3_Raskscreeningsark 1
Recruitment arrangements (for publication) K1_ Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_ ICF adults 1
Subject information and informed consent form (for publication) L2_ Information leaflet men 2
Subject information and informed consent form (for publication) L2_ Information leaflet women 2
Subject information and informed consent form (for publication) L2_ Information rettigheder 1
Summary of Product Characteristics (SmPC) (for publication) G2_ Cilostazol_AL_SmPC 1
Synopsis of the protocol (for publication) D1_ Protocol synopsis 2025-521520-29-00 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-03-29 Denmark Acceptable
2025-06-20
2025-06-20