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Adenosine is a nucleoside that plays a role in both vascular and nociceptive systems, and it has been proposed that adenosine may cause headache in particularly sensitive subjects.
Thus, considerable evidence implied that adenosine plays a role in migraine pathophysiology, it is still unknown if intravenous adenosine infusion provokes migraine attacks in healthy subject or in migraine patients. Furthermore, adenosine's effects on the cerebral hemodynamic remains unknown.
This study aims to clarify a possible coherence between adenosine and headache/migraine. In general, the study will contribute to a greater understanding of migraine pathogenesis and possibly lead to development of specific migraine treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adenosine | Active Comparator |
| |
| Saline | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adenosine | Drug | To investigate the role of adenosine on cerebral hemodynamic and headache in healthy volunteers and migraine patients |
|
| Measure | Description | Time Frame |
|---|---|---|
| Occurrence and change of migraine attack | Occurrence and of migraine according to international criteria | Before (-10 minutes) and after infusion (+12 hours) of adenosine compared with before and after infusion of saline |
| Measure | Description | Time Frame |
|---|---|---|
| Change in cerebral hemodynamic | Change on velocity of media cerebri artery. | Before (-10 minutes) and after infusion (+12 hours) of adenosine compared with before and after infusion of saline |
| Occurrence and change of headache |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Messoud Ashina | Danish Headache Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rigshospitalet-Glostrup | Glostrup Municipality | Nordre Ringvej 57 | 2600 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36251971 | Derived | Thuraiaiyah J, Al-Karagholi MA, Elbahi FA, Zhuang ZA, Ashina M. Adenosine causes short-lasting vasodilation and headache but not migraine attacks in migraine patients: a randomized clinical trial. Pain. 2023 May 1;164(5):1118-1127. doi: 10.1097/j.pain.0000000000002804. Epub 2022 Oct 17. |
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| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D000241 | Adenosine |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D011684 | Purine Nucleosides |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| Saline | Drug | To investigate the role of saline on cerebral hemodynamic and headache in healthy volunteers and migraine patients |
|
Occurrence of headache measured by numerical rating scale (NRS)
| Before (-10 minutes) and after infusion (+12 hours) of adenosine compared with before and after infusion of saline |
| Change of diameter of the artery | Change of diameter of superficial temporal artery and radial artery. The diameter will be measured by millimeter (mm). | Before (-10 minutes) and after infusion (+12 hours) of adenosine compared with before and after infusion of saline |
| D009422 | Nervous System Diseases |
| D006571 | Heterocyclic Compounds |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D012263 | Ribonucleosides |
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |