Official Title: Trial Designs for Evaluating Migraine Treatment
Status: NOT_YET_RECRUITING
Status Verified Date: 2024-09
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The study aims to estimate treatment effects in randomized controlled trials RCT and a balanced placebo design BPD to specify how contextual and psychological factors interact in acute migraine treatment and influence adverse event occurrence Using a clinical within-subjects design patients with episodic migraine will receive six treatment conditions in a randomized order
Detailed Description: The existing paradigm for testing the effect of treatments is the double-blind RCT comparing an active drug to an inactive placebo This comparison is done in order to control for contextual and psychological factors such as the patients treatment expectations - a key factor in placebo responses However recent study results have indicated that some assumptions underlying the RCT may be incorrect and may lower the assay sensitivity and miscalculate the actual drug response The so-called balanced placebo design targets the shortcomings of the RCT by balancing the information given to the patients correct or false with the actual treatment administered active treatment or placebo In this project the aim is to examine if the magnitude of the drug effect differs when estimated based on the RCT design and when based on BPD conditioning on the information provided to the recipient Additionally it will also be tested if active drug response and the placebo response interact in acute migraine treatment
Patients suffering from episodic migraine will go through six treatment conditions in randomized order They will receive acute migraine treatment a sumatriptan pill or inactive treatment a placebo pill in the event of a developing migraine attack Using a clinical within-subjects design the patients receive 1 sumatriptan or 2 placebo and are told that they receive a sumatriptan or placebo b sumatriptan or c placebo All treatments and accompanying treatment descriptions will be administered at home