Actively Recruiting

Phase 2
Age: 18Years - 80Years
All Genders
NCT04063540

Acid-Sensing Ion Channel and Migraine Disease Proof of Concept Study on the Efficacy of Amiloride in the Prophylaxis of Migraine Aura

Led by Centre Hospitalier Universitaire de Nice · Updated on 2025-12-04

40

Participants Needed

5

Research Sites

381 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Recent data suggest involvement of Acid-Sensing Ion Channel channels in the pathophysiology of migraine making these channels a therapeutic target of migraine disease. The implication of Acid-Sensing Ion Channels is discussed through Acid-Sensing Ion Channel-1 which is the most expressed Acid-Sensing Ion Channel channel subtype in the central nervous system. In a mouse model, cortical spreading depression is inhibited by different Acid-Sensing Ion Channel blockers including amiloride which is a non-selective blocker of the Acid-Sensing Ion Channel-1 channel. From a translational perspective, an efficacy of amiloride on a series of migraine patients suffering from severe aura in open conditions. The APAM study is a proof-of-concept study that aims to evaluate the effect of amiloride in the prophylaxis of migraine with aura. This is a randomized crossover study versus placebo conducted in 3 French headache centers.

CONDITIONS

Official Title

Acid-Sensing Ion Channel and Migraine Disease Proof of Concept Study on the Efficacy of Amiloride in the Prophylaxis of Migraine Aura

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of migraine with aura
  • Experience at least 1 migraine aura per month over the 3 months before joining
  • No preventive migraine treatment for at least 1 month before joining
  • Women of childbearing age must use reliable contraception from 3 months before until 1 month after the study
  • Signed written informed consent
  • Affiliated with Social Security
Not Eligible

You will not qualify if you...

  • Allergy or known hypersensitivity to amiloride
  • High potassium level (above 5.5 mmol/l)
  • Use of other potassium-increasing diuretics or potassium supplements
  • Kidney failure with clearance below 60 ml/min
  • Severe liver failure
  • Use of lithium, certain blood pressure medicines, ciclosporin, tacrolimus, or drugs causing heart rhythm problems
  • History of heart or kidney problems if over 75 years old
  • Likely non-compliance with study procedures
  • Pregnancy or breastfeeding
  • Under legal protection such as guardianship or trusteeship

AI-Screening

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Trial Site Locations

Total: 5 locations

1

Hôpital Pierre Wertheimer

Bron, France

Not Yet Recruiting

2

CHU Gabriel Montpied

Clermont-Ferrand, France

Not Yet Recruiting

3

AP-HM

Marly, France

Actively Recruiting

4

CHU de Montpellier

Montpellier, France

Actively Recruiting

5

CHU de NICE

Nice, France

Actively Recruiting

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Research Team

M

Michel LANTERI-MINET, Dr

CONTACT

S

sylvie ROMETTINO

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

2

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Acid-Sensing Ion Channel and Migraine Disease Proof of Concept Study on the Efficacy of Amiloride in the Prophylaxis of Migraine Aura | DecenTrialz