AI-Powered Neurology Evidence Search
AI-Powered Neurology Evidence Search

Headache Trials

September 2026 · 20 Trials · NeuroTrials.ai
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In adults with migraine eligible for oral prophylaxis, does atogepant 60 mg once daily provide superior tolerability and efficacy compared with topiramate at the highest tolerated dose?

TEMPLE

Tolerability, safety, and efficacy of atogepant versus topiramate in adults with migraine (TEMPLE): a randomised, head-to-head, phase 3b trial

The Lancet Neurology · 2026

Bottom Line: In a mixed episodic/chronic migraine population, atogepant 60 mg once daily produced far fewer TEAE-related discontinuations than topiramate over 24 weeks (12% vs 30%; RR 0·4) and was superior on all six ranked secondary efficacy/functional endpoints, including ≥50% MMD response (64% vs 39%), MMD reduction (−6·3 vs −4·5), HIT-6, MSQ-RFR,…

RISK FACTOR / LIFESTYLE 1

Is higher digital screen exposure associated with greater migraine or headache burden (risk, frequency, severity, disability) in adolescents and adults?

DSE-Migraine-MA

2026

MIGRAINE PREVENTION 2

In adults with migraine eligible for oral prophylaxis, does atogepant 60 mg once daily provide superior tolerability and efficacy compared with topiramate at the highest tolerated dose?

TEMPLE

2026

COMPETE

2026

In patients with migraine and PFO, rivaroxaban was superior to metoprolol for migraine responder rate (78.4% vs 61.8%; absolute difference 16.2%, P<0.001), while aspirin and clopidogrel were non-infer...

ACUTE MIGRAINE TREATMENT 1

PED-DEX

2026

In this small single-center RCT, adjunctive IV dexamethasone did not reduce 48-h migraine relapse or improve pain, functional recovery, or health-care use in children and adolescents.

HEADACHE PATHOPHYSIOLOGY / PROVOCATION 1

IIH Provoke

2026

IV CGRP triggered typical IIH headache attacks in 71% vs 18% with placebo (P=0.004) and increased ICP pulse amplitude without changing mean ICP, supporting a CGRP-mediated mechanism for IIH headache a...

TRIGEMINAL NEURALGIA 1

Is IV fosphenytoin superior to placebo in reducing pain intensity at 120 minutes in patients with acute trigeminal neuralgia exacerbations?

IV Fosphenytoin for Trigeminal Neuralgia

2026

MIGRAINE 5

Is vaporized cannabis effective for the acute treatment of migraine attacks?

Cannabis for Acute Migraine

2026

Does a single intravenous infusion of Lu AG09222, an anti-PACAP monoclonal antibody, reduce migraine days in patients with prior preventive treatment failures?

HOPE

2024

Is vaporized cannabis (THC-dominant, CBD-dominant, or THC+CBD) superior to placebo for the acute treatment of migraine attacks?

CANNABIS MIGRAINE

2024

Is CGRP inhibitor use associated with an increased risk of cardiovascular events in patients with migraine?

CGRP-CV

2026

Can a CGRP antibody actually prevent migraines in children and teens?

SPACE - Fremanezumab Pediatric

2026

CHRONIC MIGRAINE 3

Which treatment strategy—withdrawal, prevention (oral, anti-CGRP, botulinum toxin), education, neurostimulation, or combinations—is most effective at reducing monthly headache days in patients with medication-overuse headache?

MOH NMA Liu 2025

2025

Does adding a 28-day prednisone taper to galcanezumab improve outcomes in medication overuse headache compared with either treatment alone?

Steroids + Galcanezumab for MOH

2025

Is atogepant effective for preventive treatment of chronic migraine in patients with and without acute medication overuse?

PROGRESS

2024

CLUSTER HEADACHE 2

Do anti-CGRP monoclonal antibodies effectively prevent attacks in episodic and chronic cluster headache?

KOLAKOWSKI ET AL 2026 EFFICACY

2026

Can a CGRP antibody prevent episodic cluster headache attacks?

GALiC

2019

CLUSTER HEADACHE (CGRP) 1

Is eptinezumab 400 mg IV every 12 weeks safe, tolerable, and effective for long-term prevention of chronic cluster headache?

CHRONICLE

2025

MIGRAINE PROPHYLAXIS 2

Does fremanezumab reduce monthly migraine days and depressive symptoms in patients with migraine and comorbid DSM-5 major depressive disorder?

UNITE

2025

Is amitriptyline an effective migraine prophylactic, and is the benefit independent of its antidepressant action?

Amitriptyline Couch

1976

MIGRAINE 1

Does eptinezumab combined with brief patient education reduce migraine burden more than placebo plus patient education in adults with chronic migraine and medication-overuse headache?

RESOLUTION

2026