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Trial registered on ANZCTR
Registration number
ACTRN12618001951246
Ethics application status
Approved
Date submitted
14/11/2018
Date registered
3/12/2018
Date last updated
3/12/2018
Date data sharing statement initially provided
3/12/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Investigation of Blood-Based Biomarkers for the Diagnosis of Episodic and Chronic Migraine Compared with Healthy Non-Migraine Controls (The Migraine Blood Test Research Study)
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Scientific title
Clinical Blood-Based Biomarkers for Migraine Diagnosis
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Secondary ID [1]
296591
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Novartis Pharmaceuticals Australia Pty Ltd #CAMG334AAU01T
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Universal Trial Number (UTN)
U1111-1223-9007
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Migraine
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Condition category
Condition code
Neurological
309118
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0
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Other neurological disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Participants will complete an online questionnaire (up to approximately 20 minutes duration) about their general health and history of headaches/migraines to determine their eligibility for the study, and the experimental group to which they belong (either healthy control, episodic migraine, or chronic migraine). This may require an additional interview with the researchers (up to approximately 30 minutes duration). A single blood sample will then be obtained from each participant (up to an approximately 15 minute appointment), and the blood-based biomarkers under investigation compared between experimental groups.
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Intervention code [1]
312901
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Diagnosis / Prognosis
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Comparator / control treatment
Healthy participants with no history of migraines, and only non-problematic headaches (if any). Non-problematic headaches are defined as those that do not cause the individual to miss completely or lose productivity by half at school, work, during household duties or leisure activities.
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Control group
Active
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Outcomes
Primary outcome [1]
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Proteomic analyses and hyperspectral imaging techniques will be used to identify potential novel blood biomarkers for the diagnosis of migraine. These biomarkers are of an exploratory nature.
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Assessment method [1]
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Timepoint [1]
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At the time of blood sampling (baseline).
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Healthy Participants:
1. No history of migraine.
2. Otherwise in good general health (including only non-problematic headaches (if any)).
Migraine participants:
Diagnostic criteria will be from The International Classification of Headache Disorders, 3rd Edition; The International Headache Society, Cephalagia, 2018: 38, 1-211.
1. Episodic migraine, with or without aura, where individuals experience an average of at least 2 episodes of migraine per month in the last 3 months.
2. Chronic migraine, where individuals experience an average of at least 15 days of headache per month of which at least 8 days of migraine per month for the last 3 months. Chronic migraine participants are eligible with or without concomitant medication overuse.
3. Otherwise in good general health.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Presence of an inflammatory process, or clinically significant infection in the last 4 weeks.
2. Immunisation within the last 4 weeks.
3. Clinically significant renal, hepatic, cardiac, autoimmune disease.
4. Current use of immunosuppressant medication, such as systemic corticosteroid, hydroxychloroquine, methotrexate or azathioprine.
5. Inability to read or comprehend the written information provided.
6. Current use of medications known to affect TLR responsiveness, including amitriptyline.
7. Current pregnancy.
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Random sample
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Timing
Both
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Statistical methods / analysis
Participant sample sizes (n = 20 per group; healthy participants, episodic migraine participants, chronic migraine participants) were determined based on past clinical trial results and appropriate power calculations.
Results from the proteomic analyses and hyperspectral imaging will be entered into the statistical program, R. Machine learning and multidimensional hyperplane analysis will be undertaken to extract spectral features which are predictive of the migraine participant populations. A k-fold validation approach will be applied to the learning algorithms to allow for test and re-test reliability. Correlations will be sought between the variables and receiver operated curves to determine from which group the patient comes.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
27/08/2018
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Date of last participant enrolment
Anticipated
31/01/2019
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Actual
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Date of last data collection
Anticipated
31/01/2019
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Actual
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Sample size
Target
60
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Accrual to date
34
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Novartis Pharmaceuticals Australia Pty Ltd
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Address [1]
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54 Waterloo Road
Macquarie Park, NSW 2113
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Adelaide
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Address
North Terrace
Adelaide, SA 5005
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
300810
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Country [1]
300810
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The University of Adelaide Human Research Ethics Committee
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Ethics committee address [1]
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The University of Adelaide Research Services Office of Research Ethics, Compliance and Integrity North Terrace Adelaide, SA 5005
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Ethics committee country [1]
301913
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Australia
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Date submitted for ethics approval [1]
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21/06/2018
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Approval date [1]
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24/07/2018
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Ethics approval number [1]
301913
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H-2018-149
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Summary
Brief summary
There are currently no objective ways to diagnose migraine and there is no way to determine what underpins the origins of migraine in each individual. This leaves doctors and migraine sufferers without the key information that would allow for optimal treatment selection and specific diagnosis. What is needed is a simple test that can diagnose migraine patients from people without migraine and can guide treatment selection. This study will therefore explore whether some new technologies may be useful as a blood test(s) to diagnose migraine.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Paul Rolan
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Address
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Level 3, Helen Mayo North
The University of Adelaide
Frome Road
Adelaide, SA 5005
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Country
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Australia
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Phone
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+61 8 83030599
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Paul Rolan
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Address
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Level 3, Helen Mayo North
The University of Adelaide
Frome Road
Adelaide, SA 5005
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Country
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Australia
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Phone
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+61 8 83130599
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Mark Hutchinson
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Address
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Level 3 The Braggs
The University of Adelaide
North Terrace
Adelaide, SA 5005
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Country
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Australia
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Phone
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+61 8 83130322
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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