UK clinical trials - updated daily from ClinicalTrials.gov
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Neurological

Migraine Clinical Trials in the UK

Find clinical trials for migraine in the United Kingdom. Explore treatment pathways including CGRP inhibitors, Botox, and novel acute and preventive therapies.

Understanding Migraine

Migraine affects ~10 million people in the UK (~15% of the population). It is much more than a headache - causing intense head pain, nausea, sensitivity to light and sound, and sometimes visual disturbances (aura). Chronic migraine (≥15 days/month) affects ~2% of the population and is one of the most disabling conditions globally. It is the 6th highest cause of years lost to disability worldwide.

CGRP Inhibitors - A Game Changer

CGRP (calcitonin gene-related peptide) inhibitors have transformed migraine treatment. Preventive CGRP antibodies: erenumab (Aimovig), fremanezumab (Ajovy), galcanezumab (Emgality) - monthly or quarterly injections. NICE recommends these for chronic or episodic migraine after 3+ preventive medication failures. Acute CGRP antagonists (gepants): rimegepant (Piqray), atogepant - oral tablets that stop migraine attacks without causing medication overuse headache.

Treatment Pathway

Acute treatments: triptans (sumatriptan, rizatriptan) for attacks, combined with NSAIDs. Preventive treatments: beta-blockers (propranolol), antidepressants (amitriptyline), anticonvulsants (topiramate), or CGRP antibodies. For chronic migraine: Botox (onabotulinumtoxinA, 31 injections every 12 weeks) - NICE approved. Newer options: neuromodulation devices (Cefaly, gammaCore) and CGRP gepants.

Clinical Trial Opportunities

Active UK migraine trials include: next-generation CGRP inhibitors with longer dosing intervals, dual-action gepants, novel preventive targets (PACAP, oxytocin), precision medicine approaches, neuromodulation devices, and digital therapies. The National Migraine Centre and NHS headache clinics are key trial sites.

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