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The use of Zoely for menstrually-related migraine

The safety, tolerability and efficacy of Zoely (nomegestrol acetate/estradiol) for participants diagnosed with menstrually-related migraine

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12625000644460
Enrollment
2
Registered
2025-06-18
Start date
2026-05-12
Completion date
2027-07-31
Last updated
2026-07-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Migraine is a significant problem that predominantly affects young women. Hormonal changes associated with menstruation can be a trigger for migraine flares. We are investigating the use of a combined estrogen/progesterone contraceptive pill to see whether it is safe, well-tolerated and effective in treating the symptoms of menstrually-related migraine.

Interventions

Zoely oral contraceptive pill (estradiol 2.5mg/ nomegestrol acetate 1.5mg) daily for 12 weeks. Adherence will be monitored through monthly telephone calls by investigators to each participant.

Sponsors

Monash University
Lead SponsorUniversity

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to 40 Years
Healthy volunteers
No

Inclusion criteria

Aged 18-40 years at time of enrolment, current diagnosis of MRM without aura (ICHD-3 criteria), no change in migraine treatment in the preceding 3 months prior to enrolment and for the duration of the study, and no contraindications to hormonal therapy.

Exclusion criteria

Aged over 40 years, migraine with aura, history of ischemic cerebral infarct/ stroke, history of thrombosis or blood clots, known disorder affecting blood clotting, history of breast, uterine or ovarian cancer, undiagnosed vaginal bleeding, liver disease, opioid medication overuse, pregnancy or plans to become pregnant during study period, or currently breastfeeding.

Outcome results

None listed

Source: ANZCTR · Data processed: Jul 23, 2026