Migraine
Conditions
Keywords
headache
Brief summary
The goal of this study is to determine whether timolol eye drops are effective in alleviating acute migraine headaches. Subjects will be randomized to receive either timolol eye drops or placebo (tears) to use as a migraine abortive medication.
Interventions
eye drops
Placebo drop
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of migraine headache
Exclusion criteria
* Non-migraine headache * Use of systemic beta-blocker * Medical history of hypotension, bradycardia, syncope or other significant cardiovascular disease * Medical history of difficulty breathing, asthma or chronic obstructive pulmonary disease or other pulmonary disease * Medical history of glaucoma, ocular hypertension or hypotony, punctual stenosis, current use of other ophthalmic medications * Previous adverse reaction to timolol or other beta-blockers * Inability to self-administer eye drop due to physical or cognitive disorders * Currently pregnant or breastfeeding * Pregnant in the past year * Non-english speaker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timolol Eye Drops in the Treatment of Acute Migraine Headache | 4 months | Percent of migraine attacks at 0 or 1 on the 4-point Rating Scale recommended by the International Headache Society: 0: no headache 1. mild headache 2. moderate headaches 3. severe headache |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Timolol Eye Drops First Treatment with timolol eye drops at the onset of an acute migraine headache for the first 2 months, then a 4 day washout period, followed by Artificial tears at the onset of an acute migraine headache for the next 2 months.
Subjects instill one drop of the solution at the onset of headache into both eyes. Subjects may repeat with one more drop into each eye after 30 minutes. | 4 |
| Artifical Tears First Treatment with artificial eye drops at the onset of an acute migraine headache for the first 2 months, then a 4 day washout period, followed by timolol eye drops at the onset of an acute migraine headache for the next 2 months.
Subjects instill one drop of the solution at the onset of headache into both eyes. Subjects may repeat with one more drop into each eye after 30 minutes. | 6 |
| Total | 10 |
Baseline characteristics
| Characteristic | Timolol Eye Drops First | Artifical Tears First | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 1 Participants | 1 Participants |
| Age, Categorical Between 18 and 65 years | 4 Participants | 5 Participants | 9 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 3 Participants | 6 Participants | 9 Participants |
| Region of Enrollment United States | 4 Participants | 6 Participants | 10 Participants |
| Sex: Female, Male Female | 4 Participants | 4 Participants | 8 Participants |
| Sex: Female, Male Male | 0 Participants | 2 Participants | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 10 | 0 / 10 |
| other Total, other adverse events | 0 / 10 | 0 / 10 |
| serious Total, serious adverse events | 0 / 10 | 0 / 10 |
Outcome results
Timolol Eye Drops in the Treatment of Acute Migraine Headache
Percent of migraine attacks at 0 or 1 on the 4-point Rating Scale recommended by the International Headache Society: 0: no headache 1. mild headache 2. moderate headaches 3. severe headache
Time frame: 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Timolol Eye Drops | Timolol Eye Drops in the Treatment of Acute Migraine Headache | 78 percentage of migraine attacks at 0 or 1 | Standard Deviation 31 |
| Artificial Tears | Timolol Eye Drops in the Treatment of Acute Migraine Headache | 67 percentage of migraine attacks at 0 or 1 | Standard Deviation 30 |