NCT03511846

Pain Biomarker Study

Enrolling by Invitation
PHASE1Ages 18+InterventionalBasic science
The University of Texas Health Science Center, Houston
~371 participants
Updated 2026-02-18 on ClinicalTrials.gov
What's tested:Oral capsaicinTopical capsaicinIntranasal capsaicinCold Water IrrigationMedical AirLow Flow Oxygen

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Activation of trigeminoautonomic reflex as assessed by change in Calcitonin gene-related peptide (CGRP) levels from before stimulation to after stimulation.
Measured over 10 minutes before pain stimulation and 10 minutes, 20 minutes, 30 minutes, 60 minutes, and 90 minutes after pain stimulation
+1 more outcome measured
Migraine
Cluster Headache
Trigeminal Autonomic Cephalgia
Hemicrania Continua
Paroxysmal Hemicrania
SUNCT
Short-Lasting Unilateral Neuralgiform Headache With Conjunctival Injection and Tearing
1 sites across 1 states
Texas1
  • Mark Burish, MD PhD · PRINCIPAL_INVESTIGATOR · The University of Texas Health Science Center, Houston

This trial hasn't published a contact. View it on ClinicalTrials.gov

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Eligibility criteria

Inclusion

Diagnosis of one of the following: a. Diagnosis of a primary headache disorder according to the International Headache Classification, including migraine with aura, migraine without aura, chronic migraine, tension headache, cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA), and hemicrania continua; b. Diagnosed by a pain medicine physician with lumbar radiculopathy (possibly including neuropathic features, nerve impingement on MRI, or electromyography (EMG) report suggestive of lumbar radiculopathy); or c. Healthy control subject with no history of debilitating headaches or debilitating back pain / radiculopathy pain, and no headaches or back pain within the previous 3 months.
Able to provide HIPAA authorization to share prior medical records/imaging
Age 18 and older

Exclusion

The following items exclude the subject from all portions of the study: a. Known history of cardiovascular or neurovascular diseases. These diseases may include carotid stenosis of \>50%, vertebral stenosis, peripheral vascular disease, angina or myocardial infarction, stroke, or vascular malformations; b. History of brain tumors or epilepsy; c. Active pregnancy or lactation; d. Daily cigarette, tobacco or nicotine use; e. Life expectancy less than 1 year, co-existing disease or other characteristic that precludes appropriate diagnosis of headache or spine pain; f. Active drug / alcohol use or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements; or g. Inability or unwillingness of subject to give informed consent (e.g., ward of the state)
The following items exclude the subject only from the capsaicin portion of the study: a. Known allergy to capsaicin or hot peppers
The following items exclude the subject only from the oxygen portion of the study: a. Pulmonary or other non-headache diseases that require the use of supplemental oxygen
The following items exclude the subject only from the cold water irrigation (ice water) portion of the study: a. Trauma, fractures, or congenital abnormalities of the soft palate
  • Activation of trigeminoautonomic reflex as assessed by change in Calcitonin gene-related peptide (CGRP) levels from before stimulation to after stimulation.10 minutes before pain stimulation and 10 minutes, 20 minutes, 30 minutes, 60 minutes, and 90 minutes after pain stimulation
  • Activation of trigeminoautonomic reflex as assessed by tear fluid production90 minutes after pain stimulation

    The amount of tear fluid after each intervention will be measured via Schirmer strips