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This study examines the effect of a ketone supplement (beta-hydroxybutyrate salt) compared with placebo in people with migraine. It was open to adults diagnosed with migraine who had 5 to 14 migraine days per month. It was conducted as a study with no assigned phase and has been completed.
The summary above is a plain-language rendering of the official record. The original English title is shown for reference.
Criteria are reproduced from the ClinicalTrials.gov record in the original English. Only the trial team can determine eligibility.
Inclusion Criteria: * Has been previously diagnosed with migraine (with or without aura) in accordance with the ICHD-3 Beta Classification criteria. * Experience between 5 and 14 migraine days per month (over the last 4 months). * Has age of onset of migraine less than 50 years old. * Agrees to refrain from initiating or changing the type, dosage or frequency of any prophylactic medications (exclusive of medications taken for acute relief of migraine symptoms) as well as dietary supplements (such as Q10, riboflavin etc) against migraine and for indications other than migraine that in the opinion of the clinician may interfere with the study objectives (e.g. antidepressant, anticonvulsants, beta blockers, etc.) for the duration of the study. * Has not changed type, dosage or frequency of any prophylactic medications (exclusive of medications taken for acute relief of migraine symptoms) as well as dietary supplements (such as Q10, riboflavin etc) against migraine and for indications other than migraine that in the opinion of the clinician may interfere with the study objectives (e.g. antidepressant, anticonvulsants, beta blockers, etc.) for at least 3 months prior to study onset. * Refrains to make any drastic changes to the diet for the duration of the study, including periods of fasting. * Agrees to use the study intervention as intended, follow all of the requirements of the study including follow-up visit requirements, record required study data in the subject dairy and other self-assessment questionnaires and is okay with drawing blood samples. * Is able to provide written Informed Consent. Exclusion Criteria: * Has a concomitant medical condition that will require oral or injectable steroids during the study. * Has a history of any significant neurological, psychiatric or other medical condition that in the opinion of the investigator may confound the study assessments, liver and kidney diseases in particular. * Is currently treated for a thyroid disease or has a history thereof. * Has a cardiovascular disease (hypertension in particular) or a history thereof. * Has a known history of suspected secondary headache. * Currently takes simple analgesics or non-steroidal anti-inflammatory drugs (NSAIDs) greater then 14 days per month or triptans greater than 10 days per month for headaches or other body pain. * Currently takes prescription opioids. * Has previous diagnosis of medication overuse headache (MoH) , which has reverted to episodic migraine within the last 6 months. * Meets the ICHD-3 Beta Classification criteria for chronic migraine (\> 15 headache days per month). * Has failed an adequate trial (two months or greater) of at least 3 classes of a drug therapy for the prophylaxis of migraine . * Has had surgery for migraine prevention. * Has received Botox injections within the last 6 months. * Is pregnant or thinking of becoming pregnant during the study period, or of childbearing years and is unwilling to use and accepted form of birth control. * Is participating in any other therapeutic clinical investigation or has participated in a clinical trial in the preceding 30 days. * Belongs to a vulnerable population or has any condition such that his or her ability to provide informed consent, comply with the follow-up requirements, or provide self- assessments is compromised (e.g. homeless, developmentally disabled and prisoner). * Is thinking to start, change or stop a hormone-based contraception.