UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061550
Receipt number R000070224
Scientific Title Clinical quantitative analysis of Gosyuyutou and acute and preventive medication for the patient with migraine
Date of disclosure of the study information 2026/05/13
Last modified on 2026/05/13 11:43:18

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Basic information

Public title

Clinical quantitative analysis of Gosyuyutou and acute and preventive medication for the patient with migraine

Acronym

Clinical quantitative analysis of Gosyuyutou and acute and preventive medication for the patient with migraine

Scientific Title

Clinical quantitative analysis of Gosyuyutou and acute and preventive medication for the patient with migraine

Scientific Title:Acronym

Clinical quantitative analysis of Gosyuyutou and acute and preventive medication for the patient with migraine

Region

Japan


Condition

Condition

migraine

Classification by specialty

Neurology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The prevalence of migraine in Japan is approximately 8%, indicating a very large patient population. Numerous Western medicines are available for both acute and preventive treatment of migraine, and most of them have undergone scientific comparison with placebo in phase III multicenter clinical trials. Only those that demonstrated statistically significant efficacy have been approved and marketed.
Goshuyuto, a traditional Kampo formula, is also prescribed for migraine; however, it has not been evaluated using clinical trial standards equivalent to those applied to Western medicines. To enable a valid comparison with Western drugs, assessment based on the same criteria is essential.
In this study, we will quantitatively evaluate the effects of Goshuyuto at three time points: during acute attacks, for prevention, and at the onset of prodromal symptoms.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Acute Treatment Arm: For acute treatment, patients will take one packet (2.5 g) of Goshuyuto within one hour after migraine onset. The primary endpoints are headache resolution or improvement at 2 hours after administration, as well as adverse events. These will be self evaluated by patients and recorded on study-specific forms. Secondary endpoints include headache resolution or improvement at 1 hour, adverse events occurring after 2 hours, same day headache recurrence, and the need for additional medication. Each patient will record three migraine attacks.
Preventive Treatment Arm: For preventive therapy, patients will take one packet (2.5 g) of Goshuyuto three times daily, in principle before meals. Treatment will be continued for at least three months, during which patients will complete a headache diary. Monthly headache days, adverse events, HIT 6 scores, and medication adherence will be aggregated. If treatment is discontinued within three months, data up to the point of discontinuation will be analyzed, and the reason for discontinuation will be documented. For patients who continue treatment beyond three months, the study will transition into a long-term extension phase, and monthly headache days, adverse events, HIT-6 scores, and other outcomes will be collected whenever possible. Data from patients who discontinue during the long-term phase will also be aggregated to evaluate the impact of discontinuation.
Prodrome-Triggered Treatment Arm: For prodrome-triggered use, patients will take the medication when they perceive prodromal symptoms. Improvement or resolution of prodromal symptoms at 1 and 2 hours after administration, as well as the preventive effect on subsequent headache attacks, will be evaluated. Patients will record prodromal symptoms and outcomes on designated forms.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

oral intake of Gosyuyuto

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients diagnosed with migraine by a headache specialist according to the International Classification of Headache Disorders, 3rd edition (ICHD 3), whose attending physician judges them to have kyo sho (deficiency pattern), and who consent to taking Goshuyuto, undergoing its evaluation, completing a headache diary, and participating in the study will be included. There are no restrictions on age or sex.
For the preventive arm, only patients with at least 2 months of headache diary data before treatment initiation will be eligible. For the prodrome-triggered arm, only patients who are able to recognize prodromal symptoms will be included. Prodromal symptoms are defined as photophobia, phonophobia, osmophobia, fatigue, dizziness, and similar manifestations.

Key exclusion criteria

Patients whom the attending physician judges to be inappropriate for participation in this study will be excluded.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Yasushi
Middle name
Last name Shibata

Organization

University of Tsukuba, Mito Medical Center, Mito Kyodo General Hospital

Division name

Department of Neurosurgery/Headache Clinic

Zip code

3100015

Address

Mito, Ibaraki, 310-0015, Japan

TEL

0292312371

Email

yshibata@md.tsukuba.ac.jp


Public contact

Name of contact person

1st name Yasushi
Middle name
Last name Shibata

Organization

University of Tsukuba, Mito Medical Center, Mito Kyodo General Hospital

Division name

Department of Neurosurgery/Headache Clinic

Zip code

3100015

Address

Mito, Ibaraki, 310-0015, Japan

TEL

029231-2371

Homepage URL


Email

yshibata@md.tsukuba.ac.jp


Sponsor or person

Institute

University of Tsukuba, Mito Medical Center, Mito Kyodo General Hospital

Institute

Department

Personal name



Funding Source

Organization

University of Tsukuba, Mito Medical Center, Mito Kyodo General Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

University of Tsukuba, Mito Medical Center, Mito Kyodo General Hospital

Address

Mito, Ibaraki, 310-0015, Japan

Tel

0292312371

Email

yshibata@md.tsukuba.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 05 Month 13 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2026 Year 04 Month 22 Day

Date of IRB

2026 Year 05 Month 01 Day

Anticipated trial start date

2026 Year 05 Month 13 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 05 Month 13 Day

Last modified on

2026 Year 05 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070224