| 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 |
Clinical quantitative analysis of Gosyuyutou and acute and preventive medication for the patient with migraine
Clinical quantitative analysis of Gosyuyutou and acute and preventive medication for the patient with migraine
Clinical quantitative analysis of Gosyuyutou and acute and preventive medication for the patient with migraine
Clinical quantitative analysis of Gosyuyutou and acute and preventive medication for the patient with migraine
| Japan |
migraine
| Neurology |
Others
NO
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.
Safety,Efficacy
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.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
| Medicine |
oral intake of Gosyuyuto
| Not applicable |
| Not applicable |
Male and Female
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.
Patients whom the attending physician judges to be inappropriate for participation in this study will be excluded.
100
| 1st name | Yasushi |
| Middle name | |
| Last name | Shibata |
University of Tsukuba, Mito Medical Center, Mito Kyodo General Hospital
Department of Neurosurgery/Headache Clinic
3100015
Mito, Ibaraki, 310-0015, Japan
0292312371
yshibata@md.tsukuba.ac.jp
| 1st name | Yasushi |
| Middle name | |
| Last name | Shibata |
University of Tsukuba, Mito Medical Center, Mito Kyodo General Hospital
Department of Neurosurgery/Headache Clinic
3100015
Mito, Ibaraki, 310-0015, Japan
029231-2371
yshibata@md.tsukuba.ac.jp
University of Tsukuba, Mito Medical Center, Mito Kyodo General Hospital
University of Tsukuba, Mito Medical Center, Mito Kyodo General Hospital
Self funding
University of Tsukuba, Mito Medical Center, Mito Kyodo General Hospital
Mito, Ibaraki, 310-0015, Japan
0292312371
yshibata@md.tsukuba.ac.jp
NO
| 2026 | Year | 05 | Month | 13 | Day |
Unpublished
Open public recruiting
| 2026 | Year | 04 | Month | 22 | Day |
| 2026 | Year | 05 | Month | 01 | Day |
| 2026 | Year | 05 | Month | 13 | Day |
| 2027 | Year | 12 | Month | 31 | Day |
| 2026 | Year | 05 | Month | 13 | Day |
| 2026 | Year | 05 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070224