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Trial Review
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12625000644460p
Ethics application status
Submitted, not yet approved
Date submitted
29/05/2025
Date registered
18/06/2025
Date last updated
18/06/2025
Date data sharing statement initially provided
18/06/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
The use of Zoely for menstrually-related migraine
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Scientific title
The safety, tolerability and efficacy of Zoely (nomegestrol acetate/estradiol) for participants diagnosed with menstrually-related migraine
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Secondary ID [1]
314555
0
Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Menstrually-related migraine
337657
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Condition category
Condition code
Neurological
333990
333990
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0
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Other neurological disorders
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Reproductive Health and Childbirth
333991
333991
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0
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Menstruation and menopause
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Zoely oral contraceptive pill (estradiol 2.5mg/ nomegestrol acetate 1.5mg) daily for 12 weeks. Adherence will be monitored through monthly telephone calls by investigators to each participant.
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Intervention code [1]
331182
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Treatment: Drugs
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Composite primary outcome of safety and tolerability
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Assessment method [1]
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Proportion of participants remaining on therapy after 12 weeks
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Timepoint [1]
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Baseline and 12 weeks after intervention
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Primary outcome [2]
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Adverse events
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Assessment method [2]
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Patient self-reported adverse events will be entered into study-specific adverse event questionnaires
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Timepoint [2]
341654
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Follow up will occur each month of the intervention (baseline, month 1, month 2, month 3, project closure). The baseline visit is required to be face-to-face but subsequent follow up can occur via telephone review per patient preference
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Secondary outcome [1]
448208
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Change to monthly headache days from baseline
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Assessment method [1]
448208
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Change to monthly headache days using headache diary
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Timepoint [1]
448208
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Baseline and 12 weeks after intervention
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Secondary outcome [2]
448211
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Change to number of days of acute analgesic use
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Assessment method [2]
448211
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Change to number of days of acute medication use using headache and analgesic diary
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Timepoint [2]
448211
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Baseline and 12 weeks after intervention
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Secondary outcome [3]
448212
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Quality of life
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Assessment method [3]
448212
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Instruments will monitor migraine disability (HIT-6, MIDAS), mood (PHQ9, GAD7) and general quality of life (EQ5D).
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Timepoint [3]
448212
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Baseline and end of 12 weeks intervention
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Secondary outcome [4]
448654
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Change to monthly migraine days from baseline
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Assessment method [4]
448654
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Change to monthly migraine days from baseline using headache diary
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Timepoint [4]
448654
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Baseline and 12 weeks after intervention
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Eligibility
Key inclusion criteria
Aged 18-40 years at time of enrolment, current diagnosis of MRM without aura (ICHD-3 criteria), no change in migraine treatment in the preceding 3 months prior to enrolment and for the duration of the study, and no contraindications to hormonal therapy.
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Aged over 40 years, migraine with aura, history of ischemic cerebral infarct/ stroke, history of thrombosis or blood clots, known disorder affecting blood clotting, history of breast, uterine or ovarian cancer, undiagnosed vaginal bleeding, liver disease, opioid medication overuse, pregnancy or plans to become pregnant during study period, or currently breastfeeding.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1 / Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2025
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Actual
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Date of last participant enrolment
Anticipated
31/07/2027
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Actual
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Date of last data collection
Anticipated
31/10/2027
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
27981
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The Alfred - Melbourne
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Recruitment postcode(s) [1]
44177
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3004 - St Kilda Road Melbourne
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Recruitment postcode(s) [2]
44178
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3004 - Melbourne
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Funding & Sponsors
Funding source category [1]
319105
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Hospital
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Name [1]
319105
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The Alfred
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Address [1]
319105
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Country [1]
319105
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Australia
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Funding source category [2]
319110
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University
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Name [2]
319110
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Monash University
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Address [2]
319110
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Country [2]
319110
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Australia
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Primary sponsor type
University
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Name
Monash University
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Address
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Country
Australia
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Secondary sponsor category [1]
321574
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None
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Name [1]
321574
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Address [1]
321574
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Country [1]
321574
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
317702
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Alfred Hospital Ethics Committee
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Ethics committee address [1]
317702
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https://www.alfredhealth.org.au/research/ethics-research-governance
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Ethics committee country [1]
317702
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Australia
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Date submitted for ethics approval [1]
317702
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04/06/2025
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Approval date [1]
317702
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Ethics approval number [1]
317702
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Summary
Brief summary
Migraine is a significant problem that predominantly affects young women. Hormonal changes associated with menstruation can be a trigger for migraine flares. We are investigating the use of a combined estrogen/progesterone contraceptive pill to see whether it is safe, well-tolerated and effective in treating the symptoms of menstrually-related migraine.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
141862
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Prof Jayashri Kulkarni
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Address
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Multidisciplinary Alfred Psychiatry Research Centre (MAPrc), 607 Saint Kilda Rd, Melbourne, VIC 3004
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Country
141862
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Australia
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Phone
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+6139076 8156
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
141863
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Dr Lakshini Gunasekera
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Address
141863
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Alfred Hospital, 55 Commercial Rd, Melbourne, VIC 3004
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Country
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Australia
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Phone
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+6139076 2000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Lakshini Gunasekera
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Address
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Alfred Hospital, 55 Commercial Rd, Melbourne, VIC 3004
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Country
141864
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Australia
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Phone
141864
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+6139076 2000
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Fax
141864
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Email
141864
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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