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CTRI Number  CTRI/2024/09/074182 [Registered on: 23/09/2024] Trial Registered Prospectively
Last Modified On: 29/11/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   Studying B cell Activating Factor (BAFF) and Proliferation-Inducing Ligand (APRIL) Levels Before, During, and After Migraine Pain to Explore Possible Autoimmune Links 
Scientific Title of Study   Evaluating The Role of B cell activating factor (BAFF) and proliferation-inducing ligand (APRIL) Levels in Migraine Phases to determine autoimmune Characteristics 
Trial Acronym  Mig_BAFF 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Murugesan Arumugam 
Designation  Assistant Professor in Pharmacology 
Affiliation  Sri Ramachandra Institute of Higher Education and Research (DU) 
Address  Pharmacology Lab, Faculty of Pharmacy, Sri Ramachandra Institute of Higher Education and Research, Porur

Chennai
TAMIL NADU
600116
India 
Phone  8870151588  
Fax    
Email  murugesan.a@sriramachandra.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Murugesan Arumugam 
Designation  Assistant Professor in Pharmacology 
Affiliation  Sri Ramachandra Institute of Higher Education and Research (DU) 
Address  Pharmacology Lab, Faculty of Pharmacy, Sri Ramachandra Institute of Higher Education and Research, Porur

Chennai
TAMIL NADU
600116
India 
Phone  8870151588  
Fax    
Email  murugesan.a@sriramachandra.edu.in  
 
Details of Contact Person
Public Query
 
Name  Nisha Smitha S 
Designation  Pharm D Student  
Affiliation  Sri Ramachandra Institute of Higher Education and Research 
Address  Pharmacology Lab, Faculty of Pharmacy, Sri Ramachandra Institute of Higher Education and Research, Porur
Faculty of Pharmacy, Sri Ramachandra Institute of Higher Education and Research, Porur
Chennai
TAMIL NADU
600116
India 
Phone  9344990059  
Fax    
Email  nsmithi449@gmail.com  
 
Source of Monetary or Material Support  
NO 360, (NP), Sidco Industrial Estate, Ambattur, Chennai, Tamil Nadu, India, 600098 
Sri Ramachandra Institute of Higher Education and Research, Sri Ramachandra Nagar, Porur, Chennai, Tamil Nadu, India, 600116 
 
Primary Sponsor  
Name  AVICENCE Research Private Limited 
Address  NO 360, (NP), Sidco Industrial Estate, Ambattur, Chennai, Tamil Nadu, India, 600098 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Murugesan Arumugam  Sri Ramachandra Hospital, SRIHER   Department of Neurology No.1, Ramachandra nagar, Sri Ramachandra nagar, chennai 600116
Chennai
TAMIL NADU 
8870151588

murugesan.a@sriramachandra.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee, SRIHER   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G439||Migraine, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Migraine patients with and without aura
Patients who are aged above 18 years 
 
ExclusionCriteria 
Details  1.Patients with additional comorbidity conditions were not allowed to participate.
2.Patients who have recently taken any immunosuppressants
3.Pregnant women were excluded
4.Patients with previous head injury  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Quantification of BAFF and APRIL levels in different phases of migraine  BAFF and APRIL levels will be quantified at specific time points during the pre-ictal, ictal, and post-ictal phases of a migraine. However, the exact timing of these phases may vary based on the development of migraine pain in each patient, so precise time points cannot be assured. 
 
Secondary Outcome  
Outcome  TimePoints 
Not Applicable  Not applicable 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   29/09/2024 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Migraine is a chronic neurological disorder characterized by a throbbing headache, typically on one side of the head, along with symptoms such as nausea, sensitivity to light, and disturbances in autonomic, mental, sensory, and motor functions. There are two subtypes of migraine: migraine with aura and migraine without aura. According to the Global Burden of Disease Study (2015), migraine is the most prevalent neurological condition and the third leading cause of disability worldwide, even though its exact cause is not fully understood. Due to our incomplete understanding of its underlying mechanisms, no specific treatment is available for migraine patients.

Previous research has indicated that levels of CD4+ and CD25+ regulatory T cells are lower in migraine patients compared to healthy volunteers. Furthermore, mutations in the Fox P3 gene were observed in migraine patients, which can lead to impairment in the regulation of Tregulatory cells and may be linked to the early onset of autoimmune dysfunction.

These findings suggest that migraine may be an autoimmune condition. Our current study aims to evaluate the levels of BAFF and APRIL in migraine patients (with and without aura) during the pre-ictal, ictal, and post-ictal phases.
 
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