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Review

Cluster headache therapies: pharmacology and mode of action

, &
Pages 641-654 | Received 08 Mar 2020, Accepted 22 May 2020, Published online: 08 Jun 2020

References

  • Headache classification committee of the International Headache Society (IHS). The international classification of headache disorders. Cephalalgia. 2018;38:1–211. 3rd edition.
  • Dodick D, Rozen T, Goadsby P, et al. Cluster headache. Cephalalgia. 2000;20:787–803.
  • Obermann M, Holle D, Naegel S, et al. Pharmacotherapy options for cluster headache. Expert Opin Pharmacother. 2015;16:1177–1184.
  • Goadsby PJ, Dodick DW, Leone M, et al. Trial of galcanezumab in prevention of episodic cluster headache. N Engl J Med. 2019;381:132–141.
  • Manzoni GC, Terzano MG, Bono G, et al. Cluster headache — clinical findings in 180 patients. Cephalalgia. 1983;3:21–30.
  • Martins IP, Gouveia RG, Parreira E. Cluster headache without autonomic symptoms: why is it different? Headache. 2005;45:190–195.
  • Favier I, Van Vliet JA, Roon KI, et al. Trigeminal autonomic cephalgias due to structural lesions: A review of 31 cases. Arch Neurol. 2007;64:25–31.
  • Fischera M, Marziniak M, Gralow I, et al. The incidence and prevalence of cluster headache: a meta-analysis of population-based studies. Cephalalgia. 2008;28:614–618.
  • Ekbom K, Svensson DA, Träff H, et al. Age at onset and sex ratio in cluster headache: observations over three decades. Cephalalgia. 2002;22:94–100.
  • Bahra A, May A, Goadsby PJ. Cluster headache: A prospective clinical study with diagnostic implications. Neurology. 2002;58:354–361.
  • May A, Schwedt TJ, Magis D, et al. Cluster headache. Nat Rev Dis Prim. 2018;4:18006.
  • Hoffmann J, May A. Diagnosis, pathophysiology, and management of cluster headache. Lancet Neurol. 2018;17:75–83.
  • Mason RT, Peterfreund RA, Sawchenko PE, et al. Release of the predicted calcitonin gene-related peptide from cultured rat trigeminal ganglion cells. Nature. 1984;308:653–655.
  • Longmore J, Shaw D, Smith D, et al. Differential distribution of 5HT(1D)- and 5HT(1B)-immunoreactivity within the human trigemino-cerebrovascular system: implications for the discovery of new antimigraine drugs. Cephalalgia. 1997;17:833–842.
  • Hou M, Kanje M, Longmore J, et al. 5-HT1B and 5-HT1D receptors in the human trigeminal ganglion: co-localization with calcitonin gene-related peptide, substance P and nitric oxide synthase. Brain Res. 2001;909:112–120.
  • Classey JD, Bartsch T, Goadsby PJ. Distribution of 5-HT1B, 5-HT1D and 5-HT1F receptor expression in rat trigeminal and dorsal root ganglia neurons: relevance to the selective anti-migraine effect of triptans. Brain Res. 2010;1361:76–85.
  • May A, Goadsby PJ. The trigeminovascular system in humans: pathophysiologic implications for primary headache syndromes of the neural influences on the cerebral circulation. J Cereb Blood Flow Metab. 1999;19:115–127.
  • Lambert GA, Goadsby PJ, Zagami AS, et al. Comparative effects of stimulation of the trigeminal ganglion and the superior sagittal sinus on cerebral blood flow and evoked potentials in the cat. Brain Res. 1988;453:143–149.
  • Suzuki N, Hardebo JE, Kahrstrom J, et al. Effect on cortical blood flow of electrical stimulation of trigeminal cerebrovascular nerve fibres in the rat. Acta Physiol Scand. 1990;138:307–315.
  • Goadsby PJ, Knight YE, Hoskin KL, et al. Stimulation of an intracranial trigeminally-innervated structure selectively increases cerebral blood flow. Brain Res. 1997;751:247–252.
  • Spencer SE, Sawyer WB, Wada H, et al. CNS projections to the pterygopalatine parasympathetic preganglionic neurons in the rat: a retrograde transneuronal viral cell body labeling study. Brain Res. 1990;534:149–169.
  • Goadsby PJ, Edvinsson L. Human in vivo evidence for trigeminovascular activation in cluster headache nEuropeptide changes and effects of acute attacks therapies. Brain. 1994;117:427–434.
  • Fanciullacci M, Alessandri M, Figini M, et al. Increase in plasma calcitonin gene-related peptide from the extracerebral circulation during nitroglycerin-induced cluster headache attack. Pain. 1995;60:119–123.
  • Ottosson A, Edvinsson L. Release of histamine from dural mast cells by substance P and calcitonin gene-related peptide. Cephalalgia. 1997;17:166–174.
  • Goadsby PJ. Pathophysiology of cluster headache: A trigeminal autonomic cephalgia. Lancet Neurol. 2002;1:251–257.
  • Edvardsson B. Symptomatic cluster headache: A review of 63 cases. Springerplus. 2014;3:1–8.
  • Leone M, Bussone G. A review of hormonal findings in cluster headache. Evidence for hypothalamic involvement. Cephalalgia. 1993;13:309–317.
  • Leone M, Lucini V, Damico D, et al. Abnormal 24hour urinary excretory pattern of 6-sulphatoxymelatonin in both phases of cluster headache. Headache Q. 1999;10:157.
  • Waldenlind E, Gustafsson SA, Ekbom K, et al. Circadian secretion of cortisol and melatonin in cluster headache during active cluster periods and remission. J Neurol Neurosurg Psychiatry. 1987;50:207–213.
  • Waldenlind E, Ekbom K, Wetterberg L, et al. Lowered circannual urinary melatonin concentrations in episodic cluster headache. Cephalalgia. 1994;14:199–204.
  • Barloese M, Jennum P, Lund N, et al. Reduced CSF hypocretin-1 levels are associated with cluster headache. Cephalalgia. 2015;35:869–876.
  • May A, Bahra A, Büchel C, et al. Hypothalamic activation in cluster headache attacks. Lancet. 1998;352:275–278.
  • Schoenen J, Di Clemente L, Vandenheede M, et al. Hypothalamic stimulation in chronic cluster headache: A pilot study of efficacy and mode of action. Brain. 2005;128:940–947.
  • Leone M, Franzini A, Broggi G, et al. Hypothalamic stimulation for intractable cluster headache: long-term experience. Neurology. 2006;67:150–152.
  • Leone M, Proietti Cecchini A. Deep brain stimulation in headache. Cephalalgia. 2016;36:1143–1148.
  • Vyas DB, Ho AL, Dadey DY, et al. Deep brain stimulation for chronic cluster headache: a review. Neuromodulation. 2019;22:388–397.
  • Leone M, Franzini A, Broggi G, et al. Acute hypothalamic stimulation and ongoing cluster headache attacks. Neurology. 2006;67:1844–1845.
  • Vollesen ALH, Snoer A, Beske RP, et al. Effect of infusion of calcitonin gene-related peptide on cluster headache attacks: a randomized clinical trial. JAMA Neurol. 2018;75:1187–1197.
  • Zagami AS, Edvinsson L, Goadsby PJ. Pituitary adenylate cyclase activating polypeptide and migraine. Ann Clin Transl Neurol. 2014;1:1036–1040.
  • Tuka B, Szabó N, Tóth E, et al. Release of PACAP-38 in episodic cluster headache patients - An exploratory study. J Headache Pain. 2016;17:69.
  • Uddman R, Tajti J, Hou M, et al. Neuropeptide expression in the human trigeminal nucleus caudalis and in the cervical spinal cord C1 and C2. Cephalalgia. 2002;22:112–116.
  • Csati A, Tajti J, Kuris A, et al. Distribution of vasoactive intestinal peptide, pituitary adenylate cyclase-activating peptide, nitric oxide synthase, and their receptors in human and rat sphenopalatine ganglion. Neuroscience. 2012;202:158–168.
  • Robert C, Bourgeais L, Arreto CD, et al. Paraventricular hypothalamic regulation of trigeminovascular mechanisms involved in headaches. J Neurosci. 2013;33:8827–8840.
  • Lambru G, Chan C, Matharu M. Post-traumatic cluster headache: a clinical phenotype study of 16 patients. J Headache Pain. 2013;14:46.
  • Robbins MS, Starling AJ, Pringsheim TM, et al. Treatment of cluster headache: the american headache society evidence-based guidelines. Headache. 2016;56:1093–1106.
  • May A, Leone M, Áfra J, et al. EFNS guidelines on the treatment of cluster headache and other trigeminal-autonomic cephalalgias. Eur J Neurol. 2006;13:1066–1077.
  • Kawamura J, Meyer JS, Terayama Y, et al. Cerebral hyperemia during spontaneous cluster headaches with excessive cerebral vasoconstriction to hyperoxia. Headache J Head Face Pain. 1991;31:222–227.
  • Drummond PD, Anthony M. Extracranial vascular responses to sublingual nitroglycerin and oxygen inhalation in cluster headache patients. Headache J Head Face Pain. 1985;25:070–074.
  • Schuh-Hofer S, Siekmann W, Offenhauser N, et al. Effect of hyperoxia on neurogenic plasma protein extravasation in the rat dura mater. Headache. 2006;46:1545–1551.
  • Akerman S, Holland PR, Lasalandra MP, et al. Oxygen inhibits neuronal activation in the trigeminocervical complex after stimulation of trigeminal autonomic reflex, but not during direct dural activation of trigeminal afferents: harold g. wolff lecture award winner. Headache. 2009;49:1131–1143.
  • Jürgens TP, Schulte LH, May A. Oxygen treatment is effective in migraine with autonomic symptoms. Cephalalgia. 2013;33:65–67.
  • Evers S, Rapoport A. The use of oxygen in cluster headache treatment worldwide – A survey of the international headache society (IHS). Cephalalgia. 2017;37:396–398.
  • Pearson SM, Burish MJ, Shapiro RE, et al. Effectiveness of oxygen and other acute treatments for cluster headache: results from the cluster headache questionnaire, an international survey. Headache. 2019;59:235–249.
  • Cohen AS, Burns B, Goadsby PJ. High-flow oxygen for treatment of cluster headache: A randomized trial. JAMA. 2009;302:2451–2457.
  • Kudrow L. Response of cluster headache attacks to oxygen inhalation. Headache J Head Face Pain. 1981;21:1–4.
  • Dirkx THT, Haane DYP, Koehler PJ. Oxygen treatment for cluster headache attacks at different flow rates: A double-blind, randomized, crossover study. J Headache Pain. 2018;19:94.
  • Rozen TD. High oxygen flow rates for cluster headache. Neurology. 2004;63:593.
  • Petersen AS, Barloese MCJ, Lund NLT, et al. Oxygen therapy for cluster headache. A mask comparison trial. A single-blinded, placebo-controlled, crossover study. Cephalalgia. 2017;37:214–224.
  • Goadsby PJ. The pharmacology of headache. Prog Neurobiol. 2000;62:509–525.
  • Longmore J, Razzaque Z, Shaw D, et al. Comparison of the vasoconstrictor effects of rizatriptan and sumatriptan in human isolated cranial arteries: immunohistological demonstration of the involvement of 5-HT(1B)-receptors. Br J Clin Pharmacol. 1998;46:577–582.
  • Nilsson T, Longmore J, Shaw D, et al. Contractile 5-HT(1B) receptors in human cerebral arteries: pharmacological characterization and localization with immunocytochemistry. Br J Pharmacol. 1999;128:1133–1140.
  • Goadsby PJ, Edvinsson L. The trigeminovascular system and migraine: studies characterizing cerebrovascular and neuropeptide changes seen in humans and cats. Ann Neurol. 1993;33:48–56.
  • Buzzi MG, Moskowitz MA. Evidence for 5-HT1B/1D receptors mediating the antimigraine effect of sumatriptan and dihydroergotamine. Cephalalgia. 1991;11:165–168.
  • Johnson KW, Schaus JM, Durkin MM, et al. 5-HT(1F) receptor agonists inhibit neurogenic dural inflammation in guinea pigs. Neuroreport. 1997;8:2237–2240.
  • Bartsch T, Knight YE, Goadsby PJ. Activation of 5-HT1B/1D receptor in the periaqueductal gray inhibits nociception. Ann Neurol. 2004;56:371–381.
  • Hoskin KL, Goadsby PJ. Comparison of more and less lipophilic serotonin (5HT(1B/1D)) agonists in a model of trigeminovascular nociception in cat. Exp Neurol. 1998;150:45–51.
  • Pascual J, Muñoz P. Correlation between lipophilicity and triptan outcomes. Headache. 2005;45:3–6.
  • Tfelt-Hansen PC. Does sumatriptan cross the blood-brain barrier in animals and man? J Headache Pain. 2010;11:5–12.
  • The sumatriptan cluster headache study group. Treatment of acute cluster headache with sumatriptan. N Engl J Med. 1991;325:322–326.
  • Ekbom K, Monstad I, Prusinski A, et al. Subcutaneous sumatriptan in the acute treatment of cluster headache: a dose comparison study. Acta Neurol Scand. 1993;88:63–69.
  • Law S, Derry S, Moore RA. Triptans for acute cluster headache. Cochrane Database Syst Rev. 2013;2013(7):CD008042.
  • Van Vliet JA, Bahra A, Martin V, et al. Intranasal sumatriptan in cluster headache: randomized placebo-controlled double-blind study. Neurology. 2003;60:630–633.
  • Rapoport AM, Mathew NT, Silberstein SD, et al. Zolmitriptan nasal spray in the acute treatment of cluster headache: A double-blind study. Neurology. 2007;69:821–826.
  • Cittadini E, May A, Straube A, et al. Effectiveness of intranasal zolmitriptan in acute cluster headache: A randomized, placebo-controlled, double-blind crossover study. Arch Neurol. 2006;63:1537–1542.
  • Göbel H, Lindner V, Heinze A, et al. Acute therapy for cluster headache with sumatriptan: findings of a one- year long-term study. Neurology. 1998;51:908–911.
  • Nelson DL, Phebus LA, Johnson KW, et al. Preclinical pharmacological profile of the selective 5-HT1F receptor agonist lasmiditan. Cephalalgia. 2010;30:1159–1169.
  • Rubio-Beltrán E, Labastida-Ramírez A, Haanes KA, et al. Characterization of binding, functional activity, and contractile responses of the selective 5-HT1F receptor agonist lasmiditan. Br J Pharmacol. 2019;176:4681–4695.
  • Labastida-Ramírez A, Rubio-Beltrán E, Haanes KA, et al. Lasmiditan inhibits calcitonin gene-related peptide release in the rodent trigeminovascular system. Pain. 2020;161:1092–1099.
  • Pageler L, Limmroth V. Oral triptans in the preventive management of cluster headache. Curr Pain Headache Rep. 2012;16:180–184.
  • Catterall WA. Molecular mechanisms of gating and drug block of sodium channels. Novartis Found Symp. 2002;241:206–225.
  • Kittrelle JP, Grouse DS, Seybold ME. Cluster headache: local anesthetic abortive agents. Arch Neurol. 1985;42:496–498.
  • Robbins L. Intranasal lidocaine for cluster headache. Headache J Head Face Pain. 1995;35:83–84.
  • Costa A, Pucci E, Antonaci F, et al. The effect of intranasal cocaine and lidocaine on nitroglycerin-induced attacks in cluster headache. Cephalalgia. 2000;20:85–91.
  • Morgan A, Jessop V. Bet 2: should intranasal lidocaine be used in patients with acute cluster headache? Emerg Med J. 2013;30:769–770.
  • Silberstein SD, McCrory DC. Ergotamine and dihydroergotamine: history, pharmacology, and efficacy. Headache J Head Face Pain. 2003;43:144–166.
  • Dahlöf C, Maassen Van Den Brink A. Dihydroergotamine, ergotamine, methysergide and sumatriptan - Basic science in relation to migraine treatment. Headache. 2012;52:707–714.
  • Ekbom KA. Ergotamine tartrate orally in Horton’s “histaminic cephalgia” (also called Harris’s “ciliary neuralgia”): A new method of treatment. Acta Psychiatr Scand. 1947;22:105–113.
  • Silberstein SD, Shrewsbury SB, Hoekman J. Dihydroergotamine (DHE) – then and now: a narrative review. Headache. 2020;60:40–57.
  • Andersson PG, Jespersen LT. Dihydroergotamine nasal spray in the treatment of attacks of cluster headache. A double-blind trial versus placebo. Cephalalgia. 1986;6:51–54.
  • Mather PJ, Silberstein SD, Schulman EA, et al. The treatment of cluster headache with repetitive intravenous dihydroergotamine. Headache J Head Face Pain. 1991;31:525–532.
  • Magnoux E, Zlotnik G. Outpatient intravenous dihydroergotamine for refractory cluster headache. Headache. 2004;44:249–255.
  • Nagy AJ, Gandhi S, Bhola R, et al. Intravenous dihydroergotamine for inpatient management of refractory primary headaches. Neurology. 2011;77:1827–1832.
  • Lipton RB. Ergotamine tartrate and dihydroergotamine mesylate: safety profiles. Headache. 1997;37(Suppl 1):S33–41.
  • Saper JR, Silberstein S. Pharmacology of dihydroergotamine and evidence for efficacy and safety in migraine. Headache J Head Face Pain. 2006;46:S171–S181.
  • Harris AG. Somatostatin and somatostatin analogues: pharmacokinetics and pharmacodynamic effects. Gut. 1994;35:1–4.
  • Hofland LJ, Lamberts SWJ. Somatostatin receptors and disease: role of receptor subtypes. Baillieres Clin Endocrinol Metab. 1996;10:163–176.
  • Bereiter DA. Morphine and somatostatin analogue reduce c-fos expression in trigeminal subnucleus caudalis produced by corneal stimulation in the rat. Neuroscience. 1997;77:863–874.
  • Bartsch T, Levy MJ, Knight YE, et al. Inhibition of nociceptive dural input in the trigeminal nucleus caudalis by somatostatin receptor blockade in the posterior hypothalamus. Pain. 2005;117:30–39.
  • Chapman V, Dickenson AH. The effects of sandostatin and somatostatin on nociceptive transmission in the dorsal horn of the rat spinal cord. Neuropeptides. 1992;23:147–152.
  • Helyes Z, Pintér E, Németh J, et al. Anti-inflammatory effect of synthetic somatostatin analogues in the rat. Br J Pharmacol. 2001;134:1571–1579.
  • Fassler JE, O’Dorisio TM, Mekhjian HS, et al. Octreotide inhibits increases in short-circuit current induced in rat colon by VIP, substance P, serotonin and aminophylline. Regul Pept. 1990;29:189–197.
  • Sicuteri F, Geppetti P, Marabini S, et al. Pain relief by somatostatin in attacks of cluster headache. Pain. 1984;18:359–365.
  • Matharu MS, Levy MJ, Meeran K, et al. Subcutaneous octreotide in cluster headache: randomized placebo-controlled double-blind crossover study. Ann Neurol. 2004;56:488–494.
  • Safety and efficacy study of som230 s.c. in cluster headache - study results - clinicalTrials.gov. [ cited 2020 Mar 1]. Available from: https://clinicaltrials.gov/ct2/show/results/NCT02619617
  • Striessnig J, Pinggera A, Kaur G, et al. L-type Ca2+ channels in heart and brain. Wiley Interdiscip Rev Membr Transp Signal. 2014;3:15–38.
  • Petersen AS, Barloese MCJ, Snoer A, et al. Verapamil and cluster headache: still a mystery. a narrative review of efficacy, mechanisms and perspectives. Headache. 2019;59:1198–1211.
  • Akerman S, Williamson DJ, Goadsby PJ. Voltage-dependent calcium channels are involved in neurogenic dural vasodilatation via a presynaptic transmitter release mechanism. Br J Pharmacol. 2003;140:558–566.
  • Amrutkar DV, Ploug KB, Olesen J, et al. Role for voltage gated calcium channels in calcitonin gene-related peptide release in the rat trigeminovascular system. Neuroscience. 2011;172:510–517.
  • Leone M, D’Amico D, Frediani F, et al. Verapamil in the prophylaxis of episodic cluster headache: A double- blind study versus placebo. Neurology. 2000;54:1382–1385.
  • Hardebo JE. How Cluster Headache is Explained as an Intracavernous Inflammatory Process Lesioning Sympathetic Fibers. Headache J Head Face Pain. 1994;34:125–131.
  • Hannerz J. Orbital phlebography and signs of inflammation in episodic and chronic cluster headache. Headache J Head Face Pain. 1991;31:540–542.
  • Neeb L, Hellen P, Hoffmann J, et al. Methylprednisolone blocks interleukin 1 beta induced calcitonin gene related peptide release in trigeminal ganglia cells. J Headache Pain. 2016;17:1–6.
  • Neeb L, Anders L, Euskirchen P, et al. Corticosteroids alter CGRP and melatonin release in cluster headache episodes. Cephalalgia. 2015;35:317–326.
  • Couch JR, Ziegler DK. Prednisone therapy for cluster headache. Headache J Head Face Pain. 1978;18:219–221.
  • Mir P, Alberca R, Navarro A, et al. Prophylactic treatment of episodic cluster headache with intravenous bolus of methylprednisolone. Neurol Sci. 2003;24:318–321.
  • Ekbom K. Lithium in the treatment of chronic cluster headache. Headache J Head Face Pain. 1977;17:39–40.
  • Kudrow L. Lithium prophylaxis for chronic cluster headache. Headache J Head Face Pain. 1977;17:15–18.
  • Alda M. Lithium in the treatment of bipolar disorder: pharmacology and pharmacogenetics. Mol Psychiatry Nature Publish Group. 2015;20:661–670.
  • Steiner TJ, Hering R, Couturier EGM, et al. Double-blind placebo-controlled trial of lithium in episodic cluster headache. Cephalalgia. 1997;17:673–675.
  • Nugent AC, Carlson PJ, Bain EE, et al. Mood stabilizer treatment increases serotonin type 1A receptor binding in bipolar depression. J Psychopharmacol. 2013;27:894–902.
  • Blier P, De Montigny C, Tardif D. Short‐term lithium treatment enhances responsiveness of postsynaptic 5‐HT1A receptors without altering 5‐HT autoreceptor sensitivity: an electrophysiological study in the rat brain. Synapse. 1987;1:225–232.
  • Redrobe JP, Bourin M. Evidence of the activity of lithium on 5-HT(1B) receptors in the mouse forced swimming test: comparison with carbamazepine and sodium valproate. Psychopharmacology (Berl). 1999;141:370–377.
  • Klemfuss H. Rhythms and the pharmacology of lithium. Pharmacol Ther. 1992;56:53–78.
  • Chazot G, Claustrat B, Brun J, et al. Effects on the patterns of melatonin and cortisol in cluster headache of a single administration of lithium at 7.00 p.m. daily over one week: A preliminary report. Pharmacopsychiatry. 1987;20:222–223.
  • Ekbom K. Lithium for cluster headache: review of the literature and preliminary results of long‐term treatment. Headache J Head Face Pain. 1981;21:132–139.
  • Stochino ME, Deidda A, Asuni C, et al. Evaluation of lithium response in episodic cluster headache: A retrospective case series. Headache. 2012;52:1171–1175.
  • Bussone G, Leone M, Peccarisi C, et al. Double blind comparison of lithium and verapamil in cluster headache prophylaxis. Headache J Head Face Pain. 1990;30:411–417.
  • Ashkenazi A, Schwedt T. Cluster headache-acute and prophylactic therapy. Headache. 2011;51:272–286.
  • Shank RP, Maryanoff BE. Molecular pharmacodynamics, clinical therapeutics, and pharmacokinetics of topiramate. CNS Neurosci Ther. 2008;14:120–142.
  • Hoffmann J, Akerman S, Goadsby PJ. Efficacy and mechanism of anticonvulsant drugs in migraine. Expert Rev Clin Pharmacol. 2014;7:191–201.
  • Storer RJ, Goadsby PJ. Topiramate inhibits trigeminovascular neurons in the cat. Cephalalgia. 2004;24:1049–1056.
  • Storer RJ, Goadsby PJ. Topiramate is likely to act outside of the trigeminocervical complex. Cephalalgia. 2013;33:291–300.
  • Durham PL, Niemann C, Cady R. Repression of stimulated calcitonin gene-related peptide secretion by topiramate. Headache. 2006;46:1291–1295.
  • Wheeler SD, Carrazana EJ. Topiramate-treated cluster headache. Neurology. 1999;53:234–236.
  • Láinez MJA, Pascual J, Pascual AM, et al. Topiramate in the prophylactic treatment of cluster headache. Headache. 2003;43:784–789.
  • Leone M, Dodick D, Rigamonti A, et al. Topiramate in cluster headache prophylaxis: an open trial. Cephalalgia. 2003;23:1001–1002.
  • Hering R, Kuritzky A. Sodium valproate in the treatment of cluster headache: an open clinical trial. Cephalalgia. 1989;9:195–198.
  • El Amrani M, Massiou H, Bousser MG. A negative trial of sodium valproate in cluster headache: methodological issues. Cephalalgia. 2002;22:205–208.
  • Leandri M, Luzzani M, Cruccu G, et al. Drug-resistant cluster headache responding to gabapentin: A pilot study. Cephalalgia. 2001;21:744–746.
  • Schuh-Hofer S, Israel H, Neeb L, et al. The use of gabapentin in chronic cluster headache patients refractory to first-line therapy. Eur J Neurol. 2007;14:694–696.
  • Vuković V, Lovrencić-Huzjan A, Budisić M, et al. Gabapentin in the prophylaxis of cluster headache: an observational open label study. Acta Clin Croat. 2009;48:311–314.
  • Sharma SK, Vij AS, Sharma M. Mechanisms and clinical uses of capsaicin. Eur J Pharmacol. 2013;720:55–62.
  • Sałat K, Jakubowska A, Kulig K. Zucapsaicin for the treatment of neuropathic pain. Expert Opin Investig Drugs. 2014;23:1433–1440.
  • Marks DR, Rapoport A, Padla D, et al. A double-blind placebo-controlled trial of intranasal capsaicin for cluster headache. Cephalalgia. 1993;13:114–116.
  • Saper JR, Klapper J, Mathew NT, et al. Intranasal civamide for the treatment of episodic cluster headaches. Arch Neurol. 2002;59:990–994.
  • Intranasal civamide for episodic cluster headache - full text view - clinicaltrials.gov. [ cited 2020 Feb 4]. Available from: https://www.clinicaltrials.gov/ct2/show/NCT00069082
  • Speight TM, Avery GS. Pizotifen(BC-105): a review of its pharmacological properties and its therapeutic efficacy in vascular headaches. Drugs. 1972;3:159–203. [cited 2020 Jan 16]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/4403890
  • Ekbom K. Prophylactic treatment of cluster headache with a new serotonin antagonist, BC 105. Acta Neurol Scand. 1969;45:601–610.
  • Reppert SM, Perlow MJ, Ungerleider LG, et al. Effects of damage to the suprachiasmatic area of the anterior hypothalamus on the daily melatonin and cortisol rhythms in the rhesus monkey. J Neurosci. 1981;1:1414–1425.
  • Bedrosian TA, Herring KL, Walton JC, et al. Evidence for feedback control of pineal melatonin secretion. Neurosci Lett. 2013;542:123–125.
  • Pringsheim T, Magnoux E, Dobson CF, et al. Melatonin as adjunctive therapy in the prophylaxis of cluster headache: A pilot study. Headache. 2002;42:787–792.
  • Golombek DA, PéVet P, Cardinali DP. Melatonin effects on behavior: possible mediation by the central GABAergic system. Neurosci Biobehav Rev. 1996;20:403–412.
  • Leone M, D’Amico D, Moschiano F, et al. Melatonin versus placebo in the prophylaxis of cluster headache: a double-blind pilot study with parallel groups. Cephalalgia. 1996;16:494–496.
  • Silberstein SD. Methysergide. Cephalalgia. 1998;18:421–435.
  • Bartsch T. Stimulation of the greater occipital nerve induces increased central excitability of dural afferent input. Brain. 2002;125:1496–1509.
  • Bartsch T, Goadsby PJ. Increased responses in trigeminocervical nociceptive neurons to cervical input after stimulation of the dura mater. Brain. 2003;126:1801–1813.
  • Ambrosini A, Vandenheede M, Rossi P, et al. Suboccipital injection with a mixture of rapid- and long-acting steroids in cluster headache: A double-blind placebo-controlled study. Pain. 2005;118:92–96.
  • Leroux E, Valade D, Taifas I, et al. Suboccipital steroid injections for transitional treatment of patients with more than two cluster headache attacks per day: A randomised, double-blind, placebo-controlled trial. Lancet Neurol. 2011;10:891–897.
  • Ramachandran R, Yaksh TL. Therapeutic use of botulinum toxin in migraine: mechanisms of action. Br J Pharmacol. 2014;171:4177–4192.
  • Meng J, Wang J, Lawrence G, et al. Synaptobrevin I mediates exocytosis of CGRP from sensory neurons and inhibition by botulinum toxins reflects their anti-nociceptive potential. J Cell Sci. 2007;120:2864–2874.
  • Lackovic Z, Filipovic B, Matak I, et al. Activity of botulinum toxin type A in cranial dura: implications for treatment of migraine and other headaches. Br J Pharmacol. 2016;173:279–291.
  • Sostak P, Krause P, Förderreuther S, et al. Botulinum toxin type-A therapy in cluster headache: an open study. J Headache Pain. 2007;8:236–241.
  • Lampl C, Rudolph M, Bräutigam E. OnabotulinumtoxinA in the treatment of refractory chronic cluster headache. J Headache Pain. 2018;19:45.
  • Bratbak DF, Nordgård S, Stovner LJ, et al. Pilot study of sphenopalatine injection of onabotulinumtoxinA for the treatment of intractable chronic cluster headache. Cephalalgia. 2015;36:503–509.
  • Raffaelli B, Reuter U. The biology of monoclonal antibodies: focus on calcitonin gene-related peptide for prophylactic migraine therapy. Neurotherapeutics. 2018;15:324–335. [cited 2020 May 5]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29616494
  • Dodick DW, Goadsby PJ, Lucas C, et al. Phase 3 randomized, placebo-controlled study of galcanezumab in patients with chronic cluster headache: results from 3-month double-blind treatment. Cephalalgia. 2020;0:033310242090532.
  • A Study Comparing the efficacy and safety of fremanezumab (TEV-48125) for the prevention of chronic cluster headache (CCH) - full text view - clinicaltrials.gov. [ cited 2020 Feb 4]. Available from: https://clinicaltrials.gov/ct2/show/NCT02964338
  • A study to evaluate the efficacy and safety of TEV-48125 (Fremanezumab) for the prevention of Episodic Cluster Headache (ECH) - full text view - clinicaltrials.gov. [ cited 2020 Feb 4]. Available from: https://clinicaltrials.gov/ct2/show/NCT02945046
  • Snoer A, Vollesen ALH, Beske RP, et al. Calcitonin-gene related peptide and disease activity in cluster headache. Cephalalgia. 2019;39:575–584.

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