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Table 2 Summary of trials of melatonin-based therapy for migraine prophylaxis

From: Genetic and biochemical changes of the serotonergic system in migraine pathobiology

Reference

Study design

Cases and migraine type

Daily dose and duration

Primary endpoint

Result

Peres et al., 2004 [122]

open-labelled

Total adults, 32

3 mg/day, 30 min before bedtime for 3 months

Percentage of patients with >50% reduction in migraine frequency

positive

Miano et al., 2008 [123]

open-labelled

Total children, 22

13 MO

1 MA

8 CTTH

3 mg/day for 3 months

Reduced the frequency of headache attacks

by >50% from baseline

positive

Alstadhaug et al., 2010 [124]

randomized, double-blind, placebo-controlled crossover study

Total adults, 46

25 MO

13 MA

2 mg/day prolonged release melatonin, given 1 h before bedtime for 2 months

Migraine attack frequency (AF)

negative

Fallah et al., 2015 [125]

open-labelled, non-randomized, uncontrolled

Total children, 60

32 MO

28 MA

0.3 mg/kg for 3 months

Percentage of patients with >50% reduction in migraine frequency

positive

Bougea et al., 2016 [120]

open-labelled

Total children, 41

12 TTH

37 M

4 mg/day 30 min before bedtime for 6 months

Reduced headache frequency

positive

  1. CCH chronic cluster headache, ECH episodic chronic headache, TTH tension-type headache, CTTH chronic tension-type headache, MA migraine with aura, MO migraine without aura, M migraine