Pediatric Migraine Study Website

Do you or your child suffer from Migraines?

You may be interested in a clinical research study for children and adolescents ages 6-17 suffering with Migraines.

All study-related visits, tests, and investigational product will be provided at no cost. If you or your child qualify, compensation for time and travel may be provided.

The study is evaluating an investigational product for the treatment of migraine in children and adolescents between the ages of 6 to 17. The investigational product is currently approved to treat migraines in adults.

What happens if I sign up?

We will match you or your child to a clinical research study center in your area that is seeking children & adolescents with migraines or notify you when one becomes available. Someone from the study team will contact you to explain more about the study before you make your decision to participate.

Sign Up

Fields marked with an * are required.

If you are under the age of 13 (or 16 if you are in California), you may not directly enter any information and your legal parent or guardian must enter this information on your behalf. By filling out this form, you are confirming that you meet these requirements. If you are filling out the form on behalf of your child, please answer according to their information. Please also be aware that you may be required to be present and willing to sign permission to allow the minor to participate in the interview.

Who are you interested in this study for? *

First Name of Potential Child or Teen Participant *

Last Name of Potential Participant *

Date of Birth MM/DD/YYYY of Potential Child or Teen Participant *

Zip Code or Postal Code of Potential Child or Teen Participant *

Is the Potential Child or Teen Participant Male or Female? *

Does the Potential Child or Teen Participant suffer from migraines? *

Has the Potential Child or Teen Participant been experiencing migraines for at least 6 months? *

How long have you – or the Potential Child or Teen Participant – been experiencing migraine attacks? *

How many migraine attacks do you - or the Potential Child or Teen Participant - experience per month (on average)?*

If left untreated, do the Potential Child or Teen Participant’s migraines typically last at least 3 hours? *

Has the Potential Child or Teen Participant ever taken any medication to treat a migraine? *
These may include Acetaminophen (Tylenol), Ibuprofen (Advil, Advil Migraine, Motrin), Naproxen (Aleve), Aspirin or medications prescribed by your doctor for migraine.

Have you – or the Potential Child or Teen Participant – been diagnosed (by a doctor) with any other medical conditions? *
(For example: Cancer, HIV, Hepatitis B, Hepatitis C, epilepsy, seizures, stroke, liver disease, Raynaud’s disease, diabetes, cardiovascular disease, psychosis, schizophrenia).
Please list here or write 'none'.
Please only include conditions which have been diagnosed by a doctor.

Is the Potential Child or Teen Participant currently taking any medications for their health conditions? *
Please list them here or write 'none'.

Is the Potential Child or Teen Participant between 44 and 297 lbs? *

How much do you – or the Potential Participant (if filling this out for them) – weigh in Lbs (pounds)? *

During the study, you will be asked to complete an eDiary entry every day. Are you willing to complete the eDiary every day during the course of the study?

If the Potential Child or Teen Participant is female, is she currently pregnant or breastfeeding? *

Would the Potential Child or Teen Participant be interested in an acute (short) or a long-term treatment study? *

First Name of caregiver/parent to contact *

Last Name of caregiver/parent to contact *

Phone Number of caregiver/parent to contact *

Email of caregiver/parent to contact

What is the best day/time to reach you via telephone (we know you are busy)? *

Do you consent to the collection and processing of your personal data (including information about your health, race and ethnicity (as applicable); including disclosure to our Research Partners) for the purpose of recruitment into clinical research studies? *

Yes

The information you are providing here will be processed in accordance with our Privacy Policy, which describes our data privacy practices, including how we share your information with our Research Partners and use your information to send you details about potential clinical trial opportunities. When you submit this information, you consent to AutoCruitment’s use of your data as described in our Privacy Policy. By providing your phone number and clicking “Submit” below, you consent to receive messages, including SMS/MMS text messages, sent by or on behalf of AutoCruitment, with information about research studies for which you may be eligible. By clicking Submit, you also agree to our SMS Terms. If you have any questions regarding the handling of the information you have provided to AutoCruitment, or if you would like to make any changes or withdraw your consent, please contact us at info@autocruitment.com.