Menstrual Migraine Study

Join a Research Study Investigating a Potential Medication for Menstrual Migraine

Clinical trial participants should be 18 or older, with a history of menstrual migraine.

Participation overview:

Are at least 18 years old
Have experienced migraine for at least 1 year
Have migraine attacks associated with menstrual periods
Have regular menstrual cycles with approximately 20 to 30 days in between menstrual periods Reimbursement available for time and travel.
Studies are supervised by specially-trained doctors and medical staff.
Study-related care and medication are provided at no cost. No insurance is needed.

Get Started

Complete this short questionnaire to determine if you prequalify. You’ll be contacted by medical staff who can answer your questions before you decide to participate.

Fields marked with an * are required.

Do you consent to the processing of your personal data (including information about your health and including disclosure to our Research Partners) for the purpose of recruitment into clinical research studies?
If we are unable to process your personal data in this way, we may not be able to include you in clinical research studies. *

Yes

Do you consent to the automated processing of your personal data in order to evaluate your suitability for recruitment into clinical research studies? *
If we are unable to process your personal data in this way, we may not be able to include you in clinical research studies.

Yes

First Name *

Last Name *

Phone Number *

Email *

Date of Birth DD/MM/YYYY *

Postal Code *

What was your assigned gender at birth? *

Have you been experiencing migraine for at least 1 year? *
A migraine attack is a headache that is often throbbing in nature along with some symptoms like sensitivity to light or sound, or nausea.

Have you been experiencing migraine attacks associated with your menstrual periods? *
A migraine attack is a headache that is often throbbing in nature along with some symptoms like sensitivity to light or sound, or nausea.

At what age did you first experience migraine? *

On average, how many days per month did you have a headache over the last 3 months? *

Do you have regular menstrual cycles with approximately 20 to 30 days in between menstrual periods? *

Have you received DaxibotulinumtoxinA-lanm (Daxxify™) treatment within the last 6 months? *
DaxibotulinumtoxinA-lanm (Daxxify™) is an injectable product used to smooth appearance of wrinkles between the eyebrows.

Have you been diagnosed (by a doctor) with any medical conditions? *
(For example: Hemiplegic migraine, Retinal migraine, Hypertension, Hepatitis, Basal cell or squamous cell cancer, Diarrhea syndromes, Inflammatory bowel disease, Endometriosis, Fibromyalgia, Bipolar Disorder, Schizophrenia, Dementia, Epilepsy, Amyotrophic lateral sclerosis (ALS), non-alcoholic fatty liver disease (NAFLD), viral hepatitis, cirrhosis)
Please list here or write 'none'.
Please only include conditions which have been diagnosed by a doctor.

Are you currently pregnant or planning to become pregnant? *

What is the best day/time to reach you via telephone? *

The information you are providing here will be processed in accordance with our Privacy Policy. If you have any questions regarding the handling of the information you have provided to autocruitment.com please contact us at info@autocruitment.com.