Pediatric Migraine

Clinical Studies for Pediatric Migraines

If your child or teen suffers from migraine attacks, clinical studies may be an option. Researchers are studying investigational treatments to understand their potential impact on migraine frequency and severity.

Your child may qualify if they:

Are 6-17 years of age
Have been experiencing migraines for at least 6 months
Experience 1 to 8 migraines per month

Participation overview:

Studies are supervised by trained doctors and medical staff 
Study-related care and investigational medication are provided at no cost
Convenient site near you

Complete a short questionnaire to check eligibility. A study team member will share more details before you decide on participation.

Fields marked with an * are required.

If you are under the age of majority (the age at which a person becomes an adult and has full legal rights and responsibilities), you should not directly enter any information, and your legal parent or guardian should give their consent and enter this information on your behalf. If you are under the age of 13 (or 16 if you are in California or in Europe), and we become aware that you provided this information, rather than a parent or guardian, we will delete such information.

Do you consent to the collection and processing of your personal data, including information about your race and ethnicity (as applicable), and your health information, including symptoms, diagnoses, medications, and treatments and our sharing of this information for the purpose of recruitment into clinical research studies, determining your eligibility for studies, and provision of other services you requested? You may withdraw your consent at any time by contacting us at info@autocruitment.com. Please note that your revocation will not impact any records or health data already collected, disclosed, or processed based on your consent. *

Yes

Who are you interested in this study for? *

First Name of Potential Participant *

Last Name of Potential Participant *

Date of Birth MM/DD/YYYY of Potential Participant *

Zip Code or Postal Code of Potential Participant *

Is the Potential Participant Male or Female?

Do you – or the Potential Participant (if filling this out for them) – suffer from migraines? *

Have you – or the Potential Participant (if filling this out for them) – been experiencing migraines for at least 6 months? *

How long have you – or the Potential Participant (if filling this out for them) – been experiencing migraine attacks? *

How many migraine attacks do you - or the Potential Participant (if filling this out for them) - experience per month (on average)? *

Have you – or the Potential Participant (if filling this out for them) – 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.

Are you – or the Potential Participant (if filling this out for them) – taking any medications for your migraines or other health conditions? *
Please list them here or write 'none'.

If female, are you – or the Potential Participant (if filling this out for them) – currently pregnant or breastfeeding?

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)? *

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.