Could a 7-Day steroid course tame Post-Concussion headaches?
NCT ID NCT04685772
First seen Aug 26, 2026 · Last updated Aug 27, 2026 · Updated 1 time
Summary
This pilot trial tests whether a short course of the steroid methylprednisolone, given as a tapering dose pack over 7 days, can reduce the frequency and intensity of headaches that follow a concussion. Adults with post-concussion headaches rated at least 5 out of 10 in severity are being studied, with changes in headache and other concussion symptoms tracked over 12 weeks. The goal is to see if this treatment could offer faster relief and a quicker return to daily activities compared with standard care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Methylprednisolone, a corticosteroid taken as a 7-day tapering dose pack
- What this could lead to
- If it works, this could point toward a simple, short-term treatment to reduce post-concussion headaches and help people return to school, work, or sports sooner.
- What could go wrong
- This is a small pilot study, so results may not apply broadly. Steroids can have side effects, and the benefit over standard care is not yet proven.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 25 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2021
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients who meet the inclusion criteria will be consented for the study. Patients will be recruited when they follow up on their initial appointment after hospitalization
- Ages
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18 years and older
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Provision of signed and dated informed consent form (in person or via telehealth) 2. Stated willingness to comply with all study procedures and availability for the duration of the study 3. Male or female, aged \>18 years old 4. Ability to take oral medication and be willing to adhere to the study regimen as described in this protocol 5. Patients presenting with all types of post-concussive headache with \>5/10 in severity on the numerical analog scale. 6. Headache that occurs for \> 4 hours per day 7. Headache that occurs every day 8. Headache that began after concussion, patient was diagnosed at an outpatient clinic or was hospitalized 9. Headache developed within 7 days post-injury and patient presenting within 30 days from initial trauma 10. A diagnosis of concussion. 11. If a patient is taking another pain medication, this still be included in the stud Exclusion Criteria: 1. Any evidence of known intracranial hemorrhage on neuroimaging 2. Headache developing after 7 days post injury and patient presenting after 30 days from initial trauma 3. Headache occurs \< 4 hours per day 4. Headache does not occur daily 5. Age \< or = 18 6. Headache is \< 5 in severity on numerical analog scale 7. Presence of increase in intracranial pressure or papilledema 8. Any contraindication to corticosteroids 9. Allergy or sensitivity to corticosteroids 10. Active Tuberculosis 11. Active pregnancy 12. Currently on corticosteroids for another reason 13. Participants with fungal infection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Northwell Health - North Shore University Hospital
RECRUITINGManhasset, New York, 11030, United States
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Other studies related to the condition(s) this trial covers.
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- Could a symptom registry unmask hidden migraine variants?
- Can a quick neck adjustment change deep headache muscles?
- Could a talking therapy ease persistent concussion symptoms?
- Real-world study tests migraine drug atogepant over 12 months in tough-to-treat patients