Science

What scientists study

What scientists have found and what they are testing right now.

result1998

The hypothalamus lights up in an attack

PET scans showed attacks are tied to the brain's body clock.

result2009

Oxygen proven

JAMA trial: oxygen stopped or eased 78% of attacks in 15 minutes, air 20%.

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result2019

First CGRP antibody for cluster headache

Galcanezumab approved in the US for the episodic form.

result2021

First large genetic studies

The first DNA regions linked to the disease were found.

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result2022

Psilocybin: first placebo-controlled trial

Low doses, a small group. Fewer attacks, but not statistically proven.

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result2023

8 DNA regions and the role of smoking

Almost 4,800 patients: genetics points to smoking itself raising the risk.

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result2023

New European guideline

Oxygen and sumatriptan for attacks, verapamil for prevention, occipital nerve block.

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result2025

Eptinezumab and erenumab fell short

Two CGRP antibodies did not beat placebo on the main measure.

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ongoing2026

BOL-148: a non-hallucinogenic LSD analogue

Funding raised for a trial in Germany; first participants expected at the end of 2026.

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ongoing2026

Occipital nerve stimulation

First trial of a new device for the chronic form, recruiting.

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ongoingnow

Vitamin D versus placebo

The first rigorous test of the popular regimen, no results yet.

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ongoingnow

Sleep, snoring and attacks

Testing whether a CPAP mask helps with apnoea and night attacks.

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