Evidence map›Paper›PMID 41322201›Full record

Trial reportBrain communications2025

Soluble guanylate cyclase induces cranial vasodilation and headache in adults: a randomized trial.

Nadja B Rasmussen, Casper E Christensen, Håkan Ashina, Faisal M Amin, Rogelio Domínguez-Moreno, Jawdat Abdulla, Jørn Carlsen, Messoud Ashina

Abstract readClinical Trial
In one paragraph

Trial report in Brain communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nadja B RasmussenDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, DK- 2600 Glostrup, Denmark.ORCID https://orcid.org/0009-0001-8442-0947
Casper E ChristensenDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, DK- 2600 Glostrup, Denmark.
Håkan AshinaDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, DK- 2600 Glostrup, Denmark.
Faisal M AminDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, DK- 2600 Glostrup, Denmark.
Rogelio Domínguez-MorenoDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, DK- 2600 Glostrup, Denmark.
Jawdat AbdullaDepartment of Cardiology, Amager-Hvidovre Hospital, Copenhagen, DK-2650 Hvidovre, Denmark.ORCID https://orcid.org/0000-0002-9237-5314
Jørn CarlsenDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.
Messoud AshinaDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, DK- 2600 Glostrup, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of cranial vasodilation in headache pathogenesis sparks ongoing debate. Soluble guanylate cyclase is an enzyme that catalyses the conversion of guanosine triphosphate to cyclic guanosine monophosphate, leading to relaxation of vascular smooth muscle cells. Activation of this pathway might contribute to headache pathogenesis. We evaluated whether oral ingestion of riociguat, a stimulator of soluble guanylate cyclase, could elicit cranial vasodilation and headache in healthy adults. In this randomized, double-blind, placebo-controlled, two-way crossover study, we enrolled 12 healthy adults (nine females, three males; mean age 27.3 (SD 7.8) years). The participants attended two experimental sessions at a single site in Denmark (Danish Headache Center, Rigshospitalet, Denmark), receiving either a single oral dose riociguat 2.5 mg or placebo. The baseline measurements included the diameter of the superficial temporal artery and the blood flow velocity of the middle cerebral artery. These measurements were repeated over a 240-minute period after ingestion. The participants recorded headache occurrence and associated features in a diary for 12 h post-ingestion. For primary outcome (

Indexed as

cyclic guanosine monophosphateheadacheprovocation modellingsoluble guanylate cyclasetrigeminovascular system

Identifiers

PMID41322201
PMCPMC12663088

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.