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. 2025 May 1;25(2):1–177.

Table 1:

Characteristics of Studies Included in the Clinical Literature Review, Cluster Headache

Author, year (study) Country, sites, n Sample size, n Population nVNS indication and protocol Intervention Comparator Length of follow-upa
Gaul et al, 20 1 653 (PREVA)
Gaul et al, 201754 (PREVA post hoc)
Europe (4 countries), 10 97 Adults (18-70 y)
Chronic cluster headache (ICHD 3B)
Prevention: 3 doses, 5 min apart, 2 times/d, right side of neck
Acute treatment: optional, 3 doses at pain onsetb
nVNS and standard of care Standard of care 4 wk
Silberstein et al, 201651 (ACT1) United States, 20 150 Adults (18-75 y)
Episodic or chronic cluster headache (ICHD 2)
Acute treatment: 3 doses to right side of neck; only 1 attack treated per 12 h nVNS and standard of care Sham and standard of care 1 mo or until 5 cluster headache attacks were treated
Goadsby et al, 201852 (ACT2) Europe (4 countries), 9 102 Adults ( 18 y)
Episodic or chronic cluster headache (ICHD 2)
Acute treatment: 3 doses ipsilateral to attack; if not aborted in 9 min, 3 additional doses. Minium 6 h between sessions nVNS and standard of care Sham and standard of care 2 wk

Abbreviations: ICHD, International Classification of Headache Disorders; nVNS, noninvasive vagus nerve stimulation.

a

Only follow-up during the randomization period was included.

b

Participants were advised not to administer preventive treatment within 2 h after acute treatment.