Biomarker & Intervention Discovery

Tension Headache / Chronic Daily Headache

This page lists 4 druggable gene targets and 8 recent clinical trials for Tension Headache / Chronic Daily Headache, with each agent ranked by the strength of its evidence (clinical, mechanistic or correlative). Sources are linked so you can check every claim.

Disease Overview

Spontaneous remission
Not established
Best-intervention remission
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Gap size
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Primary barrier
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Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: Clinical > Mechanistic > Correlative.

GRIN2B 238PTGS2 299SCN9A 271TRPV1 160
Therapeutic Agent Effect Direction Evidence Tier Potency Source
DIMIRACETAM ? unclear Mechanistic
KETAMINE HYDROCHLORIDE ↓ inhibits Mechanistic
PERZINFOTEL ↓ inhibits Mechanistic
[3H]CGP39653 ↓ inhibits Mechanistic
PHENCYCLIDINE ↓ inhibits Mechanistic
DEXANABINOL ? unclear Mechanistic
RAPASTINEL ↑ activates Mechanistic
DELUCEMINE ↓ inhibits Mechanistic
AMANTADINE HYDROCHLORIDE ↓ inhibits Mechanistic
RISLENEMDAZ ↓ inhibits Mechanistic
ORPHENADRINE CITRATE ↓ inhibits Mechanistic
ELIPRODIL ? unclear Mechanistic 13.0 nM (Ki)
INDANTADOL ? unclear Mechanistic
SEVOFLURANE ? unclear Mechanistic
SAGE-718 ~ modulates Mechanistic
L689560 ↓ inhibits Mechanistic
ONFASPRODIL ~ modulates Mechanistic
HOMOQUINOLINIC ACID ↑ activates Mechanistic
NEBOGLAMINE ~ modulates Mechanistic
DIZOCILPINE ↓ inhibits Mechanistic
LY233053 ↓ inhibits Mechanistic
GLYCINE ↑ activates Mechanistic
ESKETAMINE ~ modulates Mechanistic
[3H]CGP61594 ↓ inhibits Mechanistic
ORPHENADRINE HYDROCHLORIDE ↓ inhibits Mechanistic
[3H]MDL105519 ↓ inhibits Mechanistic
RADIPRODIL ? unclear Mechanistic
NBQX ? unclear Mechanistic
SEMAPIMOD ↓ inhibits Mechanistic
SELFOTEL ↓ inhibits Mechanistic
SERINE, D- ↑ activates Mechanistic
COMPOUND 18C [PMID: 25901531] ↓ inhibits Mechanistic
AZD8108 ↓ inhibits Mechanistic
[3H]L689560 ↓ inhibits Mechanistic
TRAXOPRODIL ↓ inhibits Mechanistic 74.0 nM (IC50)
HALOPERIDOL DECANOATE ? unclear Mechanistic
N1-DANSYL-SPERMINE ↓ inhibits Mechanistic
[3H]D-ASPARTIC ACID ↑ activates Mechanistic
NERAMEXANE ? unclear Mechanistic
NVP-AAM077 ↓ inhibits Mechanistic

Showing top 40 of 238 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CARPROFEN ↓ inhibits Mechanistic 102.0 nM (IC50)
INDOMETHACIN SODIUM ↓ inhibits Mechanistic
DARBUFELONE ? unclear Mechanistic
MEFENAMIC ACID ↓ inhibits Mechanistic
MECLOFENAMATE SODIUM ↓ inhibits Mechanistic
DICLOFENAC SODIUM ↓ inhibits Mechanistic
CAPECITABINE ? unclear Mechanistic
PIRPROFEN ↓ inhibits Mechanistic
ESFLURBIPROFEN ↓ inhibits Mechanistic
SULFASALAZINE ↓ inhibits Mechanistic
BROMFENAC ? unclear Mechanistic
IBUPROFEN, SODIUM SALT ↓ inhibits Mechanistic
ALOXIPRIN ↓ inhibits Mechanistic
TENOXICAM ? unclear Mechanistic
FLURBIPROFEN ↓ inhibits Mechanistic
SALICYLIC ACID ? unclear Mechanistic
ATENOLOL ? unclear Mechanistic
DEXKETOPROFEN ↓ inhibits Mechanistic
ETORICOXIB ↓ inhibits Mechanistic
LUMIRACOXIB ↓ inhibits Mechanistic
SUPROFEN ↓ inhibits Mechanistic
NS-398 ? unclear Mechanistic
NABUMETONE ↓ inhibits Mechanistic
URSOLIC ACID ? unclear Mechanistic
IBUPROFEN LYSINE ↓ inhibits Mechanistic
ACECLOFENAC ↓ inhibits Mechanistic
IBUFENAC ↓ inhibits Mechanistic
BALSALAZIDE ? unclear Mechanistic
DIFLUNISAL ↓ inhibits Mechanistic
BALSALAZIDE DISODIUM ↓ inhibits Mechanistic
VACCINE ? unclear Mechanistic
KETOROLAC TROMETHAMINE ↓ inhibits Mechanistic
BENZYDAMINE HYDROCHLORIDE ↓ inhibits Mechanistic
TIAPROFENIC ACID ? unclear Mechanistic
RALOXIFENE HYDROCHLORIDE ? unclear Mechanistic
NAPROXCINOD ↓ inhibits Mechanistic
IGURATIMOD ↓ inhibits Mechanistic
ETODOLAC ↓ inhibits Mechanistic
DICLOFENAC ETALHYALURONATE SODIUM ↓ inhibits Mechanistic
ROFECOXIB ↓ inhibits Mechanistic 530.0 nM (IC50)

Showing top 40 of 299 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
MERETHOXYLLINE PROCAINE ↓ inhibits Mechanistic
ETIDOCAINE HYDROCHLORIDE ↓ inhibits Mechanistic
FOSPHENYTOIN ↓ inhibits Mechanistic
VERATRIDINE ↑ activates Mechanistic
ORPHENADRINE CITRATE ↓ inhibits Mechanistic
PHENACEMIDE ↓ inhibits Mechanistic
LACOSAMIDE ↓ inhibits Mechanistic
VIXOTRIGINE ↓ inhibits Mechanistic
DSP-2230 ↓ inhibits Mechanistic
SAXITOXIN ↓ inhibits Mechanistic
ESLICARBAZEPINE ACETATE ↓ inhibits Mechanistic
SAFINAMIDE ? unclear Mechanistic
LIDOCAINE ↓ inhibits Mechanistic
RILUZOLE ↓ inhibits Mechanistic
ROPIVACAINE HYDROCHLORIDE ↓ inhibits Mechanistic
FUNAPIDE ↓ inhibits Mechanistic
DYCLONINE HYDROCHLORIDE ↓ inhibits Mechanistic
EVENAMIDE ↓ inhibits Mechanistic
PROPOFOL ? unclear Mechanistic
AM-6120 ↓ inhibits Mechanistic
RG7893 ↓ inhibits Mechanistic
RG6029 ↓ inhibits Mechanistic
QUINIDINE SULFATE ↓ inhibits Mechanistic
ZONISAMIDE ↓ inhibits Mechanistic
NERISPIRDINE ↓ inhibits Mechanistic
RALFINAMIDE ↓ inhibits Mechanistic
DS-1971A ↓ inhibits Mechanistic
HEXYLCAINE HYDROCHLORIDE ↓ inhibits Mechanistic
MEPIVACAINE HYDROCHLORIDE ↓ inhibits Mechanistic
PROCAINAMIDE HYDROCHLORIDE ↓ inhibits Mechanistic
PROPAFENONE HYDROCHLORIDE ↓ inhibits Mechanistic
LIDOCAINE HYDROCHLORIDE ↓ inhibits Mechanistic
QUINIDINE GLUCONATE ↓ inhibits Mechanistic
PRILOCAINE ↓ inhibits Mechanistic
ETHOTOIN ↓ inhibits Mechanistic
PF-05089771 ↓ inhibits Mechanistic
DICHLOROBENZYL ALCOHOL ↓ inhibits Mechanistic
RANOLAZINE ? unclear Mechanistic
PRILOCAINE HYDROCHLORIDE ↓ inhibits Mechanistic
ORPHENADRINE HYDROCHLORIDE ↓ inhibits Mechanistic

Showing top 40 of 271 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
STREPTOZOCIN ? unclear Mechanistic
BENZYL ISOTHIOCYANATE ? unclear Mechanistic
ACETAMINOPHEN ↑ activates Mechanistic
POLYGODIAL ? unclear Mechanistic
PROPOFOL ? unclear Mechanistic
SAF312 ↓ inhibits Mechanistic
GRC-15300 ? unclear Mechanistic
AZD1386 ↓ inhibits Mechanistic
TIVANISIRAN ↓ inhibits Mechanistic
MAVATREP ↓ inhibits Mechanistic
MR-1817 ↓ inhibits Mechanistic
FERRUGINENE B ? unclear Mechanistic
CAPSAICIN ↑ activates Mechanistic 19.95 nM (EC50)
RECOMBINANT TUMOR NECROSIS FACTOR FAMILY PROTEIN ? unclear Mechanistic
PHENETHYLISOTHIOCYANATE ? unclear Mechanistic
VOACANGINE ? unclear Mechanistic
RESINIFERATOXIN ↑ activates Mechanistic 23.1 nM (Ki)
DWP05195 ↓ inhibits Mechanistic
XEN-D0501 ↓ inhibits Mechanistic
PAC-14028 ↓ inhibits Mechanistic
SB-705498 ↓ inhibits Mechanistic
MASOPROCOL ? unclear Mechanistic
ALLYL ISOTHIOCYANATE ? unclear Mechanistic
NGD-8243 ↓ inhibits Mechanistic
GRC-6211 ↓ inhibits Mechanistic
RESERPINE ? unclear Mechanistic
NABIXIMOLS ? unclear Mechanistic
A425619 ? unclear Mechanistic
PHE377 ↓ inhibits Mechanistic
ANTISENSE OLIGONUCLEOTIDES ? unclear Mechanistic
WORTMANNIN ? unclear Mechanistic
JTS-653 ↓ inhibits Mechanistic
LEVODOPA ? unclear Mechanistic
AMG517 ↓ inhibits Mechanistic
CAPSAZEPINE ? unclear Mechanistic 120.0 nM (Ki)
ZUCAPSAICIN ↑ activates Mechanistic
INDOMETHACIN ? unclear Mechanistic
CHEMBL:CHEMBL191534 ? unclear Mechanistic
ABT-102 ↓ inhibits Mechanistic
ISOPROPYL ISOTHIOCYANATE ? unclear Mechanistic

Showing top 40 of 160 agents ranked by evidence tier.


Clinical Trials

Drug, biologic and supplement trials (treatment or prevention) from ClinicalTrials.gov whose main condition is Tension Headache / Chronic Daily Headache: recruiting, active or completed, most recently updated first. Data retrieved 2026-10-28.

NCT07872943 Phase: 4 Started: 2026-01-01

The goal of this clinical trial is to learn if Zhixuan Analgesic Tablet works to treat frequent episodic tension-type headache in adults aged 18-60 years. It will also learn about the safety of Zhixuan Analgesic Tablet. The main questions it aims to answer are: * Does Zhixuan Analgesic Tablet reduce...

NCT07359248 Phase: N/A Started: 2025-12-01

To evaluate whether Desvenlafaxine can reduce the frequency and severity of TTH attacks in patients.

NCT05306899 Phase: 3 Started: 2022-06-01

Chronic daily headaches (CDH) poses a significant burden on patients, healthcare systems and the society. Intravenous (IV) ketamine infusion, an intervention that is widely available and scalable, can treat CDH by reversing receptor-mediated sensitization. This study is a multicenter, placebo-contro...

NCT02423408 Phase: 2 Started: 2015-06

This is a randomized, multicenter, double-blind, placebo-controlled, parallel-group study to evaluate the safety and efficacy of a single dose of TNX-201 (140 mg) for the treatment of a single qualifying Tension-Type-Headache (TTH).

NCT01770080 Phase: 4 Started: 2013-02

Efficacy and safety of Euminz® (10% ethanolic solution of peppermint oil for topical use) compared to placebo in patients with episodic tension-type headache (ETTH). Prospective, double-blind, placebo-controlled, phase IV clinical trial; Parallel-groups design; Randomisation 1:1; First attack per pa...

NCT00315666 Phase: 3 Started: 2006-05

The purpose of this study is to test whether memantine has a prophylactic effect on chronic tension-type headaches.

NCT00963040 Phase: N/A Started: 2009-11

The objective of this prospective, randomized, double-blind, parallel-group, placebo-controlled study is to determine the effectiveness of intranasal oxytocin in subjects suffering from chronic daily headache.

NCT00228267 Phase: 2 Started: 2004-09

Hypothesis A single subanesthetic dose of propofol will result in improved pain and quality of life for the next 30 days in persons with chronic daily headache (CDH) Specific objectives To measure the effect of a single infusion of propofol at 40 mcg / kg / minute over 60 mins on headache-related qu...


Agents Found By Disease-Level Search

Searched directly from “Tension Headache / Chronic Daily Headache” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 4-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

Not yet run. python -m biomarker_pipeline.run_disease_agent_discovery --disease "..."