What is PACAP?

Pituitary adenylate cyclase-activating polypeptide, a 38-amino-acid neuropeptide studied in migraine provocation research.

PACAP in the library · · Human Trials · What are peptides?

9 registered trials · 41 indexed papers · 178 human / 842 animal studies

From the PeptideWhiz library entry. "As described" sections summarize claims made in the sources; they are not PeptideWhiz endorsements.

What it is

Pituitary adenylate cyclase-activating polypeptide, a 38-amino-acid neuropeptide studied in migraine provocation research.

Type: Neuropeptide.

Definition (National Library of Medicine)

“A multi-function neuropeptide that acts throughout the body by elevating intracellular cyclic amp level via its interaction with pacap receptors and vasoactive intestinal peptide receptor. Although first isolated from hypothalamic extracts and named for its action on the pituitary, it is widely distributed in the central and peripheral nervous systems. pacap is important in the control of endocrine and homeostatic processes, such as secretion of pituitary and gut hormones and food intake.”

  • MeSH: Pituitary Adenylate Cyclase-Activating Polypeptide

Human research

The registered human trials and peer-reviewed human studies linked below are listed from ClinicalTrials.gov and PubMed. A study is linked only when PACAP is one of its interventions, or is named in the study title or subject headings.

Listing a study does not mean it showed a benefit, and it is not medical advice.

Registered human trials (9)

Peer-reviewed studies (41)

PaperAuthorsJournalYearType
Interictal serum L-kynurenine and PACAP-38 levels in relation to allodynia and migraine subtypesDurak E et al.Headache2026Observational Study
PACAP-38 in Cluster Headache: A Prospective, Case-Control Study of a Potential Treatment TargetSøborg MK et al.European journal of neurology2025Observational Study
Preclinical and clinical evaluation of LY3451838, a PACAP-neutralizing monoclonal antibody, in randomized, double-blind, placebo-controlled phase 1 and phase 2 studies involving healthy adults and adults with treatment-resistant migraineJohnson MP et al.Cephalalgia : an international journal of headache2025Randomized Controlled Trial
PACAP38-induced migraine attacks are independent of CGRP signaling: a randomized controlled trialAl-Karagholi MA et al.The journal of headache and pain2025Randomized Controlled Trial
A Monoclonal Antibody to PACAP for Migraine PreventionAshina M et al.The New England journal of medicine2024Randomized Controlled Trial
Effects of Transcranial Direct Current Stimulation on Clinical Outcomes, Calcitonin Gene-Related Peptide, and Pituitary Adenylate Cyclase-Activating Polypeptide-38 Levels in Menstrual MigraineHasırcı Bayır BR et al.Neuromodulation : journal of the International Neuromodulation Society2024Randomized Controlled Trial
Hypersensitivity to PACAP-38 in post-traumatic headache: a randomized clinical trialAl-Khazali HM et al.Brain : a journal of neurology2024Randomized Controlled Trial
The effect of Lu AG09222 on PACAP38- and VIP-induced vasodilation, heart rate increase, and headache in healthy subjects: an interventional, randomized, double-blind, parallel-group, placebo-controlled studyRasmussen NB et al.The journal of headache and pain2023Randomized Controlled Trial
Stereotactic ablative radiotherapy or best supportive care in patients with localized pancreatic cancer not receiving chemotherapy and surgery (PANCOSAR): a nationwide multicenter randomized controlled trial according to a TwiCs designDoppenberg D et al.BMC cancer2022Randomized Controlled Trial
A nationwide randomized controlled trial on additional treatment for isolated local pancreatic cancer recurrence using stereotactic body radiation therapy (ARCADE)van Goor IWJM et al.Trials2022Randomized Controlled Trial
CGRP and PACAP-38 play an important role in diagnosing pediatric migraineLiu J et al.The journal of headache and pain2022Clinical Trial
Effect of K(ATP) channel blocker glibenclamide on PACAP38-induced headache and hemodynamicKokoti L et al.Cephalalgia : an international journal of headache2022Randomized Controlled Trial
PACAP38- and VIP-induced cluster headache attacks are not associated with changes of plasma CGRP or markers of mast cell activationPellesi L et al.Cephalalgia : an international journal of headache2022Randomized Controlled Trial
Infusion of Pituitary Adenylate Cyclase-Activating Polypeptide-38 in Patients with Rosacea Induces Flushing and Facial Edema that Can Be Attenuated by SumatriptanWienholtz NKF et al.The Journal of investigative dermatology2021Randomized Controlled Trial
Early treatment with sumatriptan prevents PACAP38-induced migraine: A randomised clinical trialWienholtz NKF et al.Cephalalgia : an international journal of headache2021Randomized Controlled Trial
A phase 2, randomized, double-blind, placebo-controlled trial of AMG 301, a pituitary adenylate cyclase-activating polypeptide PAC1 receptor monoclonal antibody for migraine preventionAshina M et al.Cephalalgia : an international journal of headache2021Randomized Controlled Trial
The effects of two different intensities of aerobic training protocols on pain and serum neuro-biomarkers in women migraineurs: a randomized controlled trailEslami R et al.European journal of applied physiology2021Randomized Controlled Trial
The effect of pituitary adenylate cyclase-activating peptide-38 and vasoactive intestinal peptide in cluster headacheVollesen ALH et al.Cephalalgia : an international journal of headache2020Randomized Controlled Trial
Serum CGRP, VIP, and PACAP usefulness in migraine: a case-control study in chronic migraine patients in real clinical practicePérez-Pereda S et al.Molecular biology reports2020Clinical Trial
Investigation of sumatriptan and ketorolac trometamol in the human experimental model of headacheGhanizada H et al.The journal of headache and pain2020Randomized Controlled Trial
PACAP27 induces migraine-like attacks in migraine patientsGhanizada H et al.Cephalalgia : an international journal of headache2020Randomized Controlled Trial
Effect of pituitary adenylate cyclase-activating polypeptide-27 on cerebral hemodynamics in healthy volunteers: A 3T MRI studyGhanizada H et al.Peptides2019Randomized Controlled Trial
Calcitonin-gene related peptide and disease activity in cluster headacheSnoer A et al.Cephalalgia : an international journal of headache2019Randomized Controlled Trial
Effect of the H(1)-antihistamine clemastine on PACAP38 induced migraineVollesen LH et al.Cephalalgia : an international journal of headache2019Randomized Controlled Trial
Bleeding tendency and platelet function during treatment with romiplostim in children with severe immune thrombocytopenic purpuraSuntsova EV et al.International journal of hematology2017Clinical Trial
PACAP38 dose-response pilot study in migraine patientsVollesen AL et al.Cephalalgia : an international journal of headache2017Randomized Controlled Trial
Part I: Pituitary adenylate cyclase-activating polypeptide-38 induced migraine-like attacks in patients with and without familial aggregation of migraineGuo S et al.Cephalalgia : an international journal of headache2017Randomized Controlled Trial
Change in brain network connectivity during PACAP38-induced migraine attacks: A resting-state functional MRI studyAmin FM et al.Neurology2016Randomized Controlled Trial
Investigation of the pathophysiological mechanisms of migraine attacks induced by pituitary adenylate cyclase-activating polypeptide-38Amin FM et al.Brain : a journal of neurology2014Randomized Controlled Trial
Genetic polymorphisms in the PACAP and PAC1 receptor genes and treatment response to venlafaxine XR in generalized anxiety disorderCooper AJ et al.Psychiatry research2013Clinical Trial

More cited research

Conditions researched

Related compounds

FAQ

What is PACAP?

Pituitary adenylate cyclase-activating polypeptide, a 38-amino-acid neuropeptide studied in migraine provocation research.

How many registered human trials study PACAP?

The PeptideWhiz trial index lists 9 registered trials for PACAP, the most recent from 2026.

How much published research exists on PACAP?

The PeptideWhiz paper index links 41 PubMed papers to PACAP; by study type, 178 human and 842 animal studies.

Which conditions is PACAP researched for?

Anxiety and panic, Chronic and systemic inflammation, Skin sensitivity and body aches on GLP-1 medicines, Lymphedema and swelling, Migraine, Parkinson's disease, Post-surgical inflammation and surgery recovery, Rosacea, Sleep problems (incl. insomnia on peptides).

Research and education only. Not medical advice. No dosing guidance. Data: ClinicalTrials.gov registry and PubMed via the PeptideWhiz index (204,289 studies).

Reported dosing ranges from research