A Non-Invasive Neuromodulation Device for Treatment of Migraine Headache
Primary Purpose
Migraine Headache, Episodic
Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
neuromodulation for episodic migraine headache
Sponsored by
About this trial
This is an interventional treatment trial for Migraine Headache, Episodic focused on measuring neuromodulation, migraine headache
Eligibility Criteria
INCLUSION CRITERIA:
- The patient must have been diagnosed with episodic Migraine Headache at least 6 months prior to entering into the Study, consistent with the International Headache Classification of Headache Disorders-II (ICHD-II) guidelines.
- The patient must have a history of at least three consecutive months of stable Migraine Headaches prior to entering the Study. The patients will not have had changes in medication usage for the three Months leading up to the Study, nor will they introduce new medications during the Study period. Patients will satisfy these criteria: On a Monthly basis, at least four, and not more than a total of fourteen (4-14), Headache Days (Pain Score between one and ten) of which between four and nine (4-14) are Migraine Headache Days
- The patient must not have failed on more than two classes of properly administered prophylactic pharmaceutical therapies for migraine headache. The patient may be on a single migraine prophylactic as long as the dosage has not been altered within 3 months of starting the study and the dosage must not be altered for the duration of the study.
- The Investigator must have confidence in the patient's ability to reliably use the Experimental Device and promptly complete the Daily Headache Diary forms. The Daily Headache Diary will be completed from the beginning of the Pre-Treatment Baseline Period through the end of the Pivotal Study.
EXCLUSION CRITERIA:
Individuals who:
- are pregnant
- have a history of cardiovascular disease
- work night shifts
- have been diagnosed with vestibular migraine
- have been diagnosed with migraine with aura
- have menstrual migraine exclusively
- have been diagnosed with post-traumatic migraine
- have a history of unstable mood disorder or unstable anxiety disorder
- use a hearing aid
- have a cochlear implant
- have chronic tinnitus
- have temporomandibular joint disease
- have been diagnosed with traumatic brain injury
- have been diagnosed with neurological disease other than Headaches
- have a diagnosed vestibular dysfunction
- abuse alcohol or other drugs
- are experiencing medication overuse Headaches (individuals with respect to whom the Investigator is concerned that analgesic abuse is involved based on the ICHD-II guidelines).
- are less than 18 years old or greater than 65 years old
- have had eye surgery within the previous three months or ear surgery within the previous six months
- have active ear infections or a perforated tympanic membrane
- have participated in another clinical trial within the last 30 days or are currently enrolled in another clinical trial
- are using Botox treatments for migraines
- Though not excluded, patients taking anti-histamines or anti-nausea drugs will be encouraged not to take such medications within four hours prior to using the Device. The Investigator should review other medications taken by the patient with properties that mimic anti-nausea or anti-dizziness drugs as these may reduce responsiveness to stimulation. Such medications should also be avoided within four hours prior to a treatment.
Sites / Locations
- Naval Medical Center
- Michigan Headache and Neurological Institute
- Carolina Headache Institute
- Duke University
- Headache Wellness Center
- Kent University
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
active device
placebo device
Arm Description
A standardized active neuromodulation waveform will be used for all active Device patients at all Study sites. The Device will be used twice daily.
A standardized placebo neuromodulation waveform will be used for all placebo Device patients at all Study sites. The Device will be used twice daily.
Outcomes
Primary Outcome Measures
Number of monthly migraine headache days
During the third Month of Device use, the average total number of Monthly Migraine Headache Days will be lower than comparable averages derived from the Pre-use Baseline Period
Secondary Outcome Measures
Number of monthly migraine headache days (reduction by by 50% or more)
A reduction of 50% or more in monthly Migraine Headache Days during the third Month of Device use as compared with the Pre-use Baseline Period.
Total monthly pain score
During the third Month of Device use, the average Total Monthly Headache Pain Scores will be lower than comparable averages derived from the Pre-use Baseline Period.
Mood and cognition measures - Change in mood scores
A patient's Pre-use Baseline Period mood scores will be compared with those at the end of the Device use period. Mood scores will be assessed for: a decline, no change, or an improvement.
Verify the absence of material dizziness
The principal safety endpoint for the Study is to verify the absence of material dizziness, with the associated risk of falls, as a consequence of using the Device.
Mood and cognition measures - Change in cognitive speed scores
A patient's Pre-use Baseline Period cognitive speed scores will be compared with those at the end of the Device use period. Cognitive speed scores will be assessed for: a decline, no change, or an improvement.
Mood and cognition measures - Change in memory scores
A patient's Pre-use Baseline Period memory scores will be compared with those at the end of the Device use period. Memory scores will be assessed for: a decline, no change, or an improvement.
Use of acute medications - change in number of treated headaches
During the third month of device use, the number of abortive medications taken will be less than the number taken in the baseline month
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01899040
Brief Title
A Non-Invasive Neuromodulation Device for Treatment of Migraine Headache
Official Title
A Non-Invasive Neuromodulation Device for Treatment of Migraine Headache
Study Type
Interventional
2. Study Status
Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
August 2013 (undefined)
Primary Completion Date
May 2016 (Actual)
Study Completion Date
June 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Scion NeuroStim
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a randomized, blinded study designed to assess the efficacy of a portable, non-invasive neuromodulation system for the treatment of episodic migraine headaches.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine Headache, Episodic
Keywords
neuromodulation, migraine headache
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
81 (Actual)
8. Arms, Groups, and Interventions
Arm Title
active device
Arm Type
Active Comparator
Arm Description
A standardized active neuromodulation waveform will be used for all active Device patients at all Study sites. The Device will be used twice daily.
Arm Title
placebo device
Arm Type
Placebo Comparator
Arm Description
A standardized placebo neuromodulation waveform will be used for all placebo Device patients at all Study sites. The Device will be used twice daily.
Intervention Type
Device
Intervention Name(s)
neuromodulation for episodic migraine headache
Primary Outcome Measure Information:
Title
Number of monthly migraine headache days
Description
During the third Month of Device use, the average total number of Monthly Migraine Headache Days will be lower than comparable averages derived from the Pre-use Baseline Period
Time Frame
after 84 days of Device use
Secondary Outcome Measure Information:
Title
Number of monthly migraine headache days (reduction by by 50% or more)
Description
A reduction of 50% or more in monthly Migraine Headache Days during the third Month of Device use as compared with the Pre-use Baseline Period.
Time Frame
after 84 days of Device use
Title
Total monthly pain score
Description
During the third Month of Device use, the average Total Monthly Headache Pain Scores will be lower than comparable averages derived from the Pre-use Baseline Period.
Time Frame
after 84 days of Device use
Title
Mood and cognition measures - Change in mood scores
Description
A patient's Pre-use Baseline Period mood scores will be compared with those at the end of the Device use period. Mood scores will be assessed for: a decline, no change, or an improvement.
Time Frame
after 84 days of Device use
Title
Verify the absence of material dizziness
Description
The principal safety endpoint for the Study is to verify the absence of material dizziness, with the associated risk of falls, as a consequence of using the Device.
Time Frame
after 84 days of Device use
Title
Mood and cognition measures - Change in cognitive speed scores
Description
A patient's Pre-use Baseline Period cognitive speed scores will be compared with those at the end of the Device use period. Cognitive speed scores will be assessed for: a decline, no change, or an improvement.
Time Frame
after 84 days of Device use
Title
Mood and cognition measures - Change in memory scores
Description
A patient's Pre-use Baseline Period memory scores will be compared with those at the end of the Device use period. Memory scores will be assessed for: a decline, no change, or an improvement.
Time Frame
after 84 days of Device use
Title
Use of acute medications - change in number of treated headaches
Description
During the third month of device use, the number of abortive medications taken will be less than the number taken in the baseline month
Time Frame
after 84 days of device use
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
INCLUSION CRITERIA:
The patient must have been diagnosed with episodic Migraine Headache at least 6 months prior to entering into the Study, consistent with the International Headache Classification of Headache Disorders-II (ICHD-II) guidelines.
The patient must have a history of at least three consecutive months of stable Migraine Headaches prior to entering the Study. The patients will not have had changes in medication usage for the three Months leading up to the Study, nor will they introduce new medications during the Study period. Patients will satisfy these criteria: On a Monthly basis, at least four, and not more than a total of fourteen (4-14), Headache Days (Pain Score between one and ten) of which between four and nine (4-14) are Migraine Headache Days
The patient must not have failed on more than two classes of properly administered prophylactic pharmaceutical therapies for migraine headache. The patient may be on a single migraine prophylactic as long as the dosage has not been altered within 3 months of starting the study and the dosage must not be altered for the duration of the study.
The Investigator must have confidence in the patient's ability to reliably use the Experimental Device and promptly complete the Daily Headache Diary forms. The Daily Headache Diary will be completed from the beginning of the Pre-Treatment Baseline Period through the end of the Pivotal Study.
EXCLUSION CRITERIA:
Individuals who:
are pregnant
have a history of cardiovascular disease
work night shifts
have been diagnosed with vestibular migraine
have been diagnosed with migraine with aura
have menstrual migraine exclusively
have been diagnosed with post-traumatic migraine
have a history of unstable mood disorder or unstable anxiety disorder
use a hearing aid
have a cochlear implant
have chronic tinnitus
have temporomandibular joint disease
have been diagnosed with traumatic brain injury
have been diagnosed with neurological disease other than Headaches
have a diagnosed vestibular dysfunction
abuse alcohol or other drugs
are experiencing medication overuse Headaches (individuals with respect to whom the Investigator is concerned that analgesic abuse is involved based on the ICHD-II guidelines).
are less than 18 years old or greater than 65 years old
have had eye surgery within the previous three months or ear surgery within the previous six months
have active ear infections or a perforated tympanic membrane
have participated in another clinical trial within the last 30 days or are currently enrolled in another clinical trial
are using Botox treatments for migraines
Though not excluded, patients taking anti-histamines or anti-nausea drugs will be encouraged not to take such medications within four hours prior to using the Device. The Investigator should review other medications taken by the patient with properties that mimic anti-nausea or anti-dizziness drugs as these may reduce responsiveness to stimulation. Such medications should also be avoided within four hours prior to a treatment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lesco Rogers, MD
Organizational Affiliation
Scion NeuroStim
Official's Role
Study Director
Facility Information:
Facility Name
Naval Medical Center
City
San Diego
State/Province
California
ZIP/Postal Code
92134
Country
United States
Facility Name
Michigan Headache and Neurological Institute
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48104
Country
United States
Facility Name
Carolina Headache Institute
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27516
Country
United States
Facility Name
Duke University
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Facility Name
Headache Wellness Center
City
Greensboro
State/Province
North Carolina
ZIP/Postal Code
27405
Country
United States
Facility Name
Kent University
City
Kent
State/Province
Canterbury
ZIP/Postal Code
CT2 7NP
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
28656612
Citation
Wilkinson D, Ade KK, Rogers LL, Attix DK, Kuchibhatla M, Slade MD, Smith LL, Poynter KP, Laskowitz DT, Freeman MC, Hoffer ME, Saper JR, Scott DL, Sakel M, Calhoun AH, Black RD. Preventing Episodic Migraine With Caloric Vestibular Stimulation: A Randomized Controlled Trial. Headache. 2017 Jul;57(7):1065-1087. doi: 10.1111/head.13120. Epub 2017 Jun 27.
Results Reference
derived
Learn more about this trial
A Non-Invasive Neuromodulation Device for Treatment of Migraine Headache
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