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A Proof of Concept Alleviating the Symptoms of Photosensitive Migraine.

Primary Purpose

Migraine

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Lumishade® Active Lens
Lumishade® Sham Lens
Sponsored by
Mitsui Chemicals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine focused on measuring Migraine, Aura, Photosensitivity, Wavelength, Lens, Glasses

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Over 18 years old
  2. Diagnosis of migraine before the age of 50, confirmed though screening consultation with the patient
  3. Willing and able to provide written informed consent
  4. Willing to comply with study assessment schedule and patient diary entry
  5. Diagnosis of migraine, with or without aura based on the following primary headache characteristics (based on the Revised International Headache Society criteria for migraine headache)

    1. At least 5 attacks fulfilling criteria B-D
    2. Headache attacks lasting 4-72 hours (untreated or unsuccessfully treated)
    3. Headache has at least two of the following characteristics:

    i. unilateral location ii. pulsating quality iii. moderate or severe pain intensity iv. aggravation by or causing avoidance of routine physical activity (e.g., walking or climbing stairs) d. During headache at least one of the following: i. nausea and/or vomiting ii. photophobia and phonophobia e. Not attributed to another disorder

  6. Migraine associated with photophobia i.e. either photic hypersensitivity or photic allodynia or inter-ictal photophobia or migraine triggered by light according to patient or a combination of these 4 factors
  7. No expected changes of headache preventative medications after enrolment

Exclusion Criteria:

  1. Patients with other light sensitive conditions, such as iritis or retinal disease.
  2. Patients who have less than 4 headache days per month
  3. Patients who have daily headaches.
  4. Pregnant or nursing
  5. History of cluster headache or hemiplegic migraine
  6. Evidence of seizure or major psychiatric disorder
  7. Score of 19 or higher on the BDI
  8. Active chronic pain syndrome
  9. Cardiac or hepatic disease
  10. Have taken any investigational medication within 12 weeks before randomization, or are scheduled to receive an investigational drug
  11. Have received Botox injections for any purpose in the head or face region within 3 months of trial onset or scheduled to receive such treatment during the trial
  12. Medication overuse as per the revised ICHD-3 IHS criteria
  13. Medications that can affect light perception like ethambutol, hydroxychloroquine or amiodarone or any other according to the opinion of the investigator
  14. Patients requiring prescription/reading glasses
  15. Patients who have not responded to three or more migraine preventive drugs
  16. Patients who have a diagnosed neurological disorder that may influence the study according to the investigators

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Sham Comparator

    Arm Label

    Lumishade® active lens

    Lumishade® sham lens

    Arm Description

    Treatment of photosensitive migraine with a Lumishade® active device.

    Treatment of photosensitive migraine with a Lumishade® sham device.

    Outcomes

    Primary Outcome Measures

    Headache Impact Test 6
    The primary endpoint is the change in Headache Impact Test (HIT-6) score from end of run-in (Baseline) to end of treatment period following 4 weeks of treatment. The HIT 6 questionnaire is a licensed questionnaire with standardised calculations to assess the responses to the questions in the questionnaire.

    Secondary Outcome Measures

    Patient diary
    A headache diary. A headache diary serves to: Monitor the frequency, duration and severity of your headaches over time Identify patterns that may help determine triggers and improve treatment Track medication use and response Maintain long term records of what has worked and what has not

    Full Information

    First Posted
    May 18, 2021
    Last Updated
    May 21, 2021
    Sponsor
    Mitsui Chemicals, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04904328
    Brief Title
    A Proof of Concept Alleviating the Symptoms of Photosensitive Migraine.
    Official Title
    A Proof of Concept Clinical Investigation Designed to Evaluate the Performance of Lumishade® Lens With Frame in Alleviating the Symptoms of Photosensitive Migraine.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    June 30, 2021 (Anticipated)
    Primary Completion Date
    January 4, 2022 (Anticipated)
    Study Completion Date
    April 4, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Mitsui Chemicals, Inc.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This proof of concept clinical study will investigate the efficacy of active lens with frame in alleviating the symptoms of migraine which are caused by photosensitivity. The spectacles cut out blue light wavelength and hypothetically alleviate symptoms of migraine and thus either treat or prevent migraine headaches from occurring.
    Detailed Description
    Patients will be randomised to one of two groups: Group 1 Patients wear sham glasses for 4 weeks Patients have 1 week's washout Patients wear active glasses for 4 weeks Group 2 Patients wear active glasses for 4 weeks Patients have 1 week's washout Patients wear sham glasses for 4 weeks The study will aim to determine whether wearing the active lens successfully reduces the symptoms of migraine, compared to wearing sham lens. Assuming a fairly conservative SD in the primary endpoint of 8 points, a total of 56 participants would be required to have 90% power to detect a minimum clinically significant difference of 5 points in a two-sample t-test. Allowing for a 20% drop-out rate, 70 participants would need to be recruited. Patients will be in the trial for a total of 13 weeks (4 week run-in, two 4 week periods, with 1 week washout in between).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Migraine
    Keywords
    Migraine, Aura, Photosensitivity, Wavelength, Lens, Glasses

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Crossover Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    77 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Lumishade® active lens
    Arm Type
    Active Comparator
    Arm Description
    Treatment of photosensitive migraine with a Lumishade® active device.
    Arm Title
    Lumishade® sham lens
    Arm Type
    Sham Comparator
    Arm Description
    Treatment of photosensitive migraine with a Lumishade® sham device.
    Intervention Type
    Device
    Intervention Name(s)
    Lumishade® Active Lens
    Intervention Description
    Migraine episodes are often triggered or exacerbated by environmental factors, particularly light. Active lens has been designed by blocking particular range of wavelength and hypothetically alleviate symptoms of migraine and thus either treat or prevent migraine headaches from occurring. (Note, we are reluctant to write any further information around the devices on this public record while the study is active to ensure we maintain the blind of the trial.)
    Intervention Type
    Device
    Intervention Name(s)
    Lumishade® Sham Lens
    Intervention Description
    Lumishade® Sham lens has been designed as inactive and not blocking particular range of wavelength. Thus, it will not alleviate or prevent symptoms of migraine. (Note, we are reluctant to write any further information around the devices on this public record while the study is active to ensure we maintain the blind of the trial.)
    Primary Outcome Measure Information:
    Title
    Headache Impact Test 6
    Description
    The primary endpoint is the change in Headache Impact Test (HIT-6) score from end of run-in (Baseline) to end of treatment period following 4 weeks of treatment. The HIT 6 questionnaire is a licensed questionnaire with standardised calculations to assess the responses to the questions in the questionnaire.
    Time Frame
    up to 13 weeks for each patients participation
    Secondary Outcome Measure Information:
    Title
    Patient diary
    Description
    A headache diary. A headache diary serves to: Monitor the frequency, duration and severity of your headaches over time Identify patterns that may help determine triggers and improve treatment Track medication use and response Maintain long term records of what has worked and what has not
    Time Frame
    up to 13 weeks for each patients participation

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Over 18 years old Diagnosis of migraine before the age of 50, confirmed though screening consultation with the patient Willing and able to provide written informed consent Willing to comply with study assessment schedule and patient diary entry Diagnosis of migraine, with or without aura based on the following primary headache characteristics (based on the Revised International Headache Society criteria for migraine headache) At least 5 attacks fulfilling criteria B-D Headache attacks lasting 4-72 hours (untreated or unsuccessfully treated) Headache has at least two of the following characteristics: i. unilateral location ii. pulsating quality iii. moderate or severe pain intensity iv. aggravation by or causing avoidance of routine physical activity (e.g., walking or climbing stairs) d. During headache at least one of the following: i. nausea and/or vomiting ii. photophobia and phonophobia e. Not attributed to another disorder Migraine associated with photophobia i.e. either photic hypersensitivity or photic allodynia or inter-ictal photophobia or migraine triggered by light according to patient or a combination of these 4 factors No expected changes of headache preventative medications after enrolment Exclusion Criteria: Patients with other light sensitive conditions, such as iritis or retinal disease. Patients who have less than 4 headache days per month Patients who have daily headaches. Pregnant or nursing History of cluster headache or hemiplegic migraine Evidence of seizure or major psychiatric disorder Score of 19 or higher on the BDI Active chronic pain syndrome Cardiac or hepatic disease Have taken any investigational medication within 12 weeks before randomization, or are scheduled to receive an investigational drug Have received Botox injections for any purpose in the head or face region within 3 months of trial onset or scheduled to receive such treatment during the trial Medication overuse as per the revised ICHD-3 IHS criteria Medications that can affect light perception like ethambutol, hydroxychloroquine or amiodarone or any other according to the opinion of the investigator Patients requiring prescription/reading glasses Patients who have not responded to three or more migraine preventive drugs Patients who have a diagnosed neurological disorder that may influence the study according to the investigators
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Yoshito Takeuchi
    Phone
    +81-90-4822-4960
    Email
    Yoshito.Takeuchi@mitsuichemicals.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Hironori Kuboi
    Phone
    +81-3-6253-3167
    Email
    Hironori.Kuboi@mitsuichemicals.com

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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