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NCT03361423

Evaluation of a Novel Device for Treatment of Migraine Headache

Completed NA Results posted Last updated 19 May 2021
What this trial tests

NA trial testing Nerivio Migra-1 active device in Migraine Without Aura in 296 participants. Completed in 25 December 2018.

Timeline
17 December 2017
Primary endpoint
25 November 2018
25 December 2018

Quick facts

Lead sponsorTheranica
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment296
Start date17 December 2017
Primary completion25 November 2018
Estimated completion25 December 2018
Sites12 locations across United States, Israel

Drugs / interventions tested

Conditions studied

Sponsor

Theranica — full company profile →

Who can join

Adults 18 to 75, any sex, with Migraine Without Aura or Migraine With Aura. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Reduction of Migraine Headache at 2 Hours Post Treatment Primary · 2 hours post migraine onset

The percentage of patients reporting reduction in their pain level 2 hours post-treatment without rescue medications from severe or moderate to mild or no pain, or from mild to no pain, in their first treated migraine attack (excluding the "run-in test" treatment).

GroupValue95% CI
Treatment of Migraine With Active Device66
Treatment of Migraine With Sham Device40
Percentage of Participants With Reduction of Most Bothersome Migraine-associated Symptom (MBS) Relief at 2 Hours Post Treatment Secondary · 2 hours post migraine onset

The percentage of patients reporting, 2 hours post-treatment, freedom from their most bothersome migraine-associated symptom (MBS) other than a headache, in their first treated migraine attack (excluding the "run-in test" treatment). MBS may be nausea, photophobia, phonophobia or allodynia - as defined by each subject at the beginning of the treatment

GroupValue95% CI
Treatment of Migraine With Active Device44
Treatment of Migraine With Sham Device22
Percentage of Participants With Reduced Migraine Headache AND MBS Relief at 2 Hours Post Treatment Secondary · 2 hours post migraine onset

The percentage of patients reporting, 2 hours post treatment response to both the primary and the first secondary endpoints

GroupValue95% CI
Treatment of Migraine With Active Device38
Treatment of Migraine With Sham Device15
Percentage of Participants With Pain Disappearance at 2 Hours Post Treatment Secondary · 2 hours post migraine onset

The percentage of subjects reporting freedom from migraine pain at 2 hours post-treatment without medications in their first treated migraine attack

GroupValue95% CI
Treatment of Migraine With Active Device37
Treatment of Migraine With Sham Device19
Number of Adverse Events Related or Unrelated to the Study Device Secondary · up to 14 weeks

The number of Adverse events related to the study device. Safety analyses were performed on all participants from the ITT population (126 participants in each group).

GroupValue95% CI
Treatment of Migraine With Active Device14
Treatment of Migraine With Sham Device9
Within-patient Consistency - Percentage of Participants With Reduction in Headache Pain in at Least 50% of Their Treatments Secondary · up to 6 weeks

The repeatability of migraine headache reduction, as described in the primary endpoint definition, in subsequent treated attacks. Thus, this endpoint measures the % of patient responding to the primary endpoint in at least 50% of their treated attacks (excluding the run-in attack

GroupValue95% CI
Treatment of Migraine With Active Device51.342.8 – 61.4
Treatment of Migraine With Sham Device38.131.2 – 46.6
Percentage of Participants With Sustained Pain-free 48 Hours With Single Use of the Device Secondary · 48 hours post treatment

The proportion (%) of subjects reporting pain-free at 2 hours, and no return of any pain or use of rescue/acute medication, or reuse of device between 2 hours and 48 hours, in their first treated migraine attack

GroupValue95% CI
Treatment of Migraine With Active Device18
Treatment of Migraine With Sham Device6
Percentage of Participants With Sustained Headache Reduction for 48 Hours With Single Use of the Device Secondary · 48 hours post treatment

The proportion (%) of subjects reporting treatment response 2 hours post-treatment without rescue medications, and no return to baseline level of pain at time of treatment, or use of rescue/acute medication, or reuse of device between 2 hours and 48 hours, in their first treated migraine attack

GroupValue95% CI
Treatment of Migraine With Active Device32
Treatment of Migraine With Sham Device14

Adverse events — posted to ClinicalTrials.gov

Time frame: up to 14 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment of Migraine With Active Device
Serious: 0/126 (0%)
Deaths: 0/126
Treatment of Migraine With Sham Device
Serious: 0/126 (0%)
Deaths: 0/126
Other adverse events (8 terms — click to expand)

ReactionSystemTreatment of Migraine With…Treatment of Migraine With…
Sensation of warmthSkin and subcutaneous tissue disorders
TinglingProduct Issues
Numbness of the armNervous system disorders
Pain in the armNervous system disorders
Redness of the skin at the treatment areaSkin and subcutaneous tissue disorders
Neck and shoulder painProduct Issues
Muscle spasmNervous system disorders
ItchingSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT03361423 adverse events section.

Sponsor's own description

Migraine is a common neurologic with attacks of headache and associated symptoms such as nausea, vomiting, phono and photophobia. Migraine can lead to substantial functional impairment. Recent evidence suggests that electro stimulation is effective in providing relief for chronic headaches including migraine. It is tolerable by patients and associated with no adverse effects. The device utilizes electro stimulation to achieve conditioned pain modulation (CPM). CPM an stimulate endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere. This is a prospective, randomized, double-blind, sham controlled multi-center trial. Ratio between treatment and control groups will be 1:1, stratified by center and use of preventive medications. The study objectives is to demonstrate the safety and effectiveness of the Nerivio Migra electro stimulation device for the reduction of migraine headache during an attack of migraine with or without aura. The study is intended for subject with 2-8 migraine episodes per month. patients will receive the device, either an active or a placebo type, and will be asked to use the device at home or in any location that they will be when the migraine starts. The study hypothesis is that electro stimulation delivered transcutaneously to the peripheral nervous system at onset of a migraine attack significantly reduce headache pain demonstrated by a significant difference between proportions of responders to the active treatment stimulation in comparison to proportion of responders that will use a placebo device.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Remote Electrical Neuromodulation (REN) Relieves Acute Migraine: A Randomized, Double-Blind, Placebo-Controlled, Multicenter Trial.
    Yarnitsky D, Dodick DW, Grosberg BM, Burstein R, et al · · 2019 · cited 92× · PMID 31074005 · DOI 10.1111/head.13551
  2. Remote electrical neuromodulation (REN) in the acute treatment of migraine: a comparison with usual care and acute migraine medications.
    Rapoport AM, Bonner JH, Lin T, Harris D, et al · · 2019 · cited 31× · PMID 31331265 · DOI 10.1186/s10194-019-1033-9
  3. Remote Analgesic Effects Of Conventional Transcutaneous Electrical Nerve Stimulation: A Scientific And Clinical Review With A Focus On Chronic Pain.
    Gozani SN. · · 2019 · cited 29× · PMID 31819603 · DOI 10.2147/jpr.s226600
  4. Incorporating Remote Electrical Neuromodulation (REN) Into Usual Care Reduces Acute Migraine Medication Use: An Open-Label Extension Study.
    Marmura MJ, Lin T, Harris D, Ironi A, et al · · 2020 · cited 15× · PMID 32318014 · DOI 10.3389/fneur.2020.00226

Verify or expand the search:

Other recruiting trials for Migraine Without Aura

Currently open trials in the same condition.

Other Theranica trials

Trials by the same sponsor.

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