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Migraine Without AuraACU-BRAINNCT04157192

Brain Connectome for Acupuncture-treated Migraine Patients

A study testing Real acupuncture in people with Migraine Without Aura and Acupuncture Therapy, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Acupuncture has been a means of treating headaches and migraine since 2002 and is now a World Health Organisation-recognized prophylactic treatment for migraine. Brain activation/de-activation via acupuncture modifies the haemodynamic responses in the brain which may impact the sensorial, cognitive and affective… Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Migraine Without Aura, Acupuncture Therapy
What is being tested?
Real acupuncture
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
1 siteFrance
Study dates
27 May 2022to 24 Apr 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • All patients with two to eight bouts of migraine without an aura per month
  • All patient aged (≥) 18 to (≤) 60 years old
  • All patients who have not had a bout of migraine in the last 24 hours
  • All patients who have given free informed consent and have signed the consent form.
  • All patients who are affiliated to or beneficiaries of a health insurance scheme
  • All patients available for a two-month follow-up

Who cannot join

  • All patients with migraine which is secondary to a neurological, neuropsychiatric, or vascular disorder
  • All patients suffering from diabetes
  • All patients with a past history of alcohol or drug abuse
  • All patients with contraindications for an MRI scan
  • All patients on antidepressants or Botox.
  • All patients already taking part in Category 1 research involving the human person
Show all 14Show fewer
  • All patients on an exclusion period determined by another study
  • All patients placed under judicial protection, guardianship, or supervision
  • All patients for whom it is impossible to give the subject clear information
  • All patients who are pregnant, about to give birth or breastfeeding
  • All patient who have received botulinum toxin in the past year
  • All patient who have undergone antidepressant treatment in the last 2 months
  • All patient who have started a background migraine treatment for less than 3 months
  • All patient who have more than 14 migraine days per month

Trial locations and contacts

1 site in 1 country.

France1 site
  • CHU de Nîmes

    Nîmes, 30029

Other trials in France

About this study

Official title: Brain Connectome for Migraine Patients Treated Via Acupuncture: A Randomized, Controlled Study Under Single-blind Conditions, With a Placebo Group and Magnetic Resonance Imaging (MRI)

Acupuncture has been a means of treating headaches and migraine since 2002 and is now a World Health Organisation-recognized prophylactic treatment for migraine. Brain activation/de-activation via acupuncture modifies the haemodynamic responses in the brain which may impact the sensorial, cognitive and affective dimensions of pain. Randomized studies on patients suffering from aura-free migraine have shown that the painkilling effect of regular acupuncture sessions on the cerebral substratum, compared with simulated sham-type acupuncture, can reduce the frequency of bouts of migraine, number of days with headaches and also their intensity.

Modifications to the white matter (WM) and grey matter (GM) occur after repeated sessions of acupuncture treatment for pain and these are observable via magnetic resonance imaging (MRI). It is a very sensitive technique and often used to detect functional and structural brain changes.

Read the detailed description

Since 2002, acupuncture has been employed as a method for treating headaches and migraine. It is recognized by the World Health Organisation (WHO), and is now part of the prophylactic treatments for migraine. Brain activations/de-activation via acupuncture lead to a modification of haemodynamic responses in the brain which may impact the sensorial, cognitive and affective dimensions of pain. Randomized studies on patients who suffer from migraine without aura have shown that the painkilling effect of repeated acupuncture sessions on the cerebral substratum, compared with simulated sham-type acupuncture, make it possible to reduce the frequency of bouts of migraine, the number of days of headaches, and the intensity of the bouts.

Following repeated sessions of acupuncture treatment for pain, modifications occur in the white matter (WM) and in the grey matter (GM) and these may be observed by magnetic resonance imaging (MRI) which is a highly sensitive technique and very often used to detect functional brain changes and/or subtle abnormalities.

Being tested
Real acupuncture, Sham acupuncture (placebo group)
Keywords
Acupuncture
Medical subject headings
Migraine without Aura

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Real acupunctureOther

    The patient will be treated for migraine with real acupuncture.

  • Sham acupuncture (placebo group)Other

    Sham acupuncture is used as a control in scientific studies to test the efficacy of acupuncture in the treatment of various disorders, in this case, migraine. In this study, the subjects will not know whether they are getting true acupuncture or not. In the placebo group, the acupuncture needles will not actually be inserted into the skin. Placebo needles consisting of a sliding tube and a retractible needle are applied to the acupunture reference point (marked by a pastille stuck on the skin). The patient should not be able to feel the difference between real acupuncture and sham acupuncture.

Study groups in NCT04157192
Study groupRoleWhat they receive
Patients receiving real acupuncture treatmentActive comparatorTreatment with needle insertion
Receives: Other: Real acupuncture
Patients receiving sham acupuncture treatmentSham comparatorTreatment without needle insertion
Receives: Other: Sham acupuncture (placebo group)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Regional homogeneity map in Interventional group patients BEFORE first real acupuncture session.

    Regional homogeneity in patients treated via real acupuncture (Interventional group) is computed with functional magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - Start of therapy

  2. Regional homogeneity map in Interventional group patients AFTER first real acupuncture session.

    Regional homogeneity in patients treated via real acupuncture (Interventional group) is computed with functional magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - Start of therapy

  3. Regional homogeneity map in Placebo group patients BEFORE first real acupuncture session.

    Regional homogeneity in patients treated via simulated, sham-type acupuncture (Placebo group) is computed with functional magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - Start of therapy

  4. Regional homogeneity map in Placebo group patients AFTER first real acupuncture session.

    Regional homogeneity in patients treated via simulated, sham-type acupuncture (Placebo group) is computed with functional magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - Start of therapy

  5. Regional homogeneity map in Interventional group patients BEFORE last real acupuncure session

    Regional homogeneity in patients treated via acupuncture (Interventional group) is is computed with functional magnetic resonance imaging

    Measured: Sixty days after inclusion in the trial (Day 60) - end of therapy

  6. Regional homogeneity map in Interventional group patients AFTER last real acupuncure session

    Regional homogeneity in patients treated via acupuncture (Interventional group) is computed with functional magnetic resonance imaging

    Measured: Sixty days after inclusion in the trial (Day 60) - end of therapy

  7. Regional homogeneity map of Placebo group patients BEFORE last placebo acupuncture session

    Regional homogeneity in patients treated via simulated, sham-type acupuncture (Placebo group) is computed with functional magnetic resonance imaging

    Measured: Sixty days after inclusion in the trial (Day 60) - end of therapy

  8. Regional homogeneity map of Placebo group patients AFTER last placebo acupuncture session

    Regional homogeneity in patients treated via simulated, sham-type acupuncture (Placebo group) is computed with functional magnetic resonance imaging

    Measured: Sixty days after inclusion in the trial (Day 60) - end of therapy

Secondary outcomes (36)
  1. Mean diffusivity of White Matter of Interventional group patients BEFORE first real acupuncture session

    The mean diffusivity of White Matter of Interventional group patients is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  2. Mean diffusivity of White Matter of Interventional group patients AFTER first real acupuncture session

    The mean diffusivity of White Matter of Interventional group patients is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  3. Mean diffusivity of White Matter of Placebo group patients BEFORE first placebo acupuncture session

    The mean diffusivity of White Matter of Placebo group patients is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  4. Mean diffusivity of White Matter of Placebo group patients AFTER first placebo acupuncture session

    The mean diffusivity of White Matter of Placebo group patients is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  5. Mean diffusivity of White Matter of Interventional group patients BEFORE last real acupuncture session

    The mean diffusivity of White Matter in patients treated with real acupuncture (Interventional group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  6. Mean diffusivity of White Matter of Interventional group patients AFTER last real acupuncture session

    The mean diffusivity of White Matter in patients treated with real acupuncture (Interventional group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  7. Mean diffusivity of White Matter of Placebo group patients BEFORE last placebo acupuncture session

    The mean diffusivity of White Matter in patients treated with simulated, sham-type acupuncture (Placebo group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  8. Mean diffusivity of White Matter of Placebo group patients AFTER last placebo acupuncture session

    The mean diffusivity of White Matter in patients treated with simulated, sham-type acupuncture (Placebo group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  9. Radial diffusivity of the White Matter in Interventional group patients BEFORE first real acupuncture session

    Radial diffusivity of the White Matter of Interventional group patients is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  10. Radial diffusivity of the White Matter in Interventional group patients AFTER first real acupuncture session

    Radial diffusivity of the White Matter in the Interventional group patients is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  11. Radial diffusivity of the White Matter in Placebo group patients BEFORE first placebo acupuncture session

    Radial diffusivity of the White Matter in patients treated with simulated, sham-type acupuncture (Placebo group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  12. Radial diffusivity of the White Matter in Placebo group patients AFTER first placebo acupuncture session

    Radial diffusivity of the White Matter in patients treated with simulated, sham-type acupuncture (Placebo group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  13. Radial diffusivity of the White Matter in Interventional group patients BEFORE last real acupuncture session

    Radial diffusivity of the White Matter in patients treated with real acupuncture (Interventional group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  14. Radial diffusivity of the White Matter in Placebo group patients AFTER last real acupuncture session

    Radial diffusivity of the White Matter in patients treated with real acupuncture (Interventional group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  15. Radial diffusivity of the White Matter in Interventional group patients BEFORE last placebo acupuncture session

    Radial diffusivity of the White Matter in patients treated with simulated, sham-type acupuncture (Placebo group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  16. Radial diffusivity of the White Matter in Placebo group patients AFTER last placebo acupuncture session

    Radial diffusivity of the White Matter in patients treated with simulated, sham-type acupuncture (Placebo group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  17. Fractional anisotropy of the White Matter in Interventional group patients BEFORE first real acupuncture session

    Fractional anisotropy of patients treated with real acupuncture (Interventional group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  18. Fractional anisotropy of the White Matter in Interventional group patients AFTER first real acupuncture session

    Fractional anisotropy of patients treated with real acupuncture (Interventional group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  19. Fractional anisotropy of the White Matter in Placebo group patients BEFORE first placebo acupuncture session

    Fractional anisotropy in patients treated with simulated, sham-type acupuncture (Placebo group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  20. Fractional anisotropy of the White Matter in Placebo group patients AFTER first placebo acupuncture session

    Fractional anisotropy in patients treated with simulated, sham-type acupuncture (Placebo group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: At the inclusion visit (Vinc) on Day 0 - start of therapy

  21. Fractional anisotropy of the White Matter in Interventional group patients BEFORE last real acupuncture session

    Fractional anisotropy in patients treated with real acupuncture (Interventional group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  22. Fractional anisotropy of the White Matter in Interventional group patients AFTER last real acupuncture session

    Fractional anisotropy in patients treated with real acupuncture (Interventional group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  23. Fractional anisotropy of the White Matter in Placebo group patients BEFORE last placebo acupuncture session

    Fractional anisotropy in patients treated with simulated, sham-type acupuncture (Placebo group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  24. Fractional anisotropy of the White Matter in Placebo group patients AFTER first placebo acupuncture session

    Fractional anisotropy in patients treated with simulated, sham-type acupuncture (Placebo group) is computed with diffusion-weighted magnetic resonance imaging

    Measured: 60 days after the initial inclusion visit (Day 60) - end of therapy

  25. Change in number of days with migraine per month - Interventional group BEFORE treatment

    The number of days with migraine per month will be measured according to the days noted on a calendar

    Measured: At the inclusion visit (Vinc) on Day 0

  26. Change in number of days with migraine per month - Interventional group AFTER treatment

    The number of days with migraine per month will be measured according to the days noted on a calendar

    Measured: At the end of the study (on Day 90)

  27. Change in number of days with migraine per month - Placebo group BEFORE treatment

    The number of days with migraine per month will be measured according to the days noted on a calendar

    Measured: At the inclusion visit (Vinc) on Day 0

  28. Change in number of days with migraine per month - Placebo group AFTER treatment

    The number of days with migraine per month will be measured according to the days noted on a calendar

    Measured: At the end of the study (on Day 90)

  29. Pain BEFORE treatment in the Interventional group

    The change in pain will be measured according to the Visual Analogue Scale (VAS) described by Huskisson. The VAS is a simple numerical scale for measuring the intensity of pain. It is represented in the form of a 100 mm continuous line ranging from "Absence of pain" (0 mm) to "Maximum Imaginable Pain" (100 mm). The patient slides the cursor to give the intensity of pain that he/she feels. The amount of pain felt will be reported on the migraine calendar.

    Measured: At the inclusion visit (Vinc) on Day 0

  30. Pain AFTER treatment in the Interventional group

    The change in pain will be measured according to the Visual Analogue Scale (VAS) described by Huskisson. The VAS is a simple numerical scale for measuring the intensity of pain. It is represented in the form of a 100 mm continuous line ranging from "Absence of pain" (0 mm) to "Maximum Imaginable Pain" (100 mm). The patient slides the cursor to give the intensity of pain that he/she feels. The amount of pain felt will be reported on the migraine calendar.

    Measured: At the end of the study (on Day 90)

  31. Pain BEFORE treatment in the Placebo group

    The change in pain will be measured according to the Visual Analogue Scale (VAS) described by Huskisson. The VAS is a simple numerical scale for measuring the intensity of pain. It is represented in the form of a 100 mm continuous line ranging from "Absence of pain" (0 mm) to "Maximum Imaginable Pain" (100 mm). The patient slides the cursor to give the intensity of pain that he/she feels. The amount of pain felt will be reported on the migraine calendar.

    Measured: At the inclusion visit (Vinc) on Day 0

  32. Pain AFTER treatment in the Placebo group

    The change in pain will be measured according to the Visual Analogue Scale (VAS) described by Huskisson. The VAS is a simple numerical scale for measuring the intensity of pain. It is represented in the form of a 100 mm continuous line ranging from "Absence of pain" (0 mm) to "Maximum Imaginable Pain" (100 mm). The patient slides the cursor to give the intensity of pain that he/she feels. The amount of pain felt will be reported on the migraine calendar.

    Measured: At the end of the study (on Day 90)

  33. Impact of migraine on the Interventional group patients' Quality of Life (QOL) BEFORE treatment

    The evolution of the impact of migraine on the patient's Quality of Life (QOL) before and after treatment will be measured on a score of 36 to 78 points by means of the Headache Impact Test-6 (HIT-6). This is a tool used to measure the impact of headaches on the patient's ability to function at work, at school, at home and in social situations.

    Measured: At the inclusion visit (Vinc) on Day 0

  34. Impact of migraine on the Interventional group patients' Quality of Life (QOL) AFTER treatment

    The evolution of the impact of migraine on the patient's Quality of Life (QOL) before and after treatment will be measured on a score of 36 to 78 points by means of the Headache Impact Test-6 (HIT-6). This is a tool used to measure the impact of headaches on the patient's ability to function at work, at school, at home and in social situations.

    Measured: At the end of the study on Day 90

  35. Impact of migraine on the Placebo group patients' Quality of Life (QOL) BEFORE treatment.

    The evolution of the impact of migraine on the patient's Quality of Life (QOL) before and after treatment will be measured on a score of 36 to 78 points by means of the Headache Impact Test-6 (HIT-6). This is a tool used to measure the impact of headaches on the patient's ability to function at work, at school, at home and in social situations.

    Measured: At the inclusion visit (Vinc) on Day 0

  36. Impact of migraine on the Placebo group patients' Quality of Life (QOL) AFTER treatment.

    The evolution of the impact of migraine on the patient's Quality of Life (QOL) before and after treatment will be measured on a score of 36 to 78 points by means of the Headache Impact Test-6 (HIT-6). This is a tool used to measure the impact of headaches on the patient's ability to function at work, at school, at home and in social situations.

    Measured: At the end of the study on Day 90

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Nov 2019
  2. Study start27 May 2022
  3. Primary completion24 Apr 2025
  4. Study completion24 Apr 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
40 patients will be randomly assigned to one of two groups (1) The Interventional Group: 20 Patients will receive 5 real acupuncture sessions each spaced 15 days apart. At the first and last sessions of acupuncture, an MRI scan will be performed before and after the acupuncture session and (2) The Placebo Group : 20 patients will receive 5 sham sessions of acupuncture (i.e. using a simulated acupuncture technique) each spaced 15 days apart. At the first and last sham sessions, an MRI scan will be performed before and after the sham acupuncture session.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04157192
Sponsor's protocol ID
RCB : 2019-A00588-49
Acronym
ACU-BRAIN
Status last verified
Jun 2026
First submitted
6 Nov 2019
Last updated
17 Jun 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Real acupuncture in people with Migraine Without Aura and Acupuncture Therapy, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Regional homogeneity map in Interventional group patients BEFORE first real acupuncture session. (time frame: At the inclusion visit (Vinc) on Day 0 - Start of therapy). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jun 2026.

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