AzTrials
AzTrials

MigraineNCT04828707

Assessment of Safety and Efficacy of Nerivio for the Migraine Prevention

A study testing Nerivio active device in people with Migraine, run by Theranica at 16 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

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. This study intends to demonstrate the safety and efficacy of the Nerivio for migraine prevention. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Migraine
What is being tested?
Nerivio active device
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
335 participants
Where
16 sitesUnited States
Study dates
13 Apr 2021to 10 Oct 2022
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18-75 years old.
  • Must have at least a 6-month history of headaches that meet the ICHD-3 diagnostic criteria for migraine with or without aura, either chronic (at least 15 days of Headache Days(HD)/ month with migraine days (migraine with or without aura) at least 8 days/ month for > 3 months) or non-chronic migraine.
  • History of 6 to 24 headache days per 28-day period for each of the 3 months preceding study enrolment (based on participant report).
  • Subject on prophylactic migraine treatment are permitted to remain on 1 medication with possible migraine-prophylactic effects if the dose has been stable for at least 2 months prior to the screening visit, and the dose is not expected to change during the course of the study.
  • Have personal access to a smartphone (24/7).
  • Must be able and willing to comply with the protocol.
  • Must be able and willing to provide informed consent..

Who cannot join

  • An active implanted electrical and/or neurostimulator device (e.g. cardiac pacemaker, cochlear implant).
  • Uncontrolled epilepsy.
  • History of use of opioids or barbiturates on more than 4 days a month in the last 6 months.
  • Current participation in any other interventional clinical study
  • Subject without basic cognitive and motor skills required for operating a smartphone.
  • Pregnant or breastfeeding.
  • Other significant pain, medical or psychological problems that in the opinion of the investigator may confound the study assessments.
  • Prior experience with the Nerivio device.

Trial locations and contacts

16 sites in 1 country.

16 sites in 1 country

United States16 sites
  • DENT Neurosciences Research Center

    Amherst, New York, 14226

  • RecioMed Clinical Research

    Boynton Beach, Florida, 33472

  • The Neurology Center of Southern California

    Carlsbad, California, 92011

  • Chicago Headache Center and Research Institute

    Chicago, Illinois, 60657

  • StudyMetrix Research

    City of Saint Peters, Missouri, 63303

  • Prevention & Strengthening Solutions, Inc.

    Columbia, South Carolina, 29203

  • Beautiful Minds Clinical Research Center

    Cutler Bay, Florida, 33157

  • Deaconess Clinic

    Evansville, Indiana, 47713

  • Hartford Headache Center

    Hartford, Connecticut, 06107

  • West Virginia University Medicine

    Morgantown, West Virginia, 26506

  • Newport Beach Clinical Research Associates

    Newport Beach, California, 92663

  • Four Rivers Clinical Research

    Paducah, Kentucky, 42001

  • Evolve Clinical Research

    Phoenix, Arizona, 85013

  • Headache Neurology Research Institute

    Ridgeland, Mississippi, 39157

  • ClinVest Research

    Springfield, Missouri, 65810

  • Ocean medical research

    Toms River, New Jersey, 08755

Other trials in United States

About this study

Official title: A Prospective, Randomized, Double-blind, Sham-controlled Multi-center Clinical Study Assessing the Safety and Efficacy of Nerivio for the Preventive Treatment of Migraine

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. This study intends to demonstrate the safety and efficacy of the Nerivio for migraine prevention.

The study is a prospective, randomized, double-blind, sham-controlled, multicenter study, conducted in three phases.

Read more

The study will consist of a screening/enrollment visit, followed by a 4-week (28 days) baseline phase, an 8-week double-blind preventive treatment phase, and a 4-week open-label phase.

Patients will complete an electronic diary throughout the study; this includes a daily evening report (completed regardless of whether the patient had a headache) and treatment feedback during the follow-up pre-emptive phase.

The primary endpoint is the mean change in the average of migraine headache days per month comparing the 4-week baseline phase (weeks 1 through 4) with the last 28 days of the treatment phase (weeks 9 through 12).

Read the detailed description

Nerivio is a neuromodulation device approved for the acute treatment of migraine with or without aura in patients 12 years of age or older. The device utilizes electro stimulation to achieve conditioned pain modulation (CPM). CPM stimulate endogenous analgesic mechanism. Treatments are self-administered by the user at the onset of a migraine attack. this study intends to demonstrate the safety and efficacy of the Nwrivio for migraine prevention.

The study is a prospective, randomized, double-blind, sham-controlled, multicenter trial, conducted in three phases. The ratio between treatment and control groups will be 1:1, stratified by center and patient type (chronic/non-chronic). The study will consist of a screening/enrollment visit, followed by a 4-week (28 days) baseline phase. Eligible participants will enter an 8-week double-blind preventive treatment phase. Following the preventive treatment phase, patients will be offered to participate in a 4-week open-label pre-emptive treatment phase or continue their prevention treatment with an active device, according to their eligibility.

Patients will complete an electronic diary throughout the study; this includes a daily evening report (completed regardless of whether the patient had a headache) and treatment feedback during the follow up pre-emptive phase

Phase I - Baseline - 4 weeks (weeks 1 through 4):

Eligible participants will install the Nerivio app on their smartphones and will be instructed to record daily their migraine/headaches symptoms and medication use on the Nerivio app.

Transition to the treatment phase: Participants who meet the following criteria in the baseline phase will be eligible to continue to the treatment phase:

  • Complete the diary in at least 22 out of the 28 days during the baseline phase (80%)
  • Have between 6 to 24 headache days during the 28-day baseline period
  • At least 4 of their headache days during the baseline phase fulfill the International Classification of Headache Disorders 3rd edition (ICHD-3) criteria for migraine (migraine without aura [code 1.1; C and D] or with aura [code 1.2; B and C], or probable migraine, or headaches requiring the use of migraine-specific medications including triptans, gepants or ergot derivatives).

Phase II - treatment phase (prevention) - 8 weeks (weeks 5 through 12):

Participants who meet the baseline phase requirements will be randomized in a 1:1 ratio to active and sham groups. Participants will be instructed to complete a daily diary (in the Nerivio app) about their headaches, associated symptoms, and medication use. They will also be instructed to conduct a 45-minute treatment with Nerivio every other day.

Transition to the follow-up phase (open label):

At the end of the treatment phase, participants from both arms (active and sham) may continue to a follow-up phase in which they will receive an active device that can be used during this phase. The data of all participants will be used for safety analyses.

The data of participants from the baseline and treatment phases will be used to assess their eligibility to participate in the pre-emptive follow-up phase. Participants eligible for the follow-up phase meet the following conditions:

  • Between 6-16 headache days during the baseline phase.
  • Participants experience prodrome symptoms within 24 hours prior to the onset of their migraine headache in at least half of their migraine attacks during the baseline phase.
  • Participants completed the daily questionnaires in at least 70% of the days during the treatment phase.
  • Treated every other day in at least 24 and less than 33 days during the 56 days of the treatment phase.

All adverse events will be reported.

Phase III - Follow-up phase (open label) - 4 weeks (weeks 13 through 16):

All participants will receive an active Nerivio device to use during the follow-up phase. Participants who do not meet the above requirements will be able to enter into the safety follow-up and continue to use Nerivio every other day for the preventive treatment of migraine. They will be instructed to compete a daily diary as was done in the treatment phase.

Participants who meet the above requirements will enter the pre-emptive follow-up phase and be instructed to conduct a 45-minute device treatment within 60 minutes of prodrome symptom onset. Participants will be instructed to complete questionnaires regarding their headache, prodrome symptoms, and medication use at baseline (start of treatment), 2 hours post-treatment, and 24 hours post-treatment. In addition, participants will be instructed to continue to report the daily diary, as performed in the other phases of the study.

All adverse events will be reported.

Conditions
Migraine
Being tested
Nerivio active device, Nerivio sham device
Medical subject headings
Migraine Disorders

What participants receive

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

  • Nerivio active deviceDevice

    Nerivio neurostimulator of conditional pain modulation (CPM)

  • Nerivio sham deviceDevice

    Nerivio neurostimulator with an electrical output not intended for neurostimulation

Study groups in NCT04828707
Study groupRoleWhat they receive
Migraine prevention treatment with active NerivioActive comparatorParticipants will treat with an active Nerivio device every other day for migraine prevention.
Receives: Device: Nerivio active device
Migraine prevention treatment with sham NerivioSham comparatorParticipants will treat with a sham (placebo) Nerivio device every other day for migraine prevention.
Receives: Device: Nerivio sham device

What is being measured

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

  1. Reduction in Migraine Days

    The mean reduction in the number of migraine days per month during the last 28 days (4 weeks) of the treatment phase (weeks 9 through 12) compare to the 4-week baseline phase (weeks 1 through 4)

    A migraine day is defined as a calendar day with a headache that is accompanied by at least one of the following symptoms: aura, photophobia, phonophobia, nausea and/or vomiting; or a calendar day with a headache that is treated with a migraine-specific acute medication.

    Measured: 3 months

  2. Rate of Adverse Events (Safety and Tolerability)

    Number of participants with Adverse Events (AE), Serious Adverse Events (SAE) and Device-related Adverse Events

    Measured: 3 months

Secondary outcomes (5)
  1. Reduction in Moderate/Severe Headache Days

    The mean reduction in the number of moderate/severe headache days per month during the last 28 days (4 weeks) of the treatment phase (weeks 9 through 12) compare to the 4-week baseline phase (weeks 1 through 4)

    A moderate/severe headache day is defined as a calendar day with a moderate or severe headache.

    Measured: 3 months

  2. Reduction Headache Days

    The mean reduction in the number of headache days per month during the last 28 days (4 weeks) of the treatment phase (weeks 9 through 12) compare to the 4-week baseline phase (weeks 1 through 4)

    A headache day is defined as a calendar day with headache (at any severity).

    Measured: 3 months

  3. Reduction of 50% in Headache Days

    Percentage of patients achieving at least 50% reduction from baseline in the mean number of headache days (all severities) per month in the last 4 weeks of the treatment phase (weeks 9 through 12).

    Measured: 3 months

  4. Increase in Headache Impact Test-6 (HIT-6) Score at the End of the Last 28 Days (4 Weeks) of the Treatment Phase (Weeks 9 Through 12) Compare to the HIT-6 Score at the End of the 4-week Baseline Phase (Weeks 1 Through 4)

    Headache Impact Test-6 (HIT-6) questionnaire is a tool used to measure the impact headaches have on your ability to function on the job, at school, at home, and in social situations. the questionnaire contains 6 questions with a total score between 36 to 78. Higher score interpret as better patient outcome.

    Measured: 3 months

  5. Reduction in Migraine-Specific Quality-of-Life (MSQ) Questionnaire Score at the End of the Last 28 Days (4 Weeks) of the Treatment Phase (Weeks 9 Through 12) Compare to the MSQ Score at the End of the 4-week Baseline Phase (Weeks 1 Through 4)

    The migraine Specific Quality-of-Life questionnaire (MSQ) is a tool to measure the impact of migraine on your ability to function on the job, at school, at home, and in social situations. The questionnaire contains 14 questions with a total score between 0 to 84. Lower score interprets as better patient outcome.

    Measured: 3 months

Timeline

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

  1. First posted2 Apr 2021
  2. Study start13 Apr 2021
  3. Primary completion31 Aug 2022
  4. Study completion10 Oct 2022

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized, double-blind, sham-controlled
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
335 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04828707
Sponsor's protocol ID
TCH008
Status last verified
Mar 2022
First submitted
30 Mar 2021
Last updated
15 Mar 2023
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Monteith TS, Stark-Inbar A, Shmuely S, Harris D, Garas S, Ironi A, Kalika P, Irwin SL. Remote electrical neuromodulation (REN) wearable device for adolescents with migraine: a real-world study of high-frequency abortive treatment suggests preventive effects. Front Pain Res (Lausanne). 2023 Nov 6;4:1247313. doi: 10.3389/fpain.2023.1247313. eCollection 2023.

    PubMed 38028429

Questions about this trial

What is this clinical trial studying?

A study testing Nerivio active device in people with Migraine, run by Theranica at 16 sites in United States.

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 7 inclusion and 8 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 15 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States. 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?

Yes. Results are posted in the registry (first posted 15 Mar 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Reduction in Migraine Days (time frame: 3 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04828707, which also lists 1 linked publication.

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 15 Mar 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in