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MigraineFAST-EM-2NCT07633067

Safety and Efficacy of Middle Meningeal Artery Embolization for the Treatment of Migraine.

A study testing Middle meningeal artery embolization and Conventional standard pharmacotherapy for migraine in people with Migraine, run by The Affiliated Hospital Of Guizhou Medical University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study is a multicenter, prospective, double-blind, multi-arm, randomized controlled trial that investigates whether middle meningeal artery embolization is superior to current standard pharmacotherapy for migraine. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Migraine
What is being tested?
Middle meningeal artery embolization and Conventional standard pharmacotherapy for migraine
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
No sites listed yet
Study dates
15 Jun 2026to 31 Dec 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • Age 18~80 years old (inclusive), regardless of gender.
  • Voluntary written informed consent.
  • Migraine diagnosed by neurologists/pain specialists according to the current International Classification of Headache Disorders, 3rd Edition (ICHD-3) criteria for migraine with or without aura.
  • Migraine attack frequency of no less than 4 days per month within one month prior to enrollment.
  • History of pharmacotherapy for migraine prophylaxis or treatment for at least 6 months.

Who cannot join

  • Findings on cerebral angiography indicating secondary headache due to intracranial vascular disorders, including dural arteriovenous fistula, arteriovenous malformation, venous malformation, or other relevant cerebrovascular lesions; Moyamoya disease; or high-risk vascular anatomical variants unsuitable for safe vascular access or contraindicating MMA embolization.
  • Complicated with cervical spondylosis and secondary headache of otogenic, rhinogenic, odontogenic origin; patients with a history of trigeminal autonomic cephalalgias; headache with other definite etiologies or secondary headache;
  • Imaging diagnosis shows acute or chronic subdural hematoma, other acute intracranial lesions and other space-occupying lesions;
  • Patients planning to undergo surgery within 90 days;
  • Patients with a life expectancy of less than 12 months;
  • Patients with a definite history of contrast media allergy;
Show all 14Show fewer
  • Patients with a history of opioid addiction;
  • Breastfeeding or pregnant women, or patients with fertility plans within half a year;
  • Subjects who participated in other clinical trials of drugs or medical devices before enrollment and did not reach the time limit of the primary study endpoint;
  • Unable to understand headache-related assessment data such as headache diaries and requiring assistance from others to complete them;
  • Patients with poor compliance judged by the investigator and unable to complete the study as required;
  • Patients with a definite history of allergy to embolization materials such as nitinol alloy and/or cobalt-based alloy, platinum-tungsten alloy, etc.;
  • Subjects with other comorbidities that restrict their participation in the study, prevent compliance with follow-up, or affect the scientific integrity of the study;
  • Other conditions in which the investigator considers the patient inappropriate to participate in this study.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Zeguang Ren, MD. PhD. contact

+86 0851-86770232.

renzem@gmail.com

Junshuan Cui, MD. contact

+8615761600325

junshuan2306@163.com

About this study

Official title: Safety and Efficacy of Middle Meningeal Artery Embolization for the Treatment of Migraine: A Multicenter, Prospective, Double-blind, Multigroup, Randomized Controlled Trial.

This study is a multicenter, prospective, double-blind, multi-arm, randomized controlled trial that investigates whether middle meningeal artery embolization is superior to current standard pharmacotherapy for migraine. The main objectives of the study are to explore whether middle meningeal artery embolization can reduce migraine patients' dependence on migraine medications and to assess the safety of middle meningeal artery embolization with coils.

Read the detailed description

This study is a multicenter, prospective, double-blind, multi-arm, randomized controlled trial that investigates whether middle meningeal artery embolization is superior to current standard pharmacotherapy for migraine. The main objectives of the study are to explore whether middle meningeal artery embolization can reduce migraine patients' dependence on migraine medications and to assess the safety of middle meningeal artery embolization with coils.This study will enroll 150 subjects with a long history of headache from multiple clinical centers, who will be randomly assigned using a stratified randomization method via computer and web-based software. Stratified randomization will be performed according to study centers (different sub-centers). Subjects will be randomly allocated in a 1:1:1 ratio to the unilateral embolization group, bilateral embolization group, or conventional pharmacotherapy group (hereinafter referred to as the "control group"), with 50 subjects in each group. The unilateral embolization group will receive unilateral MMA interventional embolization plus conventional pharmacotherapy, the bilateral embolization group will receive bilateral MMA interventional embolization plus conventional pharmacotherapy, and the control group will receive only conventional standard pharmacotherapy. Baseline data prior to randomization and data on primary and secondary endpoint scores will be collected for all enrolled subjects. Regular follow-up will be conducted to evaluate the recovery of headache.

Conditions
Migraine
Being tested
Middle meningeal artery embolization, Conventional standard pharmacotherapy for migraine
Keywords
Migraine, Middle meningeal artery, Embolization
Medical subject headings
Migraine Disorders

What participants receive

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

  • Middle meningeal artery embolizationProcedure or surgery

    Middle meningeal artery embolization with coils.

  • Conventional standard pharmacotherapy for migraineDrug

    Conventional standard pharmacotherapy for migraine

Study groups in NCT07633067
Study groupRoleWhat they receive
Unilateral Middle Meningeal Artery Embolization + Standard PharmacotherapyExperimentalSubjects in this arm will receive unilateral middle meningeal artery embolization with coils plus conventional standard pharmacotherapy for migraine.
Receives: Procedure: Middle meningeal artery embolization; Drug: Conventional standard pharmacotherapy for migraine
Bilateral Middle Meningeal Artery Embolization + Standard PharmacotherapyExperimentalSubjects in this arm will receive bilateral middle meningeal artery embolization with coils plus conventional standard pharmacotherapy for migraine.
Receives: Procedure: Middle meningeal artery embolization; Drug: Conventional standard pharmacotherapy for migraine
Conventional Standard PharmacotherapyActive comparatorSubjects in this arm will receive only conventional standard pharmacotherapy for migraine, without any middle meningeal artery embolization intervention.
Receives: Drug: Conventional standard pharmacotherapy for migraine

What is being measured

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

  1. Migraine attack frequency (days / month)

    Change from baseline in the mean number of migraine days per month within 90 days, at the 90-day visit, and at the 180-day visit after randomization.

    Measured: :At baseline,within 90 days, 90-day, 180-day after treatment

Secondary outcomes (9)
  1. Migraine attack frequency (times / month)

    Change from baseline in the mean number of migraine attacks per month within 90 days, at the 90-day visit, and at the 180-day visit after randomization.

    Measured: At baseline, within 90 days, 90-day, 180-day after treatment

  2. Total headache frequency (days / month)

    Change from baseline in the mean number of all headache days per month within 90 days after randomization.

    Measured: At baseline, within 90 days after treatment

  3. Migraine medication use frequency (days / month)

    Change from baseline in the mean number of migraine medication use days per month within 90 days, at the 90-day visit, and at the 180-day visit after randomization.

    Measured: At baseline, within 90 days, 90-day, 180-day after treatment

  4. Proportion of ≥50% reduction in migraine days (days/month)

    Proportion of participants with at least a 50% reduction from baseline in the mean number of migraine days per month within 90 days, at the 90-day visit, and at the 180-day visit after randomization.

    Measured: At baseline, within 90 days, 90-day, 180-day after treatment

  5. Numerical Rating Scale for migraine pain severity (NRS) (score/month)

    Change from baseline in the mean monthly Migraine Pain Severity Score (NRS) within 90 days and within 180 days after randomization.

    Measured: At baseline, within 90 days, 180 days after treatment

  6. Migraine Disability Assessment Questionnaire (MIDAS) (score/month)

    Change from baseline in the mean monthly Migraine Disability Assessment Score (MIDAS) within 90 days and within 180 days after randomization.

    Measured: At baseline, within 90 days, 180 days after treatment

  7. Clinical Global Impression Scale (CGI) (score/month)

    Change from baseline in the mean monthly Clinical Global Impression (CGI) Scale score within 90 days and within 180 days after randomization.

    Measured: At baseline, within 90 days, 180 days after treatment

  8. Headache Impact Test (HIT-6) (score/month)

    Change from baseline in the mean monthly Headache Impact Test-6 (HIT-6) score within 90 days and within 180 days after randomization.

    Measured: At baseline, within 90 days, 180 days after treatment

  9. Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQ v2.1) (score/month)

    Change from baseline in the mean monthly Migraine-Specific Quality of Life Questionnaire (MSQ Version 2.1) score within 90 days and within 180 days after randomization.

    Measured: At baseline, within 90 days, 180 days after treatment

Timeline

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

  1. First posted8 Jun 2026
  2. Study start15 Jun 2026 (estimated)
  3. Primary completion31 Dec 2028 (estimated)
  4. Study completion31 Dec 2028 (estimated)

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
randomized controlled
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07633067
Sponsor's protocol ID
FAST-EM-2
Acronym
FAST-EM-2
Status last verified
Jun 2026
First submitted
3 Jun 2026
Last updated
8 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Tempaku A, Yamauchi S, Ikeda H, Tsubota N, Furukawa H, Maeda D, Kondo K, Nishio A. Usefulness of interventional embolization of the middle meningeal artery for recurrent chronic subdural hematoma: Five cases and a review of the literature. Interv Neuroradiol. 2015 Jun;21(3):366-71. doi: 10.1177/1591019915583224. Epub 2015 May 26.

    PubMed 26015518
  • Levy D, Moskowitz MA. Meningeal Mechanisms and the Migraine Connection. Annu Rev Neurosci. 2023 Jul 10;46:39-58. doi: 10.1146/annurev-neuro-080422-105509. Epub 2023 Mar 13.

    PubMed 36913712
  • Lam A, Selvarajah D, Htike SS, Chan S, Lalloo S, Lock G, Redmond K, Leggett D, Mews P. The efficacy of postoperative middle meningeal artery embolization on chronic subdural hematoma - A multicentered randomized controlled trial. Surg Neurol Int. 2023 May 12;14:168. doi: 10.25259/SNI_208_2023. eCollection 2023.

    PubMed 37292400
  • Xu K, Cui J, Demiraj F, Chen G, Wang Q, Mokin M, Yan Z, Peng H, Huang Y, Peng Z, Xiang X, Chu L, Wu S, Song S, Zheng Y, Wang L, Cai J, Shao Y, Yao Y, Yang H, Ren Z. Middle meningeal artery embolization for migraine headaches - a prospective self-control cohort trial. Int J Surg. 2026 Feb 1;112(2):3399-3411. doi: 10.1097/JS9.0000000000003714. Epub 2025 Nov 4.

    PubMed 41186515
  • Catapano JS, Karahalios K, Srinivasan VM, Baranoski JF, Rutledge C, Cole TS, Ducruet AF, Albuquerque FC, Jadhav AP. Chronic headaches and middle meningeal artery embolization. J Neurointerv Surg. 2022 Mar;14(3):301-303. doi: 10.1136/neurintsurg-2021-017602. Epub 2021 Apr 22.

    PubMed 33888570
  • Valdueza JM, Dreier JP, Woitzik J, Dohmen C, Sakowitz O, Platz J, Leistner-Glaess S, Witt VD. Course of Preexisting Migraine Following Spontaneous Subarachnoid Hemorrhage. Front Neurol. 2022 Jul 11;13:880856. doi: 10.3389/fneur.2022.880856. eCollection 2022.

    PubMed 35899261
  • Fan Z, Fan Z, Wang H. New surgical approach for migraine. Otol Neurotol. 2006 Aug;27(5):713-5. doi: 10.1097/01.mao.0000226304.66822.6d.

    PubMed 16868520
  • Mancuso-Marcello M, Qureshi AI, Nikola C, Stoian I, Jia Y, Saeed D, Bhogal P. Intra-arterial lidocaine therapy via the middle meningeal artery for migraine headache: Theory, current practice and future directions. Interv Neuroradiol. 2026 Feb;32(1):104-108. doi: 10.1177/15910199231195470. Epub 2023 Aug 13.

    PubMed 37574789
  • Qureshi AI, Pfeiffer K, Babar S, Huang W, Lobanova I, Ishfaq MF, French BR, Siddiq F, Gomez CR. Intra-arterial injection of lidocaine into middle meningeal artery to treat intractable headaches and severe migraine. J Neuroimaging. 2021 Nov;31(6):1126-1134. doi: 10.1111/jon.12918. Epub 2021 Aug 13.

    PubMed 34388298
  • Qureshi AI, Qureshi MH, Khan AA, Suri MF. Effect of intra-arterial injection of lidocaine and methyl-prednisolone into middle meningeal artery on intractable headaches. J Vasc Interv Neurol. 2014 Dec;7(5):69-72.

    PubMed 25566345
  • Asghar MS, Hansen AE, Amin FM, van der Geest RJ, Koning Pv, Larsson HB, Olesen J, Ashina M. Evidence for a vascular factor in migraine. Ann Neurol. 2011 Apr;69(4):635-45. doi: 10.1002/ana.22292. Epub 2011 Mar 17.

    PubMed 21416486
  • Vanzin JR, Manzato LB. Chronic migraine and bilateral occlusion of the middle meningeal artery. Interv Neuroradiol. 2025 Jun 2:15910199251337520. doi: 10.1177/15910199251337520. Online ahead of print.

    PubMed 40452399
  • Christensen CE, Younis S, Lindberg U, Boer VO, de Koning P, Petersen ET, Paulson OB, Larsson HBW, Amin FM, Ashina M. Ultra-high field MR angiography in human migraine models: a 3.0 T/7.0 T comparison study. J Headache Pain. 2019 May 6;20(1):48. doi: 10.1186/s10194-019-0996-x.

    PubMed 31060491
  • Christensen CE, Younis S, Lindberg U, de Koning P, Tolnai D, Paulson OB, Larsson HBW, Amin FM, Ashina M. Intradural artery dilation during experimentally induced migraine attacks. Pain. 2021 Jan;162(1):176-183. doi: 10.1097/j.pain.0000000000002008.

    PubMed 32701652
  • Asghar MS, Hansen AE, Kapijimpanga T, van der Geest RJ, van der Koning P, Larsson HB, Olesen J, Ashina M. Dilation by CGRP of middle meningeal artery and reversal by sumatriptan in normal volunteers. Neurology. 2010 Oct 26;75(17):1520-6. doi: 10.1212/WNL.0b013e3181f9626a.

    PubMed 20975053

Questions about this trial

What is this clinical trial studying?

A study testing Middle meningeal artery embolization and Conventional standard pharmacotherapy for migraine in people with Migraine, run by The Affiliated Hospital Of Guizhou Medical University.

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 5 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: opening soon, as of the sponsor's last update on 8 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Zeguang Ren, MD. PhD. (+86 0851-86770232., renzem@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Migraine attack frequency (days / month) (time frame: :At baseline,within 90 days, 90-day, 180-day after treatment). 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 NCT07633067, which also lists 34 linked publications.

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 8 Jun 2026.

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