A Phase III Trial of e-TNS for the Acute Treatment of Migraine (TEAM)
A Phase III Randomized, Double-blind, Sham-controlled Trial of e-TNS for the Acute Treatment of Migraine (The TEAM Study)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Arizona
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Tempe, Arizona, United States, 85283
- Clinical Research Consortium
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California
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Encino, California, United States, 91316
- Pharmacology Research Institute
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Connecticut
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New Haven, Connecticut, United States, 06519
- Yale University
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Florida
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West Palm Beach, Florida, United States, 33409
- Palm Beach Research Center
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Georgia
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Savannah, Georgia, United States, 31406
- Meridian Clinical Research (Savannah Neurology)
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Maryland
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Rockville, Maryland, United States, 20854
- Meridian Clinical Research (Rockville Neurology)
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Nevada
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Las Vegas, Nevada, United States, 89119
- Clinical Research Consortium
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New York
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Rochester, New York, United States, 14609
- Rochester Clinical Research
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Ohio
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Cleveland, Ohio, United States, 44122
- Rapid Medical Research Inc.
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South Carolina
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Mount Pleasant, South Carolina, United States, 29464
- Coastal Carolina Research Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age from 18 to 65 on the day of signing the informed consent form
- ≥ 1-year history of migraine with or without aura according to the diagnostic criteria listed in International Classification of Headache Disorders (ICHD)-3 beta (2013) section 1, migraine, with the exception of aura without headache, hemiplegic migraine and brainstem aura migraine
- Migraine onset before the age of 50
- Having between 2 and 8 moderate or severe migraine attacks (Grade 2 or 3) per month in each of the two months prior to screening
- Patient understands the study procedures, alternative treatments available, and voluntarily agrees to participate in the study by giving written informed consent
- Patient is able to read and understand the written information (instruction sheet, paper diary and Adverse Events reporting form)
Exclusion Criteria:
- Patient has difficulty distinguishing his/her migraine attacks from tension-type headaches
- Patient has more than 15 headache days per month
- Patient having received supraorbital nerve blocks in the prior 4 months
- Patient having received Botox treatment in the prior 4 months
- Modification of a migraine prophylaxis treatment in the previous 3 months
- Diagnosis of other primary headache disorders, except rare (< 4) tension-type headaches per month
- Diagnosis of secondary headache disorders including Medication Overuse Headache (MOH)
- Patient abusing opioids or user of recreational or illicit drugs or having had a recent history (within the last year) of drug or alcohol abuse or dependence
- Implanted metallic or electronic device in the head
- Cardiac pacemaker or implanted or wearable defibrillator
- Patient having had a previous experience with the Cefaly® device
- Migraine Aura without headache
- Patient is currently participating or has participated in a study with an investigational compound or device in the last 30 days before the screening visit (Visit 1)
- Patient not having the ability to use appropriately the device and/or to perform himself/herself or bear the first 20-minute stimulation session during the training test session at the study site
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Verum
2-hour external trigeminal nerve stimulation with the Verum Cefaly® Abortive Program device, as abortive treatment of an early stage migraine attack
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The Cefaly® Abortive Program device is an external cranial neurostimulator designed for supraorbital neurostimulation, also known as external Trigeminal Nerve Stimulation (e-TNS).
The Verum Cefaly® Abortive Program device will deliver verum external trigeminal nerve stimulation.
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Sham Comparator: Sham
2-hour external trigeminal nerve stimulation with the Sham Cefaly® Abortive Program device, as abortive treatment of an early stage migraine attack
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The Cefaly® Abortive Program device is an external cranial neurostimulator designed for supraorbital neurostimulation, also known as external Trigeminal Nerve Stimulation (e-TNS).
The Sham Cefaly® Abortive Program device will deliver sham external trigeminal nerve stimulation.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Pain Freedom at 2 Hours
Time Frame: 2 hours
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The percentage of patients having a reduction of a moderate or severe migraine headache (Grade 2 or 3) at baseline to no headache (Grade 0) at 2 hours after the beginning of the e-TNS session.
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2 hours
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Most Bothersome Migraine-associated Symptom Freedom at 2 Hours
Time Frame: 2 hours
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The percentage of patients with absence, at 2 hours after the beginning of the e-TNS session, of the most bothersome migraine-associated symptom identified at baseline.
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2 hours
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Pain Relief at 2 Hours
Time Frame: 2 hours
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The percentage of patients having a reduction of a moderate or severe migraine headache (Grade 2 or 3) at baseline to a mild headache or to no headache (Grade 1 or 0) at 2 hours after the beginning of the e-TNS session.
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2 hours
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Percentage of Patients With Absence of Photophobia, Phonophobia, Nausea, Vomiting at 2 Hours
Time Frame: 2 hours
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The percentage of patients with absence of photophobia, phonophobia, nausea, vomiting at 2 hours after the beginning of the e-TNS session.
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2 hours
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Use of Rescue Medication Between 2 and 24 Hours
Time Frame: 2-24 hours
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The percentage of patients who took anti-migraine rescue medication between 2 and 24 hours after the beginning of the e-TNS session.
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2-24 hours
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Sustained Pain Freedom at 24 Hours
Time Frame: 24 hours
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The percentage of patients having no headache (Grade 0) at 2 hours, with no use of anti-migraine rescue medication and no relapse of headache pain within the 24 hours after the beginning of the e-TNS session.
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24 hours
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Sustained Pain Relief at 24 Hours
Time Frame: 2-24 hours
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The percentage of patients having mild or no headache (Grade 1 or 0) at 2 hours, with no use of anti-migraine rescue medication and no relapse of headache pain within the 24 hours after the beginning of the e-TNS session.
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2-24 hours
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Deena Kuruvilla, M.D., Yale School of Medicine
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 51401
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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