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Occipital Nerve Stimulation (ONS) for Migraine: OPTIMISE (OPTIMISE)

10. november 2020 opdateret af: Boston Scientific Corporation

Occipital Nerve Stimulation (ONS) for Migraine OPTIMISE

The primary objective of this study is to evaluate the safety and efficacy of occipital nerve stimulation (ONS) using the Boston Scientific Corporation (BSC) Precision™ System in the management of intractable chronic migraine, when used in conjunction with anti-migraine medications.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Initial reports of managing migraine headache with ONS described a technique in which electrical leads were implanted in the subcutaneous space transverse to the occipital nerve, in the back of the head, under x-ray guidance. The leads were tunneled under the skin to an implantable pulse generator (IPG) implanted in the chest wall or abdomen. The OPTIMISE Trial is designed to be a pivotal study of the Boston Scientific PRECISION neurostimulation system, when the system is used for ONS. The PRECISION System has been previously been approved for Spinal Cord Stimulation (SCS).

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

28

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • California
      • Valencia, California, Forenede Stater, 91355
        • Boston Scientific Clinical Research Information Toll Free Number
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60612
        • University of Illinois at Chicago (Implanting Physician)
      • Chicago, Illinois, Forenede Stater, 60642
        • Diamond Headache Clinic (Headache Physician)
    • Louisiana
      • Shreveport, Louisiana, Forenede Stater, 71105
        • Willis-Knighton River Cities Interventional Pain Specialist (Headache & Implanting Physician)
    • Michigan
      • Detroit, Michigan, Forenede Stater, 48202
        • Henry Ford Hospital (Headache Physician)
      • West Bloomfield, Michigan, Forenede Stater, 48322
        • Henry Ford Medical Group (Implanting Physician)
    • Missouri
      • Springfield, Missouri, Forenede Stater, 65804
        • Mercy Pain Management -Surgery Center (Implanting Physician)
      • Springfield, Missouri, Forenede Stater, 65807
        • Clinvest Research, LLC (Headache Physician)
    • New York
      • Bronx, New York, Forenede Stater, 10461
        • Montefiore Headache Center (Headache Physician)
      • New York, New York, Forenede Stater, 10016
        • NYU Medical Center (Implanting Physician)

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

21 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Key Inclusion Criteria:

  • Onset of chronic migraine at least 6 months prior to start of Screening determined by a well-documented history
  • Evidence of intractability
  • Posterior-dominant head pain
  • Stable pattern of headache symptoms for at least 6 months prior to the beginning of Screening
  • Onset of migraine before the age of 50
  • If female of childbearing potential: not pregnant, as evidenced by a negative pregnancy test

Key Exclusion Criteria:

  • Diagnosed with any major psychiatric disorder not specifically listed in Key Exclusion Criteria 2-4 (e.g. multiple personality disorder, schizophrenia)
  • Untreated panic disorder
  • Untreated major depression evidenced by a PHQ-9 score >20
  • Untreated generalized anxiety disorder evidenced by a GAD-7 score ≥15
  • Currently diagnosed with severe personality disorder
  • A female of childbearing potential planning to get pregnant during the course of the study or not using adequate contraception
  • Participating in another drug, device, or biologics trial within 3 months prior to Screening
  • A terminal illness associated with survival <24 months

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Treatment
The treatment is continuous stimulation with an occipital nerve stimulator, specifically the BSC Precision™ ONS System for 6 months post-randomization
Electrical stimulation of the greater occipital nerve
Andre navne:
  • Boston Scientific Precision System
Aktiv komparator: Control
The control is intermittent stimulation for 20 seconds every 90 minutes with an occipital nerve stimulator, specifically the BSC Precision™ ONS System for 6 months post-randomization
Electrical stimulation of the greater occipital nerve
Andre navne:
  • Boston Scientific Precision System

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in the Number of Moderate-to-severe Headache Days Per Month
Tidsramme: from Baseline to 6 months post-randomization

A moderate-to-severe headache day will be defined as any calendar day with:

  1. headache pain that lasts ≥4 hours AND peak severity of moderate or severe intensity

    OR

  2. a subject taking a triptan or ergot, regardless of headache pain duration or severity

The Baseline number was calculated as the total count of eDiary calendar days which meet the definition of a moderate-to-severe headache day during the first 30 calendar days of eDiary entries if the eDiary contained ≥70% of data. The 6 months post-randomization number was calculated as the total count of eDiary calendar days which meet the definition of a moderate-to-severe headache day during the 30 calendar days of eDiary entries immediately preceding the subject's 6-Month Visit if the eDiary contained ≥70% of data.

from Baseline to 6 months post-randomization

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Richard Lipton, MD, Albert Einstein College of Medicine

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

10. april 2013

Primær færdiggørelse (Faktiske)

1. december 2015

Studieafslutning (Faktiske)

19. januar 2017

Datoer for studieregistrering

Først indsendt

23. januar 2013

Først indsendt, der opfyldte QC-kriterier

23. januar 2013

Først opslået (Skøn)

25. januar 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. november 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

10. november 2020

Sidst verificeret

1. november 2020

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • G120051
  • CDM00046436 (Anden identifikator: BSC protocol number)

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Occipital nerve stimulator

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