Safety and Efficacy of Middle Meningeal Artery Embolization for the Treatment of Migraine. (FAST-EM-2)
2026年6月5日 更新者:Zeguang Ren、The Affiliated Hospital Of Guizhou Medical University
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.
調査の概要
状態
まだ募集していません
条件
詳細な説明
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.
研究の種類
介入
入学 (推定)
150
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前:Junshuan Cui, MD.
- 電話番号:+8615761600325
- メール:junshuan2306@163.com
研究連絡先のバックアップ
- 名前:Zeguang Ren, MD. PhD.
- 電話番号:+86 0851-86770232.
- メール:renzem@gmail.com
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
いいえ
説明
Inclusion Criteria:
- 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.
Exclusion Criteria:
- 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;
- 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.
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的:Unilateral Middle Meningeal Artery Embolization + Standard Pharmacotherapy
Subjects in this arm will receive unilateral middle meningeal artery embolization with coils plus conventional standard pharmacotherapy for migraine.
|
Middle meningeal artery embolization with coils.
Conventional standard pharmacotherapy for migraine
|
|
実験的:Bilateral Middle Meningeal Artery Embolization + Standard Pharmacotherapy
Subjects in this arm will receive bilateral middle meningeal artery embolization with coils plus conventional standard pharmacotherapy for migraine.
|
Middle meningeal artery embolization with coils.
Conventional standard pharmacotherapy for migraine
|
|
アクティブコンパレータ:Conventional Standard Pharmacotherapy
Subjects in this arm will receive only conventional standard pharmacotherapy for migraine, without any middle meningeal artery embolization intervention.
|
Conventional standard pharmacotherapy for migraine
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Migraine attack frequency (days / month)
時間枠::At baseline,within 90 days, 90-day, 180-day after treatment
|
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.
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:At baseline,within 90 days, 90-day, 180-day after treatment
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Migraine attack frequency (times / month)
時間枠:At baseline, within 90 days, 90-day, 180-day after treatment
|
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.
|
At baseline, within 90 days, 90-day, 180-day after treatment
|
|
Total headache frequency (days / month)
時間枠:At baseline, within 90 days after treatment
|
Change from baseline in the mean number of all headache days per month within 90 days after randomization.
|
At baseline, within 90 days after treatment
|
|
Migraine medication use frequency (days / month)
時間枠:At baseline, within 90 days, 90-day, 180-day after treatment
|
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.
|
At baseline, within 90 days, 90-day, 180-day after treatment
|
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Proportion of ≥50% reduction in migraine days (days/month)
時間枠:At baseline, within 90 days, 90-day, 180-day after treatment
|
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.
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At baseline, within 90 days, 90-day, 180-day after treatment
|
|
Numerical Rating Scale for migraine pain severity (NRS) (score/month)
時間枠:At baseline, within 90 days, 180 days after treatment
|
Change from baseline in the mean monthly Migraine Pain Severity Score (NRS) within 90 days and within 180 days after randomization.
|
At baseline, within 90 days, 180 days after treatment
|
|
Migraine Disability Assessment Questionnaire (MIDAS) (score/month)
時間枠:At baseline, within 90 days, 180 days after treatment
|
Change from baseline in the mean monthly Migraine Disability Assessment Score (MIDAS) within 90 days and within 180 days after randomization.
|
At baseline, within 90 days, 180 days after treatment
|
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Clinical Global Impression Scale (CGI) (score/month)
時間枠:At baseline, within 90 days, 180 days after treatment
|
Change from baseline in the mean monthly Clinical Global Impression (CGI) Scale score within 90 days and within 180 days after randomization.
|
At baseline, within 90 days, 180 days after treatment
|
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Headache Impact Test (HIT-6) (score/month)
時間枠:At baseline, within 90 days, 180 days after treatment
|
Change from baseline in the mean monthly Headache Impact Test-6 (HIT-6) score within 90 days and within 180 days after randomization.
|
At baseline, within 90 days, 180 days after treatment
|
|
Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQ v2.1) (score/month)
時間枠:At baseline, within 90 days, 180 days after treatment
|
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.
|
At baseline, within 90 days, 180 days after treatment
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
協力者
捜査官
- スタディチェア:Zeguang Ren, MD. PhD.、The Affiliated Hospital of Guizhou Medical University
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
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研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (推定)
2026年6月15日
一次修了 (推定)
2028年12月31日
研究の完了 (推定)
2028年12月31日
試験登録日
最初に提出
2026年6月3日
QC基準を満たした最初の提出物
2026年6月5日
最初の投稿 (実際)
2026年6月8日
学習記録の更新
投稿された最後の更新 (実際)
2026年6月8日
QC基準を満たした最後の更新が送信されました
2026年6月5日
最終確認日
2026年6月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。