Trial Outcomes & Findings for Efficacy and Safety of TMS for the Preemptive Treatment of Migraine With Aura (NCT NCT00449540)

NCT ID: NCT00449540

Last Updated: 2011-08-15

Results Overview

Number of participants experiencing no pain at two hours post-treatment divided by total number of participants treated. For each treated aura episode during the migraine treatment phase, the subjects rated the pain intensity of their headache as none, mild, moderate or severe at baseline (before application of the study device) at 30 minutes, and at 1, 2, 24, and 48 hours posttreatement.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

201 participants

Primary outcome timeframe

Two hours

Results posted on

2011-08-15

Participant Flow

267 participants enrolled in the 30 day Lead-In phase as described. 66 participants did not experience migraine in the 30 days allotted and therefore were not moved to the treatment phase. 201 participants were moved to the treatment phase

Participant milestones

Participant milestones
Measure
30 Day Lead in Phase
some particpants did not experience migrain in the 30 days allotted and therefore were not moved to the treatment phase
Active TMS
Active Transcranial Magnetic Stimulation Device
Sham TMS Device
Device which does not deliver TMS pulse
Pretreatment Phase
STARTED
267
0
0
Pretreatment Phase
COMPLETED
201
0
0
Pretreatment Phase
NOT COMPLETED
66
0
0
Treatment Phase
STARTED
0
102
99
Treatment Phase
COMPLETED
0
82
82
Treatment Phase
NOT COMPLETED
0
20
17

Reasons for withdrawal

Reasons for withdrawal
Measure
30 Day Lead in Phase
some particpants did not experience migrain in the 30 days allotted and therefore were not moved to the treatment phase
Active TMS
Active Transcranial Magnetic Stimulation Device
Sham TMS Device
Device which does not deliver TMS pulse
Pretreatment Phase
No migraine experienced
66
0
0
Treatment Phase
did not experience or treat migraine
0
20
17

Baseline Characteristics

Efficacy and Safety of TMS for the Preemptive Treatment of Migraine With Aura

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Transcranial Magnetic Stimulation (TMS) Device
n=102 Participants
Active Transcranial Magnetic Stimulation Device Treatment
Sham TMS Device
n=99 Participants
Simulated Sham treatment without TMS
Total
n=201 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
102 Participants
n=5 Participants
99 Participants
n=7 Participants
201 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age Continuous
38.8 years
STANDARD_DEVIATION 11.2 • n=5 Participants
40.1 years
STANDARD_DEVIATION 10.83 • n=7 Participants
39.4 years
STANDARD_DEVIATION 11.0 • n=5 Participants
Sex: Female, Male
Female
80 Participants
n=5 Participants
78 Participants
n=7 Participants
158 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
21 Participants
n=7 Participants
43 Participants
n=5 Participants
Region of Enrollment
United States
102 participants
n=5 Participants
99 participants
n=7 Participants
201 participants
n=5 Participants

PRIMARY outcome

Timeframe: Two hours

Population: Full-analysis set: intention to treat population (201) adjusted for those participants who did not administer treatment during the study period

Number of participants experiencing no pain at two hours post-treatment divided by total number of participants treated. For each treated aura episode during the migraine treatment phase, the subjects rated the pain intensity of their headache as none, mild, moderate or severe at baseline (before application of the study device) at 30 minutes, and at 1, 2, 24, and 48 hours posttreatement.

Outcome measures

Outcome measures
Measure
Active Transcranial Magnetic Stimulation (TMS) Device
n=82 Participants
Active Transcranial Magnetic Stimulation Device Treatment
Sham TMS Device
n=82 Participants
Simulated Sham treatment without TMS
Percentage of Participants Experiencing no Pain at Two Hours Post-treatment
39 percentage of participants
22 percentage of participants

SECONDARY outcome

Timeframe: two hours post treatment

Percentage of participants who have symptoms of nausea two hours post treatment. For each treated aura episode, the subjects rated the severity of photophobia, nausea, and phonophobia as none, mild, moderate, or severe at baseline and recorded the presence or absence of vomiting at baseline (before application of the device) at 30 minutes, and at 1, 2, 24 and 48 hours posttreatment.

Outcome measures

Outcome measures
Measure
Active Transcranial Magnetic Stimulation (TMS) Device
n=82 Participants
Active Transcranial Magnetic Stimulation Device Treatment
Sham TMS Device
n=82 Participants
Simulated Sham treatment without TMS
Percentage of Participants Who Have Symptoms of Nausea
38 percentage of participants
40 percentage of participants

SECONDARY outcome

Timeframe: 2 hours post treatment

Percentage of participants who have symptoms of phonophobia two hours post treatment. For each treated aura episode, the subjects rated the severity of photophobia, nausea, and phonophobia as none, mild, moderate, or severe at baseline and recorded the presence or absence of vomiting at baseline (before application of the device) at 30 minutes, and at 1, 2, 24 and 48 hours posttreatment.

Outcome measures

Outcome measures
Measure
Active Transcranial Magnetic Stimulation (TMS) Device
n=82 Participants
Active Transcranial Magnetic Stimulation Device Treatment
Sham TMS Device
n=82 Participants
Simulated Sham treatment without TMS
Percentage of Participants Who Have Symptoms Phonophobia
57 Percentage of Participants
63 Percentage of Participants

SECONDARY outcome

Timeframe: 2 hours post treatment

Percentage of participants who have symptoms of photophobia two hours post treatment. For each treated aura episode, the subjects rated the severity of photophobia, nausea, and phonophobia as none, mild, moderate, or severe at baseline and recorded the presence or absence of vomiting at baseline (before application of the device) at 30 minutes, and at 1, 2, 24 and 48 hours posttreatment.

Outcome measures

Outcome measures
Measure
Active Transcranial Magnetic Stimulation (TMS) Device
n=82 Participants
Active Transcranial Magnetic Stimulation Device Treatment
Sham TMS Device
n=82 Participants
Simulated Sham treatment without TMS
Percentage of Participants Who Have Photophobia
70 Percentage of participants
78 Percentage of participants

Adverse Events

Active TMS Device - Treatment Related

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Sham TMS Device - Treatment Related

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Active TMS - Not Treatment Related

Serious events: 1 serious events
Other events: 12 other events
Deaths: 0 deaths

Sham TMS Device - Not Treatment Related

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Active TMS Device - Treatment Related
n=102 participants at risk
Active Transcranial Magnetic Stimulation Device Treatment - Treatment related
Sham TMS Device - Treatment Related
n=99 participants at risk
Simulated Sham treatment without TMS
Active TMS - Not Treatment Related
n=102 participants at risk
Active Transcranial Magnetic Stimulation Device Treatment - Not treatment related
Sham TMS Device - Not Treatment Related
n=99 participants at risk
Sham TMS Device - events that are not treatment related
Eye disorders
optic neuritis
0.00%
0/102
0.00%
0/99
0.98%
1/102 • Number of events 1
0.00%
0/99

Other adverse events

Other adverse events
Measure
Active TMS Device - Treatment Related
n=102 participants at risk
Active Transcranial Magnetic Stimulation Device Treatment - Treatment related
Sham TMS Device - Treatment Related
n=99 participants at risk
Simulated Sham treatment without TMS
Active TMS - Not Treatment Related
n=102 participants at risk
Active Transcranial Magnetic Stimulation Device Treatment - Not treatment related
Sham TMS Device - Not Treatment Related
n=99 participants at risk
Sham TMS Device - events that are not treatment related
General disorders
Application site pain
0.98%
1/102 • Number of events 1
0.00%
0/99
0.00%
0/102
0.00%
0/99
Respiratory, thoracic and mediastinal disorders
Bronchitis
0.00%
0/102
0.00%
0/99
0.98%
1/102 • Number of events 1
0.00%
0/99
Nervous system disorders
Dizzines
0.98%
1/102 • Number of events 1
0.00%
0/99
0.00%
0/102
0.00%
0/99
General disorders
Gastric ulcer
0.00%
0/102
0.00%
0/99
0.98%
1/102 • Number of events 1
0.00%
0/99
Respiratory, thoracic and mediastinal disorders
Influenza
0.00%
0/102
0.00%
0/99
0.98%
1/102 • Number of events 1
0.00%
0/99
General disorders
Nausea
0.98%
1/102 • Number of events 1
1.0%
1/99 • Number of events 1
0.00%
0/102
0.00%
0/99
Nervous system disorders
Optic neuritis
0.00%
0/102
0.00%
0/99
0.98%
1/102 • Number of events 1
0.00%
0/99
Nervous system disorders
Palpitations
0.00%
0/102
0.00%
0/99
0.98%
1/102 • Number of events 1
0.00%
0/99
General disorders
Rash
0.00%
0/102
0.00%
0/99
0.98%
1/102 • Number of events 1
0.00%
0/99
Nervous system disorders
Vertigo
0.98%
1/102 • Number of events 1
0.00%
0/99
0.00%
0/102
0.00%
0/99
General disorders
Vomiting
0.98%
1/102 • Number of events 1
0.00%
0/99
0.00%
0/102
0.00%
0/99
General disorders
Tempromandibular joint syndrome
0.00%
0/102
0.00%
0/99
0.98%
1/102 • Number of events 1
0.00%
0/99
Nervous system disorders
Concussion
0.00%
0/102
0.00%
0/99
0.00%
0/102
1.0%
1/99 • Number of events 1
Nervous system disorders
Neck Pain
0.00%
0/102
0.00%
0/99
0.00%
0/102
1.0%
1/99 • Number of events 1
Nervous system disorders
Paresthesia
0.00%
0/102
1.0%
1/99 • Number of events 1
0.00%
0/102
1.0%
1/99 • Number of events 1
General disorders
Road traffic Accident
0.00%
0/102
0.00%
0/99
0.00%
0/102
1.0%
1/99 • Number of events 1
Nervous system disorders
Headache
0.98%
1/102 • Number of events 1
0.00%
0/99
0.98%
1/102 • Number of events 1
1.0%
1/99 • Number of events 1
Nervous system disorders
Migraine
0.98%
1/102 • Number of events 1
0.00%
0/99
0.98%
1/102 • Number of events 1
0.00%
0/99
Respiratory, thoracic and mediastinal disorders
Sinusitis
0.00%
0/102
0.00%
0/99
2.0%
2/102 • Number of events 2
1.0%
1/99 • Number of events 1
Nervous system disorders
aphasia
0.00%
0/102
0.00%
0/99
0.98%
1/102 • Number of events 1
0.00%
0/99
General disorders
Sleep disorder
0.00%
0/102
0.00%
0/99
0.00%
0/102
1.0%
1/99 • Number of events 1
Infections and infestations
Tooth infection
0.00%
0/102
0.00%
0/99
0.00%
0/102
1.0%
1/99 • Number of events 1

Additional Information

Cynthia Merrell

Neuralieve

Phone: 408-245-6400

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60