Migraine and High Flow Oxygenotherapy at the Emergency Department (MiOx)

NCT ID: NCT04925414

Last Updated: 2024-11-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-01

Study Completion Date

2025-04-30

Brief Summary

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Migraine is a common pathology, affecting around 12% of the general population, up to 25% in some cohorts, as well as a significant part of the reasons for emergency room visits.

Unlike cluster headaches, the use of high-flow oxygen therapy has not yet been validated in patients with migraine.

However, several aspects of its pathophysiology, still studied to this day, suggest that the use of normobaric oxygen could have beneficial effects on migraine attacks: tissue hypoxia, cerebrovascular dysfunction with vasodilation, inflammation, etc.

In addition, high-flow oxygen therapy has no significant side effects and almost no contraindication (mainly COPD and other chronic respiratory failure) Its use in the event of a migraine attack would thus allow less recourse to conventional analgesics (with significant side effects for some), a shorter stay in the emergency room, and therefore a benefit in terms of cost and relief for the patient.

In this context, the sponsor wish to carry out a multicenter prospective interventional, single-blind randomized placebo-controlled in parallel groups study.

Detailed Description

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Migraine is a common pathology, affecting around 12% of the general population, up to 25% in some cohorts, as well as a significant part of the reasons for emergency room visits.

Unlike cluster headaches, the use of high-flow oxygen therapy has not yet been validated in patients with migraine.

However, several aspects of its pathophysiology, still studied to this day, suggest that the use of normobaric oxygen could have beneficial effects on migraine attacks: tissue hypoxia, cerebrovascular dysfunction with vasodilation, inflammation, etc.

In addition, high-flow oxygen therapy has no significant side effects and almost no contraindication (mainly COPD and other chronic respiratory failure) Its use in the event of a migraine attack would thus allow less recourse to conventional analgesics (with significant side effects for some), a shorter stay in the emergency room, and therefore a benefit in terms of cost and relief for the patient.

In this context, the sponsor wish to carry out a multicenter prospective interventional, single-blind randomized placebo-controlled in parallel groups study.

Conditions

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Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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oxygenotherapy

Group Type EXPERIMENTAL

oxygenotherapy

Intervention Type DRUG

High concentration mask delivering 15L/min of oxygen

placebo air aerosol

Group Type PLACEBO_COMPARATOR

placebo air aerosol

Intervention Type DRUG

High concentration mask delivering 15L/min of air

Interventions

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oxygenotherapy

High concentration mask delivering 15L/min of oxygen

Intervention Type DRUG

placebo air aerosol

High concentration mask delivering 15L/min of air

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 18 years old or more
* Affiliated to a french public health insurance
* ED admission for migraine evocative headache, regarding ICHD3 criterions
* written informed consent

Exclusion Criteria

* COPD or other chronic respiratory failure conditions
* Pregnant or breastfeeding women or women of childbearing potential not using any means of contraception. A pregnancy test will be performed for women of childbearing age. The results will be communicated to the patient by a doctor of her choice.
* Under legal protection
* Patients who have received treatment with triptan in the past 2 weeks
* Patients who have consumed NSAIDs in the hour before the doctor's examination
* State of migraine headache (crippling attack for more than 72 hours)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Nice

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU de Nice

Nice, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Julie CONTENTI

Role: CONTACT

+334.92.03.85.35

Céline OCCELLI

Role: CONTACT

+33492033204

Facility Contacts

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Julie CONTENTI

Role: primary

+334.92.03.85.35

Céline OCCELLI

Role: backup

+33492033204

Other Identifiers

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20-AOI-08

Identifier Type: -

Identifier Source: org_study_id

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