Migraine Headache Mitigation Utilizing Avulux

NCT ID: NCT06149000

Last Updated: 2023-11-28

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-13

Study Completion Date

2024-06-20

Brief Summary

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This will be a randomized double blind cross over interventional trial to determine if Avulux lenses are able to reduce headache symptoms in patients

Detailed Description

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Participants:

This study will include a total of 40 participants aged 18 and over who have been screened for migraine headache history. Patients who attended the SBC Headache class with a diagnosis of Migraine from the last 12 months will be selected and assigned a number. Random number set will be used to select the 40 patients. Additional 40 patients will be selected to meet the total initial enrollment of 40 patients in the end. These 40 patients will be randomly assigned to Avulux or Control groups. Each patient will be assigned a unique identifier, and the rest of the correspondents will not use patient demographics.

Design:

The study will be a randomized, double blind, crossover interventional trial. Participants will be randomly assigned to one of 2 groups of 20. 1. Experimental Group: Participants in this group will wear Avulux lenses during the testing sessions. 2. Control Group: Participants in this group will wear placebo lenses that resemble Avulux lenses but do not have the same optical properties.

Procedure:

Participants will complete a baseline assessment and self-report migraine frequency using the Redcap migraine diary application. Participants will complete testing sessions with both Avulux and placebo lenses for the duration of 3 months and then switch lenses for the remaining 3 months for comparison and a total study period of 6 months.

Conditions

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Migraine Headache Photophobia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

The study will be a randomized, double blind, crossover interventional trial. Participants will be randomly assigned to one of 2 groups of 20. 1. Experimental Group: Participants in this group will wear Avulux lenses during the testing sessions. 2. Control Group: Participants in this group will wear placebo lenses that resemble Avulux lenses but do not have the same optical properties.
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators
Neither the participants or the researchers will know which treatment is being received during the trial. This will be achieved by using identical looking placebos for control and ensuring all aspects of the treatment administration and assessment are indistinguishable.

Study Groups

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Avulux Lenses

This group will be receiving migraine treatment using Avulux lenses

Group Type EXPERIMENTAL

Avulux Lenses

Intervention Type DEVICE

Avulux lenses are specialized eyewear designed to reduce specific wavelengths of light to alleviate symptoms in individuals who experience light sensitivity and migraines

Placebo Lenses

Intervention Type DEVICE

Lenses that will look identical to Avulux lenses without the medical benefits

Placebo Lenses

This group will be using identical placebo lenses as treatment

Group Type PLACEBO_COMPARATOR

Avulux Lenses

Intervention Type DEVICE

Avulux lenses are specialized eyewear designed to reduce specific wavelengths of light to alleviate symptoms in individuals who experience light sensitivity and migraines

Placebo Lenses

Intervention Type DEVICE

Lenses that will look identical to Avulux lenses without the medical benefits

Interventions

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Avulux Lenses

Avulux lenses are specialized eyewear designed to reduce specific wavelengths of light to alleviate symptoms in individuals who experience light sensitivity and migraines

Intervention Type DEVICE

Placebo Lenses

Lenses that will look identical to Avulux lenses without the medical benefits

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient population: Individuals must have an existing diagnosis code of G43.1 (migraine w aura) or G43. 10 (migraine w aura, not intractable).
* Only Kaiser Permanente members receiving care at the Fontana Medical Service Areas will be in consideration.
* Patients that are \>18
* There will no restrictions based on biological sex.
* Participants will be referred to optical by provider (Neurologists/Optometrist/Primary Care physician).
* Participants must agree to not initiate any new medical management during the trial or be willing to voluntarily withdrawal from participating in the trial

Exclusion Criteria

* Patients who do not have a migraine diagnosis code in their medical record.
* Patients that have started a new migraine medication within last 30 days
* Non-Members of Kaiser Permanente
Minimum Eligible Age

18 Years

Maximum Eligible Age

120 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kaiser Permanente

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Munish Sharma, OD/MBA

Role: PRINCIPAL_INVESTIGATOR

Kaiser Permanente

Central Contacts

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Leslie Aragon, MPH

Role: CONTACT

323-812-5569

Munish Sharma, OD/MBA

Role: CONTACT

909-427-4452

References

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Posternack C, Kupchak P, Capriolo AI, Katz BJ. Targeting the intrinsically photosensitive retinal ganglion cell to reduce headache pain and light sensitivity in migraine: A randomized double-blind trial. J Clin Neurosci. 2023 Jul;113:22-31. doi: 10.1016/j.jocn.2023.04.015. Epub 2023 May 5.

Reference Type BACKGROUND
PMID: 37150129 (View on PubMed)

Katz BJ, Digre KB. Diagnosis, pathophysiology, and treatment of photophobia. Surv Ophthalmol. 2016 Jul-Aug;61(4):466-77. doi: 10.1016/j.survophthal.2016.02.001. Epub 2016 Feb 12.

Reference Type BACKGROUND
PMID: 26875996 (View on PubMed)

Wilkins AJ, Wilkinson P. A tint to reduce eye-strain from fluorescent lighting? Preliminary observations. Ophthalmic Physiol Opt. 1991 Apr;11(2):172-5. doi: 10.1111/j.1475-1313.1991.tb00217.x.

Reference Type BACKGROUND
PMID: 2062542 (View on PubMed)

Huang J, Zong X, Wilkins A, Jenkins B, Bozoki A, Cao Y. fMRI evidence that precision ophthalmic tints reduce cortical hyperactivation in migraine. Cephalalgia. 2011 Jun;31(8):925-36. doi: 10.1177/0333102411409076. Epub 2011 May 26.

Reference Type BACKGROUND
PMID: 21622479 (View on PubMed)

Related Links

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https://pubmed.ncbi.nlm.nih.gov/26935748/

Avulux Migraine and Light Sensitivity Pilot Study Published in the Journal of Clinical Neuroscience

Other Identifiers

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Avulux

Identifier Type: -

Identifier Source: org_study_id