Trial Outcomes & Findings for Evaluation of a Novel Device for Treatment of Migraine Headache (NCT NCT03361423)

NCT ID: NCT03361423

Last Updated: 2021-05-19

Results Overview

The percentage of patients reporting reduction in their pain level 2 hours post-treatment without rescue medications from severe or moderate to mild or no pain, or from mild to no pain, in their first treated migraine attack (excluding the "run-in test" treatment).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

296 participants

Primary outcome timeframe

2 hours post migraine onset

Results posted on

2021-05-19

Participant Flow

a 4 weeks "run-in" phase. during this phase, participants recorded their migraine attacks and complete a migraine diary at T=0,2 and 48 hours for each migraine attack. Participant who had 2-8 attacks and completed at least 66% of their migraine diary were eligible to continue to the treatment phase

Participant milestones

Participant milestones
Measure
Treatment of Migraine With Active Device
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Treatment of Migraine With Sham Device
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Overall Study
STARTED
126
126
Overall Study
COMPLETED
99
103
Overall Study
NOT COMPLETED
27
23

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment of Migraine With Active Device
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Treatment of Migraine With Sham Device
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Overall Study
Withdrawal by Subject
4
3
Overall Study
Did not treat
19
18
Overall Study
Started >60 minutes from migraine onset
0
1
Overall Study
Missing data
4
1

Baseline Characteristics

Evaluation of a Novel Device for Treatment of Migraine Headache

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment of Migraine With Active Device
n=126 Participants
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Treatment of Migraine With Sham Device
n=126 Participants
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Total
n=252 Participants
Total of all reporting groups
Age, Continuous
43.8 years
STANDARD_DEVIATION 12.25 • n=39 Participants
41.6 years
STANDARD_DEVIATION 11.81 • n=41 Participants
42.7 years
STANDARD_DEVIATION 12.06 • n=35 Participants
Sex: Female, Male
Female
101 Participants
n=39 Participants
102 Participants
n=41 Participants
203 Participants
n=35 Participants
Sex: Female, Male
Male
25 Participants
n=39 Participants
24 Participants
n=41 Participants
49 Participants
n=35 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Asian
2 Participants
n=39 Participants
0 Participants
n=41 Participants
2 Participants
n=35 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=39 Participants
1 Participants
n=41 Participants
2 Participants
n=35 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=39 Participants
8 Participants
n=41 Participants
18 Participants
n=35 Participants
Race (NIH/OMB)
White
109 Participants
n=39 Participants
112 Participants
n=41 Participants
221 Participants
n=35 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=39 Participants
5 Participants
n=41 Participants
9 Participants
n=35 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Region of Enrollment
United States
90 Participants
n=39 Participants
85 Participants
n=41 Participants
175 Participants
n=35 Participants
Region of Enrollment
Israel
36 Participants
n=39 Participants
41 Participants
n=41 Participants
77 Participants
n=35 Participants
Average number of migraines attacks per month
5.2 Attacks per month
STANDARD_DEVIATION 1.95 • n=39 Participants
5.3 Attacks per month
STANDARD_DEVIATION 1.90 • n=41 Participants
5.3 Attacks per month
STANDARD_DEVIATION 1.92 • n=35 Participants
Average number of migraine days per month
6.6 Days per month
STANDARD_DEVIATION 2.43 • n=39 Participants
6.6 Days per month
STANDARD_DEVIATION 2.41 • n=41 Participants
6.6 Days per month
STANDARD_DEVIATION 2.40 • n=35 Participants
Use of preventive medication
36 Participants
n=39 Participants
46 Participants
n=41 Participants
82 Participants
n=35 Participants

PRIMARY outcome

Timeframe: 2 hours post migraine onset

The percentage of patients reporting reduction in their pain level 2 hours post-treatment without rescue medications from severe or moderate to mild or no pain, or from mild to no pain, in their first treated migraine attack (excluding the "run-in test" treatment).

Outcome measures

Outcome measures
Measure
Treatment of Migraine With Sham Device
n=103 Participants
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Treatment of Migraine With Active Device
n=99 Participants
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Percentage of Participants With Reduction of Migraine Headache at 2 Hours Post Treatment
40 Participants
66 Participants

SECONDARY outcome

Timeframe: 2 hours post migraine onset

The percentage of patients reporting, 2 hours post-treatment, freedom from their most bothersome migraine-associated symptom (MBS) other than a headache, in their first treated migraine attack (excluding the "run-in test" treatment). MBS may be nausea, photophobia, phonophobia or allodynia - as defined by each subject at the beginning of the treatment

Outcome measures

Outcome measures
Measure
Treatment of Migraine With Sham Device
n=99 Participants
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Treatment of Migraine With Active Device
n=95 Participants
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Percentage of Participants With Reduction of Most Bothersome Migraine-associated Symptom (MBS) Relief at 2 Hours Post Treatment
22 Participants
44 Participants

SECONDARY outcome

Timeframe: 2 hours post migraine onset

Population: 4 participants in the active group and 4 participants in the sham group did not report their MBS level at the beginning of the treatment or at 2 hours post treatment. Thus, the active and sham groups included 95 and 99 participants, respectively

The percentage of patients reporting, 2 hours post treatment response to both the primary and the first secondary endpoints

Outcome measures

Outcome measures
Measure
Treatment of Migraine With Sham Device
n=99 Participants
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Treatment of Migraine With Active Device
n=95 Participants
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Percentage of Participants With Reduced Migraine Headache AND MBS Relief at 2 Hours Post Treatment
15 Participants
38 Participants

SECONDARY outcome

Timeframe: 2 hours post migraine onset

The percentage of subjects reporting freedom from migraine pain at 2 hours post-treatment without medications in their first treated migraine attack

Outcome measures

Outcome measures
Measure
Treatment of Migraine With Sham Device
n=103 Participants
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Treatment of Migraine With Active Device
n=99 Participants
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Percentage of Participants With Pain Disappearance at 2 Hours Post Treatment
19 Participants
37 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: up to 14 weeks

The number of Adverse events related to the study device. Safety analyses were performed on all participants from the ITT population (126 participants in each group).

Outcome measures

Outcome measures
Measure
Treatment of Migraine With Sham Device
n=126 Participants
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Treatment of Migraine With Active Device
n=126 Participants
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Number of Adverse Events Related or Unrelated to the Study Device
9 Adverse event
14 Adverse event

OTHER_PRE_SPECIFIED outcome

Timeframe: up to 6 weeks

The repeatability of migraine headache reduction, as described in the primary endpoint definition, in subsequent treated attacks. Thus, this endpoint measures the % of patient responding to the primary endpoint in at least 50% of their treated attacks (excluding the run-in attack

Outcome measures

Outcome measures
Measure
Treatment of Migraine With Sham Device
n=103 Participants
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Treatment of Migraine With Active Device
n=99 Participants
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Within-patient Consistency - Percentage of Participants With Reduction in Headache Pain in at Least 50% of Their Treatments
38.1 percentage of participants
Interval 31.2 to 46.6
51.3 percentage of participants
Interval 42.8 to 61.4

OTHER_PRE_SPECIFIED outcome

Timeframe: 48 hours post treatment

Population: 12 participants in the active group and 14 participants in the sham group did not report their pain level at 24h post treatment for the "Test" treatment. Thus, the active and sham groups included 87and 89 participants, respectively

The proportion (%) of subjects reporting pain-free at 2 hours, and no return of any pain or use of rescue/acute medication, or reuse of device between 2 hours and 48 hours, in their first treated migraine attack

Outcome measures

Outcome measures
Measure
Treatment of Migraine With Sham Device
n=89 Participants
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Treatment of Migraine With Active Device
n=87 Participants
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Percentage of Participants With Sustained Pain-free 48 Hours With Single Use of the Device
6 Participants
18 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 48 hours post treatment

Population: 12 participants in the active group and 14 participants in the sham group did not report their pain level at 24h post treatment for the "Test" treatment. Thus, the active and sham groups included 87and 89 participants, respectively

The proportion (%) of subjects reporting treatment response 2 hours post-treatment without rescue medications, and no return to baseline level of pain at time of treatment, or use of rescue/acute medication, or reuse of device between 2 hours and 48 hours, in their first treated migraine attack

Outcome measures

Outcome measures
Measure
Treatment of Migraine With Sham Device
n=89 Participants
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Treatment of Migraine With Active Device
n=87 Participants
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Percentage of Participants With Sustained Headache Reduction for 48 Hours With Single Use of the Device
14 Participants
32 Participants

Adverse Events

Treatment of Migraine With Active Device

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Treatment of Migraine With Sham Device

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment of Migraine With Active Device
n=126 participants at risk
Treatment of acute migraine with an active form of Nerivio migra-1 device Nerivio Migra-1 active device: The device is placed on the subject upper arm. when activated, stimulus is applied to influence the subject's perception of a painful stimulus, delivered (or originating) at a different location. Based on diffused noxious inhibitory control mechanism, sometimes referred to as "pain inhibits pain" principle, conditioned pain modulation evokes an endogenous analgesic mechanism. The modulatory effect is over the whole body, and can be induced anywhere in the body. This approach allows applying the conditioning stimuli away from the painful site.
Treatment of Migraine With Sham Device
n=126 participants at risk
Treatment of acute migraine with a sham form of the Nerivio Migra-1 device Nerivio Migra-1 Sham device: The device is placed on the subject upper arm. when activated, the stimulus is applied is not sufficient to influence the subject's perception of a painful stimulus.
Skin and subcutaneous tissue disorders
Sensation of warmth
4.8%
6/126 • Number of events 6 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
2.4%
3/126 • Number of events 3 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
Nervous system disorders
Numbness of the arm
1.6%
2/126 • Number of events 2 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
0.00%
0/126 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
Nervous system disorders
Pain in the arm
1.6%
2/126 • Number of events 2 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
0.00%
0/126 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
Skin and subcutaneous tissue disorders
Redness of the skin at the treatment area
1.6%
2/126 • Number of events 2 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
0.79%
1/126 • Number of events 1 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
Product Issues
Neck and shoulder pain
0.00%
0/126 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
1.6%
2/126 • Number of events 2 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
Product Issues
Tingling
0.00%
0/126 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
2.4%
3/126 • Number of events 3 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
Nervous system disorders
Muscle spasm
0.79%
1/126 • Number of events 1 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
0.00%
0/126 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
Skin and subcutaneous tissue disorders
Itching
0.79%
1/126 • Number of events 1 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.
0.00%
0/126 • up to 14 weeks
The Nerivio device is a neurostimulator and it is externally applied over the body. The Nerivio is accepted as a non-significant risk (NSR) device. In addition, as the exclusion criteria for the study leave out participant with electrical implant, congenital heart failure or epilepsy, the number of high risk participants is zero.

Additional Information

Dr Dagan Harris. VP Clinical & Regulatory Affairs

Theranica Bio-Electronics Ltd

Phone: +972723909755

Results disclosure agreements

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