Trial Outcomes & Findings for Assessment of Safety and Efficacy of Nerivio for the Migraine Prevention (NCT NCT04828707)

NCT ID: NCT04828707

Last Updated: 2023-03-15

Results Overview

The mean reduction in the number of migraine days per month during the last 28 days (4 weeks) of the treatment phase (weeks 9 through 12) compare to the 4-week baseline phase (weeks 1 through 4) A migraine day is defined as a calendar day with a headache that is accompanied by at least one of the following symptoms: aura, photophobia, phonophobia, nausea and/or vomiting; or a calendar day with a headache that is treated with a migraine-specific acute medication.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

335 participants

Primary outcome timeframe

3 months

Results posted on

2023-03-15

Participant Flow

The study contained a 4-week baseline phase, an 8-week treatment phase, and 4-week follow-up phase. Participants who had 6-24 headache days and completed at least 22 daily diaries at baseline were eligible to enter the treatment phase. out of the 335 recruited participants, 18 participants did not complete the baseline phase and 69 participants completed the baseline but were non-eligible to continue to the treatment phase. Thus, 248 participants were randomized into the treatment phase.

Participant milestones

Participant milestones
Measure
Migraine Prevention Treatment With Active Nerivio
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Overall Study
STARTED
128
120
Overall Study
COMPLETED
123
117
Overall Study
NOT COMPLETED
5
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Migraine Prevention Treatment With Active Nerivio
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Overall Study
Lost to Follow-up
3
2
Overall Study
Withdrawal by Subject
2
1

Baseline Characteristics

The analysis was performed on participants who completed the baseline phase and were randomized into the treatment groups

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 Participants
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 Participants
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Total
n=248 Participants
Total of all reporting groups
Age, Continuous
41.0 years
STANDARD_DEVIATION 12.0 • n=99 Participants • The analysis was performed on participants who completed the baseline phase and were randomized into the treatment groups
42.6 years
STANDARD_DEVIATION 13.6 • n=107 Participants • The analysis was performed on participants who completed the baseline phase and were randomized into the treatment groups
41.7 years
STANDARD_DEVIATION 12.9 • n=206 Participants • The analysis was performed on participants who completed the baseline phase and were randomized into the treatment groups
Sex: Female, Male
Female
110 Participants
n=99 Participants
103 Participants
n=107 Participants
213 Participants
n=206 Participants
Sex: Female, Male
Male
18 Participants
n=99 Participants
17 Participants
n=107 Participants
35 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=99 Participants
9 Participants
n=107 Participants
15 Participants
n=206 Participants
Race (NIH/OMB)
White
116 Participants
n=99 Participants
106 Participants
n=107 Participants
222 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=99 Participants
2 Participants
n=107 Participants
6 Participants
n=206 Participants
Region of Enrollment
United States
128 participants
n=99 Participants
120 participants
n=107 Participants
248 participants
n=206 Participants
Height
166 cm
STANDARD_DEVIATION 8.4 • n=99 Participants
165 cm
STANDARD_DEVIATION 8.2 • n=107 Participants
166 cm
STANDARD_DEVIATION 8.3 • n=206 Participants
Weight
84.0 Kg
STANDARD_DEVIATION 25.6 • n=99 Participants
85.0 Kg
STANDARD_DEVIATION 25.2 • n=107 Participants
84.5 Kg
STANDARD_DEVIATION 25.0 • n=206 Participants
Body Mass Index (BMI)
30.6 kg/m^2
STANDARD_DEVIATION 8.3 • n=99 Participants
31.2 kg/m^2
STANDARD_DEVIATION 8.4 • n=107 Participants
30.8 kg/m^2
STANDARD_DEVIATION 7.7 • n=206 Participants

PRIMARY outcome

Timeframe: 3 months

Population: Participants who treated at least once with Nerivio device (either Active or Sham)

The mean reduction in the number of migraine days per month during the last 28 days (4 weeks) of the treatment phase (weeks 9 through 12) compare to the 4-week baseline phase (weeks 1 through 4) A migraine day is defined as a calendar day with a headache that is accompanied by at least one of the following symptoms: aura, photophobia, phonophobia, nausea and/or vomiting; or a calendar day with a headache that is treated with a migraine-specific acute medication.

Outcome measures

Outcome measures
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 Participants
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 Participants
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Reduction in Migraine Days
-3.8 Migraine days per month
Standard Error 0.4
-1.1 Migraine days per month
Standard Error 0.4

PRIMARY outcome

Timeframe: 3 months

Number of participants with Adverse Events (AE), Serious Adverse Events (SAE) and Device-related Adverse Events

Outcome measures

Outcome measures
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 Participants
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 Participants
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Rate of Adverse Events (Safety and Tolerability)
Adverse Events
20 participants
21 participants
Rate of Adverse Events (Safety and Tolerability)
Serious Adverse Events
2 participants
0 participants
Rate of Adverse Events (Safety and Tolerability)
Device related Adverse Events
0 participants
1 participants
Rate of Adverse Events (Safety and Tolerability)
Device related Serious Adverse Events
0 participants
0 participants

SECONDARY outcome

Timeframe: 3 months

The mean reduction in the number of moderate/severe headache days per month during the last 28 days (4 weeks) of the treatment phase (weeks 9 through 12) compare to the 4-week baseline phase (weeks 1 through 4) A moderate/severe headache day is defined as a calendar day with a moderate or severe headache.

Outcome measures

Outcome measures
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 Participants
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 Participants
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Reduction in Moderate/Severe Headache Days
-3.5 Moderate/Severe headache days per month
Standard Error 0.3
-2.1 Moderate/Severe headache days per month
Standard Error 0.4

SECONDARY outcome

Timeframe: 3 months

The mean reduction in the number of headache days per month during the last 28 days (4 weeks) of the treatment phase (weeks 9 through 12) compare to the 4-week baseline phase (weeks 1 through 4) A headache day is defined as a calendar day with headache (at any severity).

Outcome measures

Outcome measures
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 Participants
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 Participants
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Reduction Headache Days
-4.2 Headache days per month
Standard Error 0.4
-2.0 Headache days per month
Standard Error 0.4

SECONDARY outcome

Timeframe: 3 months

Percentage of patients achieving at least 50% reduction from baseline in the mean number of headache days (all severities) per month in the last 4 weeks of the treatment phase (weeks 9 through 12).

Outcome measures

Outcome measures
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 Participants
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 Participants
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Reduction of 50% in Headache Days
40 Participants
22 Participants

SECONDARY outcome

Timeframe: 3 months

Headache Impact Test-6 (HIT-6) questionnaire is a tool used to measure the impact headaches have on your ability to function on the job, at school, at home, and in social situations. the questionnaire contains 6 questions with a total score between 36 to 78. Higher score interpret as better patient outcome.

Outcome measures

Outcome measures
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 Participants
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 Participants
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Increase in Headache Impact Test-6 (HIT-6) Score at the End of the Last 28 Days (4 Weeks) of the Treatment Phase (Weeks 9 Through 12) Compare to the HIT-6 Score at the End of the 4-week Baseline Phase (Weeks 1 Through 4)
4.7 score on a scale
Standard Error 0.6
3.9 score on a scale
Standard Error 0.6

SECONDARY outcome

Timeframe: 3 months

The migraine Specific Quality-of-Life questionnaire (MSQ) is a tool to measure the impact of migraine on your ability to function on the job, at school, at home, and in social situations. The questionnaire contains 14 questions with a total score between 0 to 84. Lower score interprets as better patient outcome.

Outcome measures

Outcome measures
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 Participants
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 Participants
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Reduction in Migraine-Specific Quality-of-Life (MSQ) Questionnaire Score at the End of the Last 28 Days (4 Weeks) of the Treatment Phase (Weeks 9 Through 12) Compare to the MSQ Score at the End of the 4-week Baseline Phase (Weeks 1 Through 4)
-11.5 score on a scale
Standard Error 1.1
-9.8 score on a scale
Standard Error 1.2

OTHER_PRE_SPECIFIED outcome

Timeframe: 3 months

Reduction in the mean number of acute headache/migraine medication days per month in the last 4 weeks of the treatment phase (weeks 9 through 12) compared to baseline (weeks 1 through 4).

Outcome measures

Outcome measures
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 Participants
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 Participants
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Reduction in Migraine Medication Intake
-3.9 Medication intake day per month
Standard Error 0.4
-2.2 Medication intake day per month
Standard Error 0.4

OTHER_PRE_SPECIFIED outcome

Timeframe: 2 hours post treatment at follow up phase

Percentage of participants who treat for the first treatment in the pre-emptive phase, during the prodrome, when they are pain-free, and remain pain-free during the following 2 hours after the treatment, without use of acute medication.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 24 hours post treatment at follow up phase

Percentage of participants who treat for the first treatment in the pre-emptive phase, during the prodrome, when they are pain-free, and remain pain-free during the following 24 hours after the treatment, without use of acute medication.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 24 hours post treatment at follow up phase

Percentage of patients who treat during the prodrome, when they are pain free, and remain either pain free or with mild pain during the following 24 hours after the treatment without use of acute medication.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 3 months

Analysis of the daily information provided by the participants for the purpose of predicting their migraine days

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 12 weeks

Health economics analysis of the difference between subjects using Nerivio as a therapy and those who do not with respect to: 1. Absenteeism - number of missed work/school days 2. Presenteeism - number of work/school days with moderate/severe functional disability 3. Healthcare provider appointments 4. ED visits 5. Brain MRI/CT scans

Outcome measures

Outcome data not reported

Adverse Events

Migraine Prevention Treatment With Active Nerivio

Serious events: 2 serious events
Other events: 20 other events
Deaths: 0 deaths

Migraine Prevention Treatment With Sham Nerivio

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 participants at risk
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 participants at risk
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Psychiatric disorders
SAE - suicide attempt
0.78%
1/128 • Number of events 1 • 3 months
0.00%
0/120 • 3 months
Surgical and medical procedures
SAE - falling in bathroom
0.78%
1/128 • Number of events 1 • 3 months
0.00%
0/120 • 3 months

Other adverse events

Other adverse events
Measure
Migraine Prevention Treatment With Active Nerivio
n=128 participants at risk
Participants were treated with an active Nerivio device every other day for migraine prevention. Nerivio active device: Nerivio neurostimulator of conditional pain modulation (CPM)
Migraine Prevention Treatment With Sham Nerivio
n=120 participants at risk
Participants were treated with a sham (placebo) Nerivio device every other day for migraine prevention. Nerivio sham device: Nerivio neurostimulator with an electrical output not intended for neurostimulation
Infections and infestations
COVID 19
2.3%
3/128 • 3 months
2.5%
3/120 • 3 months
Respiratory, thoracic and mediastinal disorders
Sinusitis/common cold
1.6%
2/128 • 3 months
0.83%
1/120 • 3 months
Musculoskeletal and connective tissue disorders
Bruises from falling
1.6%
2/128 • 3 months
0.00%
0/120 • 3 months
Musculoskeletal and connective tissue disorders
Shoulder pain
0.78%
1/128 • 3 months
1.7%
2/120 • 3 months
Ear and labyrinth disorders
Ear infection
1.6%
2/128 • 3 months
0.83%
1/120 • 3 months
Nervous system disorders
Migraine/headache worsening
0.78%
1/128 • 3 months
1.7%
2/120 • 3 months
Respiratory, thoracic and mediastinal disorders
Respiratory infection
0.78%
1/128 • 3 months
0.83%
1/120 • 3 months
Respiratory, thoracic and mediastinal disorders
nfluenza
0.78%
1/128 • 3 months
0.83%
1/120 • 3 months
Infections and infestations
Dental Infection
0.78%
1/128 • 3 months
0.00%
0/120 • 3 months
Musculoskeletal and connective tissue disorders
Worsening of fibromyalgia pain
0.00%
0/128 • 3 months
0.83%
1/120 • 3 months
Skin and subcutaneous tissue disorders
Lipoma
0.78%
1/128 • 3 months
0.00%
0/120 • 3 months
Immune system disorders
worsening of chronic rhinitis
0.00%
0/128 • 3 months
0.83%
1/120 • 3 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
cervical precancerous cells diagnosis
0.00%
0/128 • 3 months
0.83%
1/120 • 3 months
Nervous system disorders
Syncope
0.78%
1/128 • 3 months
0.00%
0/120 • 3 months
Musculoskeletal and connective tissue disorders
Ankle fracture
0.00%
0/128 • 3 months
0.83%
1/120 • 3 months
Immune system disorders
Hornet Stings
0.78%
1/128 • 3 months
0.00%
0/120 • 3 months
Infections and infestations
Yeast infection
0.78%
1/128 • 3 months
0.00%
0/120 • 3 months
Gastrointestinal disorders
Abdominal Discomfort
0.00%
0/128 • 3 months
0.83%
1/120 • 3 months
Renal and urinary disorders
Nephrolithiasis
0.78%
1/128 • 3 months
0.00%
0/120 • 3 months
Psychiatric disorders
Worsening of Depression
0.00%
0/128 • 3 months
0.83%
1/120 • 3 months
Metabolism and nutrition disorders
Hyperlipidemia
0.78%
1/128 • 3 months
0.00%
0/120 • 3 months
Reproductive system and breast disorders
Vaginal Itching
0.00%
0/128 • 3 months
0.83%
1/120 • 3 months
Infections and infestations
Herpes Zoster
0.00%
0/128 • 3 months
0.83%
1/120 • 3 months
Metabolism and nutrition disorders
Overweight
0.00%
0/128 • 3 months
0.83%
1/120 • 3 months
Infections and infestations
Viral Infection
0.00%
0/128 • 3 months
0.83%
1/120 • 3 months

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