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.
COMPLETED
NA
335 participants
3 months
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
| 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
| 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
| 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 monthsPopulation: 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
| 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 monthsNumber of participants with Adverse Events (AE), Serious Adverse Events (SAE) and Device-related Adverse Events
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 monthsThe 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
| 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 monthsThe 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
| 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 monthsPercentage 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
| 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 monthsHeadache 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
| 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 monthsThe 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
| 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 monthsReduction 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
| 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 phasePercentage 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 phasePercentage 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 phasePercentage 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 monthsAnalysis 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 weeksHealth 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
Migraine Prevention Treatment With Sham Nerivio
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
| 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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place