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Chronic MigraineNCT03400059

Study to Evaluate the Efficacy of Intranasal Kinetic Oscillation Stimulation in the Preventive Treatment of Chronic Migraine

A study testing Chordate System S211 in treatment mode in people with Chronic Migraine, run by Chordate Medical at 10 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The efficacy of intranasal kinetic oscillation stimulation using the Chordate System S211 as a preventative treatment will be examined in patients diagnosed with chronic migraine. The medical device system will be applied in 6 treatments at weekly intervals. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Chronic Migraine
What is being tested?
Chordate System S211 in treatment mode
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
144 participants
Where
10 sitesin 2 countries
Study dates
22 Mar 2018to 1 Aug 2022
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The subject is legally competent, has been informed of the nature, the scope and the relevance of the study, voluntarily agrees to participation and the study's provisions, and has duly signed the informed consent form (ICF);
  • Male or female aged between 18 and 65 years (inclusive) at the time of providing informed consent;
  • Diagnosed as suffering from chronic migraine with or without aura (≥15 headache days per month for more than 3 months before screening including at least 8 migraine days) according to the IHS classification (International Classification of Headache Disorders [ICHD]-III beta);
  • Migraine onset before the age of 60 years;
  • Reported history of migraine for at least 1 year before screening;
  • Reported stable prophylactic migraine medication regimen, if any, during the 3 months prior to screening;
  • Able and willing to maintain current prophylactic migraine medication regimen (no change in type, frequency or dose) from screening to end of follow-up;
  • Women of childbearing potential must be willing to use highly effective contraceptive methods (failure rate <1% per year when used consistently and correctly) during the study.

Who cannot join

  • Unable to distinguish between migraine headaches and other headache types;
  • Treatment with Botox in the head/neck area within 4 months of the screening visit, or planned Botox treatment during the study;
  • Previous or ongoing treatment with an implanted stimulator or other implanted device in the head and/or neck;
  • Known pronounced anterior septal deviation, or other known relevant abnormality in the nasal cavity, including bacterial infection and wounds;
  • History of relevant sinus surgery, transsphenoidal surgery for pituitary or other lesions or cerebrospinal fluid (CSF) rhinorrhea;
  • Fitted with a pacemaker/defibrillator;
Show all 16Show fewer
  • Previously treated with therapeutic x-ray intervention in the facial region (that could have influenced the nasal mucosa);
  • Ongoing upper respiratory infection or malignancy in the nasal cavity;
  • History of regular nose bleeding (epistaxis), or concomitant condition or medication that could cause excessive bleeding including treatment with an anticoagulant;
  • Head injury or open wound that contraindicates use of the Chordate Headband;
  • Known allergy to polyvinylchloride, a material used in the Chordate Catheter, or medicinal liquid paraffin;
  • Concurrent condition or risk of non-compliance that, in the investigator's opinion, may affect the interpretation of performance or safety data or which otherwise contraindicates participation in a clinical investigation;
  • Pregnant and lactating women;
  • Participation in a clinical investigation within 3 months of enrolment or planned participation at any time during this clinical investigation;
  • Previous participation in this study;
  • Employees of the study site or the sponsor directly involved with the conduct of the study, or immediate family members of any such individuals.

Trial locations and contacts

10 sites in 2 countries.

10 sites in 2 countries

Germany6 sites
  • CTC North am Universitätsklinikum Hamburg-Eppendorf

    Hamburg, 20251

  • Migräne-Klinik Königstein

    Königstein im Taunus, Hesse, 61462

  • Neurologie- & Kopfschmerzzentrum

    München, Bavaria, 80802

  • Klinikum Großhadern / Neurologische Klinik der Universität München

    München, Bavaria, 81377

  • Universitätsmedizin Rostock / Klinik und Poliklinik für Neurologie

    Rostock, Mecklenburg-Vorpommern, 18147

  • Lewis Neurologie

    Stuttgart, Baden-Wurttemberg, 70178

Other trials in Germany

Finland4 sites
  • Terveystalo Ruoholahti

    Helsinki, 00180

  • Helsingin päänsärkykeskus / Aava Itäkeskus

    Helsinki, 00930

  • Terveystalo Tampere

    Tampere, 33100

  • Suomen Terveystalo Turku

    Turku, 20100

Other trials in Finland

About this study

Official title: A Randomized, Placebo-controlled, Double-blind, Multicenter Study to Evaluate the Efficacy of Intranasal Kinetic Oscillation Stimulation in the Preventive Treatment of Chronic Migraine

The efficacy of intranasal kinetic oscillation stimulation using the Chordate System S211 as a preventative treatment will be examined in patients diagnosed with chronic migraine. The medical device system will be applied in 6 treatments at weekly intervals. The study will examine the effects on monthly headache days with moderate to severe intensity.

Read the detailed description

This is a randomized, placebo-controlled, double-blind, multicenter clinical investigation of a medical device. The study consists of a 4-week screening period, a 6-week treatment period (2 weeks run-in and a 4-week observation window to assess the treatment effect), and a 4-week follow-up period.

The study primarily aims at evaluating the effect of intranasal kinetic oscillation stimulation using the Chordate System S211 as a preventative treatment on monthly headache days with moderate to severe intensity.

Being tested
Chordate System S211 in treatment mode, Chordate System S211 in placebo mode
Keywords
Prophylaxis, Headache, Preventative Treatment
Medical subject headings
Headache

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Chordate System S211 in treatment modeDevice

    Chordate System S211 in treatment mode

  • Chordate System S211 in placebo modeDevice

    Chordate System S211 in placebo mode

Study groups in NCT03400059
Study groupRoleWhat they receive
Active TreatmentExperimentalNot described
Receives: Device: Chordate System S211 in treatment mode
Sham TreatmentSham comparatorNot described
Receives: Device: Chordate System S211 in placebo mode

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Change From Baseline (4-week Screening Period) in Monthly Headache Days With Moderate to Severe Intensity in 4-week Performance Assessment Period.

    Least square mean change from Baseline (4-week screening period) in monthly headache days with moderate to severe intensity in 4-week performance assessment period.

    Measured: Interval from Day -28 to Day 0 and Interval from Day 14 to Day 42

Secondary outcomes (17)
  1. Mean Change From Baseline in Monthly Headache Days With Moderate to Severe Intensity in Follow-up Period

    Measured: Interval from Day -28 to Day 0 and Interval from Day 43 to Day 70

  2. Mean Change From Baseline to Performance Assessment Period in Monthly Migraine Days

    Measured: Interval from Day -28 to Day 0 and Interval from Day 14 to Day 42

  3. Mean Change From Baseline to Follow-up Period in Monthly Migraine Days

    Measured: Interval from Day -28 to Day 0 and Interval from Day 43 to Day 70

  4. Mean Change From Baseline to Performance Assessment Period in 4-week Headache Days (Mild, Moderate and Severe Intensity) - All Intensities

    Measured: Interval from Day -28 to Day 0 and Interval from Day 14 to Day 42

  5. Mean Change From Baseline to Follow-up Period in 4-week Headache Days (Mild, Moderate and Severe Intensity) - All Intensities

    Measured: Interval from Day -28 to Day 0 and Interval from Day 43 to Day 70

  6. Proportion of Subjects With 30% or Greater Reduction in Headache Days of Moderate to Severe Intensity in Performance Assessment Period

    Measured: Interval from Day -28 to Day 0 and Interval from Day 14 to Day 42

  7. Proportion of Subjects With 30% or Greater Reduction in Headache Days of Moderate to Severe Intensity in Follow-up Period

    Measured: Interval from Day -28 to Day 0 and Interval from Day 43 to Day 70

  8. Proportion of Subjects With 50% or Greater Reduction of Headache Days of Moderate to Severe Intensity in Performance Assessment Period

    Measured: Interval from Day -28 to Day 0 and Interval from Day 14 to Day 42

  9. Proportion of Subjects With 50% or Greater Reduction of Headache Days of Moderate to Severe Intensity in Follow-up Period

    Measured: Interval from Day -28 to Day 0 and Interval from Day 43 to Day 70

  10. Change in the Use of Abortive Medication in Performance Assessment Period

    Measured: Interval from Day -28 to Day 0 and Interval from Day 14 to Day 42

  11. Change in the Use of Abortive Medication in Follow-up Period

    Measured: Interval from Day -28 to Day 0 and Interval from Day 43 to Day 70

  12. Headache Impact Test

    The headache impact test-6 (HIT-6) is a 6-item self-administered questionnaire that evaluates the extent of disability a subject experiences due to headache by measuring the subject's level of pain, social functioning, role functioning, vitality, cognitive functioning, and psychological distress. The final total score is obtained from simple summation of the 6 items. The total score ranges between 36 and 78, with larger scores reflecting greater impact.

    Reported is the change from Baseline in the final total score at the respective visit.

    Measured: Days -28, 0, 14 (Visit 3), 42 (Visit 7), 70 (follow-up)

  13. Migraine-Specific Quality of Life Questionnaire (MSQ) - Role Function - Restrictive

    The role function-restrictive dimension of the MSQ assesses how migraines limit daily activities and interactions during the past 4 weeks. It includes 7 items. Each item is scored on a 6-point scale ranging from 1 (none of the time) to 6 (all of the time). The scores of these items are summed and then transformed to a 0-100 scale. This means the minimum score of the role function restrictive dimension is 0 and the maximum score is 100 where a higher score indicates a better health status.

    Reported is the change from Baseline in the role function restrictive dimension of the MSQ at the respective visit.

    Measured: Days -28, 0, 14 (Visit 3), 42 (Visit 7), 70 (follow-up)

  14. MSQ - Role Function - Preventive

    The role function-preventive dimension of the MSQ assesses how migraines prevent from engaging in daily activities during the past 4 weeks. It includes 4 items. Each item is scored on a 6-point scale ranging from 1 (none of the time) to 6 (all of the time). The scores of these items are summed and then transformed to a 0-100 scale. This means the minimum score of the role function-preventive dimension is 0 and the maximum score is 100 where a higher score indicates a better health status.

    Reported is the change from Baseline in the role function-preventive dimension of the MSQ at the respective visit.

    Measured: Days -28, 0, 14 (Visit 3), 42 (Visit 7), 70 (follow-up)

  15. MSQ - Emotional Function

    The emotional function dimension of the MSQ assesses the emotional impact of migraines during the past 4 weeks. It includes 3 items. Each item is scored on a 6-point scale ranging from 1 (none of the time) to 6 (all of the time). The scores of these items are summed and then transformed to a 0-100 scale. This means the minimum score of the emotional function dimension is 0 and the maximum score is 100 where a higher score indicates a better health status.

    Reported is the change from Baseline in the emotional function dimension of the MSQ at the respective visit.

    Measured: Days -28, 0, 14 (Visit 3), 42 (Visit 7), 70 (follow-up)

  16. Patient Global Impression of Severity (PGI-S)

    The PGI-S is a 1-item questionnaire to assess the subject's impression of disease severity. The subjects rated the severity of their condition on a scale from 1 to 4: 1=normal, 2=mild, 3=moderate, 4=severe

    Measured: Days -28 (screening), 0 (visit 1), 14 (Visit 3), 42 (Visit 7), 70 (Follow-up)

  17. Incidence of Adverse Events (AEs)

    n (%) of patients

    Measured: Days 0, 7, 14, 21, 28, 35, 42, 70

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jan 2018
  2. Study start22 Mar 2018
  3. Primary completion1 Aug 2022
  4. Study completion1 Aug 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
144 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03400059
Sponsor's protocol ID
PM007
Status last verified
Nov 2024
First submitted
9 Jan 2018
Last updated
6 Jan 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Due to uncertainties in EU data protection legislation individual deidentified participant data are not shared. The main uncertainty is the concept of what "deidentified" means. It appears not to mean that the data set of a person is simply separated from the person's name. What additional operations have to be done appears to depend on technological capabilities to re-identify the persons associated with the data set. A common perception is that the technological capabilities for re-identification are permanently increasing. This could have the effect that public data sets that are regarded as deidentified now might become re-identifiable data sets in the future. Once this happens, the sponsor is no longer able to make the publication of the data sets un-happen. This could result in punishment by EU data protection authorities. The sponsor wants to avoid this.

Publications

  • Hoffmann J, Kaube H, Rimmele F, Jurgens TP, Nissila M, Gaul C, Kallela M, Keski-Santti P, Sumelahti ML, Straube A, Lewis D, Hoffmann V, Wirtz L, Rempel A, Bohm O, May A. Kinetic Oscillation Stimulation for the Preventive Treatment of Chronic Migraine: A Randomized, Double-Blind, Sham-Controlled Trial. Neurology. 2025 Feb 11;104(3):e210220. doi: 10.1212/WNL.0000000000210220. Epub 2025 Jan 9.

    PubMed 39787477

Questions about this trial

What is this clinical trial studying?

A study testing Chordate System S211 in treatment mode in people with Chronic Migraine, run by Chordate Medical at 10 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Germany, Finland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Jan 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean Change From Baseline (4-week Screening Period) in Monthly Headache Days With Moderate to Severe Intensity in 4-week Performance Assessment Period. (time frame: Interval from Day -28 to Day 0 and Interval from Day 14 to Day 42). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03400059, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jan 2025.

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