Transcutaneous Supraorbital Nerve Stimulator Versus Topiramate in Prevention of Recurrent Migraine
- Conditions
- Migraine, Classic
- Interventions
- Device: Transcutaneous Supraorbital Nerve Stimulator
- Registration Number
- NCT05516251
- Lead Sponsor
- Tongji Hospital
- Brief Summary
Migraine has been ranked as the second most disabling neurological disorder in the worldwide. Medication or nonpharmacological treatments are all reasonable options for the prevention. Oral topiramate treatment is a typical effective method, while transcutaneous supraorbital nerve stimulation (SNS) was reported to be valuable for migraine acute treatment and even the prevention. As a new nonpharmacological therapeutic method, whether SNS is equivalent to topiramate is still unknown. The aim of the present study was to compare their effects in a cohort of migraine patients. After diagnosed with recurrent or chronic migraine and consented to this research, patients received randomly treatments by either SNS or topiramate, and were followed up prospectively. After a 1-month period of baseline observation, patients were followed by a 1-month treatment, and next 2-month period of followup. At least the following assessments will be performed: (1) Change from baseline in the number of migraine days during the 3 observing months; (2) Change from baseline in the number of moderate/ severe headache days over the 3 observing months; (3) 50% responder rate for the reduction of migraine days (percentage of patients having at least 50% reduction of migraine days) during the first treating month. Comparison of outcome measures between the 2 treatment groups will be performed to show the equivalence of SNS versus topiramate.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 200
- Aged 18-60 years old;
- Diagnosed with definite migraine (ICHD-3 code 1.1 or 1.2);
- At least 2 migraine attacks per month during the past 3 months;
- Consent to participate in the study;
- No contraindications to associated treatments.
- Received preventive treatments during the previous 3 months;
- Definite other kinds of headache, especially tension-type, medication overuse and secondary headache (ICHD-3 code 8.2);
- Severe neurological or psychiatric disorders;
- Severe primary systemic disorders including heart, brain, liver, kidney, and hematopoietic system;
- Women with pregnancy or lactation.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Topiramate Topiramate 25Mg Tab - Transcutaneous Supraorbital Nerve Stimulator Transcutaneous Supraorbital Nerve Stimulator -
- Primary Outcome Measures
Name Time Method 50% responder rate during the first treating 1 month 50% responder rate for the reduction of migraine days (percentage of patients having at least 50% reduction of migraine days) during the first treating month
moderate/ severe headache days over the 3 observing months Change from baseline in the number of moderate/ severe headache days over the 3 observing months
migraine days during the 3 observing months Change from baseline in the number of migraine days during the 3 observing months
- Secondary Outcome Measures
Name Time Method Averaged migraine days during the 3 observing months Averaged migraine days per 4 weeks
migraine attacks during the 3 observing months Number of migraine attacks per 4 weeks
Cumulative pain hours during the 3 observing months Cumulative hours per 4 weeks of moderate/severe pain (Suggested by visual analogue scale)
bothersome symptoms during the 3 observing months Effect on the most bothersome symptoms (anorexia, nausea, vomiting, photophobia, phonophobia. Weakness and dizziness)
Migraine functional impact during the 3 observing months Using Headache Impact Test-6 (HIT-6) questionnaire, migraine functional impact were evaluated per 4 weeks
Trial Locations
- Locations (1)
Wensheng Qu
🇨🇳Wuhan, Hubei, China