Evaluation of the Prophylactic Efficacy of tDCS in Chronic Migraine
- Conditions
- Chronic Migraine as Defined by Criteria of International Headache Society (IHS)
- Interventions
- Device: Transcranial direct current stimulation of the motor cortexDevice: simulation of Transcranial direct current stimulation of the motor cortex
- Registration Number
- NCT02120326
- Lead Sponsor
- University Hospital, Grenoble
- Brief Summary
The purpose of this study is to determine whether TDCS is an effective prophylactic therapy of chronic migraine.
- Detailed Description
Consenting patients will report on a book, all of their migraine attack for 1 month. Then they will be randomized to the active tDCS group or sham tDCS group. Patients will have one session of tDCS per day during the first week, then one session per week for a month and finally a session every 15 days for 1 month. After tDCS sessions, patients will be followed for 3 months. Throughout their participation in the study, patients will complete their migraine record (1month of base line before tDCS, 2 months during tDCS, 3 months after tDCS).
Patients will have 5 evaluation examinations:
* The first, one before tDCS,
* The second, 1 month after the beginning of tDCS
* The third, immediately after the end of tDCS
* The fourth, 1 month after the end of tDCS
* And the last one, 3 months after the end of tDCS.
The physician responsible for conducting tDCS sessions will make the randomization via a website.
The physician in charge of the evaluation examinations will don't know the allocated treatment.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 36
- Diagnosis of chronic migraine for more than 1 year
- Stable treatment since 1 month
- Frequency of migraine crisis is above 8 per month during last month
- chronic migraine that has not been improved over the previous year by at least 3 different prophylactic treatments recommended and well conducted
- Patient agreeing not to try other migraine prophylactic treatment, throughout the study
- Patient's written consent
- History of drug addiction, epilepsy, or severe head trauma with bone break
- History of psychiatric illness (psychosis and severe cognitive disorders) may interfere with the proper conduct of the study
- Presence of intracranial ferromagnetic material or an implanted stimulator
- Introduction of a new treatment for less than a month
- Pregnant women, parturient women, breast-feeding mother. Lack of effective contraception
- Person not understanding the study protocol
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description active tDCS Transcranial direct current stimulation of the motor cortex - simulated tDCS simulation of Transcranial direct current stimulation of the motor cortex -
- Primary Outcome Measures
Name Time Method Comparison of the evolution of seizure frequency between the two groups Evolution of seizure frequency since base line to 3 months after the end of tDCS
- Secondary Outcome Measures
Name Time Method Comparison of the evolution of seizure severity between the two groups Evolution of seizure severity since base line to 3 months after the end of tDCS Headache Impact Test 6 (HIT-6) questionnaire
Comparison of the evolution of crisis treatment use between the two groups Evolution of crisis treatment use since base line until 3 months after the end of tDCS Frequency of taking crisis treatment. After each crisis, taking crisis treatment will be noted by the patient on his migraine record book.
Comparison of the evolution of the disease impact between the two groups Evolution of the disease impact since base line to 3 months after the end of tDCS Migraine Disability Assessment Scale (MIDAS) scale
Comparison of the evolution of the patient satisfaction between the two groups Evolution of the patient satisfaction since base line to 3 months after the end of tDCS Clinical Global Impression (CGI) scale
Comparison of the evolution of the quality of life between the two groups Evolution of the quality of life since base line until 3 months after the end of tDCS Short Form 12 (SF-12) quality of life questionnaire
Comparison of the evolution of anxiety and depression levels between the two groups Evolution of anxiety and depression levels since base line until 3 months after the end of tDCS Hospital Anxiety and Depression scale (HAD) questionnaire
Trial Locations
- Locations (2)
Grenoble University Hospital
🇫🇷Grenoble, Isere, France
Hospital of Voiron
🇫🇷Voiron, Isere, France