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The MOTS (Medication Overuse Treatment Strategy) Trial

Not Applicable
Completed
Conditions
Migraine
Interventions
Other: Discontinuation of Overused Medication
Other: Migraine Prophylactic Therapy Only
Registration Number
NCT02764320
Lead Sponsor
Mayo Clinic
Brief Summary

There are two commonly used treatment strategies for treating patients who have chronic migraine with medication overuse. This study will compare the outcomes amongst patients randomized to one of the two treatment strategies.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
720
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
DiscontinuationDiscontinuation of Overused MedicationMigraine prophylactic therapy will be initiated or optimized with the immediate discontinuation of the overused medication(s)
Preventive Therapy OnlyMigraine Prophylactic Therapy OnlyMigraine prophylactic therapy will be initiated or optimized without the early discontinuation of the overused medication(s)
Primary Outcome Measures
NameTimeMethod
Frequency of Moderate to Severe Headache Days12 weeks

Number of days on which a headache lasts for at least 2 hours and at any time peaks at moderate or severe intensity

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (29)

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

University of Washington

🇺🇸

Seattle, Washington, United States

Northern Arizona Healthcare Medical Group

🇺🇸

Flagstaff, Arizona, United States

Honor Health Neurology

🇺🇸

Scottsdale, Arizona, United States

Mayo Clinic Thunderbird

🇺🇸

Scottsdale, Arizona, United States

Keck Medical Center of USC

🇺🇸

Los Angeles, California, United States

Blue Sky Neurology

🇺🇸

Greenwood Village, Colorado, United States

Memorial Healthcare

🇺🇸

Hollywood, Florida, United States

Henry Ford Allegiance Health

🇺🇸

Jackson, Michigan, United States

University of Miami Miller School of Medicine

🇺🇸

Miami, Florida, United States

Brigham Women's Hospital Headache Clinic

🇺🇸

Boston, Massachusetts, United States

Brigham Women's Hospital Neurology Clinic

🇺🇸

Boston, Massachusetts, United States

The Headache Center

🇺🇸

Ridgeland, Mississippi, United States

Clinvest Research

🇺🇸

Springfield, Missouri, United States

University of Cincinnati Headache Center

🇺🇸

Dayton, Ohio, United States

University of Cincinnati Neurology

🇺🇸

Cincinnati, Ohio, United States

Toledo Clinic Adult Neurology

🇺🇸

Toledo, Ohio, United States

Thomas Jefferson University Hospital Headache Center

🇺🇸

Philadelphia, Pennsylvania, United States

Preferred Headache Center

🇺🇸

Pittsburgh, Pennsylvania, United States

West Virginia University Neurology

🇺🇸

Morgantown, West Virginia, United States

University of Utah General Neurology

🇺🇸

Salt Lake City, Utah, United States

Mayo Clinic in Arizona Headache Center

🇺🇸

Phoenix, Arizona, United States

Mayo Clinic in Arizona Neurology Center

🇺🇸

Phoenix, Arizona, United States

University of Colorado Denver Headache Center

🇺🇸

Aurora, Colorado, United States

University of Colorado Denver Primary Center

🇺🇸

Denver, Colorado, United States

Mayo Clinic Headache Center

🇺🇸

Rochester, Minnesota, United States

University of Utah Primary Care

🇺🇸

Salt Lake City, Utah, United States

University of Utah Headache Center

🇺🇸

Salt Lake City, Utah, United States

Norton Neurology

🇺🇸

Louisville, Kentucky, United States

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