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CompletedNCT01542307Updated Mar 27, 2017Results posted

Normobaric Oxygen (NBO) Therapy in Acute Migraine

A Phase 2 interventional study of Oxygen and Room air in Migraine, sponsored by Massachusetts General Hospital. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-03-27.

Sponsored by Massachusetts General Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
22
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a pilot study investigating the therapeutic potential of breathing 100% oxygen in acute migraine headache.

Read the detailed description

A total of 40 adult subjects will be enrolled, male and female. Subjects will be consented to inhale either Normobaric Oxygen (NBO) or Room air for 30 minutes at the start of their migraine attacks. Outcomes will be assessed during and after gas treatment.

02

Conditions studied

  • Migraine

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Keywords

  • migraine
  • oxygen therapy
03

In context

Migraine Disorders

1,528 studies on the registry are indexed under Migraine Disorders; 299 are open to participants now.

This study's enrollment of 22 is below the median of 80 across 1,175 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,536 studies on the registry; 446 are open to participants now.

Of its 214 completed or terminated interventional studies of FDA-regulated products, 161 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult subjects with frequent migraine (at least 1 attack per month)

Exclusion criteria

Exclusion Criteria:

  • Secondary (non-migraine) headache
  • Chronic obstructive pulmonary disease
  • Pregnant
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Oxygen

    Oxygen is inhaled for 30 minutes during migraine attack

    Biological: Oxygen

  • Placebo comparator
    Room Air

    Medical air inhaled for 30 minutes during migraine attack

    Biological: Room air

Interventions

  • BiologicalOxygen

    Oxygen is inhaled for 30 minutes during migraine attack

  • BiologicalRoom air

    Placebo

06

What researchers measure

Primary outcomes

  1. Change in Pain Scores From 0-30 Minutes on a Visual Analog Scale (VAS)

    The mean change in VAS pain scores from 0 minutes to 30 minutes was selected as the primary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

    Time frame: From baseline (0 minutes) to 30 mins

Secondary outcomes

  1. Change in Pain Score From 0-15 Minutes on the Visual Analogue Scale (VAS)

    The mean change in VAS pain scores from 0 minutes to 15 minutes was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

    Time frame: Baseline (0 minutes) to 15 minutes

  2. Change in Pain Score From 0-60 Minutes on the Visual Analogue Scale (VAS)

    The mean change in VAS pain scores from 0 minutes to 60 minutes was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

    Time frame: Baseline (0 minutes) to 60 minutes

  3. Final Pain Severity Score 0-1 on the Visual Analogue Scale (VAS)

    The percentage of migraine attacks with the final (60 minute) VAS pain score 0-1 was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

    Time frame: 60 minutes

  4. Final Pain Score 0-1 or Score Improved 3 or More Points on the Visual Analogue Scale (VAS)

    The percentage of migraine attacks with the final (60 minute) VAS pain score either 0-1, or a 3-point improvement from baseline, was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

    Time frame: 60 minutes

  5. Final Visual Symptom Score 0-1 on the Visual Analog Scale (VAS)

    The percentage of migraine attacks with the final (60 minute) VAS visual symptom score 0-1 was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

    Time frame: 60 minutes

  6. Final Nausea Score 0-1 on the Visual Analog Scale (VAS)

    The percentage of migraine attacks with the final (60 minute) VAS nausea score 0-1 was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

    Time frame: 60 minutes

Other outcomes

  1. Post-gas Therapy Medication Use

    The percentage of migraine attacks requiring the use of one or more anti-migraine medications after the period of gas inhalation, was selected as a secondary outcome measure.

    Time frame: 60 minutes

07

Results

Posted Mar 27, 2017

Participant flow

22 subjects enrolled

Participant flow — Overall Study
MilestoneOxygen-treated Migraine AttacksMedical Air-treated Migraine Attacks
Started2222
Completed2222
Not completed00

Outcome measures

PrimaryChange in Pain Scores From 0-30 Minutes on a Visual Analog Scale (VAS)

The mean change in VAS pain scores from 0 minutes to 30 minutes was selected as the primary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

Time frame:
From baseline (0 minutes) to 30 mins
Reported as:
Mean · units on a scale
Change in Pain Scores From 0-30 Minutes on a Visual Analog Scale (VAS)
units on a scaleOxygenRoom Air
Change in Pain Scores From 0-30 Minutes on a Visual Analog Scale (VAS)1.38 ± 1.421.22 ± 1.61
Statistical analysis
  • Oxygen vs Room Air · Wilcoxon (Mann-Whitney) · p = 0.674
SecondaryChange in Pain Score From 0-15 Minutes on the Visual Analogue Scale (VAS)

The mean change in VAS pain scores from 0 minutes to 15 minutes was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

Time frame:
Baseline (0 minutes) to 15 minutes
Reported as:
Mean · units on a scale
Change in Pain Score From 0-15 Minutes on the Visual Analogue Scale (VAS)
units on a scaleOxygenRoom Air
Change in Pain Score From 0-15 Minutes on the Visual Analogue Scale (VAS)0.77 ± 1.090.44 ± 0.92
Statistical analysis
  • Oxygen vs Room Air · Wilcoxon (Mann-Whitney) · p = 0.18
SecondaryChange in Pain Score From 0-60 Minutes on the Visual Analogue Scale (VAS)

The mean change in VAS pain scores from 0 minutes to 60 minutes was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

Time frame:
Baseline (0 minutes) to 60 minutes
Reported as:
Mean · units on a scale
Change in Pain Score From 0-60 Minutes on the Visual Analogue Scale (VAS)
units on a scaleOxygenRoom Air
Change in Pain Score From 0-60 Minutes on the Visual Analogue Scale (VAS)2.05 ± 2.231.57 ± 1.94
Statistical analysis
  • Oxygen vs Room Air · Wilcoxon (Mann-Whitney) · p = 0.38
SecondaryFinal Pain Severity Score 0-1 on the Visual Analogue Scale (VAS)

The percentage of migraine attacks with the final (60 minute) VAS pain score 0-1 was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

Time frame:
60 minutes
Reported as:
Number · percentage of attacks
Final Pain Severity Score 0-1 on the Visual Analogue Scale (VAS)
percentage of attacksOxygenRoom Air
Final Pain Severity Score 0-1 on the Visual Analogue Scale (VAS)246
Statistical analysis
  • Oxygen vs Room Air · Fisher Exact · p = 0.05
SecondaryFinal Pain Score 0-1 or Score Improved 3 or More Points on the Visual Analogue Scale (VAS)

The percentage of migraine attacks with the final (60 minute) VAS pain score either 0-1, or a 3-point improvement from baseline, was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

Time frame:
60 minutes
Reported as:
Number · percentage of attacks
Final Pain Score 0-1 or Score Improved 3 or More Points on the Visual Analogue Scale (VAS)
percentage of attacksOxygenRoom Air
Final Pain Score 0-1 or Score Improved 3 or More Points on the Visual Analogue Scale (VAS)4523
Statistical analysis
  • Oxygen vs Room Air · Fisher Exact · p = 0.05
SecondaryFinal Visual Symptom Score 0-1 on the Visual Analog Scale (VAS)

The percentage of migraine attacks with the final (60 minute) VAS visual symptom score 0-1 was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

Time frame:
60 minutes
Reported as:
Number · percentage of attacks
Final Visual Symptom Score 0-1 on the Visual Analog Scale (VAS)
percentage of attacksOxygenRoom Air
Final Visual Symptom Score 0-1 on the Visual Analog Scale (VAS)366
Statistical analysis
  • Oxygen vs Room Air · Fisher Exact · p = 0.004
SecondaryFinal Nausea Score 0-1 on the Visual Analog Scale (VAS)

The percentage of migraine attacks with the final (60 minute) VAS nausea score 0-1 was selected as a secondary outcome measure. The VAS scale has a range from 0-10 with higher scores indicating greater severity of symptoms.

Time frame:
60 minutes
Reported as:
Number · percentage of attacks
Final Nausea Score 0-1 on the Visual Analog Scale (VAS)
percentage of attacksOxygenRoom Air
Final Nausea Score 0-1 on the Visual Analog Scale (VAS)6465
Statistical analysis
  • Oxygen vs Room Air · Fisher Exact · p = 1.00
Other pre-specifiedPost-gas Therapy Medication Use

The percentage of migraine attacks requiring the use of one or more anti-migraine medications after the period of gas inhalation, was selected as a secondary outcome measure.

Time frame:
60 minutes
Reported as:
Number · percentage of attacks
Post-gas Therapy Medication Use
percentage of attacksOxygenRoom Air
Post-gas Therapy Medication Use3652
Statistical analysis
  • Oxygen vs Room Air · Fisher Exact · p = 0.16

Adverse events

Collected over Adverse events were collected from the time of enrollment and until a maximum of 4 migraine attacks were treated with gas inhalation and study equipment returned to the study team.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Oxygen—0/22 (0%)2/22 (9.1%)
Room Air—0/22 (0%)2/22 (9.1%)
Most frequent other events
Most frequent other events
EventOxygenRoom Air
Significant worsening of migraine headacheNervous system disorders0/222/22
Dry MouthGeneral disorders1/220/22
TinglingNervous system disorders1/220/22

Baseline characteristics

Enrolled subjects

Age, Continuous
Age, Continuous(years)Enrolled Subjects
Mean36 ± 10
Sex: Female, Male
Sex: Female, Male(Participants)Enrolled Subjects
Female20
Male2
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Enrolled Subjects
Caucasian20
Non-Caucasian2
Region of Enrollment
Region of Enrollment(Participants)Enrolled Subjects
United States22
Migraine
Migraine(Participants)Enrolled Subjects
Migraine w Aura7
Migraine without Aura15
Employment
Employment(Participants)Enrolled Subjects
Employed Full Time17
Not Employed Full Time5
Education Level
Education Level(Participants)Enrolled Subjects
College or higher20
School or lower2
Marital status
Marital status(Participants)Enrolled Subjects
Married10
Single12

11 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
09

References and documents

Publications

  • Singhal AB, Maas MB, Goldstein JN, Mills BB, Chen DW, Ayata C, Kacmarek RM, Topcuoglu MA. High-flow oxygen therapy for treatment of acute migraine: A randomized crossover trial. Cephalalgia. 2017 Jul;37(8):730-736. doi: 10.1177/0333102416651453. Epub 2016 May 20. PubMed 27206964 ↗

Individual participant data

Plan to share: Undecided

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 27, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01542307
Lead sponsor
Massachusetts General Hospital
Responsible party
Aneesh B. Singhal, MD (Associate Professor of Neurology, Massachusetts General Hospital) — Principal investigator
First posted
Mar 2, 2012
Start date
Jul 2012
Primary completion
Sep 2015
Completion
Sep 2015
Results posted
Mar 27, 2017
Last update
Mar 27, 2017

Study contacts

Aneesh B Singhal, MD
principal investigator · Massachusetts General Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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