CClinicalTrials.gg
CompletedNCT02342743Updated Jun 20, 2019Results posted

Open-trial on the Prevention of Chronic Migraines With the CEFALY Device

An interventional study of CEFALY in Migraine, sponsored by Cefaly Technology. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-06-20.

Sponsored by Cefaly Technology · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
73
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The main objective of this study was to assess the safety and efficacy of the Cefaly® e-TNS device as a prophylactic treatment of chronic migraine in adult patients.

Read the detailed description

The purpose of this pilot study was to assess the safety and efficacy of the Cefaly® e-TNS device in the prophylactic treatment of chronic migraine in adult patients prior to implement a control trial where the size and final protocol will be specified thanks to the outcomes of this pilot trial.

02

Conditions studied

  • Migraine

Browse trials for

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 73 is close to the median of 80 across 1,175 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

Cefaly Technology is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with a history of chronic migraine meeting the diagnostic criteria listed in ICHD-III beta (2013) section 1, migraine (1), with the exception of ''complicated migraine'' (i.e., hemiplegic migraine, migraine with brainstem aura, ophthalmoplegic migraine-recurrent painful ophthalmoplegic neuropathy, migrainous infarction) will be enrolled. They are required during baseline to have ≥15 headache days with each day consisting of ≥4 hours of continuous headache and with ≥50% of days being migraine or probable migraine days; and ≥4 distinct headache episodes, each lasting ≥4 hours.

Both patients with or without acute medication overuse (medication overuse headache - MOH) will be recruited

Exclusion criteria

Exclusion Criteria:

  1. Women: Pregnant, lactating or \<6 months post partum
  2. For patients already on treatment with medications in the following classes: antihypertensives, antidepressants, antiepileptics, no dose change of those medications is allowed for at least 3 months before start of baseline and during the entire study period.
  3. For patients treated with Botox, no injection within 4 months before start of baseline or during the study.
  4. Diagnosis of other primary or secondary headache disorders, except of Medication Overuse Headache
  5. A Beck Depression Inventory score of >24 at baseline
  6. Psychiatric disorders that could have interfered with study participation
  7. Intolerance to supraorbital neurostimulation that makes the treatment not applicable (test of nociceptive threshold with specific Cefaly program)
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
73 participants (actual)

Study arms

  • Experimental
    Active

    Daily trigeminal nerve stimulation session of 20 minutes with CEFALY

    Device: CEFALY

Interventions

  • DeviceCEFALY
06

What researchers measure

Primary outcomes

  1. Change From Baseline in Frequency of Headache Days

    Mean change in frequency of headache days (defined as a day with at least one headache episode, which is a patient-reported headache with pain) between the 28-day baseline and the 28-day period ending with week 12 of treatment.

    Time frame: End of baseline period and end of 12 weeks treatment period

  2. Change From Baseline in Acute Medication Intake

    Overall acute headache pain medication use (all categories) mean change between the 28-day baseline and the 28-day period ending with week 12 of treatment.

    Time frame: End of baseline period and end of 12 weeks treatment period

Secondary outcomes

  1. Change in Frequency of Migraine Days

    Mean change in frequency of migraine days (any headache day is a migraine day, unless the pain intensity = 1 and there is no intake of acute anti-migraine medication) between the 28-day baseline and the 28-day period ending with week 12 of treatment.

    Time frame: End of baseline period and end of 12 weeks treatment period

  2. Change in Frequency of Moderate/Severe Headache Days

    Mean change in frequency of moderate/severe headache days (defined as a headache day with at least one headache episode with intensity = 2 or 3) between the 28-day baseline and the 28-day period ending with week 12 of treatment.

    Time frame: End of baseline period and end of 12 weeks treatment period

  3. Change in Monthly Cumulative Headache Hours

    Mean change in monthly cumulative headache hours on headache days between the 28-day baseline and the 28-day period ending with week 12 of treatment.

    Time frame: End of baseline period and end of 12 weeks treatment period

  4. Change in Frequency of Headache Episodes

    Mean change in frequency of headache episodes (defined as a patient-reported headache with pain) between the 28-day baseline and the 28-day period ending with week 12 of treatment.

    Time frame: End of baseline period and end of 12 weeks treatment period

  5. 50% Responder Rate for Migraine Days

    Number of subjects who observe a 50% reduction in the frequency of their migraine days between the 28-day baseline and the 28-day period ending with week 12 of treatment.

    Time frame: End of the 12 weeks treatment period

  6. Change in the Average Headache Intensity

    Mean change in the average headache intensity between the 28-day baseline and the 28-day period ending with week 12 of treatment. Headache intensity is defined on a scale from 0 (no pain) to 3 (maximum pain).

    Time frame: End of baseline period and end of 12 weeks treatment period

07

Results

Posted Sep 19, 2018

Participant flow

Baseline Period
Participant flow — Baseline Period
MilestoneActive
Started73
Completed58
Not completed15
Withdrew: Withdrawal by subject3
Withdrew: Lost to follow-up2
Withdrew: Change in prophylactic medication3
Withdrew: Screening failure regarding baseline7
Treatment Period
Participant flow — Treatment Period
MilestoneActive
Started58
Completed47
Not completed11
Withdrew: Withdrawal by subject2
Withdrew: Lost to follow-up8
Withdrew: Change in prophylactic medication1

Outcome measures

PrimaryChange From Baseline in Frequency of Headache Days

Mean change in frequency of headache days (defined as a day with at least one headache episode, which is a patient-reported headache with pain) between the 28-day baseline and the 28-day period ending with week 12 of treatment.

Time frame:
End of baseline period and end of 12 weeks treatment period
Reported as:
Mean · days per 28-days
Change From Baseline in Frequency of Headache Days
days per 28-daysActive
Change From Baseline in Frequency of Headache Days-3.12 ± 5.70
Statistical analysis
  • Active · Wilcoxon (Mann-Whitney) · p = <0.001
PrimaryChange From Baseline in Acute Medication Intake

Overall acute headache pain medication use (all categories) mean change between the 28-day baseline and the 28-day period ending with week 12 of treatment.

Time frame:
End of baseline period and end of 12 weeks treatment period
Reported as:
Mean · medications per 28-days
Change From Baseline in Acute Medication Intake
medications per 28-daysActive
Change From Baseline in Acute Medication Intake-8.11 ± 18.74
Statistical analysis
  • Active · Wilcoxon (Mann-Whitney) · p = <0.001
SecondaryChange in Frequency of Migraine Days

Mean change in frequency of migraine days (any headache day is a migraine day, unless the pain intensity = 1 and there is no intake of acute anti-migraine medication) between the 28-day baseline and the 28-day period ending with week 12 of treatment.

Time frame:
End of baseline period and end of 12 weeks treatment period
Reported as:
Mean · days per 28-days
Change in Frequency of Migraine Days
days per 28-daysActive
Change in Frequency of Migraine Days-3.35 ± 6.20
Statistical analysis
  • Active · Wilcoxon (Mann-Whitney) · p = <0.001
SecondaryChange in Frequency of Moderate/Severe Headache Days

Mean change in frequency of moderate/severe headache days (defined as a headache day with at least one headache episode with intensity = 2 or 3) between the 28-day baseline and the 28-day period ending with week 12 of treatment.

Time frame:
End of baseline period and end of 12 weeks treatment period
Reported as:
Mean · days per 28-days
Change in Frequency of Moderate/Severe Headache Days
days per 28-daysActive
Change in Frequency of Moderate/Severe Headache Days-3.10 ± 5.98
Statistical analysis
  • Active · Wilcoxon (Mann-Whitney) · p = <0.001
SecondaryChange in Monthly Cumulative Headache Hours

Mean change in monthly cumulative headache hours on headache days between the 28-day baseline and the 28-day period ending with week 12 of treatment.

Time frame:
End of baseline period and end of 12 weeks treatment period
Reported as:
Mean · hours per 28-days
Change in Monthly Cumulative Headache Hours
hours per 28-daysActive
Change in Monthly Cumulative Headache Hours-27.22 ± 80.46
Statistical analysis
  • Active · Wilcoxon (Mann-Whitney) · p = 0.012 (Threshold for statistical significance set to 0.05)
SecondaryChange in Frequency of Headache Episodes

Mean change in frequency of headache episodes (defined as a patient-reported headache with pain) between the 28-day baseline and the 28-day period ending with week 12 of treatment.

Time frame:
End of baseline period and end of 12 weeks treatment period
Reported as:
Mean · episodes per 28-days
Change in Frequency of Headache Episodes
episodes per 28-daysActive
Change in Frequency of Headache Episodes-3.12 ± 5.77
Statistical analysis
  • Active · Wilcoxon (Mann-Whitney) · p = <0.001
Secondary50% Responder Rate for Migraine Days

Number of subjects who observe a 50% reduction in the frequency of their migraine days between the 28-day baseline and the 28-day period ending with week 12 of treatment.

Time frame:
End of the 12 weeks treatment period
Reported as:
Count of participants · Participants
50% Responder Rate for Migraine Days
ParticipantsActive
50% Responder Rate for Migraine Days11
SecondaryChange in the Average Headache Intensity

Mean change in the average headache intensity between the 28-day baseline and the 28-day period ending with week 12 of treatment. Headache intensity is defined on a scale from 0 (no pain) to 3 (maximum pain).

Time frame:
End of baseline period and end of 12 weeks treatment period
Reported as:
Mean · units on a scale
Change in the Average Headache Intensity
units on a scaleActive
Change in the Average Headache Intensity-0.12 ± 0.37
Statistical analysis
  • Active · Wilcoxon (Mann-Whitney) · p = 0.030 (Threshold for statistical significance set to 0.05)

Adverse events

Collected over The AEs (adverse events) reported here were collected as of the first use of the device until the final visit after 12 weeks of stimulation. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Active0/58 (0%)1/58 (1.7%)26/58 (44.8%)
Most frequent serious events
Most frequent serious events
EventActive
Worsening myasthenia gravis and worsening migraine headacheNervous system disorders1/58
Most frequent other events
Showing 10 of 13
Most frequent other events
EventActive
Cold, sinus infection, respiratory virus, sore throat, fever, flu-like symptomsInfections and infestations15/58
Gastroenteritis, stomach flu, norovirusInfections and infestations5/58
Migraine, worsening headachesNervous system disorders5/58
HivesSkin and subcutaneous tissue disorders2/58
Surgical interventionsSurgical and medical procedures2/58
InjuryInjury, poisoning and procedural complications2/58
Vaginal infectionInfections and infestations1/58
Skin irritation (Dermatitis forehead)Skin and subcutaneous tissue disorders1/58
Burning sensation on foreheadSkin and subcutaneous tissue disorders1/58
Worsening vertigoNervous system disorders1/58

Baseline characteristics

Participants who were included in the treatment period

Age, Continuous
Age, Continuous(years)Active
Mean40.45 ± 13.12
Sex: Female, Male
Sex: Female, Male(Participants)Active
Female49
Male9
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Active
Number of headache episodes
Number of headache episodes(episodes)Active
Mean22.66 ± 5.35
Number of headache days
Number of headache days(days)Active
Mean22.55 ± 5.38
Number of moderate/severe headache days
Number of moderate/severe headache days(days)Active
Mean16.07 ± 7.65
Number of migraine days
Number of migraine days(days)Active
Mean19.02 ± 6.36
Cumulative hours of headache on headache days
Cumulative hours of headache on headache days(hours)Active
Mean249.64 ± 124.29

2 further baseline measures are reported on the registry.

08

Study locations

1 site
  • University of Colorado Anschutz Medical Campus - Department of Neurology
    Aurora, Colorado 80045, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Aug 12, 2015

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 20, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02342743
Lead sponsor
Cefaly Technology
Responsible party
Sponsor
First posted
Jan 21, 2015
Start date
Feb 2, 2015
Primary completion
Apr 11, 2017
Completion
Apr 11, 2017
Results posted
Sep 19, 2018
Last update
Jun 20, 2019

Study contacts

Marius Birlea, MD
principal investigator · Department of Neurology, University of Colorado Anschutz Medical Campus
Pierre Rigaux
study director · Cefaly Technology

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion