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CompletedNCT02590939ACMEUpdated Jun 6, 2018Results posted

Acute Treatment of Migraine With e-TNS

An interventional study of CEFALY Active and CEFALY Placebo in Migraine, sponsored by Cefaly Technology. Completed at 3 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-06-06.

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

Phase
Not applicable
Study type
Interventional
Enrollment
106
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

The main objective of this study is to assess the efficacy of the Cefaly® device as an acute treatment of migraine attack in adult patients. The patients will be applied either an active or placebo external neurostimulation for 1 hour during a migraine attack, and will report the pain on a visual analog scale before and after the treatment.

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Conditions studied

  • Migraine

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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 106 is above the median of 80 across 1,175 interventional studies indexed under Migraine Disorders.

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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.

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Who can participate

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

Inclusion criteria

  • History of episodic or chronic migraine with or without aura meeting the diagnostic criteria listed in ICHD-III beta (2013) section 1, migraine, with the exception of ''complicated migraine'' (i.e., hemiplegic migraine, basilar-type migraine, ophthalmoplegic migraine, migrainous infarction)
  • Having a migraine attack lasting at least 3 hours
  • Migraine pain intensity stabilized for at least 1 hour
  • Frontal, retro-, or peri- orbital headache.

Exclusion criteria

Exclusion Criteria:

  • Pregnant women
  • Patients having received Botox treatment in the prior 4 months
  • Patients having received supraorbital nerve blocks in the prior 4 months
  • Diagnosis of other primary or secondary headache disorders, except of Medication Overuse Headache
  • Patients with only temporal or occipital headache
  • Patients using opioid medication
  • Patients having taken abortive migraine medication in the prior 3 hours
  • Allodynia: intolerance to supraorbital neurostimulation (allodynia) that makes the treatment not applicable (the patients will be excluded if they are unable to tolerate the first 5 minutes of neurostimulation).
  • Implanted metal or electrical devices in the head
  • Cardiac pacemaker or implanted or wearable defibrillator
  • Patient having had a previous experience with Cefaly®
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
106 participants (actual)

Study arms

  • Experimental
    Active device

    60 minutes of active external trigeminal nerve stimulation with a CEFALY Active device

    Device: CEFALY Active

  • Sham comparator
    Sham device

    60 minutes of placebo external trigeminal nerve stimulation with a CEFALY Placebo device

    Device: CEFALY Placebo

Interventions

  • DeviceCEFALY Active

    Active external trigeminal nerve stimulation

  • DeviceCEFALY Placebo

    Placebo external trigeminal nerve stimulation

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What researchers measure

Primary outcomes

  1. Pain Score 1-hour

    Mean change of pain score (measured on a pain visual analog scale containing 11 values, from 0 to 10, with 0 meaning no pain and 10 meaning maximal pain) at 1 hour compared to baseline

    Time frame: 1 hour

Secondary outcomes

  1. Rescue Medication 2 Hours

    Number of patients not having required rescue medication at 2 hours

    Time frame: 2 hours

  2. Pain Score 2 Hours

    Mean change of pain score (measured on a pain visual analog scale containing 11 values, from 0 to 10, with 0 meaning no pain and 10 meaning maximal pain) at 2 hours compared to baseline (if rescue therapy was not used)

    Time frame: 2 hours

  3. Rescue Medication 24 Hours

    Number of patients not having required rescue medication within 24 hours

    Time frame: 24 hours

  4. Pain Score 24 Hours

    Mean change of pain score (measured on a pain visual analog scale containing 11 values, from 0 to 10, with 0 meaning no pain and 10 meaning maximal pain) at 24 hours compared to baseline (if rescue therapy was not used)

    Time frame: 24 hours

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Results

Posted Apr 9, 2018

Participant flow

Participant flow — Overall Study
MilestoneActive DeviceSham Device
Started5254
Completed4752
Not completed52
Withdrew: Withdrawal by subject31
Withdrew: Failed the nociceptive test21

Outcome measures

PrimaryPain Score 1-hour

Mean change of pain score (measured on a pain visual analog scale containing 11 values, from 0 to 10, with 0 meaning no pain and 10 meaning maximal pain) at 1 hour compared to baseline

Time frame:
1 hour
Reported as:
Mean · percent change
Pain Score 1-hour
percent changeActive DeviceSham Device
Pain Score 1-hour-59 ± 35-30 ± 31
Statistical analysis
  • Active Device vs Sham Device · Wilcoxon (Mann-Whitney) · p = <0.0001
PrimaryPain Score 1-hour

Mean change of pain score (measured on a pain visual analog scale containing 11 values, from 0 to 10, with 0 meaning no pain and 10 meaning maximal pain) at 1 hour compared to baseline

Time frame:
1 hour
Reported as:
Mean · units on a scale
Pain Score 1-hour
units on a scaleActive DeviceSham Device
Pain Score 1-hour-3.46 ± 2.32-1.78 ± 1.89
Statistical analysis
  • Active Device vs Sham Device · Wilcoxon (Mann-Whitney) · p = <0.0001
SecondaryRescue Medication 2 Hours

Number of patients not having required rescue medication at 2 hours

Time frame:
2 hours
Reported as:
Count of participants · Participants
Rescue Medication 2 Hours
ParticipantsActive DeviceSham Device
Patients having used rescue medication at 2 hours32
Patients not having used rescue medication at 2 h4450
Patients for whom med data was not available52
Statistical analysis
  • Active Device vs Sham Device · Fisher Exact · p = 0.666 (Statistical significance threshold set to 0.05)
SecondaryPain Score 2 Hours

Mean change of pain score (measured on a pain visual analog scale containing 11 values, from 0 to 10, with 0 meaning no pain and 10 meaning maximal pain) at 2 hours compared to baseline (if rescue therapy was not used)

Time frame:
2 hours
Reported as:
Mean · percent change
Pain Score 2 Hours
percent changeActive DeviceSham Device
Pain Score 2 Hours-50 ± 36-32 ± 37
Statistical analysis
  • Active Device vs Sham Device · Wilcoxon (Mann-Whitney) · p = 0.026 (Statistical significance threshold set to 0.05)
SecondaryRescue Medication 24 Hours

Number of patients not having required rescue medication within 24 hours

Time frame:
24 hours
Reported as:
Count of participants · Participants
Rescue Medication 24 Hours
ParticipantsActive DeviceSham Device
Patients having used rescue medication within 24 h1821
Patients not having used rescue med within 24h2730
Patients for whom med data was not available73
Statistical analysis
  • Active Device vs Sham Device · Wilcoxon (Mann-Whitney) · p = 1 (Statistical significance threshold set to 0.05)
SecondaryPain Score 24 Hours

Mean change of pain score (measured on a pain visual analog scale containing 11 values, from 0 to 10, with 0 meaning no pain and 10 meaning maximal pain) at 24 hours compared to baseline (if rescue therapy was not used)

Time frame:
24 hours
Reported as:
Mean · percent change
Pain Score 24 Hours
percent changeActive DeviceSham Device
Pain Score 24 Hours-57 ± 37-40 ± 40
Statistical analysis
  • Active Device vs Sham Device · Wilcoxon (Mann-Whitney) · p = 0.037 (Statistical significance threshold set to 0.05)
SecondaryPain Score 2 Hours

Mean change of pain score (measured on a pain visual analog scale containing 11 values, from 0 to 10, with 0 meaning no pain and 10 meaning maximal pain) at 2 hours compared to baseline (if rescue therapy was not used)

Time frame:
2 hours
Reported as:
Mean · units on a scale
Pain Score 2 Hours
units on a scaleActive DeviceSham Device
Pain Score 2 Hours-2.87 ± 2.24-1.85 ± 1.96
Statistical analysis
  • Active Device vs Sham Device · Wilcoxon (Mann-Whitney) · p = 0.028 (Statistical significance threshold set to 0.05)
SecondaryPain Score 24 Hours

Mean change of pain score (measured on a pain visual analog scale containing 11 values, from 0 to 10, with 0 meaning no pain and 10 meaning maximal pain) at 24 hours compared to baseline (if rescue therapy was not used)

Time frame:
24 hours
Reported as:
Mean · units on a scale
Pain Score 24 Hours
units on a scaleActive DeviceSham Device
Pain Score 24 Hours-3.46 ± 2.65-2.38 ± 2.27
Statistical analysis
  • Active Device vs Sham Device · Wilcoxon (Mann-Whitney) · p = 0.062 (Statistical significance threshold set to 0.05)

Adverse events

Collected over 24 hours following the beginning of the treatment. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Active Device0/52 (0%)0/52 (0%)1/52 (1.9%)
Sham Device0/54 (0%)0/54 (0%)0/54 (0%)
Most frequent other events
Most frequent other events
EventActive DeviceSham Device
NauseaNervous system disorders1/520/54

Baseline characteristics

Age, Continuous
Age, Continuous(years)Active DeviceSham DeviceTotal
Mean39.71 ± 13.6240.09 ± 12.6539.90 ± 13.14
Sex: Female, Male
Sex: Female, Male(Participants)Active DeviceSham DeviceTotal
Female434992
Male9514
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Active DeviceSham DeviceTotal
Count of participants——0
Migraine type
Migraine type(Participants)Active DeviceSham DeviceTotal
Migraine with aura12517
Migraine without aura404989
Migraine duration (hours)
Migraine duration (hours)(hours)Active DeviceSham DeviceTotal
Median7 (4 to 48)6 (4.63 to 20.75)6 (4 to 24)
Use of acute medication before enrollment
Use of acute medication before enrollment(Participants)Active DeviceSham DeviceTotal
Count of participants171431
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Study locations

3 sites
  • Yale University School of Medicine
    New Haven, Connecticut 06510, United States
  • Rowe Neurology Institute
    Lenexa, Kansas 66214-9836, United States
  • Columbia University Medical Center
    New York, New York 10019, United States
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References and documents

Publications

  • Chou DE, Shnayderman Yugrakh M, Winegarner D, Rowe V, Kuruvilla D, Schoenen J. Acute migraine therapy with external trigeminal neurostimulation (ACME): A randomized controlled trial. Cephalalgia. 2019 Jan;39(1):3-14. doi: 10.1177/0333102418811573. Epub 2018 Nov 17. PubMed 30449151 ↗

Study documents

  • Protocol and statistical analysis plan · Jul 11, 2016

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

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 6, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02590939
Lead sponsor
Cefaly Technology
Responsible party
Sponsor
First posted
Oct 29, 2015
Start date
Feb 1, 2016
Primary completion
Mar 31, 2017
Completion
Mar 31, 2017
Results posted
Apr 9, 2018
Last update
Jun 6, 2018

Study contacts

Denise Chou, M.D.
principal investigator · Columbia University

Oversight

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

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