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WithdrawnNCT03578354Updated Jul 1, 2024

4-Aminopyridine, Atenolol, or Placebo in Patients With Vestibular Migraine

A Phase 2 interventional study of 4-aminopyridine and Atenolol in Vestibular Migraine, Migraine Disorders and Vestibular Diseases, sponsored by Massachusetts Eye and Ear Infirmary. Withdrawn at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-01.

Sponsored by Massachusetts Eye and Ear Infirmary · Phase 2, Interventional, and Treatment

Why this study was withdrawn
Funding not acquired
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This phase 2 randomized study will be used to test the efficacy of 4-aminopyridine (4AP) or atenolol to reduce severity and frequency of vestibular and headache symptoms of vestibular migriane sufferers. Blinded study drug will be taken by mouth twice a day for 14 weeks on study.

02

Conditions studied

  • Vestibular Migraine
  • Migraine Disorders
  • Vestibular Diseases
03

In context

Migraine Disorders

1,558 studies on the registry are indexed under Migraine Disorders; 301 are open to participants now.

Browse Migraine Disorders studies →

Lead sponsor

Massachusetts Eye and Ear Infirmary is the lead sponsor of 100 studies on the registry; 23 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 7 (54%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Severe vestibular migraine (VM)

Exclusion criteria

Exclusion Criteria:

  • Neurologic or otologic disease other than VM
  • Psychiatric illness requiring medication
  • Medical illness including cancer, coronary artery or cerebrovascular disease
  • Known allergy to one of the test medications
  • Contraindication to use of one of the test medications - asthma, symptomatic hypotension, history of seizures
  • Taking migraine prophylactic medication or vestibular suppressants.
  • Pregnant or breast feeding women
05

Study design

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

Study arms

  • Experimental
    4-AP

    15 mg 4-aminopyridine twice daily

    Drug: 4-aminopyridine

  • Experimental
    Atenolol

    25 mg atenolol twice daily

    Drug: Atenolol

  • Placebo comparator
    Placebo

    Masked placebo twice daily

    Other: Placebo

Interventions

  • an oral drug to be swallowed

  • an oral drug to be swallowed

  • OtherPlacebo

    a masked placebo to be swallowed

06

What researchers measure

Primary outcomes

  1. Change in Dizziness Handicap Score

    Dizziness Handicap Inventory (DHI) will be compared pre- and post- study drug treatment

    Time frame: 14 weeks

Secondary outcomes

  1. Change in number of dizziness episodes

    Incidence of dizziness episodes will be compared pre- and post- study drug treatment

    Time frame: 14 weeks

  2. Change in motion sickness susceptibility

    Motion sickness susceptibility questionnaire (MSSQ) will be compared pre- and post- study drug treatment. MSSQ is reported as a scale (0 - 100) with 0 being no or very little experience of motion sickness, and 100 being very frequent experience of motion sickness.

    Time frame: 14 weeks

  3. Change in roll tilt perceptual threshold

    Rolt tilt perceptual thresholds will be compared pre- and post- study drug treatment

    Time frame: 14 weeks

  4. Change in vestibulo-ocular reflex (VOR) time constant

    Standard low-frequency rotational testing to measure VOR will be compared pre- and post- study drug treatment

    Time frame: 14 weeks

  5. Change in number of migraine episodes

    Incidence of migraine episodes will be compared pre- and post- study drug treatment

    Time frame: 14 weeks

  6. Change in Headache Impact Test (HIT) score

    Headache Impact Test (HIT) will be compared pre- and post- study drug treatment

    Time frame: 14 weeks

  7. Change in quality of life score

    Quality of life will be measured using 36-Item Short Form Health Survey (SF-36) questionnaires and compared pre- and post- study drug treatment. The SF-36 consists of 8 sub-scores. Each score is reported as a scale (0 - 100) with 0 being maximally disabled and 100 having no disability.

    Time frame: 14 weeks

07

Study locations

1 site
  • Massachusetts Eye and Ear Infirmary
    Boston, Massachusetts 02114, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03578354
Responsible party
Richard Lewis (Associate Professor, Otolaryngology and Neurology; Director, Jenks Vestibular Laboratory, Massachusetts Eye and Ear Infirmary) — Principal investigator
First posted
Jul 6, 2018
Start date
Jan 2019 (estimated)
Primary completion
Jan 2023 (estimated)
Completion
Aug 2024 (estimated)
Last update
Jul 1, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is withdrawn, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: 4-Aminopyridine · Atenolol

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