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TerminatedNCT05273151Updated Jul 31, 2025

A Study With Intranasal Kinetic Oscillation Stimulation (KOS) in the Prevention of Chronic Migraine

An interventional study of KOS (Intranasal kinetic oscillation stimulation) in Chronic Migraine, sponsored by Chordate Medical. Terminated at 2 sites in United Kingdom. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-07-31.

Sponsored by Chordate Medical · Not applicable, Interventional, and Prevention

Why this study was terminated
Slow inclusion due to new treatment (Gepants)
Phase
Not applicable
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
01

Study summary

An open pilot study, non-controlled, single center investigation.

Read the detailed description

An open pilot study, non-controlled, single center investigation. The study consists of a 4-week screening period, a 6-week treatment period, and a 12 week follow-up period.

Subjects who provided written informed consent and are eligible for the study will be asked to complete a daily diary for 4 weeks during the screening period. In the diary the subjects will record headache and migraine days, any changes in their health, and concomitant medications they may be using. The data collected in the diary during this screening period will be used as Baseline for the performance assessments.

Subjects who completed the screening period and continue to meet the eligibility criteria after review of diary entries by the investigator will receive treatment. The subjects will receive 6 treatments with the Chordate System S220 at weekly intervals at the site (Day 0 to 35; treatment Visit [V] 1 to 6) and continue to maintain a daily diary.

After completion of the 6-week study treatment period (V1 to V6), subjects will be treated monthly and followed up for another 12 weeks. The final visit will be performed on Day 125, 12 weeks after the last study treatment. During the 12-week follow-up, the subjects will continue to complete a daily diary.

02

Conditions studied

  • Chronic Migraine
03

In context

Lead sponsor

Chordate Medical is the lead sponsor of 9 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. The subject is legally competent, has been informed of the nature, the scope and the relevance of the study, voluntarily agrees to participation and the study's provisions, and has duly signed the informed consent form.
  2. Male or female aged between 18 and 70 years (inclusive) at the time of providing informed consent.
  3. Diagnosed as suffering from chronic migraine with or without aura (≥15 headache days per month including at least 8 migraine days for more than 3 months before screening) according to the International Headache Society classification (International Classification of Headache Disorders III);
  4. Migraine onset before the age of 50 years.
  5. Reported history of migraine for at least 1 year before screening.
  6. If subjects are on a preventive treatment at the time of screening, this must have been stable over the preceding 3 months.
  7. If subjects are on preventive treatment at the time of screening, they have to be able and willing to maintain current preventive treatment regimen (no change in type, frequency or dose) from screening to end of follow-
  8. Failed at least 3 different preventive medications and 3 months of treatment with a CGRP targeting therapy.
  9. Women of childbearing potential must be willing to use highly effective contraceptive methods (failure rate \<1% per year when used consistently and correctly) during the study.

Exclusion criteria

Exclusion Criteria

  1. Unable to distinguish between migraine and other headache types.
  2. An ongoing upper respiratory infection, nasal tumors, or wounds in the nasal cavity.
  3. Nasal cavity abnormalities that prevents catheter insertion.
  4. A concomitant condition that could cause excessive nose bleeding or ongoing treatment with anticoagulant medication (except Aspirin and Clopidogrel).
  5. A known allergy to polyurethane (polyurethane is used in the catheter balloon).
  6. Systemic diseases with manifestations in the nose.
  7. Previous treatment with radiation therapy to the nasal area.
  8. Nasal surgery performed within the last six months.
  9. Concurrent condition or risk of non-compliance that, in the investigator's opinion, may affect the interpretation of performance or safety data or which otherwise contraindicates participation in a clinical investigation;
  10. Pregnant and lactating women;
  11. Participation in a clinical investigation within 3 months of enrolment or planned participation at any time during this clinical investigation;
  12. Previous participation in this study;
  13. Employees of the study site or the sponsor directly involved with the conduct of the study, or immediate family members of any such individuals;
05

Study design

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

Study arms

  • Other
    KOS treatment

    Treatment with intranasal kinetic oscillation stimulation (KOS)

    Device: KOS (Intranasal kinetic oscillation stimulation)

Interventions

  • DeviceKOS (Intranasal kinetic oscillation stimulation)

    Treatment is 10 minutes in each nasal cavity. Totally 2 x 10 minutes per treatment.

06

What researchers measure

Primary outcomes

  1. Mean change in headache days

    Change in headache days with moderate to severe intensity after 6 weeks of treatment. Headache days are collected in eDiary

    Time frame: baseline to 6 weeks

Secondary outcomes

  1. Mean change in Migraine days Mean change of migraine days, responder rate, use of abortive medication, health-related quality of life and disability, and patient's global impression of severity 12 weeks (90 days)

    Migraine days is collected in an eDiary.

    Time frame: Baseline to 12 weeks

  2. Incidence of adverse events (AEs) and adverse device effects (ADEs)

    All adverse events (AEs) and adverse device effects (ADEs) incidence and severity following treatment with the Chordate System 220

    Time frame: Baseline to 12 weeks

  3. Number of patients who are responders

    Responders are classified as responder (less migraine/headache days) or non-responder (same or worsening of migraine/headache days). A respondes is a patient who has decrease of headaches/migraine days whilst a non responder had no or the same number of headache/migraine days

    Time frame: baseline to 12 weeks

  4. Number of patients who decrease use of abortive medication

    Intake of abortive medications are registred in eDiary and will be calculated on patient level

    Time frame: baseline to 12 weeks

  5. Mean change in Hospital Anxiety and Depression Scale (HADS)

    HADS is a scale with 7 questions related to anxiety and 7 questions related to depression Anxiety can have 0-21 points (lower score means no anxiety) and Depression 0-21 points (higher score means no depression)

    Time frame: baseline to 12 weeks

  6. Mean change in Headache Impact Test (HIT-6)

    HIT-6 consist of 6 questions HIT-6 with scores from 6 to 13 where 13 is worst case per question so lower score means less problems

    Time frame: baseline to 12 weeks

  7. Mean change in Subject global severity

    Patient Global severity is a scale with four (4) scores, where normal (0) is the lowest and show no problems whilst severe (3) is the worst score 0=Normal 1. Mild 2. Moderate 3. Severe

    Time frame: baseline to 12 weeks

  8. Mean change in headache days

    Change in headache days with moderate to severe intensity from eDiary

    Time frame: week 6-12

07

Study locations

2 sites
  • Hull Royal Infirmary, Hull University Teaching Hospital
    Hull, HU3 2JZ,, United Kingdom
  • Wolfson Centre for Age-Related Diseases Institute of Psychiatry, Psychology and Neuroscience Wellcome Foundation Building, Denmark Hill Campus King's College
    London, SE5 9PJ,, United Kingdom
08

References and documents

Individual participant data

Plan to share: No — Due to uncertainties in EU data protection legislation individual deidentified participant data are not shared. The main uncertainty is the concept of what "deidentified" means. It appears not to mean that the data set of a person is simply separated from the person's name. What additional operations have to be done appears to depend on technological capabilities to re-identify the persons associated with the data set. A common perception is that the technological capabilities for re-identification are permanently increasing. This could have the effect that public data sets that are regarded as deidentified now might become re-identifiable data sets in the future. Once this happens, the sponsor is no longer able to make the publication of the data sets un-happen. This could result in punishment by EU data protection authorities. The sponsor wants to avoid this.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05273151
Lead sponsor
Chordate Medical
Responsible party
Sponsor
First posted
Mar 10, 2022
Start date
Dec 4, 2023
Primary completion
Jun 3, 2025
Completion
Jun 30, 2025
Last update
Jul 31, 2025

Study contacts

Peter J Goadsby, Prof,MD, PhD
principal investigator · Wellcome Foundation Building, Denmark Hill Campus King's College London

Oversight

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

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This study is terminated, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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