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CompletedNCT05769322Updated Nov 22, 2024

Real World Data Analysis: Impact of High-Frequency REN Treatments As Migraine Preventive Therapy in Adolescence

An observational study in Migraine, sponsored by Theranica. Completed at 1 site in United States. Open to participants aged 12 Years to 18 Years. Per ClinicalTrials.gov, last updated 2024-11-22.

Sponsored by Theranica · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
83
Ages
12 Years to 18 Years
Sex
All
01

Study summary

This is a post-marketing study investigating the safety and efficacy of the REN device (Nerivio by Theranica, ISRAEL) in adolescents with migraine. The data analysis will test the ability of Frequent use of REN for the acute treatment of migraine to reduce the number of monthly migraine days in subsequent months, suggesting potential preventive benefits.

Read the detailed description

The REN device (Nerivio by Theranica, ISRAEL) is a neuromodulation device approved by the FDA for acute and/or preventive treatment of migraine in patients of 12 years old and above. It is a wearable device applied to the upper arm. It stimulates C and Aδ noxious fibers using a modulated, symmetrical, biphasic, square pulse with a pulse width of 400 μs, modulated frequency of 100-120 Hz, and up to 40 mA output current which the patient can adjust. The REN device is operated by a designated app that is downloaded to the user's phone prior first use of the Nerivio device.

As part of the sign-up process to the Nerivio app, all patients accept the terms of use which specify that providing personal information is done by their own free will and that their de-identified data may be used for research purposes. Users are not obligated to provide personal information and could treat without providing any feedback. The app includes a secured, personal migraine diary, which enables patients to record and track their migraines and other headaches. At the beginning of each treatment, and again 2 hours after the start of treatment, patients are prompted to record their symptoms, including pain level (none, mild, moderate, severe), functional disability (No limitation, Some limitation, Moderate limitation, Severe limitation), and an indication of which medications, if any, were taken within that 2-hour time window.

This post-marketing RWE study investigates the potential of high usage of Nerivio for the acute treatment of migraine on migraine prevention, using the following outcomes:

    • reduction in mean monthly migraine treatment days (MMTD),
    • acute treatment efficacy measured 2 h post-treatment
    • improve in functional disability
    • Device safety

Together, these objectives may provide a comprehensive evaluation of the impact of the high usage of Nerivio for acute treatment as a migraine preventive tool in the migraine adolescent population.

02

Conditions studied

  • Migraine

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Keywords

  • Migraine prevention
  • headache
  • Nerivio
  • REN
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 83 is below the median of 130 across 299 observational studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

Theranica is the lead sponsor of 27 studies on the registry; 3 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 6 (67%) have results posted.

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

04

Who can participate

Ages eligible
12 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Adolescence (age 12-18) who suffers from migraine and are using the Nerivio device for acute treatment of migraine.

Inclusion criteria

  • patient age is 12 Years to 18 Years
  • Patient is using the Nerivio device for acute treatment of migraine
  • Patient treated at least 10 treatments in his first month of using Nerivio and at least 3 treatments in each of the two consecutive months (months 2 and 3

Exclusion criteria

Exclusion Criteria:

  • Treatments shorter than 30 minutes
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
83 participants (actual)
Patient registry
No

Interventions

  • DeviceNerivio

    Remote electrical neuromodulation (REN) device for the acute treatment of migraines. The device delivers transcutaneous electrical stimulation to the upper arm to induce conditioned pain modulation (CPM) that activates a descending endogenous analgesic mechanism. The treatment is self-administered and controlled by a smartphone application.

06

What researchers measure

Primary outcomes

  1. Reduction in Mean Monthly Migraine Treatment Days

    Mean number of migraine treatment days per month during 3 consecutive months, comparing each month to the first month. A migraine treatment day is defined as a day in which a patient treated their migraine with REN.

    Time frame: 3 months

Secondary outcomes

  1. Consistent Headache Relief at 2 Hours Post-treatment

    The proportion of subjects reporting headache relief at 2 hours post-treatment in at least 50% of all their treatments. headache relief is defined as an improvement from severe or moderate pain to mild or no pain. Pain level is reported using a 4-point Likert scale (0 - No pain, 1 - Mild pain, 2 - Moderate pain,3- Severe pain)

    Time frame: 2 hours

  2. Consistent Freedom From Headache at 2 Hours Post-treatment

    The proportion of subjects reporting freedom from headache at 2 hours post-treatment in at least 50% of all their treatments. Pain freedom is defined as the disappearance of headache from severe, moderate, or mild headache at treatment initiation to no headache 2 hours later. Pain level is reported using a 4-point Likert scale (0 - No pain, 1 - Mild pain, 2 - Moderate pain,3- Severe pain).

    Time frame: 2 hours

  3. Consistent Functional Disability Relief at 2 Hours Post-treatment

    The proportion of subjects who reported having Functional Disability at the beginning of the treatment and reported improvement of at least one level of Functional Disability at 2 hours post-treatment in at least 50% of all their treatments. Functional Disability level is reported using a 4-point Likert scale (0 - No limitation, 1 - Some limitation, 2 - Moderate limitation, 3 - Severe limitation).

    Time frame: 2 hours

  4. Consistent Functional Disability disappearance at 2 Hours Post-treatment

    The proportion of subjects who reported having Functional Disability at the beginning of the treatment and reported no Functional Disability at 2 hours post-treatment in at least 50% of all their treatments. Functional Disability level is reported using a 4-point Likert scale (0 - No limitation, 1 - Some limitation, 2 - Moderate limitation, 3 - Severe limitation).

    Time frame: 2 hours

  5. Device Related Adverse Events

    Incidence of device-related adverse events reported by subjects

    Time frame: 3 months

07

Study locations

1 site
  • Theranica USA Inc
    Bridgewater, New Jersey 08807, United States
08

References and documents

Individual participant data

Plan to share: No

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 Nov 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05769322
Lead sponsor
Theranica
Responsible party
Sponsor
First posted
Mar 15, 2023
Start date
Apr 1, 2023
Primary completion
Apr 15, 2023
Completion
May 1, 2023
Last update
Nov 22, 2024

Study contacts

Alit Stark Inbar, PhD
principal investigator · Theranica Bio-Electronics Ltd

Oversight

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

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This study is completed, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.

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