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CompletedNCT05947123EVIREMIGUpdated Aug 9, 2024

Real-life Study of the Efficacy of Management of Migraine Patients After Failure of 2 Prophylactic Treatments

An observational study in Migraine, sponsored by Centre Hospitalier Régional Metz-Thionville. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-09.

Sponsored by Centre Hospitalier Régional Metz-Thionville · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
127
Ages
18 Years and older
Sex
All
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Study summary

This is a real-life, observational, single-center cohort study to describe the efficacy of prophylactic treatment in patients after failure of at least 2 prophylactic treatments. Patients included in the study will be followed up in consultations or day hospitals according to their usual care, and will be asked to complete the MIgraine Disability Assessment (MIDAS), Headache Impact Test short-form (HIT-6), Patient Global Impression of Change (PGIC), Hospital Anxiety and Depression (HAD) scale and Work and Personal Activities Impairment (WPAI) questionnaires at each visit.

Data describing their care will be extracted from computerized patient records.

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Conditions studied

  • Migraine

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Keywords

  • migraine
  • prophylactic treatment
  • real life
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 127 is close to the median of 130 across 299 observational studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

Centre Hospitalier Régional Metz-Thionville is the lead sponsor of 118 studies on the registry; 20 are 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 and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with Migraine [International Headache Society (IHS) criteria 2013, revised 2018] with or without aura

Inclusion criteria

  • Patients with Migraine [International Headache Society (IHS) criteria 2013, revised 2018] with or without aura
  • Monthly number of attacks ≥ 8 for at least 3 months
  • Indication for prophylactic treatment
  • For eptinezumab: resistance to at least 2 conventional disease-modifying therapies
  • Agrees to use data for research purposes

Exclusion criteria

Exclusion Criteria:

  • Vascular history: myocardial infarction (MI), unstable angina or coronary bypass surgery, stroke or transient ischemic attack (TIA), Peripheral Arterial Disease of the Lower Limbs (PAD), uncontrolled hypertension

    • Need for analgesics for a cause other than migraine
    • Difficulty in understanding French language or cognitive impairment that compromises completion of self-questionnaires.
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
127 participants (actual)
Patient registry
No

Interventions

  • BehavioralPatient health care observational follow up after 2 prophylactic tratments

    Real-life, observational, single-center cohort study to describe the efficacy of prophylactic treatment in patients after failure of at least 2 prophylactic treatments. Patients included in the study will be followed up in consultations or day hospitals according to their usual care, and will be asked to complete the MIDAS, HIT-6, PGIC, HAD and WPAI questionnaires at each visit. Data describing their care will be extracted from computerized patient records.

06

What researchers measure

Primary outcomes

  1. Headache Impact Test in patients with migraine at 12 months

    Using HIT-6 (Headache Impact Test short-form) questionnaire which addresses six main domains affected by headaches, including pain, social functioning, role functioning, cognitive functioning, vitality and psychological stress. This survey is extremely useful for screening and monitoring how headaches affect patients in their day-to-day lives over time. Each item is answered on a 5-point Likert scale (6 = never, 8 = rarely, 10 = sometimes, 11 = very often, 13 = always). The scoring of the HIT-6 was derived to approximate the total score obtained from a larger battery of items, using results from item response theory (IRT) \[10\]. The final score is obtained from simple summation of the six items.

    Time frame: 12 months after prophylactic treatments

Secondary outcomes

  1. Headache-related disability in patients with migraine at 12 months

    MIDAS scale (Migraine Disability Assessment) measures headache-related disability and improve doctor-patient communication about the functional consequences of migraine. The questionnaire was based on five disability questions that focus on lost time in three domains: schoolwork or work for pay; household work or chores; and family, social, and leisure activities. This instrument is scored as follows: 5 to 10 indicates little or no disability, 10 to 20 indicates moderate disability, and higher than 20 denotes severe disability.

    Time frame: 12 months after prophylactic treatments

  2. Anxiety and Depression state evaluation in patients with migraine at 12 months

    Using Hospital Anxiety and Depression Scale (HADS) : is a 14-item measure designed to assess anxiety and depression symptoms in medical patients, with emphasis on reducing the impact of physical illness on the total score. The depression items tend to focus on the anhedonic symptoms of depression. Items are rated on a 4-point severity scale. The HADS produces two scales, one for anxiety (HADS-A) and one for depression (HADS-D), differentiating the two states. Scores of greater than or equal to 11 on either scale indicate a definitive case.

    Time frame: 12 months after prophylactic treatments

  3. Migraine occurence in patients with migraine at 12 months

    Number of migraine days

    Time frame: 12 months after prophylactic treatments

  4. Crisis treatments in patients with migraine at 12 months

    Number of crisis treatments taken

    Time frame: 12 months after prophylactic treatments

  5. Patient Global Impression of Change in patients with migraine at 12 months

    Using Patient Global Impression of Change (PGIC) score: a 7 point scale depicting a patient's rating of overall improvement. Patients rate their change as "very much improved," "much improved," "minimally improved," "no change," "minimally worse," "much worse," or "very much worse."

    Time frame: 12 months after prophylactic treatments

  6. Work and Personal Activities Impairment in patients with migraine at 12 months

    Using Work and Personal Activities Impairment (WPAI) score : a well validated instrument to measure impairments in work and activities. WPAI scores are based on 1-item (presenteeism, activitity impairment), 2-items (absenteeism) and multiple items (overall work productivity).

    Time frame: 12 months after prophylactic treatments

  7. Most Bothersome Symptom in patients with migraine at 12 months

    Most Bothersome Symptom (MBS)

    Time frame: 12 months after prophylactic treatments

  8. Days off work at 12 months

    Number of days off work

    Time frame: 12 months after prophylactic treatments

  9. Emergency room visits at 12 months

    Number of emergency room visits

    Time frame: 12 months after prophylactic treatments

  10. Type of prophylactic treatment used at 12 months

    Type of prophylactic treatment

    Time frame: 12 months after prophylactic treatments

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Study locations

1 site
  • CHR Metz-Thionville/Hopital de Mercy
    Metz, 57085, France
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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 Aug 9, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05947123
Lead sponsor
Centre Hospitalier Régional Metz-Thionville
Responsible party
Sponsor
First posted
Jul 17, 2023
Start date
Jun 1, 2023
Primary completion
Mar 1, 2024
Completion
Mar 1, 2024
Last update
Aug 9, 2024

Study contacts

Xavier DUCROCQ, MD
principal investigator · CHR Metz Thionville Hopital de Mercy

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 completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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