PArtial REbreathing for Migraine With Aura 1

Not Recruiting

Trial ID: NCT05546385

Purpose

A prospective, multi-centre, randomized, double-blind, sham-controlled, parallel-group, group-sequential study to investigate safety and effectiveness of the Rehaler partial rebreathing device, in adults suffering from migraine with aura

Official Title

A Prospective, Multi-centre, Randomized, Double-blind, Sham-controlled, Parallel-group, Group-sequential Study to Investigate Safety and Effectiveness of the Rehaler Partial Rebreathing Device, in Adults Suffering From Migraine With Aura

Stanford Investigator(s)

Leon S. Moskatel, MD

Clinical Assistant Professor, Neurology & Neurological Sciences

Robert P. Cowan, MD, FAAN, FAHS
Robert P. Cowan, MD, FAAN, FAHS

Clinical Professor, Neurology & Neurological Sciences Clinical Professor (By courtesy), Anesthesiology, Perioperative and Pain Medicine

Eligibility


Inclusion Criteria:

   1. Participant has migraine with typical aura (ICHD3 classification 1.2.1) with the
   additional criterion that historically in more than 75% of cases of aura a moderate or
   severe headache begins between 10 and 60 minutes after aura onset.

   2. Participant has had 3 or more migraine-with-aura attacks over the last six months.

   3. Participant is 18 to 65 years of age.

   4. Participant's age at onset of migraine with aura was less than 50 years.

   5. If participant is taking migraine prophylactic drugs, the dose must have been stable
   for three months or more.

   6. Participant agrees to withhold usual acute migraine medications until at least two
   hours after treatment with the study device.

   7. Participant does not plan to initiate new (and/or change existing) migraine
   prophylaxis medication for the duration of Stage 1 of the study, or receive nerve
   blocks, injections or neurostimulation for migraine prophylaxis for the duration of
   Stage 1 of the study.

   8. For female participants: is willing to use adequate contraception during study
   participation

   9. Participant owns a smartphone compatible with the ePRO study diary app.

10. Participant agrees to use the study device as intended, comply with all study
   requirements including treatment, follow-up visits, and recording required study data
   in the ePRO app.

11. Participant is willing and able to provide written informed consent.

Exclusion Criteria:

   1. Participant has a history of chronic pulmonary disease (e.g. Chronic Obstructive
   Pulmonary Disease (COPD) or pulmonary fibrosis).

   2. Participant has a history of severe cardiovascular disease (e.g. symptomatic coronary
   artery disease, prior myocardial infarction, congestive heart failure) or
   cerebrovascular disease (e.g. prior stroke or transient ischemic attack, symptomatic
   carotid artery disease, prior carotid endarterectomy or other vascular neck surgery).

   3. Participant has a history of intracranial hyper/hypo-tension.

   4. Participant has a history of cerebral aneurysm.

   5. Participant has had previous brain surgery, including stenting.

   6. Anaemia, defined as a hemoglobin concentration in capillary blood lower than 11g/dL

   7. Participant has a baseline SPO2 level which is lower than 95% performed at Site Visit
   1.

   8. Participant has 15 or more headache days per month

   9. Participant has medication-overuse headache (ICHD3 classification 8.2).

10. Participant has a known history or suspicion of recurring secondary headache which in
   the opinion of the investigator may interfere with the study.

11. Hemiplegic migraine

12. Participant has other significant and relevant pain problem (e.g. cancer pain,
   fibromyalgia or other head or facial pain disorders)

13. Participant has a known history or suspicion of substance abuse or addiction (within
   the last 5 years) that in the opinion of the investigator may confound the study
   assessments.

14. Participant has a history of psychiatric or cognitive disorder and/or behavioural
   problems which in the opinion of the investigator may interfere with the study.

15. Participant belongs to a vulnerable population or has any condition such that his or
   her ability to provide informed consent, comply with the follow-up requirements, or
   provide self-assessments is compromised (e.g. homeless, developmentally disabled,
   prisoner).

16. For female participants: is pregnant or actively trying to become pregnant.

17. Participant is participating in any other clinical investigation or has participated
   in an interventional clinical trial in the preceding 30 days.

18. Participant has any condition that according to the investigator may pose the
   participant at risk or provide confounding data.

19. Participant is unable, as perceived by study personnel, to correctly understand and
   follow the instructions for use of the device and ePRO app.

20. Sickle Cell Disease

Intervention(s):

device: Partial Rebreathing Device

device: Sham breathing device

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Robert Cowan, MD
650-723-5184