Occipital Nerve Stimulation for the Treatment of Chronic Migraine Headache. (ONSTIM)
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Purpose
Background: Medically intractable chronic migraine (CM) is a disabling illness characterized by headache greater than 15 days per month.
Method: A multicenter, randomized, blinded, controlled feasibility study was conducted to obtain preliminary safety and efficacy data on occipital nerve stimulation (ONS) in CM. Eligible subjects received an occipital nerve block, and responsers were randomized to adjustable stimulation (AS), preset stimulation (PS) or medical management (MM) groups.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Migraine Headache |
Device: Occipital Nerve Stimulation |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Investigator) |
| Official Title: | ONSTIM: Occipital Nerve Stimulation for the Treatment of Intractable Migraine. |
- A primary endpoint is not identified for this feasibility study. [ Time Frame: No primary endpoint ] [ Designated as safety issue: No ]
- Secondary endpoints included: patient daily questionnaire, Migraine Disability Assessment (MIDAS), functional disability, SF-36, acute medication use and subject satisfaction surveys. [ Time Frame: No secondary endpoint ] [ Designated as safety issue: No ]
| Enrollment: | 110 |
| Study Start Date: | May 2004 |
| Study Completion Date: | May 2011 |
| Primary Completion Date: | June 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Group 1
See protocol
|
Device: Occipital Nerve Stimulation
Each group had a different plan
|
|
Group 2
See protocol
|
Device: Occipital Nerve Stimulation
Each group had a different plan
|
|
Group 3
See protocol
|
Device: Occipital Nerve Stimulation
Each group had a different plan
|
|
Group 4
See protocol
|
Device: Occipital Nerve Stimulation
Each group had a different plan
|
Detailed Description:
The therapy under investigation involves a Medtronic neurostimulation device which delivers electrical impulses via insulated lead wires placed under the skin near the occipital nerves at the base of the head.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Diagnosis of Chronic Migraine Headache by International Headache Society (IHS) criteria
- compliance with daily questionnaire
- headache that has not responded to at least two classes of headache medications
- stable headache medication regimen
Exclusion Criteria:
- previous surgical procedures to disrupt the nerves of the neck relating to the headache
- subjects who may require MRI or Diathermy
Contacts and Locations| United States, Arizona | |
| Contact Medtronic for Exact Location | |
| Scottsdale, Arizona, United States, 85054 | |
| United States, California | |
| Contact Medtronic for Exact Locations | |
| Oceanside, California, United States, 92024 | |
| United States, Colorado | |
| Contact Medtronic for Exact Locations | |
| Denver, Colorado, United States, 80045 | |
| United States, Michigan | |
| Contact Medtronic for Exact Locations | |
| Ann Arbor, Michigan, United States, 48104 | |
| Contact Medtronic for Exact Locations | |
| Detroit, Michigan, United States, 48202 | |
| United States, Oklahoma | |
| Contact Medtronic for Exact Locations | |
| Oklahoma City, Oklahoma, United States, 73152 | |
| United States, Pennsylvania | |
| Contact Medtronic for Exact Locations | |
| Philadelphia, Pennsylvania, United States, 19107 | |
| Canada, Alberta | |
| Contact Medtronic for Exact Location | |
| Calgary, Alberta, Canada, T2N 2T9 | |
| United Kingdom | |
| Contact Medtronic for Exact Location | |
| London, United Kingdom | |
| Principal Investigator: | Joel Saper, M.D. | Michigan Head Pain and Neurological Institute, Ann Arbor, MI |
More Information
Publications:
| Responsible Party: | MedtronicNeuro |
| ClinicalTrials.gov Identifier: | NCT00200109 History of Changes |
| Other Study ID Numbers: | 1602 |
| Study First Received: | September 12, 2005 |
| Last Updated: | October 7, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Headache Migraine Disorders Pain Neurologic Manifestations Nervous System Diseases |
Signs and Symptoms Headache Disorders, Primary Headache Disorders Brain Diseases Central Nervous System Diseases |
ClinicalTrials.gov processed this record on June 18, 2013