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The primary objective of this study is to evaluate the efficacy of the Avulux device in reducing the impact of migraine headaches as measured by improvement in Headache Impact Test (HIT-6TM) scores at three weeks when compared to a control/sham device.
Avulux™ is intended to decrease the impact of headache and migraine on normal daily life and the ability to function, and reduce the frequency and severity of headache, in adult patients diagnosed with episodic migraine headache or chronic migraine.
Avulux™ consists of a pair of optical filters in the form of spectacle lenses, provided in standard spectacle frames or as clip-on units, coated with a thin film that effectively blocks light at specified wavelength ranges while minimizing distortion of the visible spectrum. The optical filters block a portion of the optical spectrum that is suspected to stimulate photophobic responses that trigger some, and exacerbate most, migraines.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Avulux Spectacles | Experimental | Subjects will be instructed to use the spectacles for three weeks. They will be instructed to put the spectacles on at the first signs or symptoms of their migraine attacks. This could be their usual aura, or the first signs of their headache commencing, and to keep the spectacles on until their headache has resolved. |
|
| Sham Spectacles | Sham Comparator | Subjects will be instructed to use the spectacles for three weeks. They will be instructed to put the spectacles on at the first signs or symptoms of their migraine attacks. This could be their usual aura, or the first signs of their headache commencing, and to keep the spectacles on until their headache has resolved. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HIT-6 Questionnaire | Other | Headache Impact Test |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Headache Impact Test (HIT-6) total score | The primary objective of this study is to evaluate the efficacy of the Avulux device in reducing the impact of migraine headaches as measured by improvement in Headache Impact Test (HIT-6) scores at three weeks when compared to a control/sham device. HIT-6 scores range from 36 to 78. Higher scores indicate a greater impact of headaches on the respondent's life, i.e., 36 = no impact, 78 = maximum impact. | Three-week |
| Measure | Description | Time Frame |
|---|---|---|
| Number and Severity of Headache Days | To measure effects on the number and severity of headaches, we will use the subjects' daily diaries to count the number of days with headache that either a) made activity difficult, b) caused activity changes, or c) caused patient to go to bed. We will then compare the proportion of days with headaches that met one of these criteria for the 4-week baseline period and the 3-week intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of subjects who were able to move out of the "very severe impact" category of the HIT-6 during the 3-week intervention | Compare initial vs. final HIT-6 scores for each treatment period | Three-week |
| Proportion of patients who experienced at least a 5-point improvement in their HIT-6 score during the 3-week intervention |
Inclusion Criteria:
Patient is 18 years or older
Patient is willing and able to provide written informed consent
Patient is willing and able to complete all scheduled study visits
Diagnosis of migraine, based on the following primary headache characteristics:
At least 5 attacks fulfilling criteria b-d:
Headache attacks lasting 4-72 hours (untreated or unsuccessfully treated)
Headache has at least two of the following characteristics:
During headache at least one of the following:
Not attributed to another disorder
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Remington-Davis Clinical Research | Columbus | Ohio | 43215 | United States |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Feb 28, 2019 | Apr 2, 2019 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Mar 14, 2019 | Apr 2, 2019 | ICF_001.pdf |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jul 10, 2020 | Jul 27, 2020 | 3 | ||
| Jan 12, 2021 |
| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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A total of 50 subjects will be randomized into one of two treatment groups in a one-to-one ratio. After three weeks, and following a one-week washout period, subjects will be given spectacles from the other treatment group
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The active and sham lenses will have tints calibrated such that the optical density, that is the overall "darkness" of all study lenses, will be the same. All study lenses will appear to have the same overall light-blocking effect to study subjects.
| Avulux Spectacles |
| Device |
Avulux™ Optical Filter in the Form of Spectacle Lenses |
|
| Sham Spectacles | Device | Sham |
|
| Three-week |
Compare initial vs. final HIT-6 scores for each treatment period |
| Three-week |
| Proportion of days with headaches which lead to use of medications to control the headache over the 3-week intervention | Compare diaries for treatment vs. control periods to determine proportion of headaches resolved by device vs. device plus medication | Three-week |
| Proportion of days with light sensitivity over the 3-week intervention | Compare diaries for treatment vs. control periods to determine differences in days with light sensitivity. | Three-week |
| Average Number of Hours Slept over the 3-week intervention | Compare diaries for treatment vs. control periods to determine whether a significant difference exists in number of hours slept between treatment groups. | Three-week |
| Jan 29, 2021 |
| 4 |
| D009422 | Nervous System Diseases |