Migraine and High Flow Oxygenotherapy at the Emergency Department (MiOx)

2022-501133-23-00 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 11 May 2023 · Status Ongoing, recruiting · 1 EU/EEA countries · 5 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 70
Countries 1
Sites 5

MIGRAINE

To Study the effectiveness of high-throughput oxygen therapy on migraine attacks in emergency departments.

Key facts

Sponsor
Centre Hospitalier Universitaire De Nice
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
11 May 2023 → ongoing
Decision date (initial)
2023-01-11
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy

To Study the effectiveness of high-throughput oxygen therapy on migraine attacks in emergency departments.

Secondary objectives 5

  1. Evaluate the effectiveness of high-throughput oxygen therapy on any associated symptoms (such as nausea, photophobia, neurological disorders)
  2. Assess possible recurrence of pain at 60 and 90 minutes
  3. Evaluate the occurrence of side effects
  4. Evaluate the time spent in emergency rooms
  5. Evaluating the use of relief analgesics

Conditions and MedDRA coding

MIGRAINE

VersionLevelCodeTermSystem organ class
21.1 LLT 10010108 Common migraine 10029205

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Patients 18 years of age or older
  2. Admitted to the emergency department for migraine-evocative headache according to the criteria of the International Classification of Headaches 3rd edition ICHD-3
  3. Written consent to participate after being informed of the study
  4. Pain intensity at least equal to 6 assessed by the patient’s verbal pain self-assessment

Exclusion criteria 7

  1. Patients with risk of respiratory failure by hypercapnia (COPD, cystic fibrosis, morbid obesity, malformation of the chest wall, neuromuscular disorder)
  2. Patients under legal protection
  3. Patients treated with triptan in the last 2 weeks
  4. Patients who consumed NSAIDs in the hour prior to physician review
  5. Disabling migraine crisis during for more than 72 hours
  6. History of paraquat poisoning
  7. History of treatment with amiodarone, bleomycin or nitrofurantoin

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. PProportion of subjects with a score less than or equal to 3 on the Simple Numerical Scale (SLA) of verbal self-assessment of patient pain (0-10), 30 minutes after the start of inhaled treatment.

Secondary endpoints 5

  1. Disappearance of any associated symptoms (nausea, photophobia, etc.): frequencies at t=0, 30, 60 and 90 minutes after the start of the oxygen or placebo session (air)
  2. Verbal Patient Pain Self-Assessment SLAs at 60 and 90 minutes (assess possible recurrence of pain)
  3. Frequency of occurrence of side effects
  4. Average time spent in emergency rooms
  5. Frequency of emergency painkillers

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Oxigen medicinal comprimat gaz medicinal comprimat

PRD3596354 · Product

Active substance
Oxygen
Pharmaceutical form
MEDICINAL GAS, COMPRESSED
Route of administration
INHALATION GAS
Max daily dose
450 l litre(s)
Max total dose
450 l litre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V03AN01 — -
Marketing authorisation
4800/2012/01
MA holder
SIAD ROMANIA SRL
MA country
Romania
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Medicinal Air Synthetic, 21.75% v/v medicinal gas, compressed

PRD713823 · Product

Active substance
Oxygen
Pharmaceutical form
MEDICINAL GAS, COMPRESSED
Route of administration
INHALATION GAS
Max daily dose
450 l litre(s)
Max total dose
450 l litre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V03AN05 — -
Marketing authorisation
PL 35326/0005
MA holder
SOL SPA
MA country
United Kingdom
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Universitaire De Nice

Sponsor organisation
Centre Hospitalier Universitaire De Nice
Address
4 Avenue Reine Victoria
City
Nice
Postcode
06000
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire De Nice
Contact name
Julie CONTENTI

Public contact point

Organisation
Centre Hospitalier Universitaire De Nice
Contact name
Céline CELLIER-COËLLE

Locations

1 EU/EEA country · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 70 5
Rest of world 0

Investigational sites

France

5 sites · Ongoing, recruiting
Les Hopitaux De Chartres
Accueil Urgences, 4 Rue Claude Bernard, 28630, Le Coudray
Clinique Les Cèdres
Emergency, Route de Mondonville, 31700, Cornebarrieu
Clinique Croix du Sud
Emergency, 52 chemin de Ribaute, 31130, Quint Fonsegrives
Centre Hospitalier Regional De Marseille
Emergency, 144 Rue Saint Pierre, 13005, Marseille
Centre Hospitalier Universitaire De Nice
Urgences, 151 Route De Saint Antoine, 06200, Nice

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2023-05-11 2023-10-01

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 12 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) 2022-501133-23-00_Protocole_MiOx_FP 2.0
Recruitment arrangements (for publication) 2022-501123-33-00_RECRUTEMENT_V0_20220617_MiOx 0
Recruitment arrangements (for publication) 2022-501123-33-00_RECRUTEMENT_V01_20221107_MiOx 01
Recruitment arrangements (for publication) 2022-501133-23-00_ADDITIONNEL_V0_20220617_For Pub 1
Recruitment arrangements (for publication) 2022-501133-23-00_ADDITIONNEL_V0_20220617_For Pub 1
Subject information and informed consent form (for publication) 2022-501133-23-00_NICE MiOx_V0_20220315_FP 0
Subject information and informed consent form (for publication) 2022-501133-23-00_NICE MiOx_V01_20221107_FP 01
Subject information and informed consent form (for publication) 2022-501133-23-00_NICE MiOx_V02_Clean_20221118_FP 1.0
Subject information and informed consent form (for publication) 2022-501133-23-00_NICE Proche MiOx_V0_20221107_FP 0
Subject information and informed consent form (for publication) 2022-501133-23-00_NICE Proche MiOx_V01_Clean_20221118_FP 1.0
Summary of Product Characteristics (SmPC) (for publication) 2022-501133-23-00_RCP_Oxygene Medicinal_MiOx_RFI 1
Synopsis of the protocol (for publication) 2022-501133-23-00_Resume_MiOx_FP 2.0

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-09-19 France Acceptable
2023-01-10
2023-01-11
2 SUBSTANTIAL MODIFICATION SM-1 2024-07-15 France Acceptable
2024-08-30
2024-09-09
3 SUBSTANTIAL MODIFICATION SM-3 2024-12-02 France Acceptable
2025-01-16
2025-02-05