NCT07081685

Efficacy of Non-Invasive Neuromodulation on Pain in Migraine

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 120 (estimated)
• Sponsor: University Hospital, Clermont-Ferrand · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This is a prospective clinical study evaluating the analgesic efficacy of a non-medicated treatment: repeated transcranial magnetic stimulation (rTMS) of the primary motor cortex in chronic migraine (\> 7 headache days per month and failure of at least 3 drug treatments). To this end, the study involves a double-blind, randomized, comparative experimental protocol against a sham control condition via 2 parallel groups comprising 60 patients each (N= 120 in total). Randomized block design with stratification by center and type of migraine (episodic or chronic). 5 rTMS sessions will be performed, with one stimulation session every 2 weeks. One group will receive active stimulation at each session (high-frequency stimulation of the left primary motor cortex, 2000 pulses per session, 80% of resting motor threshold) and the other group placebo stimulation (sham). Depending on the randomization group, rTMS sessions will be carried out by trained experimenters in the investigating center where the patient has been included. The study is multicentric, with five centers, four of which are in the Auvergne-Rhône-Alpes region. Data will be centralized at the Clermont-Ferrand University Hospital, and statistical analysis will be carried out by the Clermont-Ferrand University Hospital's Clinical Research and Innovation Department. Principal difference analysis (active vs sham) performed in ITT; missing data processed by multiple imputation.

Conditions

• rTMS Stimulation
• Migraine

Interventions

Type	Name	Description
DEVICE	repetitive Transcranial Magnetic Stimulation (rTMS)	robot-guided high-frequency rTMS treatment (10hz - 5 sessions) of the primary motor cortex
DEVICE	sham repetitive Magnetic Transcranial Stimulation (rTMS)	sham robot-guided high-frequency rTMS treatment (10hz - 5 sessions) of the primary motor cortex

Timeline

• Start date: 2025-07-31
• Primary completion: 2028-07-31
• Completion: 2028-07-31
• First posted: 2025-07-23
• Last updated: 2025-07-23

Locations

1 site across 1 country: France