Migraine Disorders Clinical Trial
Official title:
Effect of Septal Closure of Atrial PFO on Events of Migraine With Premere: ESCAPE Migraine Trial
The purpose of this two arm controlled double-blind study is to determine the safety and effectiveness of PFO closure (closing a hole in the wall of the heart) in reducing the frequency of migraine headaches, in patients who experience migraine headaches and have a PFO, compared to medical therapy alone.
Migraine headache is a neurological disorder characterized by chronic and disabling headache.
Approximately 10-12% of humans, comprising some 28 million Americans, suffer from this
disorder. Despite continual advances in medical management of migraine, many sufferers
continue to experience frequent and disabling attacks despite appropriate medical therapy.
Preventative medications, such as anti-epileptic drugs, anti-depressants, and beta-blockers,
while effective for many patients, have side-effect profiles that preclude use in many
patients. In the past decade, there has been growing evidence that patients with migraine,
particularly those with aura, are more likely to have a patent foramen ovale.
A patent foramen ovale (PFO) is a persistent, flap-like opening in the wall of the heart,
between the right and left atrium. Typically, this opening closes shortly after birth,
however, in some people, it remains open.
While there is currently no proof for cause-effect relationship, several recent studies have
confirmed a strong association between the presence of PFO and migraine with aura.
Comparison: This clinical study will compare PFO closure with medical therapy alone for the
treatment of migraine headaches.
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