Heart procedure may offer lasting migraine relief, new study hopes to prove
NCT ID NCT07629635
First seen Jun 27, 2026 · Last updated Jul 30, 2026 · Updated 2 times
Summary
This study looks at people with migraines who also have a small hole in the heart (PFO). Participants first take a blood-thinning drug (prasugrel) to see if their migraines improve. Those who respond are randomly assigned to either continue the drug alone or have a procedure to close the hole plus the drug. After stopping the drug, researchers check if the closure group has fewer migraines. The goal is to find a lasting treatment for migraine sufferers.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 32 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Patient Inclusion Criteria: * Age: ≥18 and \<55 at time of screening * Migraine headache with aura, or migraine headache without aura, fulfilling conditions of the Neurology Screening Tool (meeting ICHD-3 criteria) * Diagnosis of migraine for ≥ 1 year; onset of migraine symptoms \< 40 years of age * By history, an average headache burden of greater than one migraine headache day per week: * without current preventative therapy, OR * despite preventative therapy, OR * with reason to come off effective therapy (e.g. cost, aversion to injections, side effects) * If patient is taking preventive migraine medications, dose must be stable for at least 3 months prior to the screening visit. Patient agrees to continue preventive medication at the current dosage throughout the duration of the Baseline and On-treatment monitoring periods (Study Weeks 1 - 17). * Female patients capable of becoming pregnant agree to use two forms of birth control or abstinence during their participation in the study. Patient Exclusion Criteria: Exclusions due to underlying patient medical issues: * Headache disorder other than migraine with aura, or migraine without aura * Patient has history of stroke, TIA, or intracranial hemorrhage. * Patient has a history of thrombocytopenia within one year, or platelet count \<100,000/mm3 identified during the screening laboratory evaluation. * Patient has severe hepatic impairment with reduced synthetic function as documented by prolongation of PT/PTT, or with total bilirubin \>3.0 mg/dL identified during the screening laboratory evaluation. * Patient has previously implanted pacemaker, IVC filter, PFO closure device, ASD closure device, or left atrial appendage closure device or any cardiac history which, in the investigator's opinion, would preclude them from study participation. * Patient has documented right-to-left shunt source in addition to PFO such as atrial septal defect or pulmonary arteriovenous malformation. * Patient has a history of clinically significant bleeding within 6 months of the screening visit, any active bleeding, or active peptic ulcer disease. * Patient has an uncontrolled arrhythmia, or if on therapy, has evidence of arrhythmia control failure within the past 90 days (e.g., supraventricular tachycardia or atrial fibrillation while under rhythm control). * Patient has elevated PVR which in the opinion of the implanting physician precludes safe PFO closure. * Patient has active infection at the time of screening that cannot be treated. * Patient is planning surgery during the study timeframe. * A female patient is pregnant or is planning pregnancy during the anticipated duration of the study. Urine or blood pregnancy screening will be performed as part of the screening laboratory evaluation. * Patient has documented nickel allergy/sensitivity * Patient has a documented history of non-compliance with medical care, which would preclude them, in the opinion of the study team Exclusion Due to Medication Restrictions: * Patient has known hypersensitivity or contraindication to thienopyridines * Patient has another medical condition requiring chronic antithrombotic therapy with antiplatelet, oral anticoagulant or injectable agents * Patient has need for daily use of NSAIDs other than for treatment of migraines
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Columbia University Irving Medical Center - NewYork Presbyterian Hospital (CUIMC/NYP)
New York, New York, 10032, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next
- Can a common heart drug stop rhythm problems after a Stroke-Related heart repair?
- Brain wave markers may reveal who benefits from mindfulness for migraine
- Can closing a hole in the heart prevent future strokes? a long-term study seeks answers.
- New heart device aims to seal Stroke-Causing hole
- Real-world study tests migraine drug atogepant over 12 months in tough-to-treat patients