About this trial
This single-site, open-label pilot study evaluates the safety, feasibility, and potential durability of the TEMMA procedure (Targeted Embolization for Migraine Management), an endovascular treatment strategy targeting meningeal arterial contributors to migraine. Adults aged 18-60 with refractory migraine despite prior preventive therapies are eligible. The study assesses migraine outcomes over 12 months using patient-reported headache frequency, pain intensity, acute medication use, migraine-related disability (MIDAS), and quality-of-life measures (MSQ v2.1).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-60 years
Diagnosis of migraine (with or without aura)
Failure of ≥2 preventive medication classes
Ability to complete electronic headache diary and surveys
Disqualifiers
Secondary headache disorders
Prior MMA embolization
Contraindication to angiography or embolization
Pregnancy
Trial design
Single group
Treatments tested in this trial
TEMMA Endovascular Treatment
DeviceEndovascular treatment targeting meningeal arterial contributors to migraine performed as part of the TEMMA procedure (Targeted Embolization for Migraine Management) using FDA-cleared devices. Procedural techniques and adjunctive assessments are individualized at the discretion of the treating physician and are not standardized within the study.
Treatment groups
Trial outcomes
Primary outcomes
Change in Monthly Headache Days Post-Embolization
Change from baseline in the number of headache days per month following bilateral middle meningeal artery coil embolization, assessed via SMS-based headache diary.
Secondary outcomes
Change in Headache Intensity
Change from baseline in average headache pain intensity (0-10 scale), assessed via SMS-based headache diary.
Change in Acute Medication Use
Change from baseline in the number of days with acute migraine medication use per month.
Change in Migraine Disability Assessment (MIDAS) Score
Change from baseline in MIDAS score, a validated measure of migraine-related disability.
Change in Migraine-Specific Quality of Life Questionnaire (MSQ v2.1) Score
Change from baseline in MSQ v2.1 score, a validated measure of migraine-specific quality of life.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
This trial is not recruiting at the moment. You can still explore other options: