Comparing device closure for migraine relief in patients with PFO

Comparison of the Effect of Device Closure in Alleviating Migraine With Patent Foramen Oval (COMPETE-2)

Phase 4 Interventional Chinese Academy of Medical Sciences, Fuwai Hospital · NCT05561660

This study is testing if closing a small hole in the heart can help people with migraines feel better and have fewer headaches.

Quick facts

PhasePhase 4
Study typeInterventional
Enrollment460 (estimated)
Ages18 Years to 65 Years
SexAll
SponsorChinese Academy of Medical Sciences, Fuwai Hospital Academic / other
Locations1 site (Beijing, Beijing)
Trial IDNCT05561660 on ClinicalTrials.gov

What this trial studies

This study investigates the effectiveness of percutaneous closure of patent foramen ovale (PFO) in alleviating migraine symptoms in patients diagnosed with both conditions. It is a prospective, double-blind, multi-center, and randomized trial that aims to determine if closing the PFO can reduce the frequency and severity of migraine attacks. Participants will undergo the procedure and receive aspirin as part of their treatment regimen, with follow-up assessments to evaluate outcomes. The study addresses conflicting results from previous research regarding the efficacy of PFO occlusion for migraine relief.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18-65 with a history of migraine for over a year and diagnosed with PFO.

Not a fit: Patients whose migraines are caused by other factors or who have a history of TIA/stroke may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide a new treatment option for patients suffering from migraines associated with PFO.

How similar studies have performed: Previous studies have shown mixed results regarding the effectiveness of PFO closure for migraine relief, making this approach somewhat novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age 18-65 ;
2. Diagnosed migraine by ICHD-3
3. History of migraine longer than 1 year
4. TCD/TTE/TEE diagnosed patent foramen ovale
5. Willing to participant and agree to follow-ups
6. Undertook medication therapy for three months without a responder rate higher or equal to 50%

Exclusion Criteria:

1. Migraine caused by other reason
2. Had TIA/stroke history
3. Hypersensitive or hyposensitive to the study drug

Where this trial is running

Beijing, Beijing

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions MigrainePatent Foramen Ovale
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.