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Trial registered on ANZCTR
Registration number
ACTRN12625000597493
Ethics application status
Approved
Date submitted
24/06/2024
Date registered
10/06/2025
Date last updated
10/06/2025
Date data sharing statement initially provided
10/06/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Does middle meningeal artery embolisation reduce headache severity in adults with chronic migraine?
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Scientific title
Evaluate the safety and Efficacy of Middle Meningeal Artery Embolisation in Chronic Migraine Patients.
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Secondary ID [1]
312397
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
MOMENT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Migraine
334205
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Condition category
Condition code
Neurological
330868
330868
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Dilatation of the middle meningeal artery is linked with headaches in migraine patients.
This phase I pilot study assesses the safety and efficacy of bilateral middle meningeal artery embolisation in chronic migraine patients.
The middle meningeal artery will be permanently occluded using a minimally invasive endovascular approach using precipitating hydrophobic injectable liquid (PHIL) embolic (< 1ml) by an investigating neurointerventionalist. For 28 days before and 90 days following bilateral middle meningeal artery occlusion, subjects will complete daily headache assessments using a mobile application (~ 3 minutes). Compliance will be monitored by trial staff.
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Intervention code [1]
328900
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Treatment: Other
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Change in number or severity of migraines
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Assessment method [1]
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Review of participants' self-reports in an electronic diary (mobile application).
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Timepoint [1]
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Assessed daily from the embolisation procedure for 90 days.
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Secondary outcome [1]
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Safety
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Assessment method [1]
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Clinical assessment of the patient by standard neurological examination.
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Timepoint [1]
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Assessed at day 0, 30 and 90 days post-embolisation.
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Eligibility
Key inclusion criteria
18 years of age and over.
< 50 years of age at onset of migraine
2 or more years of history of chronic migraine
8 or more migraine days and at least 15 headaches per month
Failure to respond to at least four classes of migraine medicines
On stable migraine medication treatment
Able to use the eDiary on a mobile phone.
Not pregnant and not planning to become pregnant in the next 3 months
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
History of migraine accompanied by diplopia or decreased consciousness
Confounding and clinically significant pain syndrome
Non-migraine headache syndrome
Psychiatric conditions that are uncontrolled or untreated
History of addiction
Use of opioids more than 10 days a month
Iodine allergy
Female patients planning on becoming pregnant
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,WA
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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World Federation of Interventional and Therapeutic Neuroradiology endowment grant and investigator initiated grant
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Address [1]
316805
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Country [1]
316805
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Australia
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Primary sponsor type
Government body
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Name
South West Sydney - Local Health District
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Address
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Country
Australia
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Secondary sponsor category [1]
319030
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None
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Name [1]
319030
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Address [1]
319030
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Country [1]
319030
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
315575
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Bellberry Human Research Ethics Committee A
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Ethics committee address [1]
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https://bellberry.com.au/
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Ethics committee country [1]
315575
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Australia
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Date submitted for ethics approval [1]
315575
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21/06/2024
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Approval date [1]
315575
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14/03/2025
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Ethics approval number [1]
315575
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2024-06-810
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Summary
Brief summary
Middle meningeal artery is an important part of the trigeminovascular system and may be important in migraine pathophysiology. By blocking blood flow to this artery migraine headaches may be reduced in frequency or severity.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Nathan Manning
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Address
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The MIRI centre, Ingham institute. 1 Campbell street Liverpool NSW 2170
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Country
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Australia
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Phone
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+61487214154
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Fax
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Email
135126
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[email protected]
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Contact person for public queries
Name
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Nathan Manning
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Address
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The MIRI centre, Ingham institute. 1 Campbell street Liverpool NSW 2170
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Country
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Australia
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Phone
135127
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+61487214154
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Fax
135127
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Email
135127
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[email protected]
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Contact person for scientific queries
Name
135128
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Nathan Manning
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Address
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The MIRI centre, Ingham institute. 1 Campbell street Liverpool NSW 2170
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Country
135128
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Australia
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Phone
135128
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+61487214154
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Fax
135128
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Email
135128
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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