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CTRI Number  CTRI/2018/06/014542 [Registered on: 15/06/2018] Trial Registered Prospectively
Last Modified On: 15/06/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To study the effect of repetitive transcranial magnetic stimulation and amitryptilline on migraine headache 
Scientific Title of Study   Evaluation of clinico-electrophysiological profile of episodic migraine and chronic daily headache patients in relation to repetitive transcranial magnetic stimulation given either alone or in combination with amytriptilline 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Jayantee Kalita 
Designation  Professor, Dept of Neurology 
Affiliation  sgpgims lucknow 
Address  Professor, Dept of Neurology SGPGIMS, Raebareily road Lucknow,

Lucknow
UTTAR PRADESH
226010
India 
Phone  8004904630  
Fax    
Email  jayanteek@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jayantee Kalita 
Designation  Professor, Dept of Neurology 
Affiliation  sgpgims lucknow 
Address  Professor, Dept of Neurology SGPGIMS, Raebareily road Lucknow,

Lucknow
UTTAR PRADESH
226010
India 
Phone  8004904630  
Fax    
Email  jayanteek@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jayantee Kalita 
Designation  Professor, Dept of Neurology 
Affiliation  Sanjay Gandhi postgraduate institute of medical sciences(SGPGIMS),lucknow 
Address  Professor, Dept of Neurology Sanjay Gandhi postgraduate institute of medical sciences(SGPGIMS),Raebareily road Lucknow,

Lucknow
UTTAR PRADESH
226010
India 
Phone  8004904630  
Fax    
Email  jayanteek@yahoo.com  
 
Source of Monetary or Material Support  
SGPGIMS, Raebareily road, Lucknow 226010 
 
Primary Sponsor  
Name  Dr Jayantee Kalita 
Address  Professor, Dept of Neurology SGPGIMS, Raebareily road Lucknow, pin 226010  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Jayantee Kalita  SGPGIMS Lucknow  Room no 6, Neuro lab, E BLOCK SGPGIMS, Raebareily road, Lucknow 226010 Uttar Pradesh
Lucknow
UTTAR PRADESH 
8004904630

jayanteek@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL COMMITTEE, SGPGIMS LUCKNOW  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  primary headache,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  repetitive transcranial magnetic stimulation with amitryptilline  High frequency RTMS(10 pulses at 12 hz at 70 percent of motor threshold) three sessions on daily basis for three months with amitryptilline initialy 25mg which may be augmented to 50 mg depending upon clinical response. 
Intervention  repetitive transcranial magnetic stimulation(RTMS)  High frequeny RTMS(10 pulses at 12 hz at 70 percent of motor threshold) three sessions on daily basis for three months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  primary headache-migraine and chronic daily headache 
 
ExclusionCriteria 
Details  All patients having any neurological morbidity due to any hereditary, trauma, seizure disorder, meningitis, arterio-veinous malformation, stroke, infection, dyselectrolytemia and any possible secondary cause of headache shall be excluded. Pregnancy, liver or kidney failure, malignancy, uncontrolled diabetis and hypertension or headache with underlying psychiatric illness shall be excluded. 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The primary out come will be defined as 50% decreases in severity and frequency of headache, at each follow-up visit  1 2 and 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Effects on habituation viz hearing threshold and brainstem evoked potentials and visual evoked potentials,  1 2 and 3 months 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/06/2018 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   This study is a randomized parallel group study comparing the efficacy of repetitive transcranial magnetic stimulation(rtms) on migraine/chronic daily headache patients given either alone or in combination with amitryptilline. One group of patients will receive high frequency rtms on daily basis for 3 days for 3 consecutive months.The second group will be given rtms on similar protocol and will also be additionaly given upto 50 mg of amitryptilline. Patient will also be subjected to hearing threshold, brainstem evoked potential and visual evoked potential during the course of treatment. The primary outcome shall be to reduction of frequency and severity of headache in the two group of patients at 1 2 and 3 months. the secondary outcome shall be the effect of treatment on hearing threshold, brainstem evoked potential and visual evoked potential. 
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