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Study identifier: NCT06203873 Synced from ClinicalTrials.gov · July 28, 2026
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A Comparison of Biodegradable and Metal Occluders in Patients With PFO and Migraine

Condition: PFO - Patent Foramen Ovale · Migraine · Migraine Headache  ·  Sponsor: Chinese Academy of Medical Sciences, Fuwai Hospital

PhaseNA
Planned participants400
Who can joinAll sexes, 18 Years to 65 Years
Healthy volunteersNo

About this study

Migraine is one of the most common chronic neurological disorders, posing a significant global public health concern. Patent Foramen Ovale (PFO) is the most common congenital heart anomaly in adults. Mechanisms linking PFO to migraine include cortical spreading depression, vascular active substance theory, impaired cerebral autoregulation, and genetic susceptibility. Understanding these mechanisms holds promise for overcoming challenges in the prevention and treatment of migraines in PFO patients. At least 11 observational studies, comprising 1,632 subjects, described the efficacy of PFO closure in cryptogenic stroke. Of these, 34% had migraines, and percutaneous PFO closure reportedly reduced migraine days by 81% (with a reduction of over 50% in monthly migraine days). Prospective randomized controlled trials (PRIMA and PREMIUM trials) assessing the Amplatzer® PFO Occluder showed significant benefits in most secondary endpoints, with a pooled analysis indicating its safety and effectiveness compared to medical therapy.While traditional metal PFO closure studies suggest symptom relief, reports also mention potential new-onset or worsened migraines post-closure. Proposed mechanisms include platelet activation, microthrombus formation, nickel allergy, and septal deformation or stretching inducing the release of migraine-related vascular active substances. However, these theories are closely tied to the presence of permanent metal implants. Addressing these concerns, the MemoSo…

This description comes directly from the study's public registry record.

Talk to the study team

Xiangbin Pan, MD  ·  8688396666  ·  panxiangbin@fuwaihospital.org

Fengwen Zhang, MD  ·  8688396666  ·  zhangfengwen08@126.com

Always discuss trial participation with your own doctor first.

Locations (2)

Fuwai HospitalBeijing, Beijing Municipality, ChinaNot Yet Recruiting
Fuwai HospitalBeijing, Beijing Municipality, ChinaRecruiting

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Source record: clinicaltrials.gov/study/NCT06203873