Valvular & structural heart disease

Study design and rationale of COMPETE: Comparison of the effect of medication therapy in alleviating migraine with patent foramen ovale

Am Heart JPublished Study design and rationale of a randomised controlled trial

Study context

Population
Migraine patients with a right-to-left shunt at the atrial level (Patent Foramen Ovale (PFO))planned
Participants
1,000 patients
Planned comparison
Antithrombotic agents vs first-line migraine medication
Primary endpoint
Response rate: ≥50% reduction in average migraine attack days per month or average number of migraine attacks per month vs baseline
Follow-up
12-week visit
Methodological detailsinvestigator-initiated, multicentre, single-masked (outcomes assessor), active-controlled, parallel-group, 1:1:1:1 randomisation
  • Investigator-initiated
  • Multicentre
  • Single-masked (outcomes assessor)
  • Active-controlled
  • Parallel-group
  • 1:1:1:1 randomisation

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Study design and rationale of COMPETE: Comparison of the effect of medication therapy in alleviating migraine with patent foramen ovale. Am Heart J. Published 16 December 2023. doi:10.1016/j.ahj.2023.12.011

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