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St. Jude Medical Announces First Implant in Its Migraine Headache Study; U.S. Clinical Trial to Explore Link between Common Heart Defect and Migraine Headaches.


ST. PAUL, Minn. -- St. Jude Medical St. Jude Medical, Inc. NYSE: STJ is a $2.9 billion global cardiovascular device company, with headquarters in St. Paul, Minnesota, United States. The company sells products in more than 100 countries and has over 20 operations and manufacturing facilities worldwide. , Inc. (NYSE NYSE

See: New York Stock Exchange
:STJ STJ Superior Tribunal de Justica (Brazil)
STJ Supremo Tribunal de Justiça (Portugal)
STJ Superconducting Tunnel Junction
STJ San Giljan (postal locality, Malta) 
) today announced the implant of the first patient in its ESCAPE (Effect of Septal septal /sep·tal/ (sep´tal) pertaining to a septum.

sep·tal
adj.
Of or relating to a septum or septa.
 Closure of Atrial atrial /atri·al/ (a´tre-al) pertaining to an atrium.

a·tri·al
adj.
Of or relating to an atrium.


Atrial
Having to do with the upper chambers of the heart.
 PFO PFO Patent Foramen Ovale (defect of the heart)
PFO Paphos, Cyprus - International (Airport Code)
PFO Principal Federal Official (US Departement of Homeland Security) 
 on Events of Migraine with Premere(TM)) migraine trial.

The first implanted patient, a 53-year-old woman from Va., is one of approximately 500 patients who are expected to participate in the study. The trial will explore the link between a common heart defect, called patent foramen ovale patent foramen ovale PFO Cardiology An opening between the left and right atria which allows blood to bypass the lungs in utero; the FO normally closes shortly after birth, but remains open in up to 20%; a PFO is, in absence of other cardiac defects, is of no consequence  (PFO), and migraine headaches to determine if closing the PFO reduces the frequency of migraine attacks. The ESCAPE Migraine trial received approval from the U.S. Food and Drug Administration (FDA FDA
abbr.
Food and Drug Administration


FDA,
n.pr See Food and Drug Administration.

FDA,
n.pr the abbreviation for the Food and Drug Administration.
) for an Investigational Device Exemption An Investigational Device Exemption (IDE) allows the investigational device to be used in a clinical study in order to collect safety and effectiveness data required to support a Premarket Approval (PMA) application or a Premarket Notification [510(k)] submission to Food and  (IDE) in December 2005.

Migraine is a neurological disorder characterized by chronic and disabling headaches. Approximately 12 percent of the population suffers from the disorder, and it has a prevalence rate estimated as high as 20 percent in young women. Many patients do not use existing migraine therapies because they are ineffective or because they result in unwanted side effects Side effects

Effects of a proposed project on other parts of the firm.
.

"The goal of this trial is to determine if closing a PFO will significantly reduce migraine attacks, which routinely debilitate de·bil·i·tate  
tr.v. de·bil·i·tat·ed, de·bil·i·tat·ing, de·bil·i·tates
To sap the strength or energy of; enervate.



[Latin d
 people and prevent them from working, socializing and enjoying a reasonable quality of life," said David W. Dodick, M.D., Mayo Clinic College of Medicine, Scottsdale, Ariz., principal neurology investigator of the trial.

"While the connection between a heart defect and head pain may seem counterintuitive coun·ter·in·tu·i·tive  
adj.
Contrary to what intuition or common sense would indicate: "Scientists made clear what may at first seem counterintuitive, that the capacity to be pleasant toward a fellow creature is ...
, there is growing evidence that patients with migraine are more likely to have a PFO, and if it is repaired, migraine attacks may be reduced," said John Porter, M.D., the enrolling physician of the first implanted patient, a neurologist with Salem Neurological Center and Clinical Research of Winston-Salem, N.C. "If the trial confirms that closure of the PFO reduces migraine headaches, it could lead to treatments that could have a major impact on the quality of life of millions of people."

The first patient was implanted with St. Jude Medical's Premere PFO Closure System, which is specifically designed for PFO closures and was part of the product portfolio acquired by the Company through the 2005 acquisition of Velocimed, LLC (Logical Link Control) See "LANs" under data link protocol.

LLC - Logical Link Control
. During the implant procedure, physicians deliver the device through the PFO and then open the device's two sides independently, allowing physicians precise placement to close the PFO. Implanted through a transcatheter approach, this procedure is less invasive than open-heart surgeries to close PFOs.

"Although some people with a PFO experience no symptoms, others may suffer a stroke or decompression illness (which may accompany activities like scuba diving), and there may even be a mechanism where a PFO is associated with migraine headaches," said John Rhodes, M.D., the first implanting physician and an interventional cardiologist with the Duke University Heart Center in Durham, N.C. "Now that catheter closure of a PFO has become a common procedure for recurrent stroke patients, PFO closure for migraine headaches is an intriguing application of this technology. We are very excited at Duke to be involved in this important research and are hopeful it will improve the quality of life for many people with migraine headaches. "

The association between PFOs and migraine headaches was first observed by physicians who treated PFOs to remedy other medical conditions such as stroke; these physicians later noticed a reduced frequency in patients' migraine headaches. Additional informal studies suggest reduced migraine attacks after PFO closure. It is not clear why patients with migraine would be more likely to have a PFO, or why closing the PFO might decrease migraine attacks. Some physicians speculate that blood that crosses the PFO, without being filtered by the lungs, contains substances that trigger migraines.

The ESCAPE Migraine trial is a controlled, randomized ran·dom·ize  
tr.v. ran·dom·ized, ran·dom·iz·ing, ran·dom·iz·es
To make random in arrangement, especially in order to control the variables in an experiment.
, blinded study to determine if PFO closures reduce the frequency of migraine headaches enough to be a therapy option for patients with migraines. The study will be conducted at 45 leading headache clinics and 15 leading interventional cardiology interventional cardiology Cardiology The subspecialty of cardiology dedicated to the diagnosis, medical and mechanical therapy, pre- and post-procedure management of adult patients with acute and chronic forms of cardiovascular disease amenable to catheter-based  clinics throughout the United States.

In December 2004, Premere PFO Closure System received CE Mark approval for sale in Europe and select international markets indicated for the closure of a patent foramen ovale. The Premere System is only available for investigational use in the United States.

For more information about PFO and the ESCAPE Migraine trial, go to www.ESCAPEmigraines.com.

About St. Jude Medical

St. Jude Medical is dedicated to making life better for cardiac, neurological and chronic pain patients worldwide through excellence in medical device technology and services. The company has five major focus areas that include: cardiac rhythm management Cardiac rhythm management is a field of treatment in cardiology. The purpose is managing cardiac rhythm disorders. Usually it involves artificial pacemakers and/or implantable cardioverter-defibrillator therapy as well as antiarrhythmia drugs. , atrial fibrillation atrial fibrillation

Irregular rhythm (arrhythmia) of contraction of the atria (upper heart chambers). The most common major arrhythmia, it may result as a consequence of increased fibrous tissue in the aging heart, of heart disease, or in association with severe infection.
, cardiac surgery, cardiology and neuromodulation. Headquartered in St. Paul, Minn., the Company employs approximately 10,000 people worldwide. For more information, please visit www.sjm.com.
ESCAPE migraine clinical trial investigation sites are located in
the following cities:

Arizona
   Scottsdale, Arizona

California
   San Francisco, California
   Berkley, California

Colorado
   Denver, Colorado

Connecticut
   Stamford, Connecticut
   Norwich, Connecticut

Florida
   Jacksonville, Florida
   Sunrise, Florida
   Sarasota, Florida

Georgia
   Decatur, Georgia
   Atlanta, Georgia
   Augusta, Georgia
   Savannah, Georgia

Illinois
   Evanston, Illinois

Massachusetts
   Boston, Massachusetts
   Wellesley Hills, Massachusetts
   Worchester, Massachusetts

Michigan
   Detroit, Michigan
   Ann Arbor, Michigan

Minnesota
   Minneapolis, Minnesota

Missouri
   St. Louis, Missouri

New Jersey
   Ridgewood, New Jersey

New York
   New York, New York
   Albany, New York
   Mount Vernon, New York
   Bronx, New York
   Amherst, New York

North Carolina
   Winston-Salem, North Carolina

Pennsylvania
   Upland, Pennsylvania
   Philadelphia, Pennsylvania

Rhode Island
   East Providence, Rhode Island

Texas
   Dallas, Texas
   Bedford, Texas

Virginia
   Virginia Beach, Virginia
   Alexandria, Virginia
   Charlottesville, Virginia

Washington D.C
   Washington, D.C.

Wisconsin
   Madison, Wisconsin


Forward-Looking Statements

This news release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act The Private Securities Litigation Reform Act of 1995 (PSLRA) implemented several significant substantive changes affecting certain cases brought under the federal securities laws, including changes related to pleading, discovery, liability, class representation and awards fees and  of 1995 that involve risks and uncertainties. Such forward-looking statements include the expectations, plans and prospects for the Company, including potential clinical successes, regulatory approvals, anticipated future product launches, revenues, earnings, and market shares. The statements made by the Company are based upon management's current expectations and are subject to certain risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. These risks and uncertainties include market conditions and other factors beyond the Company's control and the risk factors and other cautionary statements described in the Company's filings with the SEC, including the risk factors described in the Company's Annual Report on Form 10-K filed on March 16, 2006 (see Item 1A on pages 15-21). The Company does not intend to update these statements and undertakes no duty to any person to provide any such update under any circumstance.
COPYRIGHT 2006 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2006, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Date:Apr 18, 2006
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