Theranica’s Nerivio Migra Wearable Gets FDA De Novo for Migraine Treatment

Nerivio Migra Migraine wearable

Theranica, a Netanya, Israel-based bio-medical technology company received FDA De Novo request for its smartphone-controlled wearable device Nerivio Migra®, which uses Remote Electrical Neuromodulation for acute migraine treatment.

Migraine affects approximately 14.7% of the world’s population, making it the third most common disease in the world.

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However, physicians who treat people with migraine are both patient-centered and science-driven. Doctors use medicines like Triptans and Ergots for acute migraine treatment. But there’s a huge need for new treatments for migraines when these medications are not effective, are contra-indicated, or have non-tolerable side effects.

“The clinical data of this innovative therapeutic device is of very high quality,” commented Professor Messoud Ashina, Danish Headache Center, president-elect of the International Headache Society. “It indicates that the device can provide patients with significant relief of pain and other migraine symptoms without the side effects presented by drugs.”

The de novo classification by FDA works as an alternative means of classifying low- to moderate-risk devices. Therefore, devices that are classified through the de novo process may be marketed and used as predicates for future 510(k) submissions.

FDA’s authorization of Nerivio Migra was based on the results of a prospective, randomized, double-blind, placebo-controlled, multi-center pivotal study, where 252 patients from 12 clinics used the non-invasive wearable to treat their migraine attacks, says a press release.

“This study followed the latest edition of the guidelines from the International Headache Society for controlled trials of acute treatment of migraine attacks in adults,” said Dr. Brian Grosberg, MD, director of the Hartford Healthcare Headache Center in Connecticut, who served as the lead Principal Investigator (PI) of the study. “The results of the study demonstrate a high efficacy ratio for single as well as multiple attacks, both at two and 48 hours after treatment,” explained Dr. Grosberg, who was a co-author of an article describing the study, released earlier this month in the journal Headache.

wearable for migraine treatment
The device is placed on the upper arm and uses smartphone-controlled electronic pulses to create a Conditioned Pain Modulation (CPM) response (Image: Theranica/PRNewswire)

The device is placed on the upper arm (not the head or neck) and uses smartphone-controlled electronic pulses to create a Conditioned Pain Modulation (CPM) response. Nerivio Migra® is designed for acute treatment of migraine with or without aura in adult patients who do not have chronic migraine.

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Alon Ironi, CEO and Co-founder of Theranica said his company is committed to expanding the use of remote electrical neuromodulation therapy for additional indications. “We have identified at least 7 different painful conditions that may be relieved by this non-invasive, drug-free technology after appropriate clinical development,” Ironi said.

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Cathy Russey
Cathy Russey () is Online Editor at WT | Wearable Technologies and specialized in writing about the latest medical wearables and enabling technologies on the market. Cathy can be contacted at info(at)