Study to Assess the Safety, Tolerance and Efficacy of Tezampanel in Patients With Acute Migraine
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Purpose
To evaluate the effects of a single sc administration of TEZAMPANEL at one of three different dosage levels compared to placebo, employing traditional measures of efficacy and safety in the treatment of a single episode of acute migraine.
| Condition | Intervention | Phase |
|---|---|---|
|
Migraine |
Drug: TEZAMPANEL |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Double-Blind, Placebo-Controlled, Parallel Group Multicenter Study to Assess the Safety, Tolerance and Efficacy of a Single Subcutaneous Dose of TEZAMPANEL in Patients With Acute Migraine |
- Headache pain intensity, associated symptoms, functional response questionnaires, time to meaningful pain relief. [ Time Frame: 4 Hours ] [ Designated as safety issue: No ]
| Enrollment: | 306 |
| Study Start Date: | October 2006 |
| Study Completion Date: | August 2007 |
| Arms | Assigned Interventions |
|---|---|
| Placebo Comparator: A |
Drug: TEZAMPANEL
Single Administration of: TEZAMPANEL 40 mg; TEZAMPANEL 70 mg; TEZAMPANEL 100 mg; Placebo (Sterile Water for Injection)
Other Name: NGX424MIG2001
|
| Experimental: B |
Drug: TEZAMPANEL
Single Administration of: TEZAMPANEL 40 mg; TEZAMPANEL 70 mg; TEZAMPANEL 100 mg; Placebo (Sterile Water for Injection)
Other Name: NGX424MIG2001
|
| Experimental: C |
Drug: TEZAMPANEL
Single Administration of: TEZAMPANEL 40 mg; TEZAMPANEL 70 mg; TEZAMPANEL 100 mg; Placebo (Sterile Water for Injection)
Other Name: NGX424MIG2001
|
| Experimental: D |
Drug: TEZAMPANEL
Single Administration of: TEZAMPANEL 40 mg; TEZAMPANEL 70 mg; TEZAMPANEL 100 mg; Placebo (Sterile Water for Injection)
Other Name: NGX424MIG2001
|
Detailed Description:
Primary:
• Headache relief (headache response) defined as the percentage of patients in each treatment group who experience a decrease in pain from moderate or severe intensity pre-dose (baseline) to mild or no pain 2 hours after study drug administration and prior to use of rescue medication.
Secondary:
- Percentage of patients in each treatment group who are pain-free two hours after study drug administration, prior to the use of any rescue medication
- Sustained headache response rate (percentage of patients in each treatment group with headache response at Hour 2 and no rescue medication or headache recurrence from 2 through 24 hours)
- Sustained pain-free rate (percentage of patients in each treatment group who are pain free at Hour 2 with no rescue medication or headache recurrence from 2 through 48 hours)
- Recurrence rate (percentage of patients in each treatment group with an Hour 2 mild response or pain-free response who subsequently develop a headache rated as moderate to severe in intensity within 2 to 24 hours)
- Relapse rate (percentage of patients in each treatment group with an Hour 2 pain free response who subsequently develop a headache rated as moderate to severe in intensity within 2 to 48 hours
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Patients who meet all of the following inclusion criteria at screening should be considered for admission to the study:
Males and females aged 18 to 65 years, inclusive.
a. Females of childbearing potential must not be at risk for pregnancy during the study.
- Patients must meet IHS diagnostic criteria for migraine, with or without aura.
- Patients should have a history of 1 to 6 acute migraine headache attacks per month and 1 migraine headache within the past 30 days.
- Patients should have at least a 1-year history of migraine headaches.
- Patients should have been ≤ 50 years of age at initial migraine onset.
- Patients must be able to distinguish migraine headaches as discreet headaches from other headaches, such as tension-type headaches. Additionally, patients should experience at least 48 hours of freedom from headaches between migraine attacks.
- Patients must have a complete medical history (including headache history), ECG, and a PE at screening including formal assessments of visual acuity (Snellen chart) and visual field integrity visit.
- Patients must be able to comprehend and satisfactorily comply with the protocol requirements, in the opinion of the investigator.
Exclusion Criteria:
Patients who meet any of the following exclusion criteria at screening will not be eligible for participation in the study.
- Patients who also suffer from concomitant frequent, non-migraine headaches ≥6 days/month or who suffer frequent migraine as defined by an average of >6 attacks per month.
- Patients who fail to present with a migraine attack for treatment within 30 days of screening.
- Patients who have menstrual migraines: migraine attacks occur from days -2 through +3 (Day 1 is the first day of menstruation) of the menses but do not occur the rest of the month.
- Patients who have clinically significant active or unstable systemic, renal, hepatic, gastrointestinal, neurological, endocrine, metabolic, or psychiatric disease as determined by medical history and physical examination. Patients who are breast-feeding are excluded. Patients with a history of cardiovascular illness, such as ischemic stroke, ischemic heart disease, Prinzmetal's angina, and hypertension are excluded.
- Patients who have received any experimental drugs within one month prior to and one month subsequent to screening.
- Patients who have taken a MAOI within 14 days prior to randomization
- Patients who are allergic or have shown hypersensitivity to compounds with similar pharmacology to TEZAMPANEL.
- Patients who have met the DSM-IV-TR criteria for any significant psychoactive substance use disorder (abuse, dependence, and/or withdrawal) within the past 90 days.
- Patients who have a clinically significant abnormal laboratory test result at screening.
- Patients who have a clinically notable vital sign abnormality at screening.
- Patients will be excluded if 2 consecutive urine drug screenings are positive.
- Patients will be excluded if there is evidence of a visual field disturbance.
- Patients who have participated in a previous TEZAMPANEL (NGX424 or LY293558) study.
Contacts and Locations| United States, California | |
| National Headache Centers | |
| San Francisco, California, United States, 64109 | |
| Study Chair: | Michael F. Murphy, M.D., Ph.D. | TorreyPines Therapeutics |
More Information
No publications provided
| Responsible Party: | Susan Mellberg, TorreyPines Therapeutics |
| ClinicalTrials.gov Identifier: | NCT00567086 History of Changes |
| Other Study ID Numbers: | NGX424MIG2001 |
| Study First Received: | December 3, 2007 |
| Last Updated: | December 3, 2007 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by TorreyPines Therapeutics:
|
Migraine |
Additional relevant MeSH terms:
|
Migraine Disorders Headache Disorders, Primary Headache Disorders |
Brain Diseases Central Nervous System Diseases Nervous System Diseases |
ClinicalTrials.gov processed this record on May 23, 2013