Topical Intra-Oral Ketoprofen for Migraine Prevention

This study has been completed.
Sponsor:
Information provided by:
Behar, Caren, M.D.
ClinicalTrials.gov Identifier:
NCT01211795
First received: September 27, 2010
Last updated: June 4, 2011
Last verified: June 2011
  Purpose

Intra-Oral Topical Ketoprofen gel, applied to a branch of the trigeminal nerve, has been shown to prevent migraines when used once daily for 3 months in open label studies. This is a randomized, double-blind, placebo controlled phase III prevention trial to determine safety and efficacy.


Condition Intervention Phase
Migraine
Drug: topical intraoral ketoprofen gel
Other: Placebo Gel
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Prevention
Official Title: Phase III Double Blind Randomized Placebo Controlled Trial Using 20% Intra-Oral Ketoprofen Gel for Migraine Prevention.

Resource links provided by NLM:


Further study details as provided by Behar, Caren, M.D.:

Primary Outcome Measures:
  • Change in number of migraine days per month [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Number of migraine days per month will be compared before gel use and at the end of 3 months of use.


Secondary Outcome Measures:
  • Change in migraine severity [ Time Frame: 3 month total ] [ Designated as safety issue: No ]
    Average migraine severity on a scale of 1-10, will be compared prior to gel use, and at the end of 3 months

  • Change in migraine duration [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Average migraine duration will be compared prior to gel use, and at the end of 3 months

  • Change in headache medication use [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Change in headache medication use will be compared prior to gel use, and at the end of 3 months


Enrollment: 67
Study Start Date: October 2009
Study Completion Date: June 2011
Primary Completion Date: June 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Topical Ketoprofen gel Drug: topical intraoral ketoprofen gel
20% ketoprofen oral gel is applied once daily by cotton swab to a branch of the trigeminal nerve on the maxillary gingival mucosa above the 2nd and 3rd molars. The swab is held in place for 2 minutes at the same time once daily.
Placebo Comparator: Placebo gel Other: Placebo Gel
An identical oral gel, without ketoprofen, or 'placebo gel' is applied using a cotton swab, once daily to a branch of the trigeminal nerve on the maxillary gingival mucosa. It is held in place for 2 minutes, once daily.

Detailed Description:

This is a 4 month trial. During the first month, a prospective headache diary is maintained. Migraine frequency, severity (1-10), duration, and all headache medications are recorded.

Patients are then randomized to receive active gel or placebo gel in double blind fashion.

Gel is applied to the posterior maxilla once daily for 3 months. A daily headache diary, as outlined above, is maintained throughout the trial. Patients may continue to take other migraine medications, as needed. No other new migraine therapies may be started during the trial.

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • IHS Migraine with or without aura
  • 18 y.o. or older
  • at least 4 migraines per month

Exclusion Criteria:

  • pregnancy
  • other headache conditions
  • chronic daily headache
  • allergy or sensitivity to NSAIDs other severe illnesses
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01211795

Locations
United States, New York
New York Medical College
Valhalla, New York, United States, 10595
Sponsors and Collaborators
Behar, Caren, M.D.
Investigators
Principal Investigator: Caren Behar, MD New York Medical College
  More Information

No publications provided

Responsible Party: Caren Behar MD FACP, NYMC
ClinicalTrials.gov Identifier: NCT01211795     History of Changes
Other Study ID Numbers: IND 79,629
Study First Received: September 27, 2010
Last Updated: June 4, 2011
Health Authority: United States: Food and Drug Administration

Keywords provided by Behar, Caren, M.D.:
Migraine
Prevention
Treatment
Ketoprofen
Trigeminal nerve

Additional relevant MeSH terms:
Migraine Disorders
Headache Disorders, Primary
Headache Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Ketoprofen
Anti-Inflammatory Agents, Non-Steroidal
Analgesics, Non-Narcotic
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Pharmacologic Actions
Anti-Inflammatory Agents
Therapeutic Uses
Antirheumatic Agents
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Central Nervous System Agents

ClinicalTrials.gov processed this record on May 16, 2013