R-Verapamil for the Prophylaxis of Episodic Cluster Headache
A Randomized, Placebo-Controlled, Double-Blind, Parallel-Group, Phase 2 Study to Evaluate the Safety and Efficacy of R-Verapamil in the Prophylaxis of Episodic Cluster Headache
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
London, United Kingdom, NW1 2BU
- UCLH/UCL NIHR Clinical Research Facility
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Healthy man or woman between the ages of 18 and 65
- In good health as determined by medical history and medical examination
- Has a diagnosis of episodic cluster headache as defined by the International Classification of Headache Disorders (2nd edition)
- Has a lifetime prevalence of at least 2 prior cluster bouts - Subjects must experience at least 7 attacks/week during the run-in baseline period
- Subjects must have a typical cluster period lasting at least 1 month. Subjects must be present in active cluster period and the expected remaining duration of the cluster cycle must be at least 3 weeks from Baseline Day 1 visit
- Able to differentiate other headache types from cluster headaches
- Is using or agrees to use a medically acceptable form of contraception(female of child-bearing potential)
- Negative urine pregnancy test prior to study entry(female of child-bearing potential)
- Concomitant medication that, in the opinion of the investigator and the patient's general practitioner(GP), do not pose an unacceptable risk based upon the prescribing information for verapamil
- Able to understand and comply with all study requirements
- Written informed consent
Exclusion Criteria:
- Women who are pregnant or lactating
- Subjects who, in the investigators opinion, have a history or have evidence of a medical or psychiatric condition that would expose them to an increased risk of a significant adverse event or would interfere with the assessments of efficacy and tolerability
- Use of any drug or having any medical condition which might interact adversely with, or interfere with the action of, the study medication
- The concomitant use of beta blockers
- The consumption of grapefruit juice
- Allergic to or has shown hypersensitivity to verapamil or agents similar to verapamil
- Abuses opioids or has a history of significant drug or alcohol abuse within the past year as determined by investigator
- Has participated in an investigational drug trial in the 30 days prior to the screening visit
- Has liver or kidney disease
- Has a cardiopathology contraindicating verapamil administration
- Subjects with previous adynamic ileus.
- Subjects with chronic cluster headache
- Use of antipsychotic, antidepressants, lithium or other prophylactic treatment less than one month prior to inclusion
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: R-verapamil 75 mg tablet
375 mg/day; one in the morning, two in the afternoon and two at bedtime daily
|
|
|
Placebo Comparator: Placebo
one in the morning, two in the afternoon and two at bedtime daily
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in the average daily frequency of attacks
Time Frame: 2 weeks
|
2 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in the average daily frequency of attacks
Time Frame: 1 week
|
1 week
|
|
Change in intensity of attacks
Time Frame: 2 weeks
|
2 weeks
|
|
Change in duration of attacks
Time Frame: 2 weeks
|
2 weeks
|
|
Change in consumption of abortive agents
Time Frame: 2 weeks
|
2 weeks
|
|
Patient acceptability of treatment
Time Frame: 2 weeks
|
2 weeks
|
|
Change in headache severity index
Time Frame: 2 weeks
|
2 weeks
|
|
Change in Hit-6 disability score
Time Frame: 2 weeks
|
2 weeks
|
|
R-verapamil and Placebo responders
Time Frame: 2 weeks
|
2 weeks
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Adverse events assessments
Time Frame: 2 weeks
|
2 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Pain
- Neurologic Manifestations
- Headache Disorders, Primary
- Headache Disorders
- Trigeminal Autonomic Cephalalgias
- Headache
- Cluster Headache
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Arrhythmia Agents
- Vasodilator Agents
- Membrane Transport Modulators
- Calcium-Regulating Hormones and Agents
- Calcium Channel Blockers
- Verapamil
Other Study ID Numbers
Other Study ID Numbers
- R-Verapamil-001
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