Pilot Study of Two Different Strengths of DFN-11 Injection for Rapidly Escalating Migraine
Randomized, Double-Blind, Crossover, Comparator Pilot Study of DFN-11 Injection (Strength A vs. Strength B) for Rapidly Escalating Migraine
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
-
-
Missouri
-
Springfield, Missouri, United States, 65807
- Clinvest
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosis of episodic migraine, with or without aura for at least 1 year prior to screening
- Experience an average of 2 to 8 migraines per month for the past 12 months of which approximately 75% or more rapidly escalate to moderate or severe pain within 2 hours of onset
Females must:
- be practicing an effective method of birth control (e.g. prescription oral contraceptives, contraceptive injections, contraceptive patch, intrauterine device, double-barrier method [e.g., condoms, diaphragm, or cervical cap with spermicidal foam, cream, or gel], or male partner sterilization) before entry and throughout the study, or
- be surgically sterile (have had a hysterectomy or bilateral oophorectomy, tubal ligation, or otherwise be incapable of pregnancy), or
- be postmenopausal (spontaneous amenorrhea for at least 1 year)
- Females of child-bearing potential must have a negative urine pregnancy test at screening
- Able and willing to read and comprehend written instructions and complete the electronic diary information required by the protocol
- Must have internet access to complete daily headache diary
Exclusion Criteria:
- Inability to distinguish migraine from other primary headaches
- Experiences headache of any kind at a frequency greater than or equal to 15 days per month
- Chronic opioid therapy (> 10 days in the 30 days prior to screening)
- Current treatment with monoamine oxidase A (MAO-A) inhibitors or use within 4 weeks before randomization
- Hemiplegic or basilar migraine
- History, symptoms or signs of ischemic cardiac, cerebrovascular or peripheral vascular syndromes
- Uncontrolled hypertension (screening systolic/diastolic blood pressure > 140/90 mmHg in 2 out of 3 readings)
- History of epilepsy or conditions associated, which in the opinion of the Investigator, increase the likelihood of present day seizure
- History (within 2 years) of drug or alcohol abuse as defined by DSM-IV-TR criteria.
- Systemic disease, which in the opinion of the Investigator, would contraindicate participation
- History of a neurological or psychiatric condition, which in the opinion of the Investigator would contraindicate participation
- Pregnant or lactating women
- Have taken any investigational medication within 30 days before randomization, or are scheduled to receive an investigational drug
- Subjects with a positive urine drug screen for recreational drugs or marijuana (whether legal or not) or for prescription drugs not explained by stated concomitant medications
- Clinical laboratory or electrocardiogram (ECG) abnormality that in the opinion of the Investigator would endanger the subject or interfere with the study conduct. If the results of the clinical laboratory or ECG are outside of normal reference range the subject may still be enrolled but only if these findings are determined to be not clinically significant by the Investigator. This determination must be recorded in the subject's source document prior to enrolment.
- Fridericia's corrected QT (QTcF) interval greater than 450 msec
- Severe renal impairment (creatinine > 2 mg/dl)
- Serum total bilirubin > 2.0 mg/dL
- Serum aspartate aminotransferase (AST), alanine aminotransferase (ALT), or alkaline phosphatase > 2.5 times the upper limit of normal
- Subjects who in the opinion of the investigator experience rebound headache from caffeine usage
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Sumatriptan 3 mg then 6 mg
DFN-11 (sumatriptan, 3 mg) and placebo first then two DFN-11 injections
|
Sumatriptan 3 mg versus 6 mg
Other Names:
|
|
Experimental: Sumatriptan 6 mg then 3 mg
Two DFN-11 (sumatriptan, 3 mg) injections first then DFN-11 injection and placebo
|
Sumatriptan 3 mg versus 6 mg
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The Percentage of Subjects Reporting Pain Freedom at 60 Minutes Post-treatment
Time Frame: 60 minutes post-treatment
|
60 minutes post-treatment
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
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
- Headache Disorders, Primary
- Headache Disorders
- Migraine Disorders
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Serotonin Agents
- Serotonin 5-HT1 Receptor Agonists
- Serotonin Receptor Agonists
- Vasoconstrictor Agents
- Sumatriptan
Other Study ID Numbers
Other Study ID Numbers
- DFN-11-CD-006
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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