A Phase II Study of NB001 for Acute Migraine Treatment (Channel)
A Phase II, Interventional, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study to Evaluate the Efficacy and Safety of NB001 for the Acute Treatment of Migraine
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Zhao Dong, Doctor
- Phone Number: +8618910685535
- Email: dong_zhaozhao@126.com
Study Contact Backup
- Name: Mingjie Zhang, Doctor
- Phone Number: +8618910276582
- Email: mjzhangnk@163.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- The patient is aged ≥18 and ≤65 years at the Screening Visit, of either sex.
- The patient has a diagnosis of migraine with aura or migraine without aura as defined by the ICHD-3 criteria confirmed at the Screening Visit.
- The patient has had an onset of migraine at <50 years of age, with a history of migraine (with or without aura) of at least 1 year prior to the Screening Visit.
- According to the investigator's judgment, the patient has had 2 to 8 moderate or severe migraine attacks per month in the 3 months prior to the Screening Visit.
- According to the investigator's judgment, the patient's untreated or unsuccessfully treated migraine attacks typically last 4 to 72 hours.
- The patient is able to read and understand the Informed Consent Form, and signed the Informed Consent Form.
- Women of childbearing potential and male participants must practice strict contraception from screening until 30 days after the last dose.
- The patient is capable of adequately understanding and completing the study-related scales and using the electronic patient-reported outcome software.
Exclusion Criteria:
- The patient has a severe allergic constitution, or has known or suspected allergies to the investigational product or its excipients as judged by the investigator.
- The patient is unable to distinguish migraine attacks from tension-type headaches or other headaches.
- The patient has an average history of ≥15 headache days per month in the 3 months prior to the Screening Visit, or currently meets the ICHD-3 diagnostic criteria for chronic migraine, as judged by the investigator.
- The patient has special types of migraine, such as hemiplegic migraine or migraine with brainstem aura.
- The patient has other complex pain syndromes, complex psychiatric disorders, dementia, epilepsy, or other significant neurological disorders as judged by the investigator.
- The patient has a chronic, non-headache pain condition requiring daily pain medication.
- The patient has clinically significant cardiovascular, cerebrovascular, hematological, endocrine, pulmonary, renal, hepatic, gastrointestinal, psychiatric, or neurological disorders.
- The patient has a history of malignancy within 5 years prior to the Screening Visit, with the exception of adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix.
- The patient has any prior history of gastrointestinal disease that may affect the absorption or metabolism of the study drug, or has a recent history of diarrhea.
- The patient has active peptic ulcers, chronic gastrointestinal inflammation, or severe hemorrhoids (Grade III-IV internal hemorrhoids or bleeding external hemorrhoids).
- The patient has tested positive for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibodies, Treponema pallidum antibodies (TPHA), or human immunodeficiency virus (HIV) antibodies at the Screening Visit.
- The patient has hepatic dysfunction: alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥1.5 × upper limit of normal; estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m² (calculated using the simplified MDRD formula); or creatine kinase >2.0 × ULN.
- The patient has a 12-lead ECG result at the Screening Visit showing QTcF >450 msec in males or >470 msec in females.
- The patient has a suspected or confirmed history of alcohol or drug abuse.
- The patient has a positive pregnancy test, is pregnant or breastfeeding, or is planning to become pregnant.
- The patient has participated in another clinical trial within 1 month prior to the Screening Visit.
- Subjects deemed by the investigator as inappropriate for enrollment in this clinical study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: One tablet of NB001 plus three tablets of placebo
|
Take 1 tablet of NB001 + 3 tablets of placebo at the onset of moderate-to-severe acute migraine.
|
|
Experimental: Two tablets of NB001 plus two tablets of placebo
|
Take 2 tablets of NB001 plus 2 tablets of placebo at the onset of moderate-to-severe acute migraine.
|
|
Experimental: Four tablets of NB001
|
Take 4 tablets of NB001 at the onset of moderate-to-severe acute migraine.
|
|
Placebo Comparator: Four tablets of placebo
|
Take 4 tablets of placebo at the onset of moderate-to-severe acute migraine.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Primary Outcome Measure
Time Frame: 2 hours post-dose
|
1.Proportion of subjects with no pain at 2 hours post-dose; 2.proportion of subjects with no most bothersome symptom (MBS) at 2 hours post-dose.
|
2 hours post-dose
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of Subjects with Pain Relief from Baseline at 2 Hours Post-Dose
Time Frame: 2 hours post-dose
|
Proportion of subjects with pain relief (defined as reduction from moderate/severe migraine-like headache at baseline [pre-dose] to mild headache or no headache) at 2 hours post-dose.
|
2 hours post-dose
|
|
Restoration of Normal Function at 2 Hours
Time Frame: 2 hours post-dose.
|
Proportion of subjects with restoration of normal function (as reported by the Functional Disability Scale) at 2 hours post-dose.
|
2 hours post-dose.
|
|
Proportion of subjects using rescue medication within 24 hours post-dose.
Time Frame: Within 24 hours post-dose.
|
Proportion of subjects using rescue medication within 24 hours post-dose.
|
Within 24 hours post-dose.
|
|
Proportion of subjects with sustained pain relief between 2 and 24 Hours Post-Dose
Time Frame: Between 2 and 24 hours post-dose.
|
Proportion of subjects with sustained pain relief (defined as pain relief at 2 hours post-dose, no use of rescue medication, and no moderate/severe headache between 2 and 24 hours) between 2 and 24 hours post-dose.
|
Between 2 and 24 hours post-dose.
|
|
Proportion of subjects with sustained pain relief between 2 and 48 hours post-dose.
Time Frame: Between 2 and 48 hours post-dose.
|
Proportion of subjects with sustained pain relief between 2 and 48 hours post-dose.
|
Between 2 and 48 hours post-dose.
|
|
Proportion of subjects with sustained pain-free status between 2 and 24 Hours Post-Dose
Time Frame: Between 2 and 24 Hours Post-Dose
|
Proportion of subjects with sustained pain-free status (defined as pain-free at 2 hours post-dose, no use of rescue medication, and no mild/moderate/severe headache between 2 and 24 hours) between 2 and 24 hours post-dose.
|
Between 2 and 24 Hours Post-Dose
|
|
Proportion of subjects with sustained pain-free status between 2 and 48 hours post-dose.
Time Frame: Between 2 and 48 hours post-dose.
|
Proportion of subjects with sustained pain-free status between 2 and 48 hours post-dose.
|
Between 2 and 48 hours post-dose.
|
|
Proportion of subjects with pain relief at 15, 30, 45, 60, and 90 minutes post-dose.
Time Frame: At 15, 30, 45, 60, and 90 minutes post-dose.
|
Proportion of subjects with pain relief at 15, 30, 45, 60, and 90 minutes post-dose.
|
At 15, 30, 45, 60, and 90 minutes post-dose.
|
|
Proportion of subjects without MBS (Migraine-associated Symptoms)at 15, 30, 45, 60, and 90 minutes post-dose.
Time Frame: At 15, 30, 45, 60, and 90 minutes post-dose.
|
Proportion of subjects without MBS (Migraine-associated Symptoms)at 15, 30, 45, 60, and 90 minutes post-dose.
|
At 15, 30, 45, 60, and 90 minutes post-dose.
|
|
Proportion of subjects with pain-free status at 15, 30, 45, 60, and 90 minutes post-dose.
Time Frame: At 15, 30, 45, 60, and 90 minutes post-dose.
|
Proportion of subjects with pain-free status at 15, 30, 45, 60, and 90 minutes post-dose.
|
At 15, 30, 45, 60, and 90 minutes post-dose.
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion with pain free at each post-dose time points.
Time Frame: At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
Proportion of subjects with pain free at all recorded time points after dosing;
|
At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
|
Proportion with pain relief at each post-dose time points.
Time Frame: At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
Proportion with pain relief at each post-dose time points.
|
At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
|
Proportion with absence of MBS at each post-dose time points.
Time Frame: At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
Proportion of subjects with no MBS (migraine-associated symptoms) at each post-dose time points.
|
At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
|
Proportion of subjects with restoration of normal function at all post-dose time points.
Time Frame: At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
Proportion of subjects with restoration of normal function at all post-dose time points.
|
At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
|
Resolution of Baseline Phonophobia at Each Post-Dose Time Point
Time Frame: At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
Among subjects who reported phonophobia as an MBS (migraine-associated symptoms)at baseline, the percentage of subjects with resolution of this symptom at each post-dose time point.
|
At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
|
Proportion of subjects with resolution of baseline photophobia at each post-dose time point
Time Frame: At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
Among subjects who reported photophobia as an MBS (migraine-associated symptoms)a at baseline, the percentage of subjects with resolution of this symptom at each post-dose time point.
|
At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
|
Proportion of subjects with resolution of baseline nausea at each post-dose time point.
Time Frame: At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
Among subjects who reported nausea as an MBS before administration, the proportion of subjects with resolution of this symptom at each time point after administration.
|
At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
|
Proportion of subjects with sustained absence of MBS from 2 to 24 hours post-dose.
Time Frame: From 2 to 24 hours post-dose.
|
Proportion of subjects with sustained absence of MBS from 2 to 24 hours post-dose.
|
From 2 to 24 hours post-dose.
|
|
Proportion of subjects with sustained absence of MBS from 2 to 48 hours post-dose.
Time Frame: From 2 to 48 hours post-dose.
|
Proportion of subjects with sustained absence of MBS from 2 to 48 hours post-dose.
|
From 2 to 48 hours post-dose.
|
|
Proportion of subjects with sustained normal functional ability from 2 to 24 hours post-dose.
Time Frame: From 2 to 24 hours post-dose.
|
Proportion of subjects with sustained normal functional ability from 2 to 24 hours post-dose.
|
From 2 to 24 hours post-dose.
|
|
Proportion of subjects with sustained normal functional ability from 2 to 48 hours post-dose.
Time Frame: From 2 to 48 hours post-dose.
|
Proportion of subjects with sustained normal functional ability from 2 to 48 hours post-dose.
|
From 2 to 48 hours post-dose.
|
|
Proportion of subjects with overall improvement at all recorded post-dose time points and Patient Global Impression of Change (PGI-C) scores.
Time Frame: At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
Proportion of subjects with overall improvement at all recorded post-dose time points and Patient Global Impression of Change (PGI-C) scores.
|
At 15 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours, 24 hours, 48 hours post-dose
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- NB001-02-002
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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