- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00781456
A Multicenter Study to Evaluate the Efficacy of a 91-Day Extended Cycle Oral Contraceptive for Menstrually-Related Migraine Headaches
A Multicenter, Randomized, Double-Blind Study to Evaluate the Efficacy of DR-105 Compared to Placebo For the Management of Menstrually-Related Migraine Headaches.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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California
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La Mesa, California, United States, 91942
- Teva Investigational Site
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San Diego, California, United States, 92108
- Duramed Investigational Site
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San Diego, California, United States, 92123
- Teva Investigational Site
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San Francisco, California, United States, 94109-4841
- Duramed Investigational Site
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District of Columbia
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Washington, District of Columbia, United States, 20036
- Duramed Investigational Site
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Florida
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West Palm Beach, Florida, United States, 33409
- Duramed Investigational Site
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Georgia
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Savannah, Georgia, United States, 31406
- Teva Investigational Site
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New Jersey
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Edison, New Jersey, United States, 08817
- Duramed Investigational Site
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New York
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New York, New York, United States, 10022
- Duramed Investigational Site
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North Carolina
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Winston-Salem, North Carolina, United States, 27103
- Teva Investigational Site
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Oklahoma
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Tulsa, Oklahoma, United States, 74105
- Teva Investigational Site
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Oregon
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Medford, Oregon, United States, 97504
- Teva Investigational Site
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19114
- Duramed Investigational Site
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Uniontown, Pennsylvania, United States, 15401
- Teva Investigational Site
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South Carolina
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Columbia, South Carolina, United States, 29201
- Teva Investigational Site
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Hilton Head, South Carolina, United States, 29926
- Teva Investigational Site
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Tennessee
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Memphis, Tennessee, United States, 38120
- Teva Investigational Site
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Texas
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Dallas, Texas, United States, 75234
- Duramed Investigational Site
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Houston, Texas, United States, 77054
- Teva Investigational Site
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San Antonio, Texas, United States, 78258
- Duramed Investigational Site
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Virginia
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Virginia Beach, Virginia, United States, 23454
- Duramed Investigational Site
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Washington
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Seattle, Washington, United States, 98105
- Duramed Investigational Site
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Premenopausal, non-pregnant, non-lactating
- History of migraine headaches without aura for at least 6 months
- History of migraine headaches associated with menstruation
- Others as directed by FDA-approved protocol
Exclusion Criteria:
- History of migraine headaches with aura or focal neurological symptoms
- Any contraindication to the use of oral contraceptives
- Others as dictated by FDA-approved protocol
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: 91-day Levonorgestrel Oral Contraceptive
Participants received 12 weeks (84 consecutive days) of active combination tablets containing 150 µg levonorgestrel (LNG)/30 µg ethinyl estradiol (EE), followed by 7 days of 10 µg EE monotherapy, for a total of 13 weeks.
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91-day treatment consisting of 84 blue combination tablets containing 150 µg LNG/30 µg EE and 7 yellow tablets containing 10 µg EE.
Other Names:
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Placebo Comparator: Placebo
Participants received placebo, 12 weeks (84 consecutive days) of inactive tablets, followed by an additional 7 days of inactive tablets, for a total of 13 weeks.
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1 tablet daily to match experimental arm
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of Participants With ≥ 50% Reduction in Migraine Frequency During the Treatment Period
Time Frame: Baseline (25-35 days before Day 1) and Days 1-91
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The number of participants with at least 50% reduction in migraine frequency (average weekly number of migraine episodes) through the end of the 91-day treatment period compared with Baseline (the 25- to 35-day baseline qualification period).
Participants recorded the incidence, timing and intensity of migraines in a migraine diary during the prequalification period and throughout the 91-day treatment period.
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Baseline (25-35 days before Day 1) and Days 1-91
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of Participants With ≥ 50% Reduction in Migraine Frequency During the First, Second and Third Months
Time Frame: Baseline, Month1, Month 2 and Month 3
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The percentage of participants with at least 50% reduction in migraine frequency (average weekly number of migraine episodes) compared to Baseline at each month of the treatment period.
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Baseline, Month1, Month 2 and Month 3
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Change From Baseline in Average Migraine Severity
Time Frame: Baseline and Month 1, Month 2 and Month 3
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Migraine severity was recorded by participants in the Baseline qualification diary and study migraine diary during the treatment period. Participants could report a severity of none (score = 0), mild (1), moderate (2), or severe (3). In general, if a headache was mild, daily activities could be resumed and little to no medication was taken. Moderate headaches required medication and effected daily activities. Severe headaches were debilitating and required medication. Average migraine severity is defined as the sum of the severity ratings divided by the total number of migraine episodes reported during the observation period (for example, Baseline, First Month, Second Month, Third Month, and 91-Day Treatment Period). A negative change from Baseline score indicates improvement in severity. |
Baseline and Month 1, Month 2 and Month 3
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Percentage of Participants Who Required Rescue Medications During the Study Period
Time Frame: Baseline, Month 1, Month 2 and Month 3
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Participants recorded use of rescue medications for migraines in the migraine diary during the course of study treatment.
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Baseline, Month 1, Month 2 and Month 3
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Change From Baseline in Migraine Disability Assessment
Time Frame: Baseline and Week 15
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The migraine disability assessment (MIDAS) test is used to determine how severely migraines affect a patient's life. Participants were asked five questions about how often their headaches limited their ability to go to work or school, to do household work or to do family or leisure activities in the past 3 months. The MIDAS score equals the sum of the days answered for each question and ranges from 0 (no disability) to approximately 270 (severe disability; the upper bound is dependent on the number of days a participant would plan to work or participate in other activities). The MIDAS score is classified into four grades of severity:
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Baseline and Week 15
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Change From Baseline in Headache Impact Test
Time Frame: Baseline and Week 15
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The Headache Impact Test (HIT) is a tool used to measure the impact headaches have on patients' ability to function on the job, at school, at home and in social situations. HIT-6 consists of 6 questions each scored on a scale from Never (6 points) to Always (13 points). The total score ranges from 36 to 78 with higher scores indicating greater impact on life. There was an error in administration of the HIT-6 in this study. Question 6 was not administered, and question 3 from the MIDAS was included instead. Therefore, the total score of the HIT-6 could not be calculated. |
Baseline and Week 15
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Number of Participants With Adverse Events (AEs)
Time Frame: Up to 15 weeks
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An AE is any untoward medical occurrence in a clinical investigation participant and which does not necessarily have to have a causal relationship with this treatment or clinical study. The following definitions were used to assess AE severity: Mild: Awareness of signs or symptoms, but they are easily tolerated; Moderate: Enough discomfort to cause interference with usual activity; Severe: Incapacitating, with inability to perform usual activity. Relationship to study drug was assessed as either: None: Causal relationship can be ruled out; Possibly: Causal relationship at least reasonably possible, i.e. relationship cannot be ruled out; Definitely: Causal relationship is certain. A serious adverse event (SAE) is one that met any one of the following criteria:
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Up to 15 weeks
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Mean Number of Days of Bleeding or Spotting
Time Frame: 91-day treatment period
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Bleeding and spotting were recorded by participants in the migraine diary during the 91-day treatment period.
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91-day treatment period
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
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
- Migraine Disorders
- Headache
- Physiological Effects of Drugs
- Contraceptive Agents, Hormonal
- Reproductive Control Agents
- Contraceptive Agents, Female
- Contraceptives, Oral, Synthetic
- Levonorgestrel
- Contraceptive Agents
- Contraceptives, Oral
Other Study ID Numbers
- DR-105-201
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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