Trip-Tox, Effectiveness of Triptans Before and After Onabotulinumtoxin A Treatment in Chronic Migraine

October 1, 2021 updated by: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Trip-tox Study. Analysis of the Efficacy and Satisfaction of Symptomatic Treatment With Triptans in Patients With Chronic Migraine Undergoing onabotulinumtoxinA Treatment

Observational, longitudinal, prospective, prospective, comparative study of the effectiveness of triptans before and after onabotulintoxin A initiation in a single group of chronic migraine patients.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

Hypothesis In patients with chronic migraine the efficacy of triptans, previously taken by the patient for the migraine attack, is better and more satisfactory after starting treatment with onabotulinumtoxinA.

Objectives To analyze the efficacy and satisfaction of the triptan usually taken by the patient with chronic migraine before starting preventive treatment with onabotulinumtoxinA, at 4 months, after two sessions of Botox, and at 7 months of treatment, after three sessions of Botox.

Sample size n=100 patients with chronic migraine in whom treatment with onabotulinumtoxinA is indicated. The indication for Botox treatment will be performed as usual and the patient will take his usual triptan if he has a migraine attack, so there is no therapeutic modification in this study that could involve any bioethical issue.

All patients signed the informed consent and the study was approved by the Comitè d'Ètica de la Investigació amb Medicaments (CEIm) de l'Hospital de la Santa Creu i Sant Pau.

Study Type

Observational

Enrollment (Anticipated)

100

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Spain
      • Barcelona, Spain
        • Recruiting
        • Headache and Neuralgia Unit. Neurology Department. Hospital Santa Creu i Sant Pau
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

Patients who meet criteria for chronic migraine and have failed 2 or more oral preventive treatments (including topiramate) or have a contraindication to taking topiramate.

Description

Inclusion Criteria:

  • ICHD-3 criteria for chronic migraine (code 1.3). See Table 3.
  • Older than 18 years and younger than 65 years.
  • Migraine started in their lifetime before the age of 50 years.
  • Migraine of more than one year of evolution since diagnosis.
  • Normal cranial CT/MRI study.
  • Indication for treatment with Botox
  • Taking triptans as a rescue treatment for migraine attacks

Exclusion Criteria:

  • Pregnant women
  • Migraine of less than one year of evolution since diagnosis.
  • Pathologies that contraindicate the use of OnabotulinumtoxinA (myasthenia gravis, myopathies).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Prospective

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Patients with chronic migraine
In the same group of patients, the response to triptans will be analyzed at 3 different times with respect to the start of treatment with onabotulinumtoxinA: before treatment, after 4 months and after 7 months of treatment.
Drug: OnabotulinumtoxinA
To compare the effectiveness of triptans before and after initiation of treatment with OnabotuliumtoxinA.
Other Names:
  • Triptans

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change efficacy (Pain free at two hours )
Time Frame: From baseline to 4 months
Percentage of patients who are completely free of pain after two hours of ingestion of their usual triptan.
From baseline to 4 months
Change efficacy (Pain free at two hours )
Time Frame: From baseline to 7 months
Percentage of patients who are completely free of pain after two hours of ingestion of their usual triptan.
From baseline to 7 months
Satisfaction (Likert scale 1-5)
Time Frame: From baseline to 4 months
Satisfaction of treatment with triptans before and after treatment with OnabotulinumtoxinA
From baseline to 4 months
Satisfaction (Likert scale 1-5)
Time Frame: From baseline to 7 months
Satisfaction of treatment with triptans before and after treatment with OnabotulinumtoxinA
From baseline to 7 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pain free at one hour
Time Frame: 4 and 7 months
Percentage of patients who are completely free of pain after one hour of ingestion of their usual triptan.
4 and 7 months
Sustained pain-free
Time Frame: 4 and 7 months
Percentage of patients who achieve pain-free at two hours and do not require rescue medication within 24-48 hours.
4 and 7 months
Headache relapse
Time Frame: 4 and 7 months
Percentage of patients experiencing recurrence of pain within 48 h on triptans with long half-life or 24 h on triptans with short half-life.
4 and 7 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Investigators

  • Principal Investigator: Robert Belvís, PhD, Fundació de Gestió Sanitària de l'Hospital de la Santa Creu i Sant Pau

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 25, 2021

Primary Completion (Anticipated)

September 25, 2022

Study Completion (Anticipated)

September 25, 2022

Study Registration Dates

First Submitted

April 23, 2021

First Submitted That Met QC Criteria

April 28, 2021

First Posted (Actual)

May 4, 2021

Study Record Updates

Last Update Posted (Actual)

October 4, 2021

Last Update Submitted That Met QC Criteria

October 1, 2021

Last Verified

October 1, 2021

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IIBSP-TOX-2020-67

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

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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