- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT04871152
Trip-Tox, Effectiveness of Triptans Before and After Onabotulinumtoxin A Treatment in Chronic Migraine
Trip-tox Study. Analysis of the Efficacy and Satisfaction of Symptomatic Treatment With Triptans in Patients With Chronic Migraine Undergoing onabotulinumtoxinA Treatment
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Registrering (Forventet)
Kontakter og plasseringer
Studiekontakt
- Navn: Robert Belvís, PhD
- Telefonnummer: +34 93 291 90 00
- E-post: rbelvis@santpau.cat
Studiesteder
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Barcelona, Spania
- Rekruttering
- Headache and Neuralgia Unit. Neurology Department. Hospital Santa Creu i Sant Pau
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Ta kontakt med:
- Robert Belvís, PhD
- Telefonnummer: +34 93 291 90 00
- E-post: rbelvis@santpau.cat
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Prøvetakingsmetode
Studiepopulasjon
Beskrivelse
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).
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Observasjonsmodeller: Kohort
- Tidsperspektiver: Potensielle
Kohorter og intervensjoner
Gruppe / Kohort |
Intervensjon / Behandling |
|---|---|
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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.
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To compare the effectiveness of triptans before and after initiation of treatment with OnabotuliumtoxinA.
Andre navn:
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Change efficacy (Pain free at two hours )
Tidsramme: From baseline to 4 months
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Percentage of patients who are completely free of pain after two hours of ingestion of their usual triptan.
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From baseline to 4 months
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Change efficacy (Pain free at two hours )
Tidsramme: From baseline to 7 months
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Percentage of patients who are completely free of pain after two hours of ingestion of their usual triptan.
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From baseline to 7 months
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Satisfaction (Likert scale 1-5)
Tidsramme: From baseline to 4 months
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Satisfaction of treatment with triptans before and after treatment with OnabotulinumtoxinA
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From baseline to 4 months
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Satisfaction (Likert scale 1-5)
Tidsramme: From baseline to 7 months
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Satisfaction of treatment with triptans before and after treatment with OnabotulinumtoxinA
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From baseline to 7 months
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Pain free at one hour
Tidsramme: 4 and 7 months
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Percentage of patients who are completely free of pain after one hour of ingestion of their usual triptan.
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4 and 7 months
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Sustained pain-free
Tidsramme: 4 and 7 months
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Percentage of patients who achieve pain-free at two hours and do not require rescue medication within 24-48 hours.
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4 and 7 months
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Headache relapse
Tidsramme: 4 and 7 months
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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.
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4 and 7 months
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Samarbeidspartnere og etterforskere
Etterforskere
- Hovedetterforsker: Robert Belvís, PhD, Fundació de Gestió Sanitària de l'Hospital de la Santa Creu i Sant Pau
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Forventet)
Studiet fullført (Forventet)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Hjernesykdommer
- Sykdommer i sentralnervesystemet
- Sykdommer i nervesystemet
- Hodepinelidelser, Primær
- Hodepine lidelser
- Migrene lidelser
- Fysiologiske effekter av legemidler
- Nevrotransmittere agenter
- Molekylære mekanismer for farmakologisk virkning
- Agenter fra det perifere nervesystemet
- Kolinerge midler
- Membrantransportmodulatorer
- Acetylkolinfrigjøringshemmere
- Nevromuskulære midler
- Botulinumtoksiner, type A
- abobotulinumtoksinA
Andre studie-ID-numre
- IIBSP-TOX-2020-67
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