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A Study to Measure the Safety and Effectiveness of Zonisamide in Subjects With Migraine Headache

Primary Purpose

Migraine Headache

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
zonisamide
Sponsored by
Elan Pharmaceuticals
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Migraine Headache focused on measuring Migraine Headache, prophylaxis, AED, migraine prophylaxis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

INCLUSION: Subjects who meet all the following criteria will be eligible to participate in the study: Are men or women, between the ages of 18 and 65, inclusive. Satisfy diagnostic criteria for migraine headache, consistent with criteria described in Headache Classification Criteria. Have at least 4 migraine attacks per 28 days [each attack separated by at least 48 hours] prior to the Screening Visit and experience at least 4 migraine attacks during the Screen/Baseline Phase. Agree to not become pregnant during the study and agree to use an adequate method of birth control during the study such as an adequate barrier method, hormonal contraceptive, or surgical sterilization. All women of childbearing potential must have a negative pregnancy test before entering the study and during the study. Are able to swallow the capsules whole. Are willing and able to follow Investigator instructions and study procedures, complete the daily diary, and report adverse events. EXCLUSION: Subjects meeting any of the following criteria will not be eligible to participate in this study: Have required more than 3 different rescue medications for control of a single attack anytime within 3 months prior to the Screening Visit. Have cluster headache or chronic tension type headache and are unable to distinguish between their different types of headache. Have basilar or hemiplegic migraine. Have used triptans more than 3 times per week within 3 months prior to the Screening Visit. Have received botulinum toxin injection(s) within 3 months prior to the Screening Visit. Have taken any other prophylactic medications for migraine within 5 half-lives prior to the Baseline Visit. Are pregnant or lactating. Have a history or current diagnosis of psychiatric disorder likely to require pharmacological intervention (e.g., antidepressants, MAO inhibitors, antipsychotics, mood-stabilizers, anxiolytics) during the study. Have clinically unstable cardiovascular, hepatic, renal, gastrointestinal, pulmonary, metabolic, endocrine or other systemic disease. Have laboratory test results that, in the opinion of the Investigator, are clinically significant abnormalities. Require treatment with any medication (e.g., daily opioids, daily beta-blockers, daily non-steroidal anti-inflammatory drugs, carbonic anhydrase inhibitors, eletriptan) or herbal supplements (e.g., St. John's Wort, ginseng, ginkgo biloba, kava kava, melatonin, petadolex) that might interact adversely with, or obscure, the action of the study medication. Have received psychoactive medication (e.g., other anticonvulsant drugs, antidepressants, antipsychotics, anxiolytics, mood stabilizers) within 5 half-lives prior to the Baseline Visit. Have previously enrolled in this study or previously treated with zonisamide. Have previously failed an adequate trial of another antiepilepsy drug for the treatment of migraine. Have a history of allergy or hypersensitivity to zonisamide or other sulfonamides. Have a history of skin rash, without other diagnosis, associated with any medication or any medical condition. Have a history of nephrolithiasis. Have received an experimental drug or used an experimental device within 30 days of the Screening Visit. Have a history of drug or alcohol abuse within 12 months prior to the Screening Visit.

Sites / Locations

  • Medical Affiliated Research Center
  • University of South Alabama Medical Ctr Department of Neurology
  • Valley Neurological Headache Clinic
  • The New England Center for Headache
  • Radiant Research
  • Michigan Head-Pain & Neurological Institute
  • Mercy Health Research
  • Headache Care Center
  • Neurological Associates of Tulsa
  • Thomas Jefferson University Hospital
  • MetaClin Research
  • Houston Headache Clinic
  • Radiant Research

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
March 3, 2003
Last Updated
December 10, 2015
Sponsor
Elan Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00055484
Brief Title
A Study to Measure the Safety and Effectiveness of Zonisamide in Subjects With Migraine Headache
Official Title
A Double-Blind, Randomized, Multicenter, Parallel Dose Study to Evaluate the Safety and Efficacy of Zonisamide 150 mg and 300 mg Per Day and Placebo in Subjects With Migraine Headache
Study Type
Interventional

2. Study Status

Record Verification Date
December 2015
Overall Recruitment Status
Completed
Study Start Date
March 2002 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
May 2003 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Elan Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine if zonisamide is effective as a preventative medication for individuals with migraine headache.
Detailed Description
The pharmacologic treatment of migraine may be acute (abortive, symptomatic) or preventive (prophylactic). Preventive medication is usually given daily for months or years; however, treatment may also be given in an intermittent regimen. Most migraine prophylactic medications were designed to treat other disorders, and they can be divided into three groups: Serotonergic or monoaminergic agents such as methysergide, which have demonstrated high degrees of effectiveness; Non-serotonergic drugs such as beta-blockers, tricyclic antidepressants, valproate; and Drugs with lesser demonstrated effectiveness, such as selective serotonin reuptake inhibitors, calcium channel antagonists, and non-steroidal anti-inflammatory drugs. The choice of treatment must be individualized, and is influenced by contraindications, potential side effects, the need to treat associated symptoms like tension-type headache and insomnia, and drug cost. Anticonvulsants, such as valproate, have shown significant degrees of efficacy in migraine prophylaxis when used in low doses. Considering the differences in proposed mechanisms of action of these agents, it is likely that a novel anticonvulsant such as zonisamide may also be an effective prophylactic treatment for migraine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine Headache
Keywords
Migraine Headache, prophylaxis, AED, migraine prophylaxis

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
204 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
zonisamide

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
INCLUSION: Subjects who meet all the following criteria will be eligible to participate in the study: Are men or women, between the ages of 18 and 65, inclusive. Satisfy diagnostic criteria for migraine headache, consistent with criteria described in Headache Classification Criteria. Have at least 4 migraine attacks per 28 days [each attack separated by at least 48 hours] prior to the Screening Visit and experience at least 4 migraine attacks during the Screen/Baseline Phase. Agree to not become pregnant during the study and agree to use an adequate method of birth control during the study such as an adequate barrier method, hormonal contraceptive, or surgical sterilization. All women of childbearing potential must have a negative pregnancy test before entering the study and during the study. Are able to swallow the capsules whole. Are willing and able to follow Investigator instructions and study procedures, complete the daily diary, and report adverse events. EXCLUSION: Subjects meeting any of the following criteria will not be eligible to participate in this study: Have required more than 3 different rescue medications for control of a single attack anytime within 3 months prior to the Screening Visit. Have cluster headache or chronic tension type headache and are unable to distinguish between their different types of headache. Have basilar or hemiplegic migraine. Have used triptans more than 3 times per week within 3 months prior to the Screening Visit. Have received botulinum toxin injection(s) within 3 months prior to the Screening Visit. Have taken any other prophylactic medications for migraine within 5 half-lives prior to the Baseline Visit. Are pregnant or lactating. Have a history or current diagnosis of psychiatric disorder likely to require pharmacological intervention (e.g., antidepressants, MAO inhibitors, antipsychotics, mood-stabilizers, anxiolytics) during the study. Have clinically unstable cardiovascular, hepatic, renal, gastrointestinal, pulmonary, metabolic, endocrine or other systemic disease. Have laboratory test results that, in the opinion of the Investigator, are clinically significant abnormalities. Require treatment with any medication (e.g., daily opioids, daily beta-blockers, daily non-steroidal anti-inflammatory drugs, carbonic anhydrase inhibitors, eletriptan) or herbal supplements (e.g., St. John's Wort, ginseng, ginkgo biloba, kava kava, melatonin, petadolex) that might interact adversely with, or obscure, the action of the study medication. Have received psychoactive medication (e.g., other anticonvulsant drugs, antidepressants, antipsychotics, anxiolytics, mood stabilizers) within 5 half-lives prior to the Baseline Visit. Have previously enrolled in this study or previously treated with zonisamide. Have previously failed an adequate trial of another antiepilepsy drug for the treatment of migraine. Have a history of allergy or hypersensitivity to zonisamide or other sulfonamides. Have a history of skin rash, without other diagnosis, associated with any medication or any medical condition. Have a history of nephrolithiasis. Have received an experimental drug or used an experimental device within 30 days of the Screening Visit. Have a history of drug or alcohol abuse within 12 months prior to the Screening Visit.
Facility Information:
Facility Name
Medical Affiliated Research Center
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35801
Country
United States
Facility Name
University of South Alabama Medical Ctr Department of Neurology
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36693
Country
United States
Facility Name
Valley Neurological Headache Clinic
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85020
Country
United States
Facility Name
The New England Center for Headache
City
Stamford
State/Province
Connecticut
ZIP/Postal Code
06902
Country
United States
Facility Name
Radiant Research
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66215
Country
United States
Facility Name
Michigan Head-Pain & Neurological Institute
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48104
Country
United States
Facility Name
Mercy Health Research
City
Chesterfield
State/Province
Missouri
ZIP/Postal Code
63017
Country
United States
Facility Name
Headache Care Center
City
Springfield
State/Province
Missouri
ZIP/Postal Code
65804
Country
United States
Facility Name
Neurological Associates of Tulsa
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States
Facility Name
Thomas Jefferson University Hospital
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
MetaClin Research
City
Austin
State/Province
Texas
ZIP/Postal Code
19107
Country
United States
Facility Name
Houston Headache Clinic
City
Houston
State/Province
Texas
ZIP/Postal Code
77004
Country
United States
Facility Name
Radiant Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84111
Country
United States

12. IPD Sharing Statement

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A Study to Measure the Safety and Effectiveness of Zonisamide in Subjects With Migraine Headache

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