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Comparing the Safety and Effectiveness of Topiramate With the Safety and Effectiveness of Amitriptyline in Preventing Migraine Headaches

Primary Purpose

Migraine, Headache

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
topiramate
Sponsored by
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Migraine focused on measuring migraine, headache, analgesics, prophylaxis, prevention

Eligibility Criteria

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

Inclusion Criteria: Migraine headache for at least 6 months, with 3 to 12 headaches a month for the previous 3 months no more than 15 headache days in the previous month before study start no heart rhythm problems or neurologic problems women must not be pregnant and must use birth control Exclusion Criteria: Cannot have failed at least 2 previous trials of migraine prevention drugs cannot have failed a previous trial of topiramate or amitriptyline no cluster headaches no migraine with aura without headache no pain that is worse than the migraine pain

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Change from baseline in the average monthly migraine episode rate.

    Secondary Outcome Measures

    Change in average monthly rate of days with migraine headache; change in average monthly rate of headache (migraine & non-migraine) days; change in average monthly rate of acute abortive medications; weight changes; quality of life assessments

    Full Information

    First Posted
    September 13, 2005
    Last Updated
    June 8, 2011
    Sponsor
    Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
    Collaborators
    Ortho-McNeil Neurologics, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00210821
    Brief Title
    Comparing the Safety and Effectiveness of Topiramate With the Safety and Effectiveness of Amitriptyline in Preventing Migraine Headaches
    Official Title
    A Comparison of Topiramate Versus Amitriptyline in Migraine Prophylaxis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2010
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2004 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    November 2005 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
    Collaborators
    Ortho-McNeil Neurologics, Inc.

    4. Oversight

    5. Study Description

    Brief Summary
    The purpose of this study is to compare the effectiveness and safety of two treatment regimens in preventing migraines. The antidepressant amitriptyline has been used successfully to prevent migraine headaches.
    Detailed Description
    People who suffer from migraines have many prescription medications to choose from, both to treat the migraine and to prevent it from starting. However, many patients have not had success in finding the drug that helps them best. Amitriptyline, an antidepressant, has been used successfully for many years to prevent migraine headaches. This study will compare the effectiveness of amitriptyline with the effectiveness of topiramate, an anti-seizure drug, in preventing migraines. The safety of both drugs will also be assessed. The objective of the study is to demonstrate that topiramate will be at least as effective as amitriptyline in preventing migraines. During the first 4 weeks of the study, topiramate or amitriptyline will be increased by 25 mg per week up to a total dose of 100 mg per day or up to the maximum tolerated dose, whichever is less. Treatment will continue at 100 mg per day for 22 weeks.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    Double
    Allocation
    Randomized
    Enrollment
    347 (Actual)

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    topiramate
    Primary Outcome Measure Information:
    Title
    Change from baseline in the average monthly migraine episode rate.
    Secondary Outcome Measure Information:
    Title
    Change in average monthly rate of days with migraine headache; change in average monthly rate of headache (migraine & non-migraine) days; change in average monthly rate of acute abortive medications; weight changes; quality of life assessments

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Migraine headache for at least 6 months, with 3 to 12 headaches a month for the previous 3 months no more than 15 headache days in the previous month before study start no heart rhythm problems or neurologic problems women must not be pregnant and must use birth control Exclusion Criteria: Cannot have failed at least 2 previous trials of migraine prevention drugs cannot have failed a previous trial of topiramate or amitriptyline no cluster headaches no migraine with aura without headache no pain that is worse than the migraine pain
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Johnson & Johnson Pharmaceutical Research & Development, L.L. C. Clinical Trial
    Organizational Affiliation
    Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Links:
    URL
    http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_JNJ_6051&studyid=617&filename=CR004666_CSR.pdf
    Description
    Comparison of Topiramate Versus Amitriptyline in Migraine Prophylaxis

    Learn more about this trial

    Comparing the Safety and Effectiveness of Topiramate With the Safety and Effectiveness of Amitriptyline in Preventing Migraine Headaches

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