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Study to Assess the Safety, Tolerance and Efficacy of Tezampanel in Patients With Acute Migraine

Primary Purpose

Migraine

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
TEZAMPANEL
Sponsored by
TorreyPines Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine focused on measuring Migraine

Eligibility Criteria

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

Inclusion Criteria:

  • Patients who meet all of the following inclusion criteria at screening should be considered for admission to the study:

    1. Males and females aged 18 to 65 years, inclusive.

      a. Females of childbearing potential must not be at risk for pregnancy during the study.

    2. Patients must meet IHS diagnostic criteria for migraine, with or without aura.
    3. Patients should have a history of 1 to 6 acute migraine headache attacks per month and 1 migraine headache within the past 30 days.
    4. Patients should have at least a 1-year history of migraine headaches.
    5. Patients should have been ≤ 50 years of age at initial migraine onset.
    6. Patients must be able to distinguish migraine headaches as discreet headaches from other headaches, such as tension-type headaches. Additionally, patients should experience at least 48 hours of freedom from headaches between migraine attacks.
    7. Patients must have a complete medical history (including headache history), ECG, and a PE at screening including formal assessments of visual acuity (Snellen chart) and visual field integrity visit.
    8. Patients must be able to comprehend and satisfactorily comply with the protocol requirements, in the opinion of the investigator.

Exclusion Criteria:

  • Patients who meet any of the following exclusion criteria at screening will not be eligible for participation in the study.

    1. Patients who also suffer from concomitant frequent, non-migraine headaches ≥6 days/month or who suffer frequent migraine as defined by an average of >6 attacks per month.
    2. Patients who fail to present with a migraine attack for treatment within 30 days of screening.
    3. Patients who have menstrual migraines: migraine attacks occur from days -2 through +3 (Day 1 is the first day of menstruation) of the menses but do not occur the rest of the month.
    4. Patients who have clinically significant active or unstable systemic, renal, hepatic, gastrointestinal, neurological, endocrine, metabolic, or psychiatric disease as determined by medical history and physical examination. Patients who are breast-feeding are excluded. Patients with a history of cardiovascular illness, such as ischemic stroke, ischemic heart disease, Prinzmetal's angina, and hypertension are excluded.
    5. Patients who have received any experimental drugs within one month prior to and one month subsequent to screening.
    6. Patients who have taken a MAOI within 14 days prior to randomization
    7. Patients who are allergic or have shown hypersensitivity to compounds with similar pharmacology to TEZAMPANEL.
    8. Patients who have met the DSM-IV-TR criteria for any significant psychoactive substance use disorder (abuse, dependence, and/or withdrawal) within the past 90 days.
    9. Patients who have a clinically significant abnormal laboratory test result at screening.
    10. Patients who have a clinically notable vital sign abnormality at screening.
    11. Patients will be excluded if 2 consecutive urine drug screenings are positive.
    12. Patients will be excluded if there is evidence of a visual field disturbance.
    13. Patients who have participated in a previous TEZAMPANEL (NGX424 or LY293558) study.

Sites / Locations

  • National Headache Centers

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

A

B

C

D

Arm Description

Outcomes

Primary Outcome Measures

Headache pain intensity, associated symptoms, functional response questionnaires, time to meaningful pain relief.

Secondary Outcome Measures

Full Information

First Posted
December 3, 2007
Last Updated
December 3, 2007
Sponsor
TorreyPines Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT00567086
Brief Title
Study to Assess the Safety, Tolerance and Efficacy of Tezampanel in Patients With Acute Migraine
Official Title
A Double-Blind, Placebo-Controlled, Parallel Group Multicenter Study to Assess the Safety, Tolerance and Efficacy of a Single Subcutaneous Dose of TEZAMPANEL in Patients With Acute Migraine
Study Type
Interventional

2. Study Status

Record Verification Date
December 2007
Overall Recruitment Status
Completed
Study Start Date
October 2006 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
August 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
TorreyPines Therapeutics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the effects of a single sc administration of TEZAMPANEL at one of three different dosage levels compared to placebo, employing traditional measures of efficacy and safety in the treatment of a single episode of acute migraine.
Detailed Description
Primary: • Headache relief (headache response) defined as the percentage of patients in each treatment group who experience a decrease in pain from moderate or severe intensity pre-dose (baseline) to mild or no pain 2 hours after study drug administration and prior to use of rescue medication. Secondary: Percentage of patients in each treatment group who are pain-free two hours after study drug administration, prior to the use of any rescue medication Sustained headache response rate (percentage of patients in each treatment group with headache response at Hour 2 and no rescue medication or headache recurrence from 2 through 24 hours) Sustained pain-free rate (percentage of patients in each treatment group who are pain free at Hour 2 with no rescue medication or headache recurrence from 2 through 48 hours) Recurrence rate (percentage of patients in each treatment group with an Hour 2 mild response or pain-free response who subsequently develop a headache rated as moderate to severe in intensity within 2 to 24 hours) Relapse rate (percentage of patients in each treatment group with an Hour 2 pain free response who subsequently develop a headache rated as moderate to severe in intensity within 2 to 48 hours

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine
Keywords
Migraine

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
306 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Placebo Comparator
Arm Title
B
Arm Type
Experimental
Arm Title
C
Arm Type
Experimental
Arm Title
D
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
TEZAMPANEL
Other Intervention Name(s)
NGX424MIG2001
Intervention Description
Single Administration of: TEZAMPANEL 40 mg; TEZAMPANEL 70 mg; TEZAMPANEL 100 mg; Placebo (Sterile Water for Injection)
Primary Outcome Measure Information:
Title
Headache pain intensity, associated symptoms, functional response questionnaires, time to meaningful pain relief.
Time Frame
4 Hours

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 Criteria: Patients who meet all of the following inclusion criteria at screening should be considered for admission to the study: Males and females aged 18 to 65 years, inclusive. a. Females of childbearing potential must not be at risk for pregnancy during the study. Patients must meet IHS diagnostic criteria for migraine, with or without aura. Patients should have a history of 1 to 6 acute migraine headache attacks per month and 1 migraine headache within the past 30 days. Patients should have at least a 1-year history of migraine headaches. Patients should have been ≤ 50 years of age at initial migraine onset. Patients must be able to distinguish migraine headaches as discreet headaches from other headaches, such as tension-type headaches. Additionally, patients should experience at least 48 hours of freedom from headaches between migraine attacks. Patients must have a complete medical history (including headache history), ECG, and a PE at screening including formal assessments of visual acuity (Snellen chart) and visual field integrity visit. Patients must be able to comprehend and satisfactorily comply with the protocol requirements, in the opinion of the investigator. Exclusion Criteria: Patients who meet any of the following exclusion criteria at screening will not be eligible for participation in the study. Patients who also suffer from concomitant frequent, non-migraine headaches ≥6 days/month or who suffer frequent migraine as defined by an average of >6 attacks per month. Patients who fail to present with a migraine attack for treatment within 30 days of screening. Patients who have menstrual migraines: migraine attacks occur from days -2 through +3 (Day 1 is the first day of menstruation) of the menses but do not occur the rest of the month. Patients who have clinically significant active or unstable systemic, renal, hepatic, gastrointestinal, neurological, endocrine, metabolic, or psychiatric disease as determined by medical history and physical examination. Patients who are breast-feeding are excluded. Patients with a history of cardiovascular illness, such as ischemic stroke, ischemic heart disease, Prinzmetal's angina, and hypertension are excluded. Patients who have received any experimental drugs within one month prior to and one month subsequent to screening. Patients who have taken a MAOI within 14 days prior to randomization Patients who are allergic or have shown hypersensitivity to compounds with similar pharmacology to TEZAMPANEL. Patients who have met the DSM-IV-TR criteria for any significant psychoactive substance use disorder (abuse, dependence, and/or withdrawal) within the past 90 days. Patients who have a clinically significant abnormal laboratory test result at screening. Patients who have a clinically notable vital sign abnormality at screening. Patients will be excluded if 2 consecutive urine drug screenings are positive. Patients will be excluded if there is evidence of a visual field disturbance. Patients who have participated in a previous TEZAMPANEL (NGX424 or LY293558) study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael F. Murphy, M.D., Ph.D.
Organizational Affiliation
TorreyPines Therapeutics
Official's Role
Study Chair
Facility Information:
Facility Name
National Headache Centers
City
San Francisco
State/Province
California
ZIP/Postal Code
64109
Country
United States

12. IPD Sharing Statement

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Study to Assess the Safety, Tolerance and Efficacy of Tezampanel in Patients With Acute Migraine

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