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The Effect of Nasal Carbon Dioxide (CO2) in the Treatment of Mild Headache in People Who Experience Migraines

Primary Purpose

Migraine

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Nasal CO2
Inactive Placebo
Sponsored by
Capnia, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine focused on measuring Nasal CO2, Phase II, Adaptive, Randomized, Double-Blind, Placebo-Controlled, Multiple-Dose, Multi-center, Safety, Efficacy, Mild Headache, Migraineur

Eligibility Criteria

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

Inclusion Criteria:

  • Able to read and understand informed consent form and voluntarily consent to participate in this study by signing the IRB-approved informed consent form
  • Established diagnosis of migraine with or without aura per ICHD-II (patients with a diagnosis of only menstrual migraine are not eligible)
  • History of 2-8 migraine attacks per month during the 3 months prior to randomization
  • Have a typical migraine which progresses from a distinct mild headache to a moderate or severe migraine
  • Able to recognize a mild headache that could develop into a moderate or severe migraine

Exclusion Criteria:

  • Have less than 48 hours of freedom from headache between attacks of migraine
  • Have 15 or more headache days per month
  • Are females who are pregnant or lactating
  • Use antipsychotic or antidepressant medications (unless only for migraine prophylaxis) within 12 weeks prior to randomization and for the duration of the study
  • Have a concurrent diagnosis of TMD or trigeminal neuralgia requiring treatment
  • Clinically significant deviated septum, nasal polyps or other nasal condition that prevents unrestricted breathing through each nostril
  • Have participated in another study with nasal CO2

Sites / Locations

  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site
  • Capnia Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1

2

Arm Description

Nasal CO2

Inactive Placebo

Outcomes

Primary Outcome Measures

The proportion of patients who are pain-free

Secondary Outcome Measures

Full Information

First Posted
June 3, 2008
Last Updated
August 6, 2012
Sponsor
Capnia, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00690716
Brief Title
The Effect of Nasal Carbon Dioxide (CO2) in the Treatment of Mild Headache in People Who Experience Migraines
Official Title
A Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Safety and Efficacy of Nasal Carbon Dioxide in the Treatment of Mild Headache in Migraineurs
Study Type
Interventional

2. Study Status

Record Verification Date
August 2012
Overall Recruitment Status
Completed
Study Start Date
August 2008 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
June 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Capnia, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and effect of nasal carbon dioxide in the treatment of mild headaches in people who have migraines.
Detailed Description
This multi-center, adaptively randomized, double-blind, placebo-controlled trial will evaluate the efficacy and safety of a nasal, non-inhaled administration of carbon dioxide (CO2) in the treatment of mild headaches. An estimated 250 patients who meet the eligibility criteria will be enrolled into this study at approximately 15 sites to ensure that about 220 patients are randomized and complete the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine
Keywords
Nasal CO2, Phase II, Adaptive, Randomized, Double-Blind, Placebo-Controlled, Multiple-Dose, Multi-center, Safety, Efficacy, Mild Headache, Migraineur

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Nasal CO2
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
Inactive Placebo
Intervention Type
Drug
Intervention Name(s)
Nasal CO2
Intervention Description
Adaptive Randomization to a Dosing Regimen for Treatment of a Qualifying Headache
Intervention Type
Drug
Intervention Name(s)
Inactive Placebo
Intervention Description
Adaptive Randomization to a Dosing Regimen for Treatment of a Qualifying Headache
Primary Outcome Measure Information:
Title
The proportion of patients who are pain-free
Time Frame
2 hours post study drug administration

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: Able to read and understand informed consent form and voluntarily consent to participate in this study by signing the IRB-approved informed consent form Established diagnosis of migraine with or without aura per ICHD-II (patients with a diagnosis of only menstrual migraine are not eligible) History of 2-8 migraine attacks per month during the 3 months prior to randomization Have a typical migraine which progresses from a distinct mild headache to a moderate or severe migraine Able to recognize a mild headache that could develop into a moderate or severe migraine Exclusion Criteria: Have less than 48 hours of freedom from headache between attacks of migraine Have 15 or more headache days per month Are females who are pregnant or lactating Use antipsychotic or antidepressant medications (unless only for migraine prophylaxis) within 12 weeks prior to randomization and for the duration of the study Have a concurrent diagnosis of TMD or trigeminal neuralgia requiring treatment Clinically significant deviated septum, nasal polyps or other nasal condition that prevents unrestricted breathing through each nostril Have participated in another study with nasal CO2
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Roger K. Cady, MD
Organizational Affiliation
Clinvest
Official's Role
Study Chair
Facility Information:
Facility Name
Capnia Investigative Site
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233
Country
United States
Facility Name
Capnia Investigative Site
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Capnia Investigative Site
City
East Hartford
State/Province
Connecticut
ZIP/Postal Code
06118
Country
United States
Facility Name
Capnia Investigative Site
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33407
Country
United States
Facility Name
Capnia Investigative Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60647
Country
United States
Facility Name
Capnia Investigative Site
City
North Dartmouth
State/Province
Massachusetts
ZIP/Postal Code
02747
Country
United States
Facility Name
Capnia Investigative Site
City
Wellesley Hills
State/Province
Massachusetts
ZIP/Postal Code
02481
Country
United States
Facility Name
Capnia Investigative Site
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48104
Country
United States
Facility Name
Capnia Investigative Site
City
Kalamazoo
State/Province
Michigan
ZIP/Postal Code
49009
Country
United States
Facility Name
Capnia Investigative Site
City
Springfield
State/Province
Missouri
ZIP/Postal Code
65807
Country
United States
Facility Name
Capnia Investigative Site
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Capnia Investigative Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Capnia Investigative Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Capnia Investigative Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Capnia Investigative Site
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States

12. IPD Sharing Statement

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The Effect of Nasal Carbon Dioxide (CO2) in the Treatment of Mild Headache in People Who Experience Migraines

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