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A Study to Evaluate the Efficacy and Tolerability of Rizatriptan for Treatment of Acute Migraine (0462-087)

Primary Purpose

Acute Migraine

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
rizatriptan
Comparator: Placebo
Comparator: Sumatriptan
Sponsored by
Organon and Co
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Migraine focused on measuring Treatment of acute migraine with or without aura in adults

Eligibility Criteria

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

Inclusion Criteria:

  • Patient has a history of migraine with or without aura for 1 year or more with 2-8 moderate or severe migraine attacks per month
  • Patient generally does not respond to treatment with sumatriptan
  • Patient of reproductive potential agrees to remain abstinent or use one method of highly effective birth control (i.e. IUD, condoms, hormonal contraceptive, diaphragm, vasectomy) for the duration of the study
  • Patient is able to complete paper diary

Exclusion Criteria:

  • Patient is pregnant or breast feeding or excepts to become pregnant during the study
  • Patient has history of mild migraine attacks or migraines that usually resolve spontaneously in less than 2 hours
  • Patient has basilar or hemiplegic migraines
  • Patient is unable to distinguish between migraine attacks from other types of headaches
  • Patient has more than 15 headache-days per month
  • Patient was greater than 50 years old at age of migraine onset
  • Patient has failed to respond to 3 or more triptans
  • Patient has a repeated history of failing to respond to or tolerate rizatriptan
  • Patient uses opioids as primary migraine therapy
  • Patient uses daily opioids
  • Patient has a history of Cerebrovascular Accident (CVA) or other significant cardiovascular disease
  • Patient has uncontrolled hypertension
  • Patient has a history of neoplastic disease
  • Patient is taking a serotonin reuptake inhibitor (SSRI or SNRI) where the dose has changed 3 months prior to screening
  • Patient has a history of drug or alcohol abuse

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Other

    Arm Label

    Treatment Sequence A

    Treatment Sequence B

    Treatment Sequence C

    Baseline Phase

    Arm Description

    Rizatriptan - Rizatriptan - Placebo

    Rizatriptan - Placebo - Rizatriptan

    Placebo - Rizatriptan - Rizatriptan

    Sumatriptan

    Outcomes

    Primary Outcome Measures

    Pain Relief (PR)
    Pain severity was rated by the participants in a paper diary. Pain severity rating scale: 0 (no pain), 1 (mild pain), 2 (moderate pain), or 3 (severe pain). Pain relief (PR) is defined as a reduction in headache severity from Grade 3/2 at baseline to Grade 1/0 post dose.

    Secondary Outcome Measures

    Pain Freedom (PF)
    Headache pain severity, relative to the administration of study medication, was rated by the participants in a paper diary. Pain severity rating scale: 0 (no pain), 1 (mild pain), 2 (moderate pain), or 3 (severe pain). Pain freedom (PF) is defined as a reduction in headache severity from Grade 3/2 at baseline to Grade 0 (no pain) post dose.

    Full Information

    First Posted
    May 5, 2009
    Last Updated
    February 1, 2022
    Sponsor
    Organon and Co
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00894556
    Brief Title
    A Study to Evaluate the Efficacy and Tolerability of Rizatriptan for Treatment of Acute Migraine (0462-087)
    Official Title
    A Multicenter, Randomized, Double-Blind, Placebo-Controlled Crossover Trial to Evaluate the Efficacy and Tolerability of Rizatriptan 10 mg for the Treatment of Acute Migraine in Sumatriptan Non-Responders
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2022
    Overall Recruitment Status
    Completed
    Study Start Date
    June 10, 2009 (Actual)
    Primary Completion Date
    January 12, 2010 (Actual)
    Study Completion Date
    January 12, 2010 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Organon and Co

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    A study to provide evidence supporting the benefit of Rizatriptan in patients who have an inadequate response to sumatriptan.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Acute Migraine
    Keywords
    Treatment of acute migraine with or without aura in adults

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Crossover Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    109 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Treatment Sequence A
    Arm Type
    Experimental
    Arm Description
    Rizatriptan - Rizatriptan - Placebo
    Arm Title
    Treatment Sequence B
    Arm Type
    Experimental
    Arm Description
    Rizatriptan - Placebo - Rizatriptan
    Arm Title
    Treatment Sequence C
    Arm Type
    Experimental
    Arm Description
    Placebo - Rizatriptan - Rizatriptan
    Arm Title
    Baseline Phase
    Arm Type
    Other
    Arm Description
    Sumatriptan
    Intervention Type
    Drug
    Intervention Name(s)
    rizatriptan
    Intervention Description
    Single dose of 10 mg orally disintegrating tablet at onset of migraine attack
    Intervention Type
    Drug
    Intervention Name(s)
    Comparator: Placebo
    Intervention Description
    Placebo to Rizatriptan
    Intervention Type
    Drug
    Intervention Name(s)
    Comparator: Sumatriptan
    Intervention Description
    single dose of generic sumatriptan 100 mg at onset of migraine attack
    Primary Outcome Measure Information:
    Title
    Pain Relief (PR)
    Description
    Pain severity was rated by the participants in a paper diary. Pain severity rating scale: 0 (no pain), 1 (mild pain), 2 (moderate pain), or 3 (severe pain). Pain relief (PR) is defined as a reduction in headache severity from Grade 3/2 at baseline to Grade 1/0 post dose.
    Time Frame
    2 hours post dose
    Secondary Outcome Measure Information:
    Title
    Pain Freedom (PF)
    Description
    Headache pain severity, relative to the administration of study medication, was rated by the participants in a paper diary. Pain severity rating scale: 0 (no pain), 1 (mild pain), 2 (moderate pain), or 3 (severe pain). Pain freedom (PF) is defined as a reduction in headache severity from Grade 3/2 at baseline to Grade 0 (no pain) post dose.
    Time Frame
    2 hours post dose

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patient has a history of migraine with or without aura for 1 year or more with 2-8 moderate or severe migraine attacks per month Patient generally does not respond to treatment with sumatriptan Patient of reproductive potential agrees to remain abstinent or use one method of highly effective birth control (i.e. IUD, condoms, hormonal contraceptive, diaphragm, vasectomy) for the duration of the study Patient is able to complete paper diary Exclusion Criteria: Patient is pregnant or breast feeding or excepts to become pregnant during the study Patient has history of mild migraine attacks or migraines that usually resolve spontaneously in less than 2 hours Patient has basilar or hemiplegic migraines Patient is unable to distinguish between migraine attacks from other types of headaches Patient has more than 15 headache-days per month Patient was greater than 50 years old at age of migraine onset Patient has failed to respond to 3 or more triptans Patient has a repeated history of failing to respond to or tolerate rizatriptan Patient uses opioids as primary migraine therapy Patient uses daily opioids Patient has a history of Cerebrovascular Accident (CVA) or other significant cardiovascular disease Patient has uncontrolled hypertension Patient has a history of neoplastic disease Patient is taking a serotonin reuptake inhibitor (SSRI or SNRI) where the dose has changed 3 months prior to screening Patient has a history of drug or alcohol abuse
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf http://engagezone.msd.com/ds_documentation.php
    Citations:
    PubMed Identifier
    21078681
    Citation
    Seeburger JL, Taylor FR, Friedman D, Newman L, Ge Y, Zhang Y, Hustad CM, Lasorda J, Fan X, Hewitt D, Ho T, Connor KM. Efficacy and tolerability of rizatriptan for the treatment of acute migraine in sumatriptan non-responders. Cephalalgia. 2011 May;31(7):786-96. doi: 10.1177/0333102410390399. Epub 2010 Nov 15.
    Results Reference
    result

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    A Study to Evaluate the Efficacy and Tolerability of Rizatriptan for Treatment of Acute Migraine (0462-087)

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