Study to Evaluate the PK of BMS-927711 in Patient With Migraine During Acute Migraine and Non-migraine Condition
Primary Purpose
Migraine
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BMS-927711 (CGRP Antagonist)
BMS-927711 (CGRP Antagonist)
Sponsored by
About this trial
This is an interventional treatment trial for Migraine
Eligibility Criteria
Inclusion Criteria:
- Patients with migraine with or without aura who are otherwise healthy as determined by medical history, physical examination, clinical laboratory evaluations and 12-lead electrocardiogram (ECG), will be eligible
- Men or women [women of childbearing potential (WOCBP) or Women of non childbearing potential (WONCBP)] ages 18-55 years inclusive, with a body mass index (BMI) of 18.0 to 32.0 kg/m2 with not more than 8 migraines a month
Patient has at least 1 year history of migraines (with or without aura) including the following:
- Meet the diagnostic criteria for migraine with history of at least 1 year (with or without aura) at the screening visit
- Migraine attacks with the age of onset prior to 55 years old
- Migraine attacks, on average, lasts about 4-72 hours if untreated in the 3 months prior to screening visit
- 2-8 moderate or severe migraine attacks per month in the 3 months prior to screening visit. The migraine, for which the patient receives treatment during the study, must have at least one of the associated symptoms: nausea, photophobia, phonophobia, or migraine with aura
Exclusion Criteria:
- Female patient is pregnant/breast-feeding (or is a female expecting to conceive during study period)
- Patient has history or evidence of stroke/transient ischemic attacks, heart disease, coronary artery vasospasm, other significant underlying cardiovascular diseases, uncontrolled hypertension (high blood pressure), uncontrolled diabetes, or Human Immunodeficiency Virus (HIV)
- Patient will be excluded if they take medications for acute migraine more than 10 days per month, had very frequent chronic tension type headaches for 15 or more days per month (or were unable to distinguish between tension-type headaches and migraine)
- Patient has major depression, other pain syndromes that might interfere with study assessments, psychiatric conditions, dementia, or significant neurological disorders (other than migraine)
- Patient has a history of gastric, or small intestinal surgery, or has a disease that causes mal absorption
- Patient has a history or current evidence of any unstable medical conditions (eg, history of congenital heart disease or arrhythmia, known suspected infection, hepatitis B or C, or cancer) that, in the investigator's opinion, would expose them to undue risk of a significant adverse event (AE) or interfere with assessments of safety or efficacy during the course of the trial
- Patient has basilar migraine and hemiplegic migraine
- Patient taking narcotic medication
- History of alcohol, substance or drug abuse within the last year
- Uses an opiate as first line acute treatment for migraine attacks
- History of ergotamine, any acute therapy or triptan intake on greater than/equal 10 days per month on a regular basis for greater than/equal 3 months
- History of simple analgesic intake on greater than/equal 10 days per month for greater than/equal 3 months
- History of use of opioid or combination medication intake or butalbital containing analgesic greater than 5 days per month for greater than/equal to 3 months
- Do not receive migraine relief from a triptan migraine treatment
- Evidence of renal impairment - calculated creatinine clearance <60ml/min or clinically relevant finding on urinalysis
Sites / Locations
- California Clinical Trials Medical Group
- Collaborative Neuroscience Network, Inc.
- Compass Research, Llc
- Community Research
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
Arm 1: BMS-927711 (300 mg)
Arm 2: BMS-927711 (600 mg)
Arm Description
Outcomes
Primary Outcome Measures
Maximum observed plasma concentration (Cmax) of BMS-927711 will be derived from plasma concentration versus time
Time of maximum observed plasma concentration (Tmax) of BMS-927711 will be derived from plasma concentration versus time
Area under the plasma concentration-time curve from time zero to 24 hours post dose [AUC(0-24)] of BMS-927711 will be derived from plasma concentration versus time
Observed plasma concentration at 0.5 hr (C0.5h) of BMS-927711 will be derived from plasma concentration versus time
Observed plasma concentration at 2h (C2h) of BMS-927711 will be derived from plasma concentration versus time
Apparent total body clearance (CLT/F) of BMS-927711 will be derived from plasma concentration versus time
Secondary Outcome Measures
Maximum observed plasma concentration (Cmax) will be derived from plasma concentration versus time
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Time of maximum observed plasma concentration (Tmax) will be derived from plasma concentration versus time
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Area under the plasma concentration-time curve from time zero to 24 hours post dose [AUC (0-24)] will be derived from plasma concentration versus time
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Observed plasma concentration at 0.5 hr (C0.5h) will be derived from plasma concentration versus time
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Observed plasma concentration at 2 hr (C2h) will be derived from plasma concentration versus time
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Apparent total body clearance (CLT/F) will be derived from plasma concentration versus time
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01445067
Brief Title
Study to Evaluate the PK of BMS-927711 in Patient With Migraine During Acute Migraine and Non-migraine Condition
Official Title
Phase I, Open-Label, Randomized, Single Sequence Study With Two Dose Groups to Compare the Pharmacokinetics of BMS-927711 in Migraine Subjects During an Acute Migraine Attack and During Non-Migraine Period
Study Type
Interventional
2. Study Status
Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
November 2011 (undefined)
Primary Completion Date
September 2012 (Actual)
Study Completion Date
September 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the pharmacokinetics (PK) of BMS-927711 during migraine and non-migraine condition.
Detailed Description
Study Classification: Safety CGRP = Calcitonin gene related peptide
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
48 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Arm 1: BMS-927711 (300 mg)
Arm Type
Active Comparator
Arm Title
Arm 2: BMS-927711 (600 mg)
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
BMS-927711 (CGRP Antagonist)
Intervention Description
Capsule, Oral, 300 mg, Once, One day
Intervention Type
Drug
Intervention Name(s)
BMS-927711 (CGRP Antagonist)
Intervention Description
Capsule, Oral, 600 mg, Once, One day
Primary Outcome Measure Information:
Title
Maximum observed plasma concentration (Cmax) of BMS-927711 will be derived from plasma concentration versus time
Time Frame
PK samples will be collected for up to 24 hours after the dosing
Title
Time of maximum observed plasma concentration (Tmax) of BMS-927711 will be derived from plasma concentration versus time
Time Frame
PK samples will be collected for up to 24 hours after the dosing
Title
Area under the plasma concentration-time curve from time zero to 24 hours post dose [AUC(0-24)] of BMS-927711 will be derived from plasma concentration versus time
Time Frame
PK samples will be collected for up to 24 hours after the dosing
Title
Observed plasma concentration at 0.5 hr (C0.5h) of BMS-927711 will be derived from plasma concentration versus time
Time Frame
PK samples will be collected for up to 24 hours after the dosing
Title
Observed plasma concentration at 2h (C2h) of BMS-927711 will be derived from plasma concentration versus time
Time Frame
PK samples will be collected for up to 24 hours after the dosing
Title
Apparent total body clearance (CLT/F) of BMS-927711 will be derived from plasma concentration versus time
Time Frame
PK samples will be collected for up to 24 hours after the dosing
Secondary Outcome Measure Information:
Title
Maximum observed plasma concentration (Cmax) will be derived from plasma concentration versus time
Description
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Time Frame
From Day 1 0 hour to Day 2 24 hour time points
Title
Time of maximum observed plasma concentration (Tmax) will be derived from plasma concentration versus time
Description
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Time Frame
From Day 1 0 hour to Day 2 24 hour time points
Title
Area under the plasma concentration-time curve from time zero to 24 hours post dose [AUC (0-24)] will be derived from plasma concentration versus time
Description
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Time Frame
From Day 1 0 hour to Day 2 24 hour time points
Title
Observed plasma concentration at 0.5 hr (C0.5h) will be derived from plasma concentration versus time
Description
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Time Frame
From Day 1 0 hour to Day 2 24 hour time points
Title
Observed plasma concentration at 2 hr (C2h) will be derived from plasma concentration versus time
Description
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Time Frame
From Day 1 0 hour to Day 2 24 hour time points
Title
Apparent total body clearance (CLT/F) will be derived from plasma concentration versus time
Description
Individual subject pharmacokinetic parameter values will be derived by non compartmental methods by a validated pharmacokinetic program. Actual times will be used for the analyses
Time Frame
From Day 1 0 hour to Day 2 24 hour time points
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients with migraine with or without aura who are otherwise healthy as determined by medical history, physical examination, clinical laboratory evaluations and 12-lead electrocardiogram (ECG), will be eligible
Men or women [women of childbearing potential (WOCBP) or Women of non childbearing potential (WONCBP)] ages 18-55 years inclusive, with a body mass index (BMI) of 18.0 to 32.0 kg/m2 with not more than 8 migraines a month
Patient has at least 1 year history of migraines (with or without aura) including the following:
Meet the diagnostic criteria for migraine with history of at least 1 year (with or without aura) at the screening visit
Migraine attacks with the age of onset prior to 55 years old
Migraine attacks, on average, lasts about 4-72 hours if untreated in the 3 months prior to screening visit
2-8 moderate or severe migraine attacks per month in the 3 months prior to screening visit. The migraine, for which the patient receives treatment during the study, must have at least one of the associated symptoms: nausea, photophobia, phonophobia, or migraine with aura
Exclusion Criteria:
Female patient is pregnant/breast-feeding (or is a female expecting to conceive during study period)
Patient has history or evidence of stroke/transient ischemic attacks, heart disease, coronary artery vasospasm, other significant underlying cardiovascular diseases, uncontrolled hypertension (high blood pressure), uncontrolled diabetes, or Human Immunodeficiency Virus (HIV)
Patient will be excluded if they take medications for acute migraine more than 10 days per month, had very frequent chronic tension type headaches for 15 or more days per month (or were unable to distinguish between tension-type headaches and migraine)
Patient has major depression, other pain syndromes that might interfere with study assessments, psychiatric conditions, dementia, or significant neurological disorders (other than migraine)
Patient has a history of gastric, or small intestinal surgery, or has a disease that causes mal absorption
Patient has a history or current evidence of any unstable medical conditions (eg, history of congenital heart disease or arrhythmia, known suspected infection, hepatitis B or C, or cancer) that, in the investigator's opinion, would expose them to undue risk of a significant adverse event (AE) or interfere with assessments of safety or efficacy during the course of the trial
Patient has basilar migraine and hemiplegic migraine
Patient taking narcotic medication
History of alcohol, substance or drug abuse within the last year
Uses an opiate as first line acute treatment for migraine attacks
History of ergotamine, any acute therapy or triptan intake on greater than/equal 10 days per month on a regular basis for greater than/equal 3 months
History of simple analgesic intake on greater than/equal 10 days per month for greater than/equal 3 months
History of use of opioid or combination medication intake or butalbital containing analgesic greater than 5 days per month for greater than/equal to 3 months
Do not receive migraine relief from a triptan migraine treatment
Evidence of renal impairment - calculated creatinine clearance <60ml/min or clinically relevant finding on urinalysis
Facility Information:
Facility Name
California Clinical Trials Medical Group
City
Glendale
State/Province
California
ZIP/Postal Code
91206
Country
United States
Facility Name
Collaborative Neuroscience Network, Inc.
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Facility Name
Compass Research, Llc
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Community Research
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45255
Country
United States
12. IPD Sharing Statement
Links:
URL
http://www.bms.com/studyconnect/Pages/home.aspx
Description
BMS clinical trial educational resource
Learn more about this trial
Study to Evaluate the PK of BMS-927711 in Patient With Migraine During Acute Migraine and Non-migraine Condition
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