Three Doses of Lasmiditan (50 mg, 100 mg and 200 mg) Compared to Placebo in the Acute Treatment of Migraine (SPARTAN)
Migraine With or Without Aura
About this trial
This is an interventional treatment trial for Migraine With or Without Aura
Eligibility Criteria
Inclusion Criteria:
- Able and willing to give written informed consent and authorize HIPAA.
- Participants with migraine with or without aura fulfilling the International Headache Society (IHS) diagnostic criteria 1.1 and 1.2.1 (International Headache Classification (ICHD) 2004).
- History of disabling migraine for at least 1 year.
- Migraine Disability Association (MIDAS) score ≥11.
- Migraine onset before the age of 50 years.
- History of 3 - 8 migraine attacks per month (< 15 headache days per month).
- Male or female, aged 18 years or above.
- Females of child-bearing potential must be using or willing to use a highly effective form of contraception (e.g. combined oral contraceptive, intrauterine device (IUD), abstinence or vasectomized partner).
- Able and willing to complete an electronic diary to record details of the migraine attack treated with study drug.
Exclusion Criteria:
- Any medical condition or clinical laboratory test which in the judgment of the Investigator makes the participant unsuitable for the study.
- Pregnant or breast-feeding women.
- Women of child-bearing potential not using or not willing to use highly effective contraception.
- Known hypersensitivity to lasmiditan or to any excipient of lasmiditan oral tablets, or any sensitivity to lasmiditan.
- History or evidence of hemorrhagic stroke, epilepsy or any other condition placing the participant at increased risk of seizures.
- History of recurrent dizziness and/or vertigo including benign paroxysmal positional vertigo (BPPV), Meniere's disease, vestibular migraine, and other vestibular disorders.
- History of diabetes mellitus with complications (diabetic retinopathy, nephropathy or neuropathy).
- History within the previous three years or current evidence of abuse of any drug, prescription or illicit, or alcohol.
- History of orthostatic hypotension with syncope.
- Significant renal or hepatic impairment.
- Participant is at imminent risk of suicide (positive response to question 4 or 5) on the Columbia-Suicide Severity Rating Scale (C-SSRS) or had a suicide attempt within six months prior to screening.
- Previous participation in this clinical trial.
- Participation in any clinical trial of an experimental drug or device in the previous 30 days.
- Known Hepatitis B or C or HIV infection.
- History, within past 12 months, of chronic migraine or other forms of primary or secondary chronic headache disorder (e.g. hemicranias continua, medication overuse headache) where headache frequency is ≥15 headache days per month.
- Use of more than 3 doses per month of either opiates or barbiturates.
- Initiation of or a change in concomitant medication to reduce the frequency of migraine episodes within three (3) months prior to Screening/Visit 1.
- Participants who are employees of the sponsor.
- Relatives of, or staff directly reporting to, the Investigator.
Sites / Locations
- Alabama Clinical Therapeutics, LLC
- Medical Affiliated Research Center, Inc. - ARC
- 21st Century Neurology
- Anaheim Clinical Trials
- The Research Center of Southern California
- eStudySite
- Pharmacology Research Institute
- Pharmacology Research Institute, Newport Beach
- Pacific Research Partners
- Desert Valley Research
- Northern California Clinical Research Center
- Anderson Clinical Research
- California Research Foundation
- Neurological Research Institute
- Schuster Medical Research Institute
- Encompass Clinical Research
- Diablo Clinical Research, Inc.
- Lytle and Weiss, PLLC dba Clinical Trials of the Rockies
- Comprehensive Psychiatric Care
- Chase Medical Research, LLC
- Nova Clinical Reseach, LLC
- PAB Clinical Research
- Meridien Research
- Avail Clinical Research, LLC
- The Core Research
- Clinical Research West Coast
- Indago Research & Health Center, Inc.
- Infinity Clinical Research, LLC
- Clinical Neuroscience Solutions, Inc.
- Florida Clinical Research
- Veritas Research Corporation
- Pharmax Research Clinic, Inc.
- Prestige Clinical Research Center, Inc.
- Floriday Medical Center and Research, Inc.
- Harmony Clinical Research Inc.
- Compass Research, LLC
- Clinical Research Center, LLC
- Meridien Research, Inc.
- Meridian Clinical Research, LLC
- Palm Beach Research Center
- Pinnacle Trials, Inc.
- Atlanta Center for Medical Research
- Columbus Regional Research Institute
- Harbin Clinic, LLC
- Meridian Clinical Research, LLC
- Meridian Clinical Research
- Clinical Investigation Specialists, Inc.
- Goldpoint Clinical Research, LLC
- Heartland Research Associates, LLC
- Central Kentucky Research Associates, Inc.
- Associates in Neurology, P.S.C.
- Research Integrity, LLC.
- New Orleans Center for Clinical Research, Inc.
- Beacon Clinical Research, LLC
- Michigan Head Pain & Neurological Institute
- Clinical Research Institute
- Adirondack Medical Research Center
- Meridian Clinical Research, LLC
- Las Vegas Medical Research
- Hassman Research Institute
- Bio Behavioral Health
- Albuquerque Clinical Trials, Inc.
- Regional Clinical Research, Inc.
- Rochester Clinical Research Inc.
- Asheville Neurology Specialists, PA
- PMG Research of Cary, LLC
- Community Research
- IVA Research
- Summit Research Network (Oregon) Inc.
- Partners in Clinical Research
- BTC of Lincoln Research,LLC
- Clinical Trials of South Carolina
- Mountain View Clinical Research, Inc.
- Coastal Carolina Research Center, Inc
- Spartanburg Medical Research
- ClinSearch, LLC
- Holston Medical Group, P.C.
- Clinical Neuroscience Solutions, Inc.
- Nashville Neuroscience Group
- Central Texas Clinical Research, LLC
- FutureSearch Trials of Neurology
- Tekton Research, Inc.
- FutureSearch Trials of Dallas, LP
- Protenium Clinical Research
- Clinical Trials of Texas, Inc.
- Ericksen Research & Development, LLC
- J. Lewis Research, Inc. Foothill Family Clinic
- J. Lewis Research Inc.- Foothill Family Clinic South
- Jean Brown Research
- Wasatch Clinical Research
- J. Lewis Research, Inc. - Jordan River Family Medicine
- Charlottesville Medical Research, LLC
- Clinical Research Partners, LLC
- MultiCare Health System Institute for Research and Innovation
- Clinical Investigation Specialists Inc
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Placebo Comparator
Lasmiditan 50 milligram (mg)
Lasmiditan 100 mg
Lasmiditan 200 mg
Placebo
Oral tablet. Lasmiditan 50 mg plus placebo (to match a lasmiditan dose). One dose for acute treatment of migraine. Second dose for rescue or recurrence of migraine allowed between 2 and 24 hours.
Oral tablet. Lasmiditan 100 mg plus placebo (to match a lasmiditan dose). One dose for acute treatment of migraine. Second dose for rescue or recurrence of migraine allowed between 2 and 24 hours.
Oral tablet. Lasmiditan 200 mg plus placebo (to match a lasmiditan dose). One dose for acute treatment of migraine. Second dose for rescue or recurrence of migraine allowed between 2 and 24 hours.
Oral tablet. Placebo tablets match each of the lasmiditan doses (50 mg, 100 mg and 200 mg). One dose for acute treatment of migraine. Second dose for rescue or recurrence of migraine allowed between 2 and 24 hours.