Cefaliv® Compared to Neosaldina® in the Treatment of Migraine Attacks
Primary Purpose
Migraine Headache
Status
Withdrawn
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
Cefaliv® & Placebo
Neosaldina® & Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Migraine Headache focused on measuring Headache, Aura, Migraine
Eligibility Criteria
Inclusion Criteria:
- Subjects of both sexes;
- Age older or equal to 18 and younger than 66 years if they have symptoms of migraine headache before 50 years of age;
- Presence of migraine headache with or without aura symptoms, at least 03 months prior to the study, the criteria defined by International Classification of Headache Disorders(ICHD)-II, 2004 International Headache Society(IHS) - Annex I;
- Subjects which are experiencing 2-6 migraine attacks per month with mild to moderate pain intensity in the last 3 months prior to screening visit;
- Subjects which are able to distinguish migraine attacks to any other type of headache;
- Aptitude to understand and consent to participate in this clinical study, manifested by signing the Informed Consent and Informed (IFC);
Exclusion Criteria:
- Any clinical finding (clinical evaluation / physical) that is interpreted by the Investigator as a risk to the participant in the clinical trial;
- Subjects which had recent episodes of headache, with frequency equal or higher than 15 daily episodes per month, 3 months prior to the screening visit;
Subjects with headache history defined by the ICHD-II criteria, 2004 IHS (International Headache Society) rated as:
- Typical aura with non-migraine headache;
- Typical aura without headache;
- Familial Hemiplegic Migraine (FHM);
- Sporadic Hemiplegic Migraine;
- Basilar type Migraine;
- Any laboratorial finding that the Investigator consider a risk to the subject of the study;
- Hypersensitivity to the drug components, during the study;
- Women in pregnancy or nursing period;
- Women in reproductive age who do not agree to use contraception acceptable [oral contraceptives, injectable contraceptives, intrauterine device (IUD), hormonal implants, barrier methods, hormonal patch and tubal ligation]; other than surgically sterile (bilateral oophorectomy or hysterectomy), postmenopausal for at least one (01) years or sexual abstinence;
- Inability to understand and answer to the functional categorical scale of the study, diary of symptoms, and not having accompanying to assist him/her;
- History of abuse, according to the principal investigator, of the alcohol, opioids, barbiturates, benzodiazepines and illicit drugs in the last 02 years, or abuse of drugs for headache including ergotamines or narcotics in the last 03 months;
- Subjects with prolonged hypotension, shock, sepsis, pheochromocytoma, hemorrhage, mechanical obstruction or perforation of the gastrointestinal tract;
- Subjects with history of epilepsy or presence of psychiatric illness of any kind, in the opinion of the investigator, that may interfere with adherence to treatment;
- Subjects with a malignant disease less than five years, or for more than five years, but without documentation about the remission/cure. As example: melanoma, leukemia, lymphoma, myeloproliferative diseases and renal cell carcinoma of any length should be excluded. Exceptions: Subjects with basal cell skin cancers, squamous cell, and cervical cancer in situ may be eligible.
- Subjects which uses a preventive treatment and changed the dose in the last 3 months before the screening visit (V0);
- Subjects who have made an interruption in the prophylactic treatment, in the last 30 days prior to screening visit (V0);
- Subjects with hepatic or renal failure;
- Subjects in the research that has participated in clinical trial protocols in the last twelve (12) months (National Board of Health- Resolution 251 of 07 August 1997, Part III, sub-item J), unless the investigator considers that there may be a direct benefit to it;
- Subjects who are in prohibited medication as described in item 10.2 of the Protocol.
- Subjects with previous diagnosis of uncontrolled hypertension;
- Subjects with history of peripheral vascular disease; acute myocardial infarction, angina pectoris and other ischemic heart disease;
- Subjects who have allergy to pyrazolones (eg phenazone, propyphenazone) or pyrazolidines (eg phenylbutazone,oxyphenbutazone) or who have submitted agranulocytosis in relation to any of these medicines;
- Subjects with history of metabolic disorders such as porphyria and congenital deficiency of glucose-6-phosphate dehydrogenase;
- Subjects with history of alteration in the bone marrow function or hematopoietic system diseases;
- Subjects with history of bronchospasm or other allergic reactions (rhinitis, urticaria, angioedema) induced by aspirin, acetaminophen, or other anti-inflammatory medications.
Sites / Locations
- Ache Laboratorios Farmaceuticos
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Cefaliv® & Placebo
Neosaldina® & Placebo
Arm Description
Dihydroergotamine mesylate+ dipyrone sodium + caffeine
Isometheptene mucate + dipyrone sodium + anhydrous caffeine
Outcomes
Primary Outcome Measures
Evaluate the efficacy and non-inferiority of Cefaliv® compared to Neosaldina® in pain relief
The evaluation will be measured by the absolute variation of VAS (0 mm no pain - 100 mm pain as bad as can be) 2 hours after taking the medication, without taking any rescue medication.
Secondary Outcome Measures
The remission of the pain after use of the investigational product, without use of a rescue medication;
Proportion of participants with pain remission in 2 hours and 4 hours after the use of the investigational product, in the first migraine attack with mild or moderate pain, with remission defined as no pain (0) in categorical scale debilitating functional and behavioral (4 point-scale), without use of a rescue medication;
The relief of pain after use of the investigational product, without use of a rescue medication;
Proportion of participants with pain relief in 2 hours and 4 hours after the use of the investigational product, in the first migraine attack with mild or moderate pain,and is considered the relief reduction of at least 01 point in pain intensity from baseline, according to functional and behavioral debilitating categorical scale without use of a rescue medication;
Proportion of participants with pain relief maintenance during the period 4-24 hours after use of the investigational product, the first migraine attack with mild or moderate pain
The maintenance will be observed if the relief reached the first 4 hours will remain at 24 hours after use of the investigational product, according to functional and behavioral debilitating categorical scale (4 point scale) without use of a rescue medication during this period;
Need for use of a rescue medication.
Proportion of participants who use at least once a rescue medication in the period 2-24 hours after use of the investigational product.
The proportion of subjects with no symptoms of Nausea / vomiting and photophobia / phonophobia
Free of photophobia, phonophobia, nausea and vomiting response rate symptoms 2 and 4 hours after use of the investigational product, the first with migraine pain of mild to moderate intensity, defined as the proportion of subjects with no symptoms of both among the participants have at least one symptom at baseline of migraine without use of a rescue medication during this period.
Full Information
NCT ID
NCT02706015
First Posted
November 23, 2015
Last Updated
April 9, 2019
Sponsor
Ache Laboratorios Farmaceuticos S.A.
1. Study Identification
Unique Protocol Identification Number
NCT02706015
Brief Title
Cefaliv® Compared to Neosaldina® in the Treatment of Migraine Attacks
Official Title
National, Phase III, Multicenter, Randomized, Double-Blind, Parallel, Non-Inferiority Trial to Evaluate the Efficacy and Safety of Cefaliv® Compared to the Neosaldina® in the Treatment of Migraine Attacks
Study Type
Interventional
2. Study Status
Record Verification Date
April 2019
Overall Recruitment Status
Withdrawn
Why Stopped
Strategic reasons of the company
Study Start Date
October 2020 (Anticipated)
Primary Completion Date
May 2021 (Anticipated)
Study Completion Date
July 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ache Laboratorios Farmaceuticos S.A.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study evaluates the non-inferiority of Cefaliv® compared to Neosaldina® in the treatment of migraine attack in two hundred and sixteen adults of both sexes with age between eighteen and sixty five years old. The first Half of participants will receive Cefaliv®, the other half will receive Neosaldina®.
Detailed Description
Cefaliv® is a combination of 3 drugs: dihydroergotamine mesylate, dipyrone sodium, and caffeine. The dihydroergotamine mesylate interacts with the serotonergic, dopaminergic and noradrenergic receptors, but it's mechanism is not totally known. The dipyrone is a non-steroidal antiinflammatory which has an analgesic, antiinflammatory and antipyretic effect. And the caffeine presents mechanisms that are not totally clear, but it may relieves the pain by activating of the central noradenosine pathway (pain suppressing system).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine Headache
Keywords
Headache, Aura, Migraine
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cefaliv® & Placebo
Arm Type
Experimental
Arm Description
Dihydroergotamine mesylate+ dipyrone sodium + caffeine
Arm Title
Neosaldina® & Placebo
Arm Type
Active Comparator
Arm Description
Isometheptene mucate + dipyrone sodium + anhydrous caffeine
Intervention Type
Drug
Intervention Name(s)
Cefaliv® & Placebo
Other Intervention Name(s)
Cefaliv® (Dihydroergotamine mesylate+ dipyrone sodium + caffeine) & Placebo
Intervention Description
02 tablet of Cefaliv® + 02 tablet of comparator placebo, VO, after the beging of migraine with with mild to moderate pain
Intervention Type
Drug
Intervention Name(s)
Neosaldina® & Placebo
Other Intervention Name(s)
Neosaldina® (Isometheptene mucate + dipyrone sodium + anhydrous caffeine) & Placebo
Intervention Description
02 tablets of Neosaldina® + 02 tablet of comparator placebo, VO, after the beging of migraine with with mild to moderate pain
Primary Outcome Measure Information:
Title
Evaluate the efficacy and non-inferiority of Cefaliv® compared to Neosaldina® in pain relief
Description
The evaluation will be measured by the absolute variation of VAS (0 mm no pain - 100 mm pain as bad as can be) 2 hours after taking the medication, without taking any rescue medication.
Time Frame
2 Hours
Secondary Outcome Measure Information:
Title
The remission of the pain after use of the investigational product, without use of a rescue medication;
Description
Proportion of participants with pain remission in 2 hours and 4 hours after the use of the investigational product, in the first migraine attack with mild or moderate pain, with remission defined as no pain (0) in categorical scale debilitating functional and behavioral (4 point-scale), without use of a rescue medication;
Time Frame
2 and 4 hours after taking the medication
Title
The relief of pain after use of the investigational product, without use of a rescue medication;
Description
Proportion of participants with pain relief in 2 hours and 4 hours after the use of the investigational product, in the first migraine attack with mild or moderate pain,and is considered the relief reduction of at least 01 point in pain intensity from baseline, according to functional and behavioral debilitating categorical scale without use of a rescue medication;
Time Frame
2 and 4 hours after taking the medication
Title
Proportion of participants with pain relief maintenance during the period 4-24 hours after use of the investigational product, the first migraine attack with mild or moderate pain
Description
The maintenance will be observed if the relief reached the first 4 hours will remain at 24 hours after use of the investigational product, according to functional and behavioral debilitating categorical scale (4 point scale) without use of a rescue medication during this period;
Time Frame
4 to 24 hours after taking the medication
Title
Need for use of a rescue medication.
Description
Proportion of participants who use at least once a rescue medication in the period 2-24 hours after use of the investigational product.
Time Frame
2 to 24 hours after taking the experimental drug
Title
The proportion of subjects with no symptoms of Nausea / vomiting and photophobia / phonophobia
Description
Free of photophobia, phonophobia, nausea and vomiting response rate symptoms 2 and 4 hours after use of the investigational product, the first with migraine pain of mild to moderate intensity, defined as the proportion of subjects with no symptoms of both among the participants have at least one symptom at baseline of migraine without use of a rescue medication during this period.
Time Frame
2 to 4 hours after taking the medication
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
66 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subjects of both sexes;
Age older or equal to 18 and younger than 66 years if they have symptoms of migraine headache before 50 years of age;
Presence of migraine headache with or without aura symptoms, at least 03 months prior to the study, the criteria defined by International Classification of Headache Disorders(ICHD)-II, 2004 International Headache Society(IHS) - Annex I;
Subjects which are experiencing 2-6 migraine attacks per month with mild to moderate pain intensity in the last 3 months prior to screening visit;
Subjects which are able to distinguish migraine attacks to any other type of headache;
Aptitude to understand and consent to participate in this clinical study, manifested by signing the Informed Consent and Informed (IFC);
Exclusion Criteria:
Any clinical finding (clinical evaluation / physical) that is interpreted by the Investigator as a risk to the participant in the clinical trial;
Subjects which had recent episodes of headache, with frequency equal or higher than 15 daily episodes per month, 3 months prior to the screening visit;
Subjects with headache history defined by the ICHD-II criteria, 2004 IHS (International Headache Society) rated as:
Typical aura with non-migraine headache;
Typical aura without headache;
Familial Hemiplegic Migraine (FHM);
Sporadic Hemiplegic Migraine;
Basilar type Migraine;
Any laboratorial finding that the Investigator consider a risk to the subject of the study;
Hypersensitivity to the drug components, during the study;
Women in pregnancy or nursing period;
Women in reproductive age who do not agree to use contraception acceptable [oral contraceptives, injectable contraceptives, intrauterine device (IUD), hormonal implants, barrier methods, hormonal patch and tubal ligation]; other than surgically sterile (bilateral oophorectomy or hysterectomy), postmenopausal for at least one (01) years or sexual abstinence;
Inability to understand and answer to the functional categorical scale of the study, diary of symptoms, and not having accompanying to assist him/her;
History of abuse, according to the principal investigator, of the alcohol, opioids, barbiturates, benzodiazepines and illicit drugs in the last 02 years, or abuse of drugs for headache including ergotamines or narcotics in the last 03 months;
Subjects with prolonged hypotension, shock, sepsis, pheochromocytoma, hemorrhage, mechanical obstruction or perforation of the gastrointestinal tract;
Subjects with history of epilepsy or presence of psychiatric illness of any kind, in the opinion of the investigator, that may interfere with adherence to treatment;
Subjects with a malignant disease less than five years, or for more than five years, but without documentation about the remission/cure. As example: melanoma, leukemia, lymphoma, myeloproliferative diseases and renal cell carcinoma of any length should be excluded. Exceptions: Subjects with basal cell skin cancers, squamous cell, and cervical cancer in situ may be eligible.
Subjects which uses a preventive treatment and changed the dose in the last 3 months before the screening visit (V0);
Subjects who have made an interruption in the prophylactic treatment, in the last 30 days prior to screening visit (V0);
Subjects with hepatic or renal failure;
Subjects in the research that has participated in clinical trial protocols in the last twelve (12) months (National Board of Health- Resolution 251 of 07 August 1997, Part III, sub-item J), unless the investigator considers that there may be a direct benefit to it;
Subjects who are in prohibited medication as described in item 10.2 of the Protocol.
Subjects with previous diagnosis of uncontrolled hypertension;
Subjects with history of peripheral vascular disease; acute myocardial infarction, angina pectoris and other ischemic heart disease;
Subjects who have allergy to pyrazolones (eg phenazone, propyphenazone) or pyrazolidines (eg phenylbutazone,oxyphenbutazone) or who have submitted agranulocytosis in relation to any of these medicines;
Subjects with history of metabolic disorders such as porphyria and congenital deficiency of glucose-6-phosphate dehydrogenase;
Subjects with history of alteration in the bone marrow function or hematopoietic system diseases;
Subjects with history of bronchospasm or other allergic reactions (rhinitis, urticaria, angioedema) induced by aspirin, acetaminophen, or other anti-inflammatory medications.
Facility Information:
Facility Name
Ache Laboratorios Farmaceuticos
City
Guarulhos
State/Province
São Paulo
Country
Brazil
12. IPD Sharing Statement
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Cefaliv® Compared to Neosaldina® in the Treatment of Migraine Attacks
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