A Study of Lasmiditan (LY573144) Over Four Migraine Attacks
Migraine
About this trial
This is an interventional treatment trial for Migraine focused on measuring acute treatment, migraine pain, multiple attacks, headache
Eligibility Criteria
Inclusion Criteria:
- Migraine with or without aura fulfilling the International Headache Society (IHS) diagnostic criteria 1.1 and 1.2.1
- History of disabling migraine for at least 1 year
- Migraine onset before the age of 50 years
- History of 3 to 8 migraine attacks per month (<15 headache days per month) during the past 3 months
- MIDAS score ≥11
- Able and willing to complete an eDiary to record the details of each migraine attack treated with study drug
- Women of child-bearing potential must be using or willing to use a highly effective form of contraception
- Agree not to post any personal medical data or information related to the study on any website or social media site until the entire trial has completed
Exclusion Criteria:
- Known hypersensitivity to lasmiditan, or to any excipient of lasmiditan oral tablets
- 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, Meniere's disease, vestibular migraine, and other vestibular disorders
- History of diabetes mellitus with complications (diabetic retinopathy, nephropathy, or neuropathy)
- History of orthostatic hypotension with syncope
- Significant renal or hepatic impairment in the opinion of the investigator or if they meet hepatic monitoring criteria
- Participants who, in the investigator's judgment, are actively suicidal and therefore deemed to be at significant risk for suicide
- History, within past 12 months, of chronic migraine or other forms of primary or secondary chronic headache disorder (eg, hemicranias continua, medication overuse headache where headache frequency is ≥15 headache days per month)
- Use of more than 3 doses per month of either opioids or barbiturates
- Initiation of or a change in concomitant medication to reduce the frequency of migraine episodes within 3 months prior to screening
- Pregnant or breast-feeding women
- History of drug or alcohol abuse/dependence within 1 year prior to screening
- Any medical condition or clinical laboratory test which in the judgment of the investigator makes the participant unsuitable for the study
- Currently enrolled in any other clinical study involving an investigational product
- Relatives of, or staff directly reporting to, the Investigator
- Participants who are employees of the sponsor
Sites / Locations
- Rehabilitation & Neurological Services LLC
- Barrow Neurological Institute
- UCSD Altman Clinical & Translational Research Institute (ACTRI)
- Colorado Neurological Institute
- Georgetown University Hospital
- George Washington University Medical Center
- Diamond Headache Clinic
- Ochsner Medical Center - North Shore
- StudyMetrix Research, LLC
- Nevada Headache Institute
- Dent Neurological Institute
- Montefiore Headache Center
- Island Neuro Associates,PC
- Northwest Clinical Research Center
- KH der Barmherzigen Schwestern Linz BetriebsGesmbH
- Universitätsklinik Innsbruck
- Christian-Doppler-Klinik
- AKH
- Jessa Ziekenhuis
- Algemeen Ziekenhuis St Jan Brugge
- Universitair Ziekenhuis Brussel
- Universitair Ziekenhuis Gent
- CHC MontLégia
- Valdor - ISOSL CCV - Clinique des céphalées du Valdor - Neurology
- Beijing Tiantan Hospital Affiliated to Capital Medical Univ
- Xuanwu Hospital-Capital Medical University
- The First Affiliated Hospital Chongqing Medical University
- Guangzhou First People's Hospital
- The University of Hong Kong-Shenzhen Hospital
- Hebei General Hospital
- First hospital affiliated to Zhengzhou University
- Wuhan Union (Xiehe) Hospital
- Xiangya Hospital, Central South University
- The First Affliated Hospital of Suzhou University
- Affiliated Hospital of Jiangsu University
- First Affiliated Hospital of Gannan Medical University
- Pingxiang People's Hospital
- No.2 Hospital Affiliated to Jilin University
- Dalian Municipal Central Hospital Affiliated of Dalian Medical University
- Jiangsu Province Hospital
- First Affiliated Hospital of Xi'an Jiaotong University
- Shengli Oilfield Central Hospital
- People's hospital of Rizhao
- HuaShan Hospital Affiliated To Fudan University
- West China Hospital of Sichuan University
- No 1 Affiliate Hospital of Kunming Medical College
- The Second Affiliated Hospital of Zhejiang University School of Medicine
- The First Affiliated Hospital of Wenzhou Medical College
- Baotou Central Hospital
- Peking Union Medical College Hospital
- Chinese PLA General Hospital
- The First Affiliated Hospital of Harbin Medical University
- Tianjin Medical University General Hospital
- Clintrial, s.r.o.
- Neurologicka ambulance, Neurologie Brno s.r.o.
- Brain-Soultherapy s.r.o
- DADO MEDICAL, s.r.o.
- Neurologicka ordinace
- Neurologicka ambulance Prerov
- CCBR-Alborg-DK
- Glostrup Hospital
- Center for Clinical and Basic Research -CCBR
- APHM Hôpital de la Timone
- Centre Hospitalier Annecy Genevois - Site d'Annecy
- Hopital Lariboisière
- CHU de Rouen Hopital Charles Nicolle
- CHU St Etienne Hopital Nord
- Synexus Clinical Research GmbH
- DRK-Kliniken Nordhessen
- Gemeinschaftspraxis für Neurologie und Psychiatrie
- Praxis Dr. Philipp Stude
- Synexus Clinical Research GmbH
- DataMed Klinische Studien GmbH
- Praxis für Neurologie und Psychiatrie
- Synexus Clinical Research GmbH
- Universitätsklinikum Jena
- Charité Universitätsmedizin Berlin
- Synexus Clinical Research GmbH
- Neurologische Praxis Eppendorf
- PANAKEIA - Arzneimittelforschung Leipzig GmbH
- Valeomed Kft.
- SE Neurologiai Klinika
- Orszagos Idegtudomanyi Intezet
- Nizam's Institute of Medical Sciences
- Apollo Hospitals International Ltd.
- Artemis Hospital
- M S Ramaiah Medical College Hospital
- Mangala Hospitals & Mangala Kidney Foundation
- Kokilaben Dhirubhai Ambani Hospital &Medical Research Inst.
- HCG Manavata Cancer Centre
- Deenanth Mangeshkar Hospital and Research Centre
- Gobind Ballabh Pant Hospital
- Sir Ganga Ram Hospital
- Istituto Neurologico Neuromed
- Ospedale Bellaria
- Istituto Neurologico Carlo Besta
- Fondazione Istituto Neurologico Nationale C. Mondino
- Clinical Research Institute S C
- Clinstile, S.A de C.V
- CRI Centro Regiomontano de Investigacion S.C.
- Hospital Universitario Dr. Jose Eleuterio Gonzalez
- Medical Care and Research, S.A. de C.V.
- Instituto de Investigaciones Aplicadas a la Neurociencia A.C
- Eci Estudios Clinicos Int.
- Centro de Atención e Investigación Cardiovascular del Potosí S.C.
- Canisius-Wilhelmina Ziekenhuis
- Boerhaave Medisch Centrum
- Isala Klinieken
- First Moscow State Medical University n.a. Sechenov
- University Headache Clinic
- Medis Priokskiy
- Saint Petersburg State Medical University n.a. Pavlov I.P.
- Hospital Universitari de Bellvitge
- Hospital Universitario Marques De Valdecilla
- Clinica Universitaria De Navarra
- Hospital Universitari Vall d'Hebron
- Hospital Universitario La Paz
- Hospital Universitario Virgen del Rocio
- Hospital Clínico Universitario de Valencia
- Hospital Universitario La Fe de Valencia
- Hospital Clinico Universitario de Valladolid
- H.C.U. Lozano Blesa
- Kantonsspital Luzern
- Kantonsspital St. Gallen
- KopfwehZentrum Hirslanden Zürich
- Rehaclinic Bad Zurzach
- Inselspital Bern
- Synexus Thames Valley Clinical Research Centre
- Hull Royal Infirmary
- Kings College Hospital
- Re-Cognition Health Ltd
- Synexus Manchester Clinical Research Centre
- Synexus Lancashire Clinical Research Centre
- Synexus Merseyside Clinical Research Centre
- Synexus Hexham General Hospital
- Queen Elizabeth University Hospital
- Synexus Wales Clinical Research Centre
- Synexus Scotland Clinical Research Centre
- Re-Cognition Health Ltd
- Re-Cognition Health Ltd
- Synexus Midlands Clinical Research Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Experimental
Experimental
Placebo Comparator
Placebo Comparator
Experimental
Experimental
Placebo Comparator
Placebo Comparator
Experimental
100 milligram (mg) Lasmiditan
200 mg Lasmiditan
Control 1 Sequence
Control 2 Sequence
100 mg Lasmiditan Maximum Extended Enrollment (MEE)
200 mg Lasmiditan MEE
Control 1 Sequence MEE
Control 2 Sequence MEE
Open Label Extension
Participants received one 100 mg Lasmiditan tablet with one 50 mg Lasmiditan matching placebo tablet and one 100 mg Lasmiditan matching placebo tablet to maintain blind. Tablets were administered orally within 4 hours of onset of a single migraine attack, up to 4 migraine attacks.
Participants received two 100 mg Lasmiditan tablets with one 50 mg Lasmiditan matching placebo tablet to maintain blind. Tablets were administered orally within 4 hours of onset of a single migraine attack, up to 4 migraine attacks.
Control 1: Participants received one 50 mg Lasmiditan matching placebo tablet and two 100 mg Lasmiditan matching placebo tablets to maintain blind for migraine attacks 1, 2, and 4. Participants received one 50 mg Lasmiditan tablet with two 100 mg Lasmiditan matching placebo tablets to maintain blind, for migraine attack 3. Tablets were administered orally within 4 hours of onset of a single migraine attack, up to 4 migraine attacks.
Control 2: Participants received one 50 mg Lasmiditan matching placebo tablet and two 100 mg Lasmiditan matching placebo tablets to maintain blind for migraine attacks 1, 2, and 3. Participants received one 50 mg Lasmiditan tablet with two 100 mg Lasmiditan matching placebo tablets to maintain blind for migraine attack 4. Tablets were administered orally within 4 hours of onset of a single migraine attack, up to 4 migraine attacks.
Participants received one 100 mg Lasmiditan tablet with one 50 mg Lasmiditan matching placebo tablet and one 100 mg Lasmiditan matching placebo tablet to maintain blind. Tablets were administered orally within 4 hours of onset of a single migraine attack, up to 4 migraine attacks.
Participants received two 100 mg Lasmiditan tablets with one 50 mg Lasmiditan matching placebo tablet to maintain blind. Tablets were administered orally within 4 hours of onset of a single migraine attack, up to 4 migraine attacks.
Control 1: Participants received one 50 mg Lasmiditan matching placebo tablet and two 100 mg Lasmiditan matching placebo tablets to maintain blind for migraine attacks 1, 2, and 4. Participants received one 50 mg Lasmiditan tablet with two 100 mg Lasmiditan matching placebo tablets to maintain blind, for migraine attack 3. Tablets were administered orally within 4 hours of onset of a single migraine attack, up to 4 migraine attacks.
Control 2: Participants received one 50 mg Lasmiditan matching placebo tablet and two 100 mg Lasmiditan matching placebo tablets to maintain blind for migraine attacks 1, 2, and 3. Participants received one 50 mg Lasmiditan tablet with two 100 mg Lasmiditan matching placebo tablets to maintain blind, for migraine attack 4. Tablets were administered orally within 4 hours of onset of a single migraine attack, up to 4 migraine attacks.
Participants initially received 100 mg Lasmiditan at the first OLE visit, with flexible dosing (50, 100, or 200 mg) thereafter to optimize efficacy and tolerability.