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Double-blind, Placebo-controlled Study of BGC20-1531 in Migraine

Primary Purpose

Migraine

Status
Withdrawn
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
BGC20-1531
Lactose
Sponsored by
Boston Scientific Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine focused on measuring Migraine, Headaches, Migraine headaches, Head pain

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis of migraine (with or without aura) according to the criteria of the International Headache Society.
  • Age at onset of migraine less than 45.0 years.
  • Males and females between 18.0 and 65.0 years of age inclusive.
  • Be willing and able to give written informed consent.
  • For female patients, a negative pregnancy test
  • Sexually active participants and their partners should be using an effective method of contraception; combined hormonal or progestogen-only methods, IUD/IUS, diaphragm/condoms with spermicide or sterilisation.
  • History of 1-6 migraine attacks per month (with or without aura) in the 3 months prior to screening, with at least 48 hours freedom from headache between attacks.
  • Patients receiving migraine prophylactic treatment can be enrolled, providing they are receiving only one drug for prophylaxis and the prescribed daily dose is not changed in the month prior to screening.
  • Rescue medication is permitted in the study.
  • Women with menstrual migraine (or who have suspected menstrual migraine or are subsequently diagnosed with menstrual migraine) may be included in the study and instructed to treat each consecutive attack with study medication (unless within the wash-out period).
  • Patients who are willing and able to comply with study requirements including completion of the study diary.
  • Patients who are taking prescribed medication for depression may be included providing this treatment has been stable for 3 months prior to screening and is expected to remain stable for the duration of the study.
  • In the investigators opinion are suitable for inclusion in the study.

Exclusion Criteria:

  • Patients with ≥15 headache days (migraine and non-migraine headaches combined) per month.
  • Patients who take analgesics for any reason ≥15 days a month or triptans ≥10 days a month.
  • Non-migraine headaches on more than 6 days per month.
  • Patients with schizophrenia.
  • Patients prescribed more than one migraine prophylaxis treatment.
  • Patients receiving prophylaxis whose prescribed daily dose has changed within the month before screening.
  • Patients whose prophylactic treatment is not expected to remain stable for the duration of the study.
  • Patients whose prophylactic treatment has been withdrawn within the month prior to study entry.
  • Patients taking ergotamine, ergotamine derivatives or ergotamine combination products.
  • Any relevant abnormality on history or examination including central nervous system, psychiatric (excluding depression), respiratory, cardiovascular or metabolic dysfunction.
  • Abnormal laboratory findings suggesting infectious, endocrine, malignant disease or other systemic disorder; any isolated abnormal laboratory finding considered clinically relevant by the investigator at screening.
  • Subjects with clinically significant abnormalities in 12-lead electrocardiogram (ECG), blood pressure and/or pulse at screening.
  • Recent or clinically significant history of drug or alcohol abuse.
  • Inability to communicate well with the investigator (ie, language problem, poor mental development or impaired cerebral function).
  • Participation in a clinical study of an Investigational Medicinal Product (IMP) within the 3 months up to screening.
  • Patient unable to commit to participating in the clinical study for up to 8 months or patient expecting any medical interventions during that time.
  • Patients taking prescribed medication for depression, whose treatment has not been stable for 3 months up to screening and is not likely to remain stable for the duration of the study.
  • Female patients who are pregnant or lactating.
  • Patients taking any unapproved herbal remedies for treatment of depression or migraine e.g. feverfew, St Johns Wort. (Supplementary vitamins, minerals or homeopathic remedies will be permitted provided their intake is kept constant throughout the study).
  • Patients with a history of lactose intolerance.

Sites / Locations

  • Danish Headache Center
  • Head and Neck Research Group
  • Norwegian National Headache Centre
  • The City of London Migraine Clinic

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

BGC20-1531 200 mg

BGC20-1531 400mg

Lactose

Arm Description

Outcomes

Primary Outcome Measures

To evaluate the effect of BGC20-1531 on headache response, defined as a decrease of headache from severe or moderate to mild or none at 2 hours post-dose without the use of rescue medication.

Secondary Outcome Measures

To evaluate the effect of BGC20-1531 on pain-freedom up to 48 hours post-dose without the use of rescue medication.
To evaluate the effect of BGC20-1531 on headache response up to 48 hours post-dose (without the use of rescue medication).
To evaluate the effect of BGC20-1531 on sustained headache relief and pain-freedom over a 24-hour and 48-hour period post-dose.
To evaluate the safety of BGC20-1531.

Full Information

First Posted
April 27, 2009
Last Updated
June 2, 2022
Sponsor
Boston Scientific Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT00888680
Brief Title
Double-blind, Placebo-controlled Study of BGC20-1531 in Migraine
Official Title
A Multinational, Multi-centre, Randomised, Double-blind, Placebo-controlled, 3-way Crossover Study in Migraine Patients, Treated With Two Doses of BGC20-1531 and Placebo
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Withdrawn
Why Stopped
No patients enrolled. Delay due to optimisation of drug product formulation.
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boston Scientific Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study is being conducted to explore the safety and effectiveness of a new chemical entity, BGC20-1531, in subjects with a history of migraine. In this study subjects will treat a total of three migraine attacks with two different doses of BGC20-1531 and placebo, with at least one week wash out period between doses.
Detailed Description
Migraine headache is estimated to affect 10-20% of the world population and is listed by the World Health Organisation in the top 20 causes of disabling conditions, and in the top four neurological disabling conditions. The most common therapies for acute migraine are non-steroidal anti-inflammatory drugs (NSAIDs) and triptans. However, many migraine sufferers do not experience sufficient relief from these treatments or cannot tolerate their gastrointestinal, cardiovascular and other side-effects. Prostaglandin PGE2-induced sensory nerve sensitisation, neuropeptide release and cerebral vascular dilatation is thought to underlie migraine pain, particularly via activation of the EP4 receptor subtype. BGC20-1531 is an orally available EP4 receptor antagonist which inhibits prostaglandin-induced vasodilation of cranial blood vessels via a selective blockade of EP4 receptors reducing inflammation and migraine pain. As EP4 receptors are discretely localised, the overall safety profile of EP4 receptor antagonists may be improved compared to triptans and NSAIDs.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine
Keywords
Migraine, Headaches, Migraine headaches, Head pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BGC20-1531 200 mg
Arm Type
Experimental
Arm Title
BGC20-1531 400mg
Arm Type
Experimental
Arm Title
Lactose
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
BGC20-1531
Intervention Description
BGC20-1531 administered orally
Intervention Type
Drug
Intervention Name(s)
Lactose
Intervention Description
Placebo administered orally
Primary Outcome Measure Information:
Title
To evaluate the effect of BGC20-1531 on headache response, defined as a decrease of headache from severe or moderate to mild or none at 2 hours post-dose without the use of rescue medication.
Time Frame
2 hours
Secondary Outcome Measure Information:
Title
To evaluate the effect of BGC20-1531 on pain-freedom up to 48 hours post-dose without the use of rescue medication.
Time Frame
Up to 48 hours
Title
To evaluate the effect of BGC20-1531 on headache response up to 48 hours post-dose (without the use of rescue medication).
Time Frame
Up to 48 hours
Title
To evaluate the effect of BGC20-1531 on sustained headache relief and pain-freedom over a 24-hour and 48-hour period post-dose.
Time Frame
Up to 48 hours
Title
To evaluate the safety of BGC20-1531.
Time Frame
Duration of the study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of migraine (with or without aura) according to the criteria of the International Headache Society. Age at onset of migraine less than 45.0 years. Males and females between 18.0 and 65.0 years of age inclusive. Be willing and able to give written informed consent. For female patients, a negative pregnancy test Sexually active participants and their partners should be using an effective method of contraception; combined hormonal or progestogen-only methods, IUD/IUS, diaphragm/condoms with spermicide or sterilisation. History of 1-6 migraine attacks per month (with or without aura) in the 3 months prior to screening, with at least 48 hours freedom from headache between attacks. Patients receiving migraine prophylactic treatment can be enrolled, providing they are receiving only one drug for prophylaxis and the prescribed daily dose is not changed in the month prior to screening. Rescue medication is permitted in the study. Women with menstrual migraine (or who have suspected menstrual migraine or are subsequently diagnosed with menstrual migraine) may be included in the study and instructed to treat each consecutive attack with study medication (unless within the wash-out period). Patients who are willing and able to comply with study requirements including completion of the study diary. Patients who are taking prescribed medication for depression may be included providing this treatment has been stable for 3 months prior to screening and is expected to remain stable for the duration of the study. In the investigators opinion are suitable for inclusion in the study. Exclusion Criteria: Patients with ≥15 headache days (migraine and non-migraine headaches combined) per month. Patients who take analgesics for any reason ≥15 days a month or triptans ≥10 days a month. Non-migraine headaches on more than 6 days per month. Patients with schizophrenia. Patients prescribed more than one migraine prophylaxis treatment. Patients receiving prophylaxis whose prescribed daily dose has changed within the month before screening. Patients whose prophylactic treatment is not expected to remain stable for the duration of the study. Patients whose prophylactic treatment has been withdrawn within the month prior to study entry. Patients taking ergotamine, ergotamine derivatives or ergotamine combination products. Any relevant abnormality on history or examination including central nervous system, psychiatric (excluding depression), respiratory, cardiovascular or metabolic dysfunction. Abnormal laboratory findings suggesting infectious, endocrine, malignant disease or other systemic disorder; any isolated abnormal laboratory finding considered clinically relevant by the investigator at screening. Subjects with clinically significant abnormalities in 12-lead electrocardiogram (ECG), blood pressure and/or pulse at screening. Recent or clinically significant history of drug or alcohol abuse. Inability to communicate well with the investigator (ie, language problem, poor mental development or impaired cerebral function). Participation in a clinical study of an Investigational Medicinal Product (IMP) within the 3 months up to screening. Patient unable to commit to participating in the clinical study for up to 8 months or patient expecting any medical interventions during that time. Patients taking prescribed medication for depression, whose treatment has not been stable for 3 months up to screening and is not likely to remain stable for the duration of the study. Female patients who are pregnant or lactating. Patients taking any unapproved herbal remedies for treatment of depression or migraine e.g. feverfew, St Johns Wort. (Supplementary vitamins, minerals or homeopathic remedies will be permitted provided their intake is kept constant throughout the study). Patients with a history of lactose intolerance.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Messoud Ashina, MD
Organizational Affiliation
Danish Headache Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Danish Headache Center
City
Glostrup
Country
Denmark
Facility Name
Head and Neck Research Group
City
Oslo
Country
Norway
Facility Name
Norwegian National Headache Centre
City
Trondheim
Country
Norway
Facility Name
The City of London Migraine Clinic
City
London
Country
United Kingdom

12. IPD Sharing Statement

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Double-blind, Placebo-controlled Study of BGC20-1531 in Migraine

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