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Migraine Treatment Satisfaction With Treximet Versus Concomitant 2 Aleve and Imitrex

Primary Purpose

Migraine

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Treximet
Imitrex and two Aleve
Sponsored by
Stephen H. Landy, M.D.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine focused on measuring Migraine, Headache, Migraine

Eligibility Criteria

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

Inclusion Criteria:

A subject will be eligible for inclusion in this study if all of the following criteria apply:

  1. Subject is male or female.
  2. Subject is age 18 to 65.
  3. A female is eligible to enter and participate in this study if she is not breast feeding and is of: non-childbearing potential (i.e. physiologically incapable of becoming pregnant) or child-bearing potential, has a negative urine pregnancy test at screening and agrees to use an acceptable method of contraception during the course of the study or, Female sterilization; or, Sterilization of male partner; or Implants of levonorgestrel; or Injectable progestogen; or Oral contraceptive (combined or progestogen only); or Any intrauterine device (IUD) meet this criterion; or Double barrier method; or Any other methods with published data showing that the lowest expected failure rate for that method is less than 1% per year
  4. Subject has a diagnosis of migraine and meets IHS criteria for migraine with or without aura (1.1) or migraine with aura (1.2)
  5. Subject has at least a 1-year history of migraine with 2-6 migraines per month in the three months prior to screening
  6. Subject typically experiences moderate to severe migraine pain preceded by an identifiable mild pain phase.
  7. Subject is able to read, understand and complete diaries, subject questionnaires and the instructions for the study.
  8. Subject is able and willing to give written informed consent to participate in the study.

Exclusion Criteria:

A subject will not be eligible for inclusion in this study if any of the following criteria apply:

  1. Subject has confirmed or suspected ischemic heart disease (angina pectoris, history of myocardial infarction, documented silent ischemia), Prinzmetal's angina, or signs/symptoms consistent with any of the above.
  2. Subject has evidence or history of ischemic abdominal syndromes, peripheral vascular disease or Raynaud's Syndrome.
  3. Subject has cardiac arrhythmias requiring medication or a clinically significant electrocardiogram abnormality that, in the investigator's opinion, contraindicates participation in this study.
  4. Subject has a history of cerebrovascular pathology including stroke.
  5. Subject has a history of congenital heart disease.
  6. Subject has uncontrolled hypertension at screening (sitting (>140 mmHg systolic pressure or >90mmHg diastolic pressure).
  7. Subject, in the investigator's opinion, is likely to have unrecognized cardiovascular or cerebrovascular disease.
  8. Subject has significant peripheral vascular disease
  9. Subject is currently taking any anti-coagulant (e.g., Coumadin®).
  10. Subject has a history of inflammatory bowel disease.
  11. Subject has a history of any bleeding disorder.
  12. Subject has a history of GI ulceration in the past six months or gastrointestinal bleeding in the past year.
  13. Subject is taking any antiplatelet agent (except low-dose aspiring ≤ 325 mg/day for cardioprotective reasons).
  14. Subject is taking any angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker.
  15. Subject has a history of epilepsy.
  16. Subject has basilar migraine, hemiplegic migraine or cluster headache.
  17. Subject has impaired renal, hepatic, of any gastrointestinal surgery, gastrointestinal obstruction or perforation.
  18. Subject who is currently taking monoamine oxidase inhibitor drugs (MAOIs), or has taken any MAOI within 2 weeks prior to screening.
  19. Subject is pregnant, actively trying to become pregnant or breast-feeding.
  20. Subject has ≥ 15 headache days in any of the three previous months prior to screening.
  21. Subject is of childbearing potential and not using adequate contraceptive measures.
  22. Subject has evidence of a rebound headache pattern caused by ergotamines or analgesics in the past three months.
  23. Subject has evidence of alcohol or substance abuse within the last year, which, in the investigator's judgment, will likely interfere with the study conduct, subject cooperation, or evaluation and interpretation of the study results.
  24. Subject has any concurrent medical condition which may affect the interpretation of efficacy and safety data or which otherwise contraindicates participation in this clinical trial.
  25. Subject has participated in an investigational drug trial within the previous four weeks, or plans to participate in another study at any time during this study

Sites / Locations

  • Wesley Headache Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Treximet

Imitrex and Aleve

Arm Description

Outcomes

Primary Outcome Measures

Measurement of patient satisfaction of Treximet vs 2 Aleve and 100mg Imitrex

Secondary Outcome Measures

Measurement of time to onset of pain relief
Measurement of time to onset of pain free
Measurement of 24 hour sustained pain free
Measurement of 24 hour sustained pain relief

Full Information

First Posted
September 2, 2011
Last Updated
October 10, 2011
Sponsor
Stephen H. Landy, M.D.
Collaborators
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT01450995
Brief Title
Migraine Treatment Satisfaction With Treximet Versus Concomitant 2 Aleve and Imitrex
Official Title
Open-label, 6 Month Crossover Study Evaluating Migraine Patient Satisfaction Comparing Treximet to 2 Aleve and 100mg Imitrex Taken Concomitantly
Study Type
Interventional

2. Study Status

Record Verification Date
October 2011
Overall Recruitment Status
Completed
Study Start Date
December 2009 (undefined)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
May 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Stephen H. Landy, M.D.
Collaborators
GlaxoSmithKline

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is an open label, 6 month cross over study in 50 migraine patients fulfilling International Headache Society Classification criteria for migraine headache with and without aura having 2-6 migraines per month and not over 14 days a month of headaches in the previous 3 months. Baseline Headache Impact Test -6 (HIT-6) will be obtained and 25 patients will administer Treximet as needed for 3 months and then 2 Aleve and 100mg Imitrex taken concomitantly as needed for 3 months. The other 25 patients will administer 2 Aleve and 100mg Imitrex taken concomitantly as needed for 3 months and then Treximet as needed for 3 months. In addition to Revised Patient Perception of Migraine Questionnaire (PPMQ-R)data, a detailed diary will be recorded regarding number of tablets taken per attack, compliance, rescue treatment, when patients treated their migraine attack (mild, moderate, or severe), onset of pain reduction (pain relief and pain free, and 24 hour pain relief and sustained pain free response.
Detailed Description
A migraine headache is characterized by pain felt on one and sometimes both side(s) of the head. Other symptoms associated with a migraine headache may include nausea, vomiting, and sensitivity to light and sound. A migraine can last a few hours or up to one or two days. Triptan medications are currently thought to be safe and effective for acute migraine treatment. Treximet(tm) is a triptan tablet containing a combination of sumatriptan 85mg (Imitrex) and naproxen sodium 500 mg. This combination has two methods of action for relieving a migraine headache. It targets the nerves and blood vessels involved in a migraine, and relieves inflammation that may cause migraine pain. Treximet(tm), is approved by the Food and Drug Administration. The purpose of this research study is to compare the effectiveness of taking Treximet(tm) as a combination pill to taking two Aleve(r) tablets and 100mg of Imitrex(r) as separate tablets taken at the same time.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine
Keywords
Migraine, Headache, Migraine

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treximet
Arm Type
Active Comparator
Arm Title
Imitrex and Aleve
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Treximet
Intervention Description
Tablet form, one tablet dose, one tablet at migraine onset with second tablet for persistent or recurring migraine two hours after first dose.
Intervention Type
Drug
Intervention Name(s)
Imitrex and two Aleve
Intervention Description
Imitrex tablet, one tablet dose, Aleve tablets, 2 220 mg tablet dose. Three tablets taken concurrently with migraine onset. Second dose of tablets may be taken if migraine persists for two hours
Primary Outcome Measure Information:
Title
Measurement of patient satisfaction of Treximet vs 2 Aleve and 100mg Imitrex
Time Frame
one year
Secondary Outcome Measure Information:
Title
Measurement of time to onset of pain relief
Time Frame
One year
Title
Measurement of time to onset of pain free
Time Frame
one year
Title
Measurement of 24 hour sustained pain free
Time Frame
One year
Title
Measurement of 24 hour sustained pain relief
Time Frame
One year

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: A subject will be eligible for inclusion in this study if all of the following criteria apply: Subject is male or female. Subject is age 18 to 65. A female is eligible to enter and participate in this study if she is not breast feeding and is of: non-childbearing potential (i.e. physiologically incapable of becoming pregnant) or child-bearing potential, has a negative urine pregnancy test at screening and agrees to use an acceptable method of contraception during the course of the study or, Female sterilization; or, Sterilization of male partner; or Implants of levonorgestrel; or Injectable progestogen; or Oral contraceptive (combined or progestogen only); or Any intrauterine device (IUD) meet this criterion; or Double barrier method; or Any other methods with published data showing that the lowest expected failure rate for that method is less than 1% per year Subject has a diagnosis of migraine and meets IHS criteria for migraine with or without aura (1.1) or migraine with aura (1.2) Subject has at least a 1-year history of migraine with 2-6 migraines per month in the three months prior to screening Subject typically experiences moderate to severe migraine pain preceded by an identifiable mild pain phase. Subject is able to read, understand and complete diaries, subject questionnaires and the instructions for the study. Subject is able and willing to give written informed consent to participate in the study. Exclusion Criteria: A subject will not be eligible for inclusion in this study if any of the following criteria apply: Subject has confirmed or suspected ischemic heart disease (angina pectoris, history of myocardial infarction, documented silent ischemia), Prinzmetal's angina, or signs/symptoms consistent with any of the above. Subject has evidence or history of ischemic abdominal syndromes, peripheral vascular disease or Raynaud's Syndrome. Subject has cardiac arrhythmias requiring medication or a clinically significant electrocardiogram abnormality that, in the investigator's opinion, contraindicates participation in this study. Subject has a history of cerebrovascular pathology including stroke. Subject has a history of congenital heart disease. Subject has uncontrolled hypertension at screening (sitting (>140 mmHg systolic pressure or >90mmHg diastolic pressure). Subject, in the investigator's opinion, is likely to have unrecognized cardiovascular or cerebrovascular disease. Subject has significant peripheral vascular disease Subject is currently taking any anti-coagulant (e.g., Coumadin®). Subject has a history of inflammatory bowel disease. Subject has a history of any bleeding disorder. Subject has a history of GI ulceration in the past six months or gastrointestinal bleeding in the past year. Subject is taking any antiplatelet agent (except low-dose aspiring ≤ 325 mg/day for cardioprotective reasons). Subject is taking any angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker. Subject has a history of epilepsy. Subject has basilar migraine, hemiplegic migraine or cluster headache. Subject has impaired renal, hepatic, of any gastrointestinal surgery, gastrointestinal obstruction or perforation. Subject who is currently taking monoamine oxidase inhibitor drugs (MAOIs), or has taken any MAOI within 2 weeks prior to screening. Subject is pregnant, actively trying to become pregnant or breast-feeding. Subject has ≥ 15 headache days in any of the three previous months prior to screening. Subject is of childbearing potential and not using adequate contraceptive measures. Subject has evidence of a rebound headache pattern caused by ergotamines or analgesics in the past three months. Subject has evidence of alcohol or substance abuse within the last year, which, in the investigator's judgment, will likely interfere with the study conduct, subject cooperation, or evaluation and interpretation of the study results. Subject has any concurrent medical condition which may affect the interpretation of efficacy and safety data or which otherwise contraindicates participation in this clinical trial. Subject has participated in an investigational drug trial within the previous four weeks, or plans to participate in another study at any time during this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stephen H Landy, M.D.
Organizational Affiliation
Wesley Headache Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Wesley Headache Clinic
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38018
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
16492233
Citation
Revicki DA, Kimel M, Beusterien K, Kwong JW, Varner JA, Ames MH, Mahajan S, Cady RK. Validation of the revised Patient Perception of Migraine Questionnaire: measuring satisfaction with acute migraine treatment. Headache. 2006 Feb;46(2):240-52. doi: 10.1111/j.1526-4610.2006.00289.x.
Results Reference
result
PubMed Identifier
17955107
Citation
Landy S, DeRossett SE, Rapoport A, Rothrock J, Ames MH, McDonald SA, Burch SP. Two double-blind, multicenter, randomized, placebo-controlled, single-dose studies of sumatriptan/naproxen sodium in the acute treatment of migraine: function, productivity, and satisfaction outcomes. MedGenMed. 2007 Jun 7;9(2):53.
Results Reference
result
PubMed Identifier
17501849
Citation
Smith T, Blumenthal H, Diamond M, Mauskop A, Ames M, McDonald S, Lener S, Burch S. Sumatriptan/Naproxen sodium for migraine: efficacy, health related quality of life, and satisfaction outcomes. Headache. 2007 May;47(5):683-92. doi: 10.1111/j.1526-4610.2007.00790.x.
Results Reference
result
Citation
4. Cady RK, et al. Consistent medication satisfaction with sumatriptan RT Technology and naproxen sodium for acute migraine treatment. Poster presented at 13th Congress of the International Headache Society (IHS), June 28-July 1, 2007; Stockholm, Sweden.
Results Reference
result
PubMed Identifier
19486178
Citation
Mathew NT, Landy S, Stark S, Tietjen GE, Derosier FJ, White J, Lener SE, Bukenya D. Fixed-dose sumatriptan and naproxen in poor responders to triptans with a short half-life. Headache. 2009 Jul;49(7):971-82. doi: 10.1111/j.1526-4610.2009.01458.x. Epub 2009 May 27.
Results Reference
result
PubMed Identifier
18384420
Citation
Kimel M, Hsieh R, McCormack J, Burch SP, Revicki DA. Validation of the revised Patient Perception of Migraine Questionnaire (PPMQ-R): measuring satisfaction with acute migraine treatment in clinical trials. Cephalalgia. 2008 May;28(5):510-23. doi: 10.1111/j.1468-2982.2007.01524.x. Epub 2008 Mar 31.
Results Reference
result

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Migraine Treatment Satisfaction With Treximet Versus Concomitant 2 Aleve and Imitrex

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