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The Efficacy and Tolerability of NP101 Patch in the Treatment of Acute Migraine (NP101-007)

Primary Purpose

Migraine Disorders

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
NP101 - Sumatriptan iontophoretic transdermal patch
Placebo
Sponsored by
NuPathe Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine Disorders

Eligibility Criteria

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

Inclusion Criteria:

  • Subject is an adult male or female, age range 18 years to 65 years.
  • Subject has a diagnosis of migraine headache, with or without aura, as defined in the ICDH-II and the diagnosis was made before the age of 50.
  • Subject typically experiences moderate to severe headaches during a migraine attack.
  • Subject has at least a one year history of migraine.
  • Subject will be judged to be in good health, based on results of a medical history, physical examination, vital signs, ECG and laboratory profile.
  • Female subject of childbearing potential must have a negative pregnancy test at screening and prior to randomization.
  • Subject must have a negative drug screen.
  • Subject must be capable of reading and understanding either English or Spanish subject information materials. Be able to successfully apply a practice patch, carry-out all subject procedures, and be able to voluntarily sign and date an IRB approved IC agreement.
  • Subject has an acceptable patch application site (upper arm) that is relatively hair free and has no scars, tattoos, scratches, or bruises.

Exclusion Criteria:

  • Subject has or plans to start, stop, or change treatment or dose with prophylactic anti-migraine treatment within 3 months prior to the subjects' study randomization date and through the final visit.
  • Subject has or plans to start, stop, or change treatment or dose of any of the following within 3 months prior to the subjects' study randomization date through final visit: anxiolytics, lithium and other mood stabilizers, hypnotics or antipsychotics.
  • Subject had less than one migraine per month or more than six migraines per month, or more than 15 headache days per month for any of the three months prior to randomization.
  • Subject has suspected or confirmed cardiovascular disease that contraindicates study participation.
  • Subject has a history of epilepsy or conditions associated with a lowered seizure threshold.
  • Subject has Raynaud's disease.
  • Subject has a history of basilar or hemiplegic migraines.
  • Subject has a current diagnosis of a major depressive disorder per the DSM IV R.
  • Subject has a history (within 1 year) or current evidence of drug or alcohol abuse or dependence.
  • Subject is unwilling to discontinue use of serotonin agonists (triptans), except for the study patch, through the Final Visit.
  • Subject has taken SSRI's, SNRI's, TCA's, MAOI's or preparations containing St. John's Wort within 1 month prior to screening and/or is planning to start any of these medications during the study.
  • Subject is unwilling to discontinue use of a PD-5 inhibitors through the Final Visit.
  • Subject has taken ergot medications within 7 days prior to Randomization and/or is unwilling to discontinue use through the Final Visit.
  • Subject has a history of a significant allergy or hypersensitivity to any component of the study patch.
  • Subject has any generalized skin irritation or disease including eczema, psoriasis, melanoma, or contact dermatitis.
  • Subject has clinically significant abnormal laboratory parameters, vital signs or ECG parameters.
  • Subject is known to be hepatitis B, hepatitis C or HIV positive.
  • Subject has hepatic dysfunction based on laboratory results or if in the opinion of the Investigator the subject's history, physical examination or other laboratory tests suggest hepatic dysfunction.
  • Female subject who is pregnant, breast feeding, or if of childbearing potential, is not using or is unwilling to use an effective form of contraception during the study and for a period of 30 days following dosing.
  • Subject has known history of failure to respond to sumatriptan.
  • Subject has participated in a clinical study within 30 days of screening or is planning to participate in another clinical study.
  • Subject has been previously enrolled in NP101-007
  • Subject is electrically sensitive or who have electrically sensitive support systems (e.g., pacemaker).

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Sumatriptan

Placebo

Arm Description

NP101 - sumatriptan iontophoretic transdermal patch

Placebo iontophoretic transdermal patch

Outcomes

Primary Outcome Measures

Pain Free at Two Hours
Subjects whose headache severity score equaled zero (0) two hours post patch activation and who had not received any rescue medication before their two-hour assessment.

Secondary Outcome Measures

Photophobia Free at Two Hours
Subjects who were photophobia free and who had not received any rescue medication before their two-hour assessment.
Phonophobia Free at Two Hours
Subjects who were phonophobia free and who had not received any rescue medication before their two-hour assessment.
Nausea Free at Two Hours
Number of subjects who were nausea free and who had not received any rescue medication before their two-hour assessment.

Full Information

First Posted
July 28, 2008
Last Updated
February 2, 2016
Sponsor
NuPathe Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00724815
Brief Title
The Efficacy and Tolerability of NP101 Patch in the Treatment of Acute Migraine
Acronym
NP101-007
Official Title
The Efficacy and Tolerability of NP101, a Sumatriptan Iontophoretic Transdermal Patch, in the Treatment of Acute Migraine: A Randomized, Double-Blind, Placebo-Controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
January 2009 (undefined)
Primary Completion Date
July 2009 (Actual)
Study Completion Date
July 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NuPathe Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study was a randomized, parallel group, double-blind, placebo controlled design to compare the efficacy and tolerability of NP101 to a placebo iontophoretic transdermal patch. The primary objective of this study was to assess the proportion of subjects who were headache pain free at two hours after patch activation. Key secondary objectives included: The proportion of subjects who were nausea free at two hours after patch activation. The proportion of subjects who were photophobia free at two hours after patch activation. The proportion of subjects who were phonophobia free at two hours after patch activation.
Detailed Description
Subjects stayed in the study until they had treated one migraine headache with a study patch or two months after randomization, whichever occurred first. During a migraine headache, subjects rated their baseline headache pain severity in a Migraine Study Diary using a 4-point scale (0 = none, 1 = mild, 2 = moderate, 3 = severe) and applied the study patch only if their score was 2 or 3 (i.e., qualifying migraine headache). In addition to headache pain severity, subjects also recorded the presence or absence of aura, nausea, phonophobia, and photophobia, as well as the location of their headache (unilateral or bilateral) and whether their headache increased with movement.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
530 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sumatriptan
Arm Type
Experimental
Arm Description
NP101 - sumatriptan iontophoretic transdermal patch
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo iontophoretic transdermal patch
Intervention Type
Drug
Intervention Name(s)
NP101 - Sumatriptan iontophoretic transdermal patch
Other Intervention Name(s)
Sumatriptan
Intervention Description
Sumatriptan iontophoretic transdermal patch
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
NP101 Placebo
Intervention Description
NP101 Placebo iontophoretic transdermal patch
Primary Outcome Measure Information:
Title
Pain Free at Two Hours
Description
Subjects whose headache severity score equaled zero (0) two hours post patch activation and who had not received any rescue medication before their two-hour assessment.
Time Frame
2 hours post patch activation
Secondary Outcome Measure Information:
Title
Photophobia Free at Two Hours
Description
Subjects who were photophobia free and who had not received any rescue medication before their two-hour assessment.
Time Frame
2 hours post patch activation
Title
Phonophobia Free at Two Hours
Description
Subjects who were phonophobia free and who had not received any rescue medication before their two-hour assessment.
Time Frame
2 hours post patch activation
Title
Nausea Free at Two Hours
Description
Number of subjects who were nausea free and who had not received any rescue medication before their two-hour assessment.
Time Frame
2 hours post patch activation

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: Subject is an adult male or female, age range 18 years to 65 years. Subject has a diagnosis of migraine headache, with or without aura, as defined in the ICDH-II and the diagnosis was made before the age of 50. Subject typically experiences moderate to severe headaches during a migraine attack. Subject has at least a one year history of migraine. Subject will be judged to be in good health, based on results of a medical history, physical examination, vital signs, ECG and laboratory profile. Female subject of childbearing potential must have a negative pregnancy test at screening and prior to randomization. Subject must have a negative drug screen. Subject must be capable of reading and understanding either English or Spanish subject information materials. Be able to successfully apply a practice patch, carry-out all subject procedures, and be able to voluntarily sign and date an IRB approved IC agreement. Subject has an acceptable patch application site (upper arm) that is relatively hair free and has no scars, tattoos, scratches, or bruises. Exclusion Criteria: Subject has or plans to start, stop, or change treatment or dose with prophylactic anti-migraine treatment within 3 months prior to the subjects' study randomization date and through the final visit. Subject has or plans to start, stop, or change treatment or dose of any of the following within 3 months prior to the subjects' study randomization date through final visit: anxiolytics, lithium and other mood stabilizers, hypnotics or antipsychotics. Subject had less than one migraine per month or more than six migraines per month, or more than 15 headache days per month for any of the three months prior to randomization. Subject has suspected or confirmed cardiovascular disease that contraindicates study participation. Subject has a history of epilepsy or conditions associated with a lowered seizure threshold. Subject has Raynaud's disease. Subject has a history of basilar or hemiplegic migraines. Subject has a current diagnosis of a major depressive disorder per the DSM IV R. Subject has a history (within 1 year) or current evidence of drug or alcohol abuse or dependence. Subject is unwilling to discontinue use of serotonin agonists (triptans), except for the study patch, through the Final Visit. Subject has taken SSRI's, SNRI's, TCA's, MAOI's or preparations containing St. John's Wort within 1 month prior to screening and/or is planning to start any of these medications during the study. Subject is unwilling to discontinue use of a PD-5 inhibitors through the Final Visit. Subject has taken ergot medications within 7 days prior to Randomization and/or is unwilling to discontinue use through the Final Visit. Subject has a history of a significant allergy or hypersensitivity to any component of the study patch. Subject has any generalized skin irritation or disease including eczema, psoriasis, melanoma, or contact dermatitis. Subject has clinically significant abnormal laboratory parameters, vital signs or ECG parameters. Subject is known to be hepatitis B, hepatitis C or HIV positive. Subject has hepatic dysfunction based on laboratory results or if in the opinion of the Investigator the subject's history, physical examination or other laboratory tests suggest hepatic dysfunction. Female subject who is pregnant, breast feeding, or if of childbearing potential, is not using or is unwilling to use an effective form of contraception during the study and for a period of 30 days following dosing. Subject has known history of failure to respond to sumatriptan. Subject has participated in a clinical study within 30 days of screening or is planning to participate in another clinical study. Subject has been previously enrolled in NP101-007 Subject is electrically sensitive or who have electrically sensitive support systems (e.g., pacemaker).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark Pierce, MD
Organizational Affiliation
NuPathe Inc.
Official's Role
Study Director
Facility Information:
City
Phoenix
State/Province
Arizona
Country
United States
City
Little Rock
State/Province
Arkansas
Country
United States
City
Newport Beach
State/Province
California
Country
United States
City
San Francisco
State/Province
California
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United States
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Santa Monica
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California
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United States
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Fairfield
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Connecticut
Country
United States
City
Ocala
State/Province
Florida
Country
United States
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Palm Beach Gardens
State/Province
Florida
Country
United States
City
Sunrise
State/Province
Florida
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United States
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Atlanta
State/Province
Georgia
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United States
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Columbus
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Georgia
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United States
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Decatur
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Georgia
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United States
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Savannah
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Georgia
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United States
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Chicago
State/Province
Illinois
Country
United States
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Ann Arbor
State/Province
Michigan
Country
United States
City
Kalamazoo
State/Province
Michigan
Country
United States
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Springfield
State/Province
Missouri
Country
United States
City
St. Louis
State/Province
Missouri
Country
United States
City
Mount Vernon
State/Province
New York
Country
United States
City
Plainview
State/Province
New York
Country
United States
City
Greensboro
State/Province
North Carolina
Country
United States
City
West Chester
State/Province
Ohio
Country
United States
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Oklahoma City
State/Province
Oklahoma
Country
United States
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Philadelphia
State/Province
Pennsylvania
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United States
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Pittsburgh
State/Province
Pennsylvania
Country
United States
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Wynnewood
State/Province
Pennsylvania
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United States
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Memphis
State/Province
Tennessee
Country
United States
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Nashville
State/Province
Tennessee
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United States
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Dallas
State/Province
Texas
Country
United States
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Houston
State/Province
Texas
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United States
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San Antonio
State/Province
Texas
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United States
City
Alexandria
State/Province
Virginia
Country
United States
City
Virginia Beach
State/Province
Virginia
Country
United States
City
Seattle
State/Province
Washington
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22694484
Citation
Goldstein J, Smith TR, Pugach N, Griesser J, Sebree T, Pierce M. A sumatriptan iontophoretic transdermal system for the acute treatment of migraine. Headache. 2012 Oct;52(9):1402-10. doi: 10.1111/j.1526-4610.2012.02198.x. Epub 2012 Jun 13.
Results Reference
derived

Learn more about this trial

The Efficacy and Tolerability of NP101 Patch in the Treatment of Acute Migraine

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