Phase 3
N=173
A Study of Combination Product (Sumatriptan Succinate and Naproxen Sodium) in Migraine Subjects Who Report Poor Response or Intolerance to Short Acting Triptans (Study 1 of 2)
Migraine Disorders
Bottom Line
View on ClinicalTrials.gov: NCT00383162 ↗Enrolled (actual)
173
Serious AEs
0.0%
Results posted
Feb 2010
Primary outcome: Primary: Sustained Freedom From Migraine Pain Between 2-24 Hours Post-dose — 10; 36 Participants — p=<0.001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Combination Product (sumatriptan succinate / naproxen sodium) (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Oct 2007
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Sustained Freedom From Migraine Pain Between 2-24 Hours Post-dose |
10; 36 | <0.001 sig |
| SECONDARY Pain-Free Assessment at 2 Hours Post-dose |
23; 54 | — |
| SECONDARY Rescue Medication Used up to 24 Hours Post-dose |
84; 40 | — |
| SECONDARY Pain-Free Assessment at 1/2, 1, 4, 8 Hours Post-dose |
2; 6; 13; 26; 30; 80 | — |
| SECONDARY Sustained Freedom From Migraine |
11; 32 | — |
| SECONDARY Migraine-Free Assessment at 2, 4, and 8 Hours Post-dose |
19; 47; 30; 72; 29; 80 | — |
| SECONDARY Sustained Freedom From Migraine-Associated Sinus Pain |
34; 76 | — |
| SECONDARY Migraine-Associated Sinus Pain Assessed at Baseline, 2, 4, and 8 Hours Post-dose |
58; 61; 52; 31; 39; 20 | — |
| SECONDARY Sustained Freedom From Migraine-Associated Neck Pain |
33; 63 | — |
| SECONDARY Migraine-Associated Neck Pain Assessed at Baseline, 2, 4, and 8 Hours Post-dose |
65; 82; 54; 54; 46; 40 | — |
| SECONDARY Sustained Freedom From Migraine-Associated Photophobia |
23; 59 | — |
| SECONDARY Migraine-Associated Photophobia Assessed at Baseline, 2, 4, and 8 Hours Post-dose |
98; 95; 86; 57; 65; 33 | — |
| SECONDARY Sustained Freedom From Migraine-Associated Phonophobia |
31; 66 | — |
| SECONDARY Migraine-Associated Phonophobia Assessed at Baseline, 2, 4, and 8 Hours Post-dose |
82; 86; 73; 47; 56; 31 | — |
| SECONDARY Sustained Freedom From Migraine-Associated Nausea |
38; 70 | — |
| SECONDARY Migraine-Associated Nausea Assessed at Baseline, 2, 4, and 8 Hours Post-dose |
45; 48; 42; 39; 29; 20 | — |
| SECONDARY Sustained Complete Pain/Symptom-Free |
9; 30 | — |
| SECONDARY Complete Pain/Symptom-Free Assessed at Baseline, 2, 4, and 8 Hours Post-dose |
133; 136; 117; 92; 107; 73 | — |
| SECONDARY Recurrence of Any Migraine Headache Pain |
12; 11; 13; 11 | — |
Summary
This is a randomized, double-blind, placebo-controlled, crossover, two-attack, out-patient, early-intervention evaluation of subjects who have migraine with or without aura and who discontinued use of short acting triptan(s) within the past year due to non-response or intolerance. Subjects will treat 2 separate migraine attacks during the mild phase of each attack; one attack will be treated with one tablet of the Combination Product (sumatriptan succinate and naproxen sodium) and the other attack with one tablet of placebo (crossover design). [Study 1 of 2]
Eligibility Criteria
Inclusion Criteria
- Subject is male or female between 18 and 65 years old.
- Subject has migraine with or without aura (2004 ICHD-II criteria).
- Subject has 1-8 migraines per month over the previous 3 months and less than 15 total headache days per month.
- Subject has recently (within 1 year) discontinued the use of eletriptan, rizatriptan, sumatriptan, almotriptan, or zolmitriptan, due to nonresponse or intolerable adverse events. Non-response is defined as documented discontinuation of treatment with eletriptan, rizatriptan, sumatriptan, almotriptan, or zolmitriptan for reasons related to response, including (but not limited to): slow onset of efficacy, inconsistent efficacy, inadequate overall efficacy, or inadequate sustained efficacy through 24 hours. Intolerance is defined as documented discontinuation of treatment with eletriptan, rizatriptan, sumatriptan, almotriptan, or zolmitriptan for other reasons, attributable to the triptan, outside of non-response.
A female is eligible to enter and participate in this study if she is of:
- non-childbearing potential (i.e., physiologically incapable of becoming pregnant); or,
- child-bearing potential, has a negative urine pregnancy test at screen, and agrees to one of the following acceptable measures of contraception:
- Complete abstinence from intercourse from 2 weeks prior to administration of the investigational product, throughout the study, and for a time interval after completion or premature discontinuation from the study to account for elimination of the investigational drug (a minimum of 5 days); subjects utilizing this method must agree to use an alternate method of contraception if they should become sexually active and will be queried on whether they have been abstinent in the preceding 2 weeks when they present to the clinic for the Final Visit; 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) with published data showing that the highest expected failure rate is less than 1% per year (not all IUDs meet this criterion); or,
- Spermicide plus a mechanical barrier (e.g., spermicide plus a male condom or a female diaphragm); or,
- Any other methods with published data showing that the highest expected failure rate for that method is less than 1% per year; or,
- Any other barrier methods only if used in combination with any of the above acceptable methods.
- Subject taking oral contraceptives has been on a stable regimen for at least 2 months prior to screening.
- Subject is willing and able to provide informed consent prior to entry into this treatment phase of the study.
- Subject is able to understand and complete the diary card.
Exclusion Criteria: Subjects with any of the following criteria may not enroll in the study:
- Subject has non-migraine headache, retinal migraine, basilar or hemiplegic migraine, cluster headache, or headaches secondary to trauma, cranial or cervical disorders, infections, alterations of homeostasis, ENT disorders, psychiatric disorders or cranial neuralgias.
- Subject has confirmed or suspected ischemic heart disease (angina pectoris, history of myocardial infarction, documented silent ischemia), Prinzmetal's angina/coronary vasospasm, 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 history of 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 and/or transient ischemic attacks (TIAs).
- Subject has a history of congenital heart disease.
- Subject has uncontrolled hypertension at screening (sitting systolic pressure ≥140mmHg, dias
Data sourced from ClinicalTrials.gov (NCT00383162). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.