Phase 4
N=27
A Research Study Examining The Use Of Duloxetine In The Prevention Of Migraine Headache
Migraine
Bottom Line
View on ClinicalTrials.gov: NCT00443352 ↗Enrolled (actual)
27
Serious AEs
0.0%
Results posted
May 2014
Primary outcome: Primary: Change in Frequency of Migraine Days During the Last 28 Day Interval of the Treatment Period as Compared to the 28 Day Baseline Period. — 4.5 days
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- duloxetine (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Thomas Jefferson University
- Primary completion
- Nov 2012
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Frequency of Migraine Days During the Last 28 Day Interval of the Treatment Period as Compared to the 28 Day Baseline Period. |
4.5 | — |
Summary
This is a single-center, open-label, pilot trial to collect and evaluate data on the safety and efficacy of duloxetine in the preventive treatment of subjects experiencing episodic migraine headaches. Following a 28-day baseline period, qualifying subjects will be entered into an 84-day treatment period. Subjects will be titrated over the first four weeks to a dose of 120mg or their maximally tolerated dose (MTD). The dose adjustments will be based on individual subject response and/or subject's tolerability. Subjects will maintain a daily diary capturing detailed information on migraine headache days.
Eligibility Criteria
Inclusion Criteria
- Subject is male or female between the ages of 18 and 65, inclusive
- Subject has an IHS diagnosis of migraine with or without aura for at least one-year prior to screening
- Subject has experienced between 4 and 10 migraine headaches per month (inclusive) over the past six months, with at least 24 hours separating attacks
- Subject has less than 15 total headache days per month
- Subject is able to differentiate migraine attacks from other headache types, if applicable
- Subjects daily medications (for any indication) have remained at a stable dose for the 60 days preceding screening
- Subject is using or agrees to use for the duration of participation a medically acceptable form of contraception (as determined by investigator and mutually agreed upon with patient), if female of child-bearing potential
- Subjects currently taking a single agent for the prevention of migraine must be on a stable dose (unchanged for 2 months) prior to study entry
- Subject has negative urine pregnancy test prior to study entry, if female of child-bearing potential
- Subject is able to understand and comply with all study requirements
- Subject provides written informed consent prior to any screening procedures being conducted
EXCLUSION CRITERIA
- Subjects with onset of migraine after 50 years of age
- Subjects who have been previously treated or are currently being treated with duloxetine
- Subjects who have failed greater than 3 adequate trials of other medications the prevention of migraine, as determined by investigator
- Subjects who have a known hypersensitivity to duloxetine or any of the inactive ingredients
- Subject has taken any medication which has been shown to be effective for migraine prophylaxis, on a daily basis within the 4 weeks prior to screening or at any time during participation in the study, for any indication.
- Subjects with a history of significant drug or alcohol abuse within the past year
- Subjects with major depressive disorder or who have had a suicidal ideation in the 3 months prior to screening or have a history of attempted suicide
- Subjects who have a Beck Depression Inventory score of > 18 at screening
- Subjects who have > 0 on question number 9 of Beck Depression Inventory (Suicidal Thoughts or Wishes question)
- Subjects who have participated in an investigational drug trial in the 30 days prior to the screening visit
- Subjects with a current or history of a hepatic or renal disorder
- Subjects with uncontrolled narrow angle glaucoma
- Subjects who have experienced significant side effects from two different SSRI and/or SNRI therapies, as determined by investigator
- Subjects with uncontrolled restless legs syndrome, as determined by investigator
Data sourced from ClinicalTrials.gov (NCT00443352). 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.