Phase 2
N=387
A Dose-Finding Study of Topiramate (JNS019) in Participants With Migraine
Migraine
Bottom Line
View on ClinicalTrials.gov: NCT01081795 ↗Enrolled (actual)
387
Serious AEs
2.1%
Results posted
May 2013
Primary outcome: Primary: Mean Change From Baseline in Monthly Migraine Attacks (According to 24-Hour Rule) Through Month 6 — 5.9; 6.2; 6.6; -0.9 Migraine attacks — p=0.1646
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Topiramate (Drug); Placebo (Drug)
- Age
- Adult · 20+ yrs
- Sex
- All
- Sponsor
- Janssen Pharmaceutical K.K.
- Primary completion
- Jan 2009
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Mean Change From Baseline in Monthly Migraine Attacks (According to 24-Hour Rule) Through Month 6 |
5.9; 6.2; 6.6; -0.9; -1.2; -1.0 | 0.1646 |
| SECONDARY Change From Baseline in Average Number of Monthly Migraine Attack Days at Month 1, 2, 3, 4, 5 and 6 |
6.6; 7.0; 7.3; -0.5; -0.8; -0.4 | 0.1547 |
| SECONDARY Change From Baseline in Average Number of Monthly Headache Days at Month 1, 2, 3, 4, 5 and 6 |
6.9; 7.4; 7.7; -0.6; -0.8; -0.4 | 0.2464 |
| SECONDARY Change From Baseline in Average Number of Monthly Migraine Attacks (According to the Diagnostic Criteria of the International Headache Society) at Month 1, 2, 3, 4, 5 and 6 |
4.1; 4.3; 4.2; -0.8; -0.4; -0.5 | 0.8762 |
| SECONDARY Change From Baseline in Monthly Migraine Attacks (According to 48-Hour Rule) at Month 1, 2, 3, 4, 5 and 6 |
4.6; 4.9; 5.1; -0.2; -0.6; -0.3 | 0.1145 |
| SECONDARY Change From Baseline in Migraine Attacks (According to 24-Hour Rule) Over Week 19 to Week 22 Period |
-1.3; -1.2; -0.7 | 0.1866 |
| SECONDARY Average Number of Rescue Drug Treatment Days |
5.5; 5.7; 6.1 | — |
| SECONDARY Change From Baseline in the Average Number of Rescue Drug Treatment Days at Month 6 |
-0.8; -0.8; -0.4 | 0.1743 |
| SECONDARY Percentage of Participants With Response to Study Treatment |
10.8; 23.1; 11.8; 16.9; 23.1; 14.2 | 0.3083 |
| SECONDARY Short Form-36 Health Survey (SF-36) Score |
53.59; 53.84; 54.17; 53.03; 53.15; 54.26 | — |
Summary
The purpose of this study is to determine a recommended dose of topiramate in participants with migraine (type of severe headache that occurs periodically and is often associated with nausea, vomiting, and constipation or diarrhea), to verify the superiority (statistically more effective) of the drug to placebo (an inactive substance that is compared with a drug to test whether the drug has a real effect in a clinical trial), and to assess if a same therapeutic effect can be observed between this study and overseas Caucasian clinical studies.
Eligibility Criteria
Inclusion Criteria
- Participants who meet the Second Edition of the International Classification of Headache Disorders (ICHD-II), 1.1 Migraine without aura or 1.2 Migraine with aura over at least 6 months before the time of informed consent
- Participants who had an average of no more than 8 migraine attacks per month during 3 months before informed consent and an average of no more than 14 headache (migraine and non-migraine) days
- Participants whose number of migraine attacks during the baseline determination period (28 days) is 3 to 12 according to the 24-hour rule and number of headache days (migraine and non-migraine) is no more than 14
- Participants who took no migraine preventive medications over 2 weeks before informed consent, or who can take at least 2-week washout period before baseline determination period if they are taking migraine preventive medications
- Female participants must be postmenopausal, surgically sterile, abstinent, or can take adequate contraceptive measures after informed consent and continue it to the completion of investigational treatment
Exclusion Criteria
- Participants who cannot distinguish between migraine and non-migraine headache
- Participants with headache other than those described in the ICHD-II, 1.1 Migraine without aura, 1.2 Migraine with aura, 2. Tension headache or 11.5 Sinus headache
- If the participant has received drug therapies for prevention of migraine, the discontinued preventive therapies due to insufficient efficacy should be at least three types
- Participants who excessively took medications for migraine attacks such as analgesics (drug used to control pain) as medications to be taken as needed within 3 months before informed consent
- Participants who have taken topiramate (test drug in this study) in the past
Data sourced from ClinicalTrials.gov (NCT01081795). 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.