Phase 3
N=3,005
Three Doses of Lasmiditan (50 mg, 100 mg and 200 mg) Compared to Placebo in the Acute Treatment of Migraine
Migraine With or Without Aura
Bottom Line
View on ClinicalTrials.gov: NCT02605174 ↗Enrolled (actual)
3,005
Serious AEs
0.3%
Results posted
Jul 2018
Primary outcome: Primary: Percentage of Participants Headache Pain Free at 2 Hours Post Dose — 28.6; 31.4; 38.8; 21.3 percentage of participants — p=0.003
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Lasmiditan 50 mg (Drug); Lasmiditan 100 mg (Drug); Lasmiditan 200 mg (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Eli Lilly and Company
- Primary completion
- Jun 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Headache Pain Free at 2 Hours Post Dose |
28.6; 31.4; 38.8; 21.3 | 0.003 sig |
| PRIMARY Percentage of Participants Who Are Most Bothersome Symptom (MBS) Free |
40.8; 44.2; 48.7; 33.5 | 0.009 sig |
Summary
This is a prospective randomized, double-blind, placebo-controlled study in participants with disabling migraine (Migraine Disability Assessment (MIDAS) score ≥ 11).
Eligibility Criteria
Inclusion Criteria
- Able and willing to give written informed consent and authorize HIPAA.
- Participants with migraine with or without aura fulfilling the International Headache Society (IHS) diagnostic criteria 1.1 and 1.2.1 (International Headache Classification (ICHD) 2004).
- History of disabling migraine for at least 1 year.
- Migraine Disability Association (MIDAS) score ≥11.
- Migraine onset before the age of 50 years.
- History of 3 - 8 migraine attacks per month (< 15 headache days per month).
- Male or female, aged 18 years or above.
- Females of child-bearing potential must be using or willing to use a highly effective form of contraception (e.g. combined oral contraceptive, intrauterine device (IUD), abstinence or vasectomized partner).
- Able and willing to complete an electronic diary to record details of the migraine attack treated with study drug.
Exclusion Criteria
- Any medical condition or clinical laboratory test which in the judgment of the Investigator makes the participant unsuitable for the study.
- Pregnant or breast-feeding women.
- Women of child-bearing potential not using or not willing to use highly effective contraception.
- Known hypersensitivity to lasmiditan or to any excipient of lasmiditan oral tablets, or any sensitivity to lasmiditan.
- History or evidence of hemorrhagic stroke, epilepsy or any other condition placing the participant at increased risk of seizures.
- History of recurrent dizziness and/or vertigo including benign paroxysmal positional vertigo (BPPV), Meniere's disease, vestibular migraine, and other vestibular disorders.
- History of diabetes mellitus with complications (diabetic retinopathy, nephropathy or neuropathy).
- History within the previous three years or current evidence of abuse of any drug, prescription or illicit, or alcohol.
- History of orthostatic hypotension with syncope.
- Significant renal or hepatic impairment.
- Participant is at imminent risk of suicide (positive response to question 4 or 5) on the Columbia-Suicide Severity Rating Scale (C-SSRS) or had a suicide attempt within six months prior to screening.
- Previous participation in this clinical trial.
- Participation in any clinical trial of an experimental drug or device in the previous 30 days.
- Known Hepatitis B or C or HIV infection.
- History, within past 12 months, of chronic migraine or other forms of primary or secondary chronic headache disorder (e.g. hemicranias continua, medication overuse headache) where headache frequency is ≥15 headache days per month.
- Use of more than 3 doses per month of either opiates or barbiturates.
- Initiation of or a change in concomitant medication to reduce the frequency of migraine episodes within three (3) months prior to Screening/Visit 1.
- Participants who are employees of the sponsor.
- Relatives of, or staff directly reporting to, the Investigator.
Data sourced from ClinicalTrials.gov (NCT02605174). 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.