Dose Comparison Study of Topiramate in Pediatric Subjects With Basilar/Hemiplegic Migraine

NCT ID: NCT00131443

Last Updated: 2012-11-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-02-29

Study Completion Date

2006-08-31

Brief Summary

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The objective of this study is to assess the effectiveness and safety of topiramate in the prevention of basilar and hemiplegic migraine in children and adolescents.

Detailed Description

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The objective of this study is to assess the efficacy and safety of topiramate in the prophylaxis of basilar migraine and hemiplegic migraine in children and adolescents, by comparing two doses, 25 and 100 mg/day.

Conditions

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Basilar Migraine

Keywords

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Basilar/Hemiplegic Migraine Prophylaxis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

DOUBLE

Interventions

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Topiramate

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Must meet International Headache Society (IHS) classification of pediatric migraine with aura: familial hemiplegic migraine (International Classification of Headache Disorders \[ICHD\] 1.2.4), sporadic hemiplegic migraine (ICHD 1.2.5) or basilar-type migraine (ICHD 1.2.6).
* Average of 4 migraine-days/month during the 3 months prior to screening.
* 4 migraine-days during prospective baseline period.
* At least one of the subject's migraines during the previous 3 months must have been accompanied by their characteristic basilar-type or hemiplegic neurologic symptoms of moderate to severe degree.
* 6-18 years of age.
* Weigh more than 25 kg.
* If female, subjects must:

1. be premenarchal or otherwise incapable of pregnancy, or
2. have practiced one of the following methods of contraception for at least one month prior to study entry: hormonal contraceptives, spermicide and barrier, intrauterine device, spousal/partner sterility, or
3. be practicing abstinence and agree to continue abstinence or to use an acceptable method of contraception (as listed above) should sexual activity commence.

If (b) or (c), the subject must have a negative urine pregnancy test within one week of study entry.

* Able to take oral medication in tablet form
* Willing and able to:

1. read and comprehend written instructions,
2. complete the assessment forms,
3. return for regular visits, and d) adhere to medication regimens.

Exclusion Criteria

* Previously failed topiramate therapy for migraine prophylaxis or those who discontinued topiramate due to adverse events.
* Have taken topiramate within 14 days prior to the start of the prospective baseline period.
* Have 15 or more headache-days during the prospective baseline period.
* Have cluster headaches or chronic migraine.
* Have migraine aura without headache exclusively.
* Currently have a more painful condition than their migraine pain.
* Have taken any medications for migraine prophylaxis, within 2 weeks of the start of the prospective baseline period.
* Progressive neurological disorders or a structural disorder of the brain
* Overuse analgesic or migraine-specific agents for abortive treatment of migraine:

* \>10 treatment days/month of ergot-containing medication, triptans, or opioids;
* \>15 treatment days/month with simple analgesics (including NSAIDs)
* Require any injections of corticosteroids or local anesthetics within 60 days of visit 1 or botulinum toxin within 120 days prior to Visit 1.
* Have previously failed more than 2 adequate trials of an established prophylactic anti-migraine regimen.
* Subjects starting non-pharmacologic prophylactic approaches within 1 month prior to Visit 1. Non-pharmacologic prophylactic approaches started at least 1 month prior to Visit 1 should be continued throughout the study.
* Have taken carbonic anhydrase inhibitors or triamterene within 1 month prior to Visit 1.
* History of nephrolithiasis.
* Require continuing treatment with anticonvulsant therapy for a non-migraine condition.
* Significant major psychiatric disorder (e.g., major depression) or subjects receiving anti-psychotic medication.
* History of attempted suicide or suicidal tendencies.
* History of substance abuse.
* Pregnant or lactating females.
* Clinically unstable neurological, cardiovascular, gastrointestinal, musculoskeletal, pulmonary or other disease.
* Active liver disease.
* AST and/or ALT levels greater than 2 times the upper limit of normal range.
* Received an investigational drug or used an investigational device within 30 days of study entry.
Minimum Eligible Age

6 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ortho-McNeil Neurologics, Inc.

INDUSTRY

Sponsor Role collaborator

Monarch Medical Research

OTHER

Sponsor Role lead

Principal Investigators

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Donald W Lewis, MD

Role: PRINCIPAL_INVESTIGATOR

Monarch Medical Research

Locations

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Monarch Medical Research - Child and Adolescent Neurology

Norfolk, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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CAPSS 271

Identifier Type: -

Identifier Source: org_study_id