Safety and Efficacy of NPS 1776 in the Acute Treatment of Migraine Headaches

NCT ID: NCT00172094

Last Updated: 2021-06-03

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

Total Enrollment

189 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-12-31

Study Completion Date

2004-07-31

Brief Summary

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The purpose of this study was to evaluate the effectiveness and safety of a single oral dose of NPS 1776 in the acute treatment of migraine pain and associated symptoms.

Detailed Description

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Migraine, the most common cause of recurrent severe or disabling headache, is diagnosed on the basis of a clinical history of intermittent headache with autonomic, constitutional, and neurologic disturbances.

Many antiepileptic drugs (AEDs) have demonstrated efficacy as acute and/or prophylaxis therapy for migraine, even though the mechanism of action of the various AEDs is poorly understood.

NPS 1776, isovaleramide, is a neutral aliphatic amide. The mechanism by which NPS 1776 exerts its therapeutic actions in nonclinical animal models of disease is unclear. The same is true for many antiepileptics on the market today. NPS 1776 does not appear to bind directly to various CNS receptor centers, although it shows a broad range of anticonvulsant activity in multiple animal models of seizures. This broad profile of anticonvulsant activity is similar to that of valproic acid (VPA), and may also predict NPS 1776 efficacy in the treatment of migraine.

Conditions

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Migraine Headache

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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1

PLACEBO

Group Type PLACEBO_COMPARATOR

PLACEBO

Intervention Type DRUG

Placebo in non-carbonated fruit flavored drink (150 ml)

2

400 mg 1776 powder

Group Type EXPERIMENTAL

NPS 1776 (400 mg)

Intervention Type DRUG

NPS1776 in powdered form to be mixed with a non-carbonated fruit flavored drink

3

1776 (800 mg)

Group Type EXPERIMENTAL

NPS 1776 (800 mg)

Intervention Type DRUG

NPS 1776 (800 mg) powder

Interventions

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NPS 1776 (800 mg)

NPS 1776 (800 mg) powder

Intervention Type DRUG

PLACEBO

Placebo in non-carbonated fruit flavored drink (150 ml)

Intervention Type DRUG

NPS 1776 (400 mg)

NPS1776 in powdered form to be mixed with a non-carbonated fruit flavored drink

Intervention Type DRUG

Other Intervention Names

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NPS 1776 NPS1776

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of migraine for at least a year prior to screening.
2. Experiences 2-10 migraine headaches per month (with at least 24 hours between episodes) and no more than 15 headache days per month in the 3 months prior to screening.
3. Ability and willingness to arrive at the investigator's center within 1 hour (±5 min) of migraine pain onset (defined as pain that is consistent with the subject's usual migraine and is of at least moderate severity).
4. Ability and willingness to abstain from taking medications not allowed by the protocol and to meet phone and check-in criteria.
5. Ability and willingness to undergo a comprehensive urine toxicology screen for both licit and illicit drugs.
6. Ability and willingness to complete a migraine-history diary from screening to treatment with study drug and a migraine-treatment diary from discharge through the remainder of the 24-hour period following study-drug treatment.

Exclusion Criteria

1. Unstable or uncontrolled significant metabolic, hepatic, renal, hematological, pulmonary, gastrointestinal, urological, neurological (except migraine headaches), or psychiatric disorders.
2. Severe or acute cardiovascular or cerebrovascular disease, uncontrolled hypertension, or basilar or hemiplegic migraines.
3. History of hypersensitivity, allergies, or nonresponse to valproic acid.
4. Have taken VPA or other AED in the 30 days prior to screening, or are taking a migraine prophylaxis treatment other than a stable dose of propranolol or tricyclic antidepressant.
5. Migraine attacks that in the investigator's opinion are associated with intractable nausea and/or vomiting.
6. Any acute or chronic condition that in the investigator's opinion would limit the subject's ability to complete and/or participate in this clinical study or would place the subject at increased risk.
7. Have newly started or changed the dose of either feverfew or magnesium (above 200 mg, the amount in common daily supplements) within 3 months prior to screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shire

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Medical Affiliated Research Center

Huntsville, Alabama, United States

Site Status

Clinical Study Centers, LLC

Little Rock, Arkansas, United States

Site Status

North County Neurological Associates

Oceanside, California, United States

Site Status

San Francisco Clinical Research Center

San Francisco, California, United States

Site Status

Clinical Innovations

Santa Ana, California, United States

Site Status

California Medical Clinic for Headache

Santa Monica, California, United States

Site Status

The New England Center for Headache

Stamford, Connecticut, United States

Site Status

University Clinical Research, Inc

Pembroke Pines, Florida, United States

Site Status

Diamond Headache Clinic

Chicago, Illinois, United States

Site Status

MedTrial Boston

Wellesley Hills, Massachusetts, United States

Site Status

Michigan Head-Pain & Neurological Institute

Ann Arbor, Michigan, United States

Site Status

Mercy Health Research

Chesterfield, Missouri, United States

Site Status

Headache Care Center/ Clinvest

Springfield, Missouri, United States

Site Status

University of Medicine and Dentistry, New Jersey School of Osteopathic Medicine

Moorestown, New Jersey, United States

Site Status

Neuroscience Center of Northern New Jersey

Morristown, New Jersey, United States

Site Status

Headache Wellness Center

Greensboro, North Carolina, United States

Site Status

Piedmont Medical Research Associates

Winston-Salem, North Carolina, United States

Site Status

Neurology Ctr. of Ohio

Toledo, Ohio, United States

Site Status

The Neurology Clinic

Portland, Oregon, United States

Site Status

Thomas Jefferson University Hospital/ Jefferson Headache Center

Philadelphia, Pennsylvania, United States

Site Status

Houston Headache Clinic

Houston, Texas, United States

Site Status

Neurology & Neurosurgery Associates of Tacoma, Inc., PS

Tacoma, Washington, United States

Site Status

Countries

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United States

Related Links

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http://www.ahsnet.org

American Headache Society - Site dedicated to the study and treatment of headaches of all types including but not limited to migraines.

Other Identifiers

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CL1776-005

Identifier Type: -

Identifier Source: org_study_id

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