Trial Outcomes & Findings for Staccato Prochlorperazine in Migraine (Out Patient) (NCT NCT00422812)

NCT ID: NCT00422812

Last Updated: 2018-01-25

Results Overview

Headache pain relief at 2 hr post-dose by IHS Definition (none=0 or mild=1),

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

400 participants

Primary outcome timeframe

2 hr post-dose

Results posted on

2018-01-25

Participant Flow

Participant milestones

Participant milestones
Measure
Inhaled Placebo
Inhaled Staccato Placebo Inhaled Placebo: Inhaled Staccato Placebo
Inhaled PCZ 5 mg
Inhaled Staccato Prochlorperazine 5 mg Inhaled PCZ 5 mg: Inhaled Staccato Prochlorperazine 5 mg
Inhaled PCZ 7.5 mg
Inhaled Staccato Prochlorperazine 7.5 mg Inhaled PCZ 7.5 mg: Inhaled Staccato Prochlorperazine 7.5 mg
Inhaled PCZ 10 mg
Inhaled Staccato Prochlorperazine 10 mg Inhaled PCZ 10 mg: Inhaled Staccato Prochlorperazine 10 mg
Overall Study
STARTED
98
104
93
105
Overall Study
COMPLETED
98
103
91
103
Overall Study
NOT COMPLETED
0
1
2
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Staccato Prochlorperazine in Migraine (Out Patient)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Inhaled Placebo
n=98 Participants
Inhaled Staccato Placebo Inhaled Placebo: Inhaled Staccato Placebo
Inhaled PCZ 5 mg
n=104 Participants
Inhaled Staccato Prochlorperazine 5 mg Inhaled PCZ 5 mg: Inhaled Staccato Prochlorperazine 5 mg
Inhaled PCZ 7.5 mg
n=93 Participants
Inhaled Staccato Prochlorperazine 7.5 mg Inhaled PCZ 7.5 mg: Inhaled Staccato Prochlorperazine 7.5 mg
Inhaled PCZ 10 mg
n=105 Participants
Inhaled Staccato Prochlorperazine 10 mg Inhaled PCZ 10 mg: Inhaled Staccato Prochlorperazine 10 mg
Total
n=400 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
97 Participants
n=5 Participants
103 Participants
n=7 Participants
92 Participants
n=5 Participants
103 Participants
n=4 Participants
395 Participants
n=21 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
5 Participants
n=21 Participants
Age, Continuous
42.0 years
STANDARD_DEVIATION 12.4 • n=5 Participants
41.7 years
STANDARD_DEVIATION 11.8 • n=7 Participants
42.9 years
STANDARD_DEVIATION 11.3 • n=5 Participants
40.6 years
STANDARD_DEVIATION 12.1 • n=4 Participants
41.8 years
STANDARD_DEVIATION 11.9 • n=21 Participants
Sex: Female, Male
Female
90 Participants
n=5 Participants
94 Participants
n=7 Participants
80 Participants
n=5 Participants
85 Participants
n=4 Participants
349 Participants
n=21 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
10 Participants
n=7 Participants
13 Participants
n=5 Participants
20 Participants
n=4 Participants
51 Participants
n=21 Participants
Region of Enrollment
United States
98 participants
n=5 Participants
104 participants
n=7 Participants
93 participants
n=5 Participants
105 participants
n=4 Participants
400 participants
n=21 Participants

PRIMARY outcome

Timeframe: 2 hr post-dose

Population: ITT w/ LOCF Population

Headache pain relief at 2 hr post-dose by IHS Definition (none=0 or mild=1),

Outcome measures

Outcome measures
Measure
Inhaled Placebo
n=98 Participants
Inhaled Staccato Placebo Inhaled Placebo: Inhaled Staccato Placebo
Inhaled PCZ 5 mg
n=103 Participants
Inhaled Staccato Prochlorperazine 5 mg Inhaled PCZ 5 mg: Inhaled Staccato Prochlorperazine 5 mg
Inhaled PCZ 7.5 mg
n=91 Participants
Inhaled Staccato Prochlorperazine 7.5 mg Inhaled PCZ 7.5 mg: Inhaled Staccato Prochlorperazine 7.5 mg
Inhaled PCZ 10 mg
n=103 Participants
Inhaled Staccato Prochlorperazine 10 mg Inhaled PCZ 10 mg: Inhaled Staccato Prochlorperazine 10 mg
Headache Pain Relief at 2 hr
40 Participants
62 Participants
58 Participants
68 Participants

SECONDARY outcome

Timeframe: 2 hours

Population: ITT w/ LOCF Population

Percentage of Responders, Pain-Free, by Treatment Group over Time

Outcome measures

Outcome measures
Measure
Inhaled Placebo
n=98 Participants
Inhaled Staccato Placebo Inhaled Placebo: Inhaled Staccato Placebo
Inhaled PCZ 5 mg
n=103 Participants
Inhaled Staccato Prochlorperazine 5 mg Inhaled PCZ 5 mg: Inhaled Staccato Prochlorperazine 5 mg
Inhaled PCZ 7.5 mg
n=91 Participants
Inhaled Staccato Prochlorperazine 7.5 mg Inhaled PCZ 7.5 mg: Inhaled Staccato Prochlorperazine 7.5 mg
Inhaled PCZ 10 mg
n=103 Participants
Inhaled Staccato Prochlorperazine 10 mg Inhaled PCZ 10 mg: Inhaled Staccato Prochlorperazine 10 mg
Responders, Pain-Free at 2 Hours
15 Participants
22 Participants
27 Participants
36 Participants

SECONDARY outcome

Timeframe: 0 to 4 hours

Population: ITT Population

Survival for time to the first successful headache pain relief by Pain-IHS definition over the 0 to 4 hr period by treatment assigned. Pairwise comparisons were made for each of the 3 active doses to placebo. Survival Analysis (Kaplan-Meyer) was included to evaluate treatment efficacy over the 0 to 4 hr period. All tests were 2-sided with a p-value at α=0.05.

Outcome measures

Outcome measures
Measure
Inhaled Placebo
n=103 Participants
Inhaled Staccato Placebo Inhaled Placebo: Inhaled Staccato Placebo
Inhaled PCZ 5 mg
n=91 Participants
Inhaled Staccato Prochlorperazine 5 mg Inhaled PCZ 5 mg: Inhaled Staccato Prochlorperazine 5 mg
Inhaled PCZ 7.5 mg
n=103 Participants
Inhaled Staccato Prochlorperazine 7.5 mg Inhaled PCZ 7.5 mg: Inhaled Staccato Prochlorperazine 7.5 mg
Inhaled PCZ 10 mg
n=98 Participants
Inhaled Staccato Prochlorperazine 10 mg Inhaled PCZ 10 mg: Inhaled Staccato Prochlorperazine 10 mg
Survival of Headache Pain Relief
77 Participants
67 Participants
71 Participants
52 Participants

Adverse Events

Inhaled Placebo

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Inhaled PCZ 5 mg

Serious events: 0 serious events
Other events: 67 other events
Deaths: 0 deaths

Inhaled PCZ 7.5 mg

Serious events: 0 serious events
Other events: 67 other events
Deaths: 0 deaths

Inhaled PCZ 10 mg

Serious events: 0 serious events
Other events: 91 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Inhaled Placebo
n=98 participants at risk
Inhaled Staccato Placebo Inhaled Placebo: Inhaled Staccato Placebo
Inhaled PCZ 5 mg
n=104 participants at risk
Inhaled Staccato Prochlorperazine 5 mg Inhaled PCZ 5 mg: Inhaled Staccato Prochlorperazine 5 mg
Inhaled PCZ 7.5 mg
n=93 participants at risk
Inhaled Staccato Prochlorperazine 7.5 mg Inhaled PCZ 7.5 mg: Inhaled Staccato Prochlorperazine 7.5 mg
Inhaled PCZ 10 mg
n=105 participants at risk
Inhaled Staccato Prochlorperazine 10 mg Inhaled PCZ 10 mg: Inhaled Staccato Prochlorperazine 10 mg
General disorders
Fatigue
3.1%
3/98 • Number of events 3 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
5.8%
6/104 • Number of events 6 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
6.5%
6/93 • Number of events 6 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
3.8%
4/105 • Number of events 4 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
Nervous system disorders
Dizziness
4.1%
4/98 • Number of events 4 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
0.00%
0/104 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
3.2%
3/93 • Number of events 3 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
8.6%
9/105 • Number of events 9 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
Nervous system disorders
Somnolence
1.0%
1/98 • Number of events 1 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
8.7%
9/104 • Number of events 9 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
9.7%
9/93 • Number of events 9 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
5.7%
6/105 • Number of events 6 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
Nervous system disorders
Psychiatric Disorders
1.0%
1/98 • Number of events 1 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
2.9%
3/104 • Number of events 3 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
1.1%
1/93 • Number of events 1 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
7.6%
8/105 • Number of events 8 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/98 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
19.2%
20/104 • Number of events 20 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
16.1%
15/93 • Number of events 15 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
30.5%
32/105 • Number of events 32 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.0%
1/98 • Number of events 1 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
1.9%
2/104 • Number of events 2 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
3.2%
3/93 • Number of events 3 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
8.6%
9/105 • Number of events 9 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal Pain
0.00%
0/98 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
3.8%
4/104 • Number of events 4 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
6.5%
6/93 • Number of events 6 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
4.8%
5/105 • Number of events 5 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
Respiratory, thoracic and mediastinal disorders
Respiratory Tract Irritation
1.0%
1/98 • Number of events 1 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
3.8%
4/104 • Number of events 4 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
4.3%
4/93 • Number of events 4 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
4.8%
5/105 • Number of events 5 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
Respiratory, thoracic and mediastinal disorders
Throat Irritation
1.0%
1/98 • Number of events 1 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
18.3%
19/104 • Number of events 19 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
21.5%
20/93 • Number of events 20 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points
29.5%
31/105 • Number of events 31 • From dosing (0 hours) through 24 hours
Patient self- assessment for adverse events via Patient Diary over 0-24 hours at 7 specified time points

Additional Information

Executive VP, Research & Development, Regulatory & Quality

Alexza Pharmaceuticals, Inc

Phone: 650.944.7071

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60