Trial Outcomes & Findings for The Efficacy and Tolerability of NP101 Patch in the Treatment of Acute Migraine (NCT NCT00724815)

NCT ID: NCT00724815

Last Updated: 2016-02-04

Results Overview

Subjects whose headache severity score equaled zero (0) two hours post patch activation and who had not received any rescue medication before their two-hour assessment.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

530 participants

Primary outcome timeframe

2 hours post patch activation

Results posted on

2016-02-04

Participant Flow

The study was initiated January 2009 and completed July 2009. Patients were enrolled from 38 investigative sites across the United States.

Participant milestones

Participant milestones
Measure
NP101 Patch
The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Placebo Patch
The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Overall Study
STARTED
265
265
Overall Study
COMPLETED
222
226
Overall Study
NOT COMPLETED
43
39

Reasons for withdrawal

Reasons for withdrawal
Measure
NP101 Patch
The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Placebo Patch
The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Overall Study
Randomized, not treated
31
30
Overall Study
Adverse Event
5
3
Overall Study
Lost to Follow-up
4
1
Overall Study
Other Various
3
5

Baseline Characteristics

The Efficacy and Tolerability of NP101 Patch in the Treatment of Acute Migraine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NP101 Patch
n=234 Participants
The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Placebo Patch
n=235 Participants
The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Total
n=469 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
Age, Categorical
Between 18 and 65 years
233 Participants
n=5 Participants
235 Participants
n=7 Participants
468 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Continuous
40.5 years
STANDARD_DEVIATION 11.20 • n=5 Participants
41.2 years
STANDARD_DEVIATION 11.06 • n=7 Participants
40.8 years
STANDARD_DEVIATION 11.12 • n=5 Participants
Sex: Female, Male
Female
197 Participants
n=5 Participants
201 Participants
n=7 Participants
398 Participants
n=5 Participants
Sex: Female, Male
Male
37 Participants
n=5 Participants
34 Participants
n=7 Participants
71 Participants
n=5 Participants
Region of Enrollment
United States
234 participants
n=5 Participants
235 participants
n=7 Participants
469 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 hours post patch activation

Population: Per protocol, the intent-to-treat population was assessed.

Subjects whose headache severity score equaled zero (0) two hours post patch activation and who had not received any rescue medication before their two-hour assessment.

Outcome measures

Outcome measures
Measure
NP101 Patch
n=226 Participants
The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Placebo Patch
n=228 Participants
The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Pain Free at Two Hours
40 participants
Interval 1.2 to 3.7
21 participants
Interval 1.2 to 3.7

SECONDARY outcome

Timeframe: 2 hours post patch activation

Population: Per protocol, the intent-to-treat population was assessed.

Subjects who were photophobia free and who had not received any rescue medication before their two-hour assessment.

Outcome measures

Outcome measures
Measure
NP101 Patch
n=226 Participants
The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Placebo Patch
n=228 Participants
The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Photophobia Free at Two Hours
116 participants
83 participants

SECONDARY outcome

Timeframe: 2 hours post patch activation

Population: Per protocol, the intent-to-treat population was assessed.

Subjects who were phonophobia free and who had not received any rescue medication before their two-hour assessment.

Outcome measures

Outcome measures
Measure
NP101 Patch
n=226 Participants
The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Placebo Patch
n=228 Participants
The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Phonophobia Free at Two Hours
125 participants
89 participants

SECONDARY outcome

Timeframe: 2 hours post patch activation

Population: Per protocol, the intent-to-treat population was assessed.

Number of subjects who were nausea free and who had not received any rescue medication before their two-hour assessment.

Outcome measures

Outcome measures
Measure
NP101 Patch
n=226 Participants
The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Placebo Patch
n=228 Participants
The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Nausea Free at Two Hours
189 participants
144 participants

Adverse Events

NP101 Patch

Serious events: 0 serious events
Other events: 114 other events
Deaths: 0 deaths

Placebo Patch

Serious events: 0 serious events
Other events: 100 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
NP101 Patch
n=234 participants at risk
The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
Placebo Patch
n=235 participants at risk
The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain.
General disorders
Application site pain
23.1%
54/234 • Number of events 54 • All Adverse Events were collected from study screening until 30 days post patch removal.
14.5%
34/235 • Number of events 34 • All Adverse Events were collected from study screening until 30 days post patch removal.
General disorders
Application site paraesthesia
12.0%
28/234 • Number of events 28 • All Adverse Events were collected from study screening until 30 days post patch removal.
18.7%
44/235 • Number of events 44 • All Adverse Events were collected from study screening until 30 days post patch removal.
General disorders
Application site pruritus
7.7%
18/234 • Number of events 18 • All Adverse Events were collected from study screening until 30 days post patch removal.
6.8%
16/235 • Number of events 16 • All Adverse Events were collected from study screening until 30 days post patch removal.
General disorders
Application site reaction
6.8%
16/234 • Number of events 16 • All Adverse Events were collected from study screening until 30 days post patch removal.
5.5%
13/235 • Number of events 13 • All Adverse Events were collected from study screening until 30 days post patch removal.

Additional Information

Mark Pierce, MD, PhD

NuPathe Inc.

Phone: 484-567-0130

Results disclosure agreements

  • Principal investigator is a sponsor employee Per the study agreement, Investigators have the right to publish or present information and/or data arising from the study, provided the text of any such publication or presentation is submitted for review at least thirty days prior to submission for publication or other disclosure and NuPathe shall have the right to request the removal of any confidential information.
  • Publication restrictions are in place

Restriction type: OTHER