Lasmiditan Compared to Placebo in the Acute Treatment of Migraine:

NCT ID: NCT02439320

Last Updated: 2019-12-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2231 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-30

Study Completion Date

2016-08-31

Brief Summary

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This is a prospective randomized, double-blind, placebo-controlled study in participants with disabling migraine (Migraine Disability Assessment (MIDAS) score ≥ 11).

Detailed Description

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Participants will be asked to treat a migraine attack with study drug on an outpatient basis. Participants will be provided with a dosing card containing a dose for initial treatment and a second dose to be used for rescue or recurrence of migraine. Each participant's study participation will consist of a screening visit (Visit 1) with a telephone contact within 7 days to confirm eligibility, a Treatment Period of up to 8 weeks, and an End-of-Study (EoS) visit (Visit 2) within one week (7 days) of treating a single migraine attack. The total time on study is approximately 11 weeks.

Conditions

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Acute Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Lasmiditan 100 mg

Oral tablet. Lasmiditan 100 mg plus placebo (to match 200 mg tablet). One dose for acute treatment of migraine. Second dose for rescue or recurrence of migraine allowed within 24 hours.

Group Type EXPERIMENTAL

Lasmiditan 100 mg

Intervention Type DRUG

Placebo (matches lasmiditan doses)

Intervention Type DRUG

Lasmiditan 200 mg

Oral tablet. Lasmiditan 200 mg plus placebo (to match 100 mg tablet). One dose for acute treatment of migraine. Second dose for rescue or recurrence of migraine allowed within 24 hours.

Group Type EXPERIMENTAL

Lasmiditan 200 mg

Intervention Type DRUG

Placebo (matches lasmiditan doses)

Intervention Type DRUG

Placebo

Oral tablet. Placebo tablets match lasmiditan 100 mg and lasmiditan 200 mg. One dose for acute treatment of migraine. Second dose for rescue or recurrence of migraine allowed within 24 hours.

Group Type PLACEBO_COMPARATOR

Placebo (matches lasmiditan doses)

Intervention Type DRUG

Interventions

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Lasmiditan 100 mg

Intervention Type DRUG

Lasmiditan 200 mg

Intervention Type DRUG

Placebo (matches lasmiditan doses)

Intervention Type DRUG

Other Intervention Names

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LY573144 LY573144

Eligibility Criteria

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Inclusion Criteria

* Able and willing to give written informed consent.
* 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.
* 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.

Exclusion Criteria

* Pregnant or breast-feeding women.
* Women of child-bearing potential not using or not willing to use highly effective contraception.
* Known coronary artery disease, clinically significant arrhythmia or uncontrolled hypertension.
* 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 C-SSRS) or had a suicide attempt within six months prior to the screening visit.
* 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 greater than 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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CoLucid Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Southview Medical Group, P.C.

Birmingham, Alabama, United States

Site Status

Simon-Williamson Clinic

Birmingham, Alabama, United States

Site Status

Achieve Clinical Research, LLC

Birmingham, Alabama, United States

Site Status

East Valley Family Physicians, PC

Chandler, Arizona, United States

Site Status

Radiant Research,Inc

Chandler, Arizona, United States

Site Status

Warner Family Practice

Chandler, Arizona, United States

Site Status

Clinical Research Advantage/Fountain Hills Family Practice

Fountain Hills, Arizona, United States

Site Status

Neurological Physicians of Arizona, Inc

Gilbert, Arizona, United States

Site Status

Thunderbird Internal Medicine

Glendale, Arizona, United States

Site Status

Lenzmeier Family Practice

Glendale, Arizona, United States

Site Status

Central Arizona Medical Associates, PC

Mesa, Arizona, United States

Site Status

Desert Clinical Research

Mesa, Arizona, United States

Site Status

Family Practice Specialists, Ltd

Phoenix, Arizona, United States

Site Status

Clinical Research Advantage Inc./Central Phoenix Medical Center LLC

Phoenix, Arizona, United States

Site Status

Thunderbird Internal Medicine

Phoenix, Arizona, United States

Site Status

Tatum Highlands Medical Associates, PLLC

Phoenix, Arizona, United States

Site Status

Radiant Research, Inc.

Scottsdale, Arizona, United States

Site Status

Fiel Family and Sports Medicine

Tempe, Arizona, United States

Site Status

Arizona Community Physicians

Tucson, Arizona, United States

Site Status

Orange Grove Family Practice

Tucson, Arizona, United States

Site Status

Cassidy Medical Group

Carlsbad, California, United States

Site Status

Allied Clinical Research

Gold River, California, United States

Site Status

Artemis Institute for Clinical Research

San Diego, California, United States

Site Status

Radiant Research, Inc.

Santa Rosa, California, United States

Site Status

Cassidy Medical Group

Vista, California, United States

Site Status

Mile High Primary Care

Aurora, Colorado, United States

Site Status

Alpine Clinical Research Center

Boulder, Colorado, United States

Site Status

Clinical Research Advantage Inc/Colorado Springs Family Practice

Colorado Springs, Colorado, United States

Site Status

Comprehensive Clinical Development- Washington DC

Washington D.C., District of Columbia, United States

Site Status

Meridien Research

Brooksville, Florida, United States

Site Status

MD Clinical

Hallandale, Florida, United States

Site Status

Suncoast Research Group

Miami, Florida, United States

Site Status

CNS Healthcare

Orlando, Florida, United States

Site Status

Radiant Research, Inc.

Pinellas Park, Florida, United States

Site Status

Infinity Clinical Research, LLC

Sunrise, Florida, United States

Site Status

Meridien Research

Tampa, Florida, United States

Site Status

Radiant Research Inc

Atlanta, Georgia, United States

Site Status

Urban Family Practice

Marietta, Georgia, United States

Site Status

Georgia Neurology and Sleep Medicine Associates

Suwanee, Georgia, United States

Site Status

Northwest Clinical Trials

Boise, Idaho, United States

Site Status

Advanced Clinical Research

Meridian, Idaho, United States

Site Status

Michigan Avenue Internists

Chicago, Illinois, United States

Site Status

Medical and Procedural Specialists of Illinois

Chicago, Illinois, United States

Site Status

Radiant Research, Inc

Chicago, Illinois, United States

Site Status

Evanston Premier Research LLC

Evanston, Illinois, United States

Site Status

Clinical Research Advantage

Evansville, Indiana, United States

Site Status

Family Medical Associates

Evansville, Indiana, United States

Site Status

Ridge Family Practice

Council Bluffs, Iowa, United States

Site Status

Radiant Research Inc./Continuum Health Care

Overland Park, Kansas, United States

Site Status

Heartland Research

Wichita, Kansas, United States

Site Status

Heartland Research

Wichita, Kansas, United States

Site Status

Boston Clinical Trials

Boston, Massachusetts, United States

Site Status

Radiant Research, Inc

Edina, Minnesota, United States

Site Status

West Florissant Internists

Bridgeton, Missouri, United States

Site Status

The Center for Pharmaceutical Research

Kansas City, Missouri, United States

Site Status

Radiant Research, Inc

St Louis, Missouri, United States

Site Status

Skyline Medical Center

Elkhorn, Nebraska, United States

Site Status

Prairie Fields Family Medicine PC

Fremont, Nebraska, United States

Site Status

Southwest Family Physicians, PC

Omaha, Nebraska, United States

Site Status

James Mell, DO

Henderson, Nevada, United States

Site Status

Clinical Research Advantage

Henderson, Nevada, United States

Site Status

Nevada Family Care

Henderson, Nevada, United States

Site Status

Diagnostic Center of Medicine

Las Vegas, Nevada, United States

Site Status

Diagnostic Center of Medicine

Las Vegas, Nevada, United States

Site Status

Clifford Molin/Clinical Research Advantage,Inc

Las Vegas, Nevada, United States

Site Status

Comprehensive Clinical Development - Queens NY

Jamaica, New York, United States

Site Status

Radiant Research,Inc

Akron, Ohio, United States

Site Status

Radiant Research, Inc.

Cincinnati, Ohio, United States

Site Status

Rapid Medical Research, Inc.

Cleveland, Ohio, United States

Site Status

Radiant Research, Inc

Columbus, Ohio, United States

Site Status

Oklahoma City Clinic - Edmund

Edmond, Oklahoma, United States

Site Status

Oklahoma City Clinic - Midwest CIty

Midwest City, Oklahoma, United States

Site Status

LION Research

Norman, Oklahoma, United States

Site Status

Oklahoma City Clinic- Central/Clinical Research Advantage INC

Oklahoma City, Oklahoma, United States

Site Status

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status

Sunstone Medical Research,LLC

Medford, Oregon, United States

Site Status

Oregon Center for Clinical Investigations, Inc.

Portland, Oregon, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

West Bay Clinical Research

Warwick, Rhode Island, United States

Site Status

Primary Care Associates, PA

Anderson, South Carolina, United States

Site Status

Radiant Research, Inc

Anderson, South Carolina, United States

Site Status

Medical Research South

Charleston, South Carolina, United States

Site Status

Radiant Research, Inc

Greer, South Carolina, United States

Site Status

Volunteer Research Group

Knoxville, Tennessee, United States

Site Status

Family Medical Associates of Texas

Allen, Texas, United States

Site Status

Premier Family Physicians

Austin, Texas, United States

Site Status

Radiant Research, Inc

Dallas, Texas, United States

Site Status

Village Health Center

Plano, Texas, United States

Site Status

Doctors of Internal Medicine

Plano, Texas, United States

Site Status

Plano Internal Medicine

Plano, Texas, United States

Site Status

Radiant Research

San Antonio, Texas, United States

Site Status

Radiant Research

Murray, Utah, United States

Site Status

Countries

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United States

References

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Johnston KM, Powell L, Popoff E, Harris L, Croop R, Coric V, L'Italien G. Rimegepant, Ubrogepant, and Lasmiditan in the Acute Treatment of Migraine Examining the Benefit-Risk Profile Using Number Needed to Treat/Harm. Clin J Pain. 2022 Nov 1;38(11):680-685. doi: 10.1097/AJP.0000000000001072.

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Doty EG, Hauck PM, Krege JH, Komori M, Hake AM, Dong Y, Lipton RB. The Association Between the Occurrence of Common Treatment-Emergent Adverse Events and Efficacy Outcomes After Lasmiditan Treatment of a Single Migraine Attack: Secondary Analyses from Four Pooled Randomized Clinical Trials. CNS Drugs. 2022 Jul;36(7):771-783. doi: 10.1007/s40263-022-00928-y. Epub 2022 Jul 2.

Reference Type DERIVED
PMID: 35779194 (View on PubMed)

Krege JH, Lipton RB, Baygani SK, Komori M, Ryan SM, Vincent M. Lasmiditan for Patients with Migraine and Contraindications to Triptans: A Post Hoc Analysis. Pain Ther. 2022 Jun;11(2):701-712. doi: 10.1007/s40122-022-00388-8. Epub 2022 Apr 26.

Reference Type DERIVED
PMID: 35471625 (View on PubMed)

Charleston L 4th, Savage-Edwards B, Bragg SM, Baygani SK, Dennehy EB. Migraine history and response to lasmiditan across racial and ethnic groups. Curr Med Res Opin. 2022 May;38(5):721-730. doi: 10.1080/03007995.2022.2057152. Epub 2022 Apr 3.

Reference Type DERIVED
PMID: 35350937 (View on PubMed)

Reuter U, Krege JH, Lombard L, Gomez Valderas E, Krikke-Workel J, Dell-Agnello G, Dowsett SA, Buse DC. Lasmiditan efficacy in the acute treatment of migraine was independent of prior response to triptans: Findings from the CENTURION study. Cephalalgia. 2022 Jan;42(1):20-30. doi: 10.1177/03331024211048507. Epub 2021 Oct 13.

Reference Type DERIVED
PMID: 34644189 (View on PubMed)

Lipton RB, Baygani SK, Tepper SJ, Krege JH, Vasudeva R, Pearlman EM, Hauck PM, Loo LS. A close association of freedom from pain, migraine-related functional disability, and other outcomes: results of a post hoc analysis of randomized lasmiditan studies SAMURAI and SPARTAN. J Headache Pain. 2021 Aug 28;22(1):101. doi: 10.1186/s10194-021-01303-w.

Reference Type DERIVED
PMID: 34454420 (View on PubMed)

Martin VT, Ahmed Z, Hochstetler HM, Baygani SK, Dong Y, Hauck PM, Khanna R. Tolerability and Safety of Lasmiditan Treatment in Elderly Patients With Migraine: Post Hoc Analyses From Randomized Studies. Clin Ther. 2021 Jun;43(6):1066-1078. doi: 10.1016/j.clinthera.2021.04.004. Epub 2021 Aug 6.

Reference Type DERIVED
PMID: 34366152 (View on PubMed)

Peres MFP, Vasudeva R, Baygani SK, Dennehy EB, Vincent M, Friedman DI. Lasmiditan efficacy in migraine attacks with mild vs. moderate or severe pain. Curr Med Res Opin. 2021 Jun;37(6):1031-1038. doi: 10.1080/03007995.2021.1903846. Epub 2021 Apr 7.

Reference Type DERIVED
PMID: 33784930 (View on PubMed)

Clemow DB, Hochstetler HM, Dong Y, Hauck P, Peres MFP, Ailani J. Effect of a change in lasmiditan dose on efficacy and safety in patients with migraine. Postgrad Med. 2021 May;133(4):449-459. doi: 10.1080/00325481.2020.1860619. Epub 2021 Mar 17.

Reference Type DERIVED
PMID: 33730977 (View on PubMed)

Clemow DB, Baygani SK, Hauck PM, Hultman CB. Lasmiditan in patients with common migraine comorbidities: a post hoc efficacy and safety analysis of two phase 3 randomized clinical trials. Curr Med Res Opin. 2020 Nov;36(11):1791-1806. doi: 10.1080/03007995.2020.1808780. Epub 2020 Oct 6.

Reference Type DERIVED
PMID: 32783644 (View on PubMed)

Smith T, Krege JH, Rathmann SS, Dowsett SA, Hake A, Nery ESM, Matthews BR, Doty EG. Improvement in Function after Lasmiditan Treatment: Post Hoc Analysis of Data from Phase 3 Studies. Neurol Ther. 2020 Dec;9(2):459-471. doi: 10.1007/s40120-020-00185-5. Epub 2020 May 23.

Reference Type DERIVED
PMID: 32447545 (View on PubMed)

Knievel K, Buchanan AS, Lombard L, Baygani S, Raskin J, Krege JH, Loo LS, Komori M, Tobin J. Lasmiditan for the acute treatment of migraine: Subgroup analyses by prior response to triptans. Cephalalgia. 2020 Jan;40(1):19-27. doi: 10.1177/0333102419889350. Epub 2019 Nov 19.

Reference Type DERIVED
PMID: 31744319 (View on PubMed)

Ashina M, Vasudeva R, Jin L, Lombard L, Gray E, Doty EG, Yunes-Medina L, Kinchen KS, Tassorelli C. Onset of Efficacy Following Oral Treatment With Lasmiditan for the Acute Treatment of Migraine: Integrated Results From 2 Randomized Double-Blind Placebo-Controlled Phase 3 Clinical Studies. Headache. 2019 Nov;59(10):1788-1801. doi: 10.1111/head.13636. Epub 2019 Sep 17.

Reference Type DERIVED
PMID: 31529622 (View on PubMed)

Shapiro RE, Hochstetler HM, Dennehy EB, Khanna R, Doty EG, Berg PH, Starling AJ. Lasmiditan for acute treatment of migraine in patients with cardiovascular risk factors: post-hoc analysis of pooled results from 2 randomized, double-blind, placebo-controlled, phase 3 trials. J Headache Pain. 2019 Aug 29;20(1):90. doi: 10.1186/s10194-019-1044-6.

Reference Type DERIVED
PMID: 31464581 (View on PubMed)

Loo LS, Plato BM, Turner IM, Case MG, Raskin J, Dowsett SA, Krege JH. Effect of a rescue or recurrence dose of lasmiditan on efficacy and safety in the acute treatment of migraine: findings from the phase 3 trials (SAMURAI and SPARTAN). BMC Neurol. 2019 Aug 13;19(1):191. doi: 10.1186/s12883-019-1420-5.

Reference Type DERIVED
PMID: 31409292 (View on PubMed)

Loo LS, Ailani J, Schim J, Baygani S, Hundemer HP, Port M, Krege JH. Efficacy and safety of lasmiditan in patients using concomitant migraine preventive medications: findings from SAMURAI and SPARTAN, two randomized phase 3 trials. J Headache Pain. 2019 Jul 24;20(1):84. doi: 10.1186/s10194-019-1032-x.

Reference Type DERIVED
PMID: 31340760 (View on PubMed)

Doty EG, Krege JH, Jin L, Raskin J, Halker Singh RB, Kalidas K. Sustained responses to lasmiditan: Results from post-hoc analyses of two Phase 3 randomized clinical trials for acute treatment of migraine. Cephalalgia. 2019 Oct;39(12):1569-1576. doi: 10.1177/0333102419859313. Epub 2019 Jul 3.

Reference Type DERIVED
PMID: 31266353 (View on PubMed)

Krege JH, Rizzoli PB, Liffick E, Doty EG, Dowsett SA, Wang J, Buchanan AS. Safety findings from Phase 3 lasmiditan studies for acute treatment of migraine: Results from SAMURAI and SPARTAN. Cephalalgia. 2019 Jul;39(8):957-966. doi: 10.1177/0333102419855080. Epub 2019 Jun 5.

Reference Type DERIVED
PMID: 31166697 (View on PubMed)

Tepper SJ, Krege JH, Lombard L, Asafu-Adjei JK, Dowsett SA, Raskin J, Buchanan AS, Friedman DI. Characterization of Dizziness After Lasmiditan Usage: Findings From the SAMURAI and SPARTAN Acute Migraine Treatment Randomized Trials. Headache. 2019 Jul;59(7):1052-1062. doi: 10.1111/head.13544. Epub 2019 Jun 1.

Reference Type DERIVED
PMID: 31152441 (View on PubMed)

Kuca B, Silberstein SD, Wietecha L, Berg PH, Dozier G, Lipton RB; COL MIG-301 Study Group. Lasmiditan is an effective acute treatment for migraine: A phase 3 randomized study. Neurology. 2018 Dec 11;91(24):e2222-e2232. doi: 10.1212/WNL.0000000000006641. Epub 2018 Nov 16.

Reference Type DERIVED
PMID: 30446595 (View on PubMed)

Other Identifiers

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H8H-CD-LAHJ

Identifier Type: OTHER

Identifier Source: secondary_id

COL MIG-301

Identifier Type: OTHER

Identifier Source: secondary_id

16888

Identifier Type: -

Identifier Source: org_study_id