Efficacy & Safety Of Zomig Nasal Spray For Acute Migraine Treatment In Subjects 6 To 11 Years, With OLE

NCT ID: NCT03275922

Last Updated: 2021-01-11

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

PHASE3

Total Enrollment

374 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-27

Study Completion Date

2020-09-28

Brief Summary

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To evaluate the efficacy and safety of zolmitriptan nasal spray (ZNS) in the acute treatment of migraine headache in subjects ages 6 to 11 years.

Part 1: Approximately 20 weeks (includes screening and double-blind treatment).

* Screening will be performed based on the inclusion exclusion criteria specified in the study protocol.
* Randomize approximately 288 subjects into the double-blind crossover phase.

Part 2: Approximately 100 subjects who complete the double-blind crossover phase will enter part 2, a 6 month open-label safety extension (OLE).

Efficacy will be evaluated in the double-blind part of the trial. Safety will be evaluated in both the double-blind and the OLE.

Detailed Description

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Conditions

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Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

A Multicenter, Randomized, Double-blind, Placebo-controlled, Crossover Study
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Run-in - ZNS - Placebo - OLE

After Run-in period, subjects will be randomized to ZNS followed by placebo ZNS. Upon successful completion of Part 1, subjects may enroll into OLE (Part 2).

Group Type OTHER

Placebo ZNS

Intervention Type DRUG

Placebo Zolmitriptan Nasal Spray

ZNS

Intervention Type DRUG

Zolmitriptan Nasal Spray

Run-in - Placebo - ZNS - OLE

After Run-in period, subjects will be randomized to placebo ZNS followed by ZNS. Upon successful completion of Part 1, subjects may enroll into OLE (Part 2).

Group Type OTHER

Placebo ZNS

Intervention Type DRUG

Placebo Zolmitriptan Nasal Spray

ZNS

Intervention Type DRUG

Zolmitriptan Nasal Spray

Interventions

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Placebo ZNS

Placebo Zolmitriptan Nasal Spray

Intervention Type DRUG

ZNS

Zolmitriptan Nasal Spray

Intervention Type DRUG

Other Intervention Names

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Placebo

Eligibility Criteria

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Inclusion Criteria

1. Parent or legal guardian is able to provide written informed consent and subject is able to provide assent.
2. Subjects ages 6 to 11 years throughout the double-blind portion of the studyAn established diagnosis of migraine
3. By history, average migraine frequency of ≥ 2 attacks per month lasting on average ≥ 3 hours per attack
4. By history, experiences at least 16 headache-free days per month on average

Exclusion Criteria

1. History of ischemic or vasospastic heart disease, arrhythmias associated with accessory conduction pathways (eg, Wolff-Parkinson-White syndrome), cerebrovascular disease, hemiplegic or basilar artery migraine, peripheral vascular disease, ischemic bowel disease, uncontrolled hypertension, recent (within 24 hours) or use of another 5HT1 agonist, ergots or ergotamine-containing medications.
2. Any medical condition, including severe hepatic impairment, which, in the opinion of the investigator, may put the subject at increased risk with exposure to zolmitriptan, or may interfere with the safety or efficacy assessments.
3. Had an unacceptable adverse experience following previous use of any 5HT1B/1D agonist drug (in the opinion of the investigator).
4. Had not experienced satisfactory relief from migraine pain during prior treatment with 2 or more adequate courses of triptans.
5. Prior use of any nasal spray (triptan or dihydroergotamine \[DHE\]) for the acute treatment of migraine
6. Disease or anatomic abnormalities of the nasal cavity precluding or complicating the use of ZNS.
Minimum Eligible Age

6 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role collaborator

Impax Laboratories, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Impax Study Director

Role: STUDY_DIRECTOR

Impax Laboratories, LLC

Locations

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Phoenix Children's Hospital (149)

Phoenix, Arizona, United States

Site Status

Arkansas Children's Hospital (109)

Little Rock, Arkansas, United States

Site Status

Advanced Research Center, Inc (134)

Anaheim, California, United States

Site Status

Sierra Medical Research (124)

Fresno, California, United States

Site Status

Shailesh M. Asaikar, MD. Inc. DBA Child and Adolescent Neurology Consultatns (119)

Sacramento, California, United States

Site Status

Children's Hospital Colorado (154)

Aurora, Colorado, United States

Site Status

Blue Sky Neurology (106)

Englewood, Colorado, United States

Site Status

IMMUNOe Research Centers (150)

Thornton, Colorado, United States

Site Status

Ki Health Partners, LLC dba New England INstitute for Clinical Research (128)

Stamford, Connecticut, United States

Site Status

Children's National Health System (141)

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

Site Status

NW Florida Clinical Research Group, LLC (122)

Gulf Breeze, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc. (127)

Jacksonville, Florida, United States

Site Status

Axcess Medical Research (126)

Loxahatchee Groves, Florida, United States

Site Status

Biotech Pharmaceutical Group (138)

Miami, Florida, United States

Site Status

Sanitas Medical and Dental Institute/dba Sanitas Research, LLC (142)

Miami, Florida, United States

Site Status

Laszlo J. Mate, M.D., P.A. (153)

North Palm Beach, Florida, United States

Site Status

Clincial Neuroscience Solutions, Inc. (136)

Orlando, Florida, United States

Site Status

Pediatric Neurology, PA (125)

Orlando, Florida, United States

Site Status

East Florida Research (143)

Port Saint Lucie, Florida, United States

Site Status

Pedatric Epilepsy & Neurology Specialists (157)

Tampa, Florida, United States

Site Status

Premiere Research Institute @ Palm Beach Neurology, PA (105)

West Palm Beach, Florida, United States

Site Status

Clinical Integrative Research Center of Atlanta (121)

Atlanta, Georgia, United States

Site Status

NuDirections Clinical Research, LLC (159)

Atlanta, Georgia, United States

Site Status

iResearch Atlanta, LLC (146)

Decatur, Georgia, United States

Site Status

Meridian Clinical Research, LLC (130)

Savannah, Georgia, United States

Site Status

Josephson Wallack Munshower Neurology P.C. (114)

Indianapolis, Indiana, United States

Site Status

Kosair Charities Pediatric Clinical Research Unit (120)

Louisville, Kentucky, United States

Site Status

Michigan Head-Pain and Neurological Institute (103)

Ann Arbor, Michigan, United States

Site Status

Mercy Research (116)

St Louis, Missouri, United States

Site Status

Clinical Research Center of NJ (123)

Voorhees Township, New Jersey, United States

Site Status

Dent Neurosciences Research Center (129)

Amherst, New York, United States

Site Status

OnSite Clinical Solutions, LLC (155)

Charlotte, North Carolina, United States

Site Status

Headache Wellness Center (Site 152)

Greensboro, North Carolina, United States

Site Status

Raleigh Neurology Associates, PA (113)

Raleigh, North Carolina, United States

Site Status

Akron Children's Hospital (site 139)

Akron, Ohio, United States

Site Status

Cincinnati Children's Hospital (140)

Cincinnati, Ohio, United States

Site Status

Preferred Primary Care Physicians, Inc. (115)

Pittsburgh, Pennsylvania, United States

Site Status

Access Clinical Trials, Inc. (151)

Nashville, Tennessee, United States

Site Status

Texas Neurology, P.A. (110)

Dallas, Texas, United States

Site Status

Children's Medical Center Dallas (147)

Dallas, Texas, United States

Site Status

J. Lewis Research Inc. Foothill Family Clinic (107)

Salt Lake City, Utah, United States

Site Status

Primary Children's Hospital Outpatient Services (117)

Salt Lake City, Utah, United States

Site Status

Granger Medical Holladay (111)

Salt Lake City, Utah, United States

Site Status

Pediatric Research of Charlottesville, LLC (104)

Charlottesville, Virginia, United States

Site Status

Northwest Clinical Research Center (132)

Bellevue, Washington, United States

Site Status

Multicare Health System- Mary Bridge Pediatrics- Tacoma (158)

Tacoma, Washington, United States

Site Status

Marshfield Clinic (145)

Marshfield, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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IPX229-B16-01

Identifier Type: -

Identifier Source: org_study_id

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