Ditan Acute tReatments: Effectiveness and Tolerability (DART)

NCT ID: NCT05903040

Last Updated: 2023-12-08

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

RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-06-15

Study Completion Date

2024-06-30

Brief Summary

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The purpose of this prospective and multicentric study is to evaluate the effectiveness and tolerability of lasmiditan as acute migraine treatment in a cohort of episodic or chronic migraine patients.

Detailed Description

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Lasmiditan is a serotonin 5-HT1F receptor agonist. It is available in three different dosages (namely 50, 100 and 200 mg) with oral administration. Phase 3 double-blind randomized controlled studies demonstrated its effectiveness 2h post-dose in a single migraine attack and consistent effectiveness across four different attacks.

The lack of vasoconstrictive activity allow its use also in patients with cardiovascular medical history. This finding was also confirmed in a real-world study. As it is a small molecule with access to the central nervous system predominant adverse events are CNS-related (as dizziness, somnolence and paraesthesia).

In this prospective multicentric study the Investigators aim to evaluate lasmiditan effectiveness and tolerability as acute migraine treatment in a real-world setting. Subjects who meet the inclusion criteria will be enrolled and will participate in the study. Baseline demographic and clinical data will be collected at the baseline. Patients will be asked to treat their next migraine attack with lasmiditan 50 - 100 - 200 mg oral tablet.

Data will be collected at baseline, during at least 4 migraine attacks treated with lasmiditan and at 3 months follow-up.

Subjects will be asked to complete assessment of their migraine attack at baseline and at 30 - 60 - 90 and 120 minutes after administration of the acute treatment for at least four migraine attacks. A final timepoint at 24 hours post-dose will be assessed only for the first attack.

Data collection will focus on: i) demographic data, ii) migraine history, iii) pain level and evolution, iv) presence and evolution of migraine associated symptoms, most bothersome symptom and aura, v) migraine associated disability, vi) patients's global impression of change (PGIC) and evaluation on the acute treatment (Migraine-ACT), vii) tolerability and eventual treatment-emergent adverse events. The online database REDCap will be used for data collection.

Conditions

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Migraine Migraine With Aura Migraine Without Aura Chronic Migraine

Keywords

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Headache Medication overuse headache Pain Ditan Triptan

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Episodic migraine

Patients affected by an episodic pattern (\< 15 monthly headache days) migraine with or without aura according to ICHD-III criteria.

Lasmiditan

Intervention Type DRUG

Patients using Lasmiditan 50-100-200 mg oral tablet to treat acute migraine attacks

Chronic migraine

Patients affected by chronic migraine according to ICHD-III criteria.

Lasmiditan

Intervention Type DRUG

Patients using Lasmiditan 50-100-200 mg oral tablet to treat acute migraine attacks

Interventions

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Lasmiditan

Patients using Lasmiditan 50-100-200 mg oral tablet to treat acute migraine attacks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of migraine without aura, migraine with aura, or chronic migraine according to the 3rd edition of the International Classification of Headache Disorder (ICHD-III).

At least 3 MMDs

* Good compliance to study procedures
* Availability of headache diary at least of the preceding months before enrollment

Exclusion Criteria

* Subjects with contraindications for use of ditans;
* Concomitant diagnosis of medical diseases and/or comorbidities that, in the Investigator's opinion might interfere with study assessments;
* medical comorbidities that could interfere with study results;
* Pregnancy and breastfeeding.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IRCCS National Neurological Institute "C. Mondino" Foundation

OTHER

Sponsor Role collaborator

Società Italiana per lo Studio delle Cefalee

OTHER

Sponsor Role collaborator

Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari

OTHER

Sponsor Role collaborator

Università degli Studi dell'Aquila

OTHER

Sponsor Role collaborator

University of Roma La Sapienza

OTHER

Sponsor Role collaborator

Azienda Ospedaliero Universitaria Policlinico Modena

OTHER

Sponsor Role collaborator

Ospedale di Piove di Sacco

UNKNOWN

Sponsor Role collaborator

Azienda Ospedaliero-Universitaria di Parma

OTHER

Sponsor Role collaborator

Azienda Ospedaliera S. Maria della Misericordia

OTHER

Sponsor Role collaborator

A.O.U. Città della Salute e della Scienza

OTHER

Sponsor Role collaborator

Cliniche Humanitas Gavazzeni

OTHER

Sponsor Role collaborator

University of Campania Luigi Vanvitelli

OTHER

Sponsor Role collaborator

Ospedale Santo Stefano

OTHER

Sponsor Role collaborator

Azienda Policlinico Umberto I

OTHER

Sponsor Role collaborator

Auxologico San Luca

OTHER

Sponsor Role collaborator

Asst Degli Spedali Civili Di Brescia

OTHER

Sponsor Role collaborator

Carlo Besta Neurological Institute

OTHER

Sponsor Role collaborator

University of Florence

OTHER

Sponsor Role lead

Responsible Party

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Luigi Francesco Iannone

Researcher

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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SOD Centro Cefalee e Farmacologia Clinica, AOU Careggi

Florence, , Italy

Site Status RECRUITING

IRCCS National Neurological Institute "C. Mondino" Foundation

Pavia, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Luigi F Iannone

Role: CONTACT

Phone: +393896969606

Email: [email protected]

Roberto De Icco

Role: CONTACT

Email: [email protected]

Facility Contacts

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Luigi F Iannone, MD

Role: primary

Roberto De Icco, MD

Role: primary

References

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Ashina M, Reuter U, Smith T, Krikke-Workel J, Klise SR, Bragg S, Doty EG, Dowsett SA, Lin Q, Krege JH. Randomized, controlled trial of lasmiditan over four migraine attacks: Findings from the CENTURION study. Cephalalgia. 2021 Mar;41(3):294-304. doi: 10.1177/0333102421989232. Epub 2021 Feb 4.

Reference Type BACKGROUND
PMID: 33541117 (View on PubMed)

Goadsby PJ, Wietecha LA, Dennehy EB, Kuca B, Case MG, Aurora SK, Gaul C. Phase 3 randomized, placebo-controlled, double-blind study of lasmiditan for acute treatment of migraine. Brain. 2019 Jul 1;142(7):1894-1904. doi: 10.1093/brain/awz134.

Reference Type BACKGROUND
PMID: 31132795 (View on PubMed)

Other Identifiers

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RICe_2

Identifier Type: -

Identifier Source: org_study_id