NCT00383162

Brief Summary

This is a randomized, double-blind, placebo-controlled, crossover, two-attack, out-patient, early-intervention evaluation of subjects who have migraine with or without aura and who discontinued use of short acting triptan(s) within the past year due to non-response or intolerance. Subjects will treat 2 separate migraine attacks during the mild phase of each attack; one attack will be treated with one tablet of the Combination Product (sumatriptan succinate and naproxen sodium) and the other attack with one tablet of placebo (crossover design). \[Study 1 of 2\]

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
173

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Nov 2006

Shorter than P25 for phase_3

Geographic Reach
1 country

26 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 29, 2006

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 2, 2006

Completed
1 month until next milestone

Study Start

First participant enrolled

November 1, 2006

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2007

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2007

Completed
2.4 years until next milestone

Results Posted

Study results publicly available

February 17, 2010

Completed
Last Updated

February 2, 2017

Status Verified

December 1, 2016

Enrollment Period

11 months

First QC Date

September 29, 2006

Results QC Date

October 3, 2008

Last Update Submit

December 2, 2016

Conditions

Keywords

Combination Productnaproxen sodiumsumatriptan succinateshort acting triptanmigraine, acutePoor response

Outcome Measures

Primary Outcomes (1)

  • Sustained Freedom From Migraine Pain Between 2-24 Hours Post-dose

    Sustained freedom from migraine pain was defined as having no pain at 2 hours post-dose without the use of rescue medication; and without the recurrence of any pain or the use of any rescue medication 2 to 24 hours post-dose.

    2 - 24 hours post-dose

Secondary Outcomes (18)

  • Pain-Free Assessment at 2 Hours Post-dose

    2 hours post-dose

  • Rescue Medication Used up to 24 Hours Post-dose

    Dosing to 24 hours post-dose

  • Pain-Free Assessment at 1/2, 1, 4, 8 Hours Post-dose

    1/2, 1, 4, and 8 hours post-dose

  • Sustained Freedom From Migraine

    2 - 24 hours post-dose

  • Migraine-Free Assessment at 2, 4, and 8 Hours Post-dose

    2, 4 , and 8 hours post-dose

  • +13 more secondary outcomes

Study Arms (2)

Combination Product - Placebo

OTHER

Combination product (sumatriptan and naproxen sodium) \[Attack 1\] followed by placebo \[Attack 2\]

Drug: Combination Product (sumatriptan succinate / naproxen sodium)Drug: Placebo

Placebo - Combination Product

OTHER

Placebo \[Attack 1\] followed by Combination Product (sumatriptan and naproxen sodium) \[Attack 2\]

Drug: Combination Product (sumatriptan succinate / naproxen sodium)Drug: Placebo

Interventions

Bilayer tablet containing 85mg sumatriptan (as 119mg sumatriptan succinate; fast disintegrating/rapid release formulation) active ingredient in one layer, and 500mg naproxen sodium active ingredient in the second layer.

Combination Product - PlaceboPlacebo - Combination Product

Matching placebo tablet.

Combination Product - PlaceboPlacebo - Combination Product

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject is male or female between 18 and 65 years old.
  • Subject has migraine with or without aura (2004 ICHD-II criteria).
  • Subject has 1-8 migraines per month over the previous 3 months and less than 15 total headache days per month.
  • Subject has recently (within 1 year) discontinued the use of eletriptan, rizatriptan, sumatriptan, almotriptan, or zolmitriptan, due to nonresponse or intolerable adverse events. Non-response is defined as documented discontinuation of treatment with eletriptan, rizatriptan, sumatriptan, almotriptan, or zolmitriptan for reasons related to response, including (but not limited to): slow onset of efficacy, inconsistent efficacy, inadequate overall efficacy, or inadequate sustained efficacy through 24 hours. Intolerance is defined as documented discontinuation of treatment with eletriptan, rizatriptan, sumatriptan, almotriptan, or zolmitriptan for other reasons, attributable to the triptan, outside of non-response.
  • A female is eligible to enter and participate in this study if she is of:
  • non-childbearing potential (i.e., physiologically incapable of becoming pregnant); or,
  • child-bearing potential, has a negative urine pregnancy test at screen, and agrees to one of the following acceptable measures of contraception:
  • Complete abstinence from intercourse from 2 weeks prior to administration of the investigational product, throughout the study, and for a time interval after completion or premature discontinuation from the study to account for elimination of the investigational drug (a minimum of 5 days); subjects utilizing this method must agree to use an alternate method of contraception if they should become sexually active and will be queried on whether they have been abstinent in the preceding 2 weeks when they present to the clinic for the Final Visit; or,
  • Female sterilization; or,
  • Sterilization of male partner; or,
  • Implants of levonorgestrel; or,
  • Injectable progestogen; or,
  • Oral contraceptive (combined or progestogen only); or,
  • Any intrauterine device (IUD) with published data showing that the highest expected failure rate is less than 1% per year (not all IUDs meet this criterion); or,
  • Spermicide plus a mechanical barrier (e.g., spermicide plus a male condom or a female diaphragm); or,
  • +5 more criteria

You may not qualify if:

  • Subject has non-migraine headache, retinal migraine, basilar or hemiplegic migraine, cluster headache, or headaches secondary to trauma, cranial or cervical disorders, infections, alterations of homeostasis, ENT disorders, psychiatric disorders or cranial neuralgias.
  • Subject has confirmed or suspected ischemic heart disease (angina pectoris, history of myocardial infarction, documented silent ischemia), Prinzmetal's angina/coronary vasospasm, or signs/symptoms consistent with any of the above.
  • Subject has evidence or history of ischemic abdominal syndromes, peripheral vascular disease or Raynaud's Syndrome.
  • Subject has cardiac arrhythmias requiring medication or a history of a clinically significant electrocardiogram abnormality that, in the investigator's opinion, contraindicates participation in this study.
  • Subject has a history of cerebrovascular pathology including stroke and/or transient ischemic attacks (TIAs).
  • Subject has a history of congenital heart disease.
  • Subject has uncontrolled hypertension at screening (sitting systolic pressure ≥140mmHg, diastolic pressure ≥90mmHg).
  • Subject, in the investigator's opinion, is likely to have unrecognized cardiovascular or cerebrovascular disease (based on history or the presence of risk factors including but not limited to, hypertension, hypercholesterolemia, smoker, obesity, diabetes, strong family history of coronary artery disease, female with surgical or physiological menopause, or male over 40 years of age).
  • Subject has a history of epilepsy or structural brain lesions which lower the convulsive threshold or treated with an antiepileptic drug for seizure control within 5 years prior to screening.
  • Subject has a history of impaired hepatic or renal function that, in the investigator's opinion, contraindicates participation in this study.
  • Subject is currently taking a monoamine oxidase inhibitor (MAOI), or has taken a MAOI within 2 weeks prior to screening or plans to take within 2 weeks after treatment.
  • Subject is currently taking, or has taken in the previous three months, a migraine prophylactic medication containing methysergide or dihydroergotamine; or is taking a medication that is not stabilized (i.e. change of dose within the past 2 months) for either chronic or intermittent migraine prophylaxis or for a co-morbid condition that is not stabilized..
  • Subject is currently taking any anti-coagulant (e.g., warfarin).
  • Subject has a recent history of regular use of opioids or barbiturates for treatment of their migraine headache and/or other non-migraine pain. Regular use is defined as an average of 4 days per month over the last 6 months.
  • Subject is currently taking or has taken in the previous 4 weeks, herbal preparations containing St. John's Wort (Hypericum perforatum).
  • +13 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (26)

GSK Investigational Site

Fresno, California, 93720, United States

Location

GSK Investigational Site

Newport Beach, California, 92660, United States

Location

GSK Investigational Site

Santa Monica, California, 90404, United States

Location

GSK Investigational Site

Walnut Creek, California, 94596, United States

Location

GSK Investigational Site

Fairfield, Connecticut, 06824, United States

Location

GSK Investigational Site

Stamford, Connecticut, 06902, United States

Location

GSK Investigational Site

Aventura, Florida, 33180, United States

Location

GSK Investigational Site

Tallahassee, Florida, 32308, United States

Location

GSK Investigational Site

Tampa, Florida, 33609, United States

Location

GSK Investigational Site

Chicago, Illinois, 60614, United States

Location

GSK Investigational Site

Northbrook, Illinois, 60062, United States

Location

GSK Investigational Site

South Bend, Indiana, 46601, United States

Location

GSK Investigational Site

Lenexa, Kansas, 66214, United States

Location

GSK Investigational Site

St Louis, Missouri, 63110, United States

Location

GSK Investigational Site

Omaha, Nebraska, 68144, United States

Location

GSK Investigational Site

Orchard Park, New York, 14127, United States

Location

GSK Investigational Site

Greensboro, North Carolina, 27401, United States

Location

GSK Investigational Site

Matthews, North Carolina, 28105, United States

Location

GSK Investigational Site

Raleigh, North Carolina, 27607, United States

Location

GSK Investigational Site

Tabor City, North Carolina, 28463, United States

Location

GSK Investigational Site

Fargo, North Dakota, 58103, United States

Location

GSK Investigational Site

Dallas, Texas, 75214, United States

Location

GSK Investigational Site

Houston, Texas, 77004, United States

Location

GSK Investigational Site

Alexandria, Virginia, 22304, United States

Location

GSK Investigational Site

Roanoke, Virginia, 24013, United States

Location

GSK Investigational Site

Virginia Beach, Virginia, 23452, United States

Location

Related Publications (2)

  • Mathew N, Landy S, Tietjen G, Stark S, Runken M, Lener S, Derosier F, and Bukenya D. Evaluation of a single fixed-dose tablet of Sumatriptan 85 mg formulated with RT Technology/Naproxen sodium 500 mg (SumaRT/Nap) in Subjects who Reported Poor Response or Intolerance to Short Acting Triptans for the Acute Treatment of Migraine. Headache 2008: S44-45.

    BACKGROUND
  • Mathew NT, Landy S, Stark S, Tietjen GE, Derosier FJ, White J, Lener SE, Bukenya D. Fixed-dose sumatriptan and naproxen in poor responders to triptans with a short half-life. Headache. 2009 Jul;49(7):971-82. doi: 10.1111/j.1526-4610.2009.01458.x. Epub 2009 May 27.

    PMID: 19486178BACKGROUND

Related Links

MeSH Terms

Conditions

Migraine Disorders

Interventions

SumatriptanNaproxen

Condition Hierarchy (Ancestors)

Headache Disorders, PrimaryHeadache DisordersBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Intervention Hierarchy (Ancestors)

SulfonamidesAmidesOrganic ChemicalsSulfonesSulfur CompoundsTryptaminesIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsNaphthaleneacetic AcidsNaphthalenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPolycyclic Compounds

Results Point of Contact

Title
GSK Response Center
Organization
GlaxoSmithKline

Study Officials

  • GSK Clinical Trials

    GlaxoSmithKline

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 29, 2006

First Posted

October 2, 2006

Study Start

November 1, 2006

Primary Completion

October 1, 2007

Study Completion

October 1, 2007

Last Updated

February 2, 2017

Results First Posted

February 17, 2010

Record last verified: 2016-12

Data Sharing

IPD Sharing
Will share

Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Available IPD Datasets

Informed Consent Form (TRX106571)Access
Individual Participant Data Set (TRX106571)Access
Study Protocol (TRX106571)Access
Annotated Case Report Form (TRX106571)Access
Statistical Analysis Plan (TRX106571)Access
Clinical Study Report (TRX106571)Access
Dataset Specification (TRX106571)Access

Locations