NCT00573170

Brief Summary

Study TRX109011/TRX109013, A Randomized, Double-blind, Double-dummy, Placebo-controlled, Crossover Study to Evaluate the Efficacy of TREXIMET® (Sumatriptan + Naproxen Sodium) versus Butalbital-containing Combination Medications (BCM) for the Acute Treatment of Migraine when administered during the Moderate-Severe Pain Phase of the Migraine (Studies 1 and 2 of 2)

Trial Health

87
On Track

Trial Health Score

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

Enrollment
375

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Feb 2008

Geographic Reach
1 country

107 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

December 12, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 14, 2007

Completed
2 months until next milestone

Study Start

First participant enrolled

February 1, 2008

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2009

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

December 29, 2010

Completed
Last Updated

December 29, 2010

Status Verified

November 1, 2010

Enrollment Period

1.5 years

First QC Date

December 12, 2007

Results QC Date

August 16, 2010

Last Update Submit

November 30, 2010

Conditions

Keywords

Migraine, acuteMigraineButalbital-containing Combination Medication (BCM)Naproxen sodiumSumatriptan succinateTREXIMET®

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With a Sustained Pain-free (SPF) Response From 2 to 24 Hours Post-dose

    SPF 2-24 hours is defined for all participants as having no pain at 2 hours post-dose and without the return of any pain or the use of any rescue medication (any medication taken after the first dose of study medication for any migraine pain or symptoms) from 2-24 hours.

    From 2 to 24 hours post-dose. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).

Secondary Outcomes (22)

  • Number of Participants With a Pain-free Response From 2 to 48 Hours Post-dose

    At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).

  • Number of Participants Using Rescue Medication Within 48 Hours Post Dose

    From dose time through 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).

  • Mean Time to First Use of Rescue Medication for the First Attack Treated With Study Medication (Attack 1)

    From dose time through 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).

  • Mean Time to First Use of Rescue Medication for the Second Attack Treated With Study Medication (Attack 2)

    From dose time through 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).

  • Mean Time to First Use of Rescue Medication for the Third Attack Treated With Study Medication (Attack 3)

    From dose time through 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).

  • +17 more secondary outcomes

Study Arms (6)

TPB

OTHER

TREXIMET® (Attack 1), placebo (Attack 2), BCM (Attack 3)

Drug: TREXIMET®Drug: Butalbital-containing Combination Medications (BCM)Drug: placebo

TBP

OTHER

TREXIMET® (Attack 1), BCM (Attack 2), placebo (Attack 3)

Drug: TREXIMET®Drug: Butalbital-containing Combination Medications (BCM)Drug: placebo

BTP

OTHER

BCM (Attack 1), TREXIMET® (Attack 2), placebo (Attack 3)

Drug: TREXIMET®Drug: Butalbital-containing Combination Medications (BCM)Drug: placebo

BPT

OTHER

BCM (Attack 1), placebo (Attack 2), TREXIMET® (Attack 3)

Drug: TREXIMET®Drug: Butalbital-containing Combination Medications (BCM)Drug: placebo

PTB

OTHER

placebo (Attack 1), TREXIMET® (Attack 2), BCM (Attack 3)

Drug: TREXIMET®Drug: Butalbital-containing Combination Medications (BCM)Drug: placebo

PBT

OTHER

placebo (Attack 1), BCM (Attack 2), TREXIMET® (Attack 3)

Drug: TREXIMET®Drug: Butalbital-containing Combination Medications (BCM)Drug: placebo

Interventions

Sumatriptan + Naproxen Sodium (fixed dose combination tablet of sumatriptan succinate \[equivalent to sumatriptan 85mg\] and naproxen sodium 500mg)

BPTBTPPBTPTBTBPTPB

butalbital-containing combination medication (BCM; acetaminophen 325mg, caffeine 40mg, and butalbital 50mg) \[currently marketed as Fioricet\]

BPTBTPPBTPTBTBPTPB

placebo

BPTBTPPBTPTBTBPTPB

Eligibility Criteria

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

You may qualify if:

  • Males and females aged 18 to 65 years. Female subjects are eligible for participation if they are either of non-childbearing potential (not capable of becoming pregnant) OR of childbearing potential having a negative urine pregnancy test at screening, and using contraception if sexually active. If using oral contraceptives, the subjects should be on a stable regimen of oral contraceptives (\>/= 2 months).
  • Eligible subjects must:
  • have migraine with or without aura (2004 ICHD-II criteria) and must have had at least 2 attacks per month meeting these criteria in the three months prior to screening.
  • have documented use of Butalbital-containing Combination Medication (MCM) to have treated at least one migraine.
  • be able to understand how to complete the cognitive assessments and all other questionnaires programmed in an electronic diary.
  • be willing and able to provide written informed consent.

You may not qualify if:

  • A subject is not eligible if they have:
  • \>8 migraines or \>/= 15 headache days per month in total, or has retinal, basilar, or hemiplegic migraine, or secondary headaches.
  • taken \>350mg/day of butalbital and/or other barbiturates on an equivalent dose basis, on average, over the 30 days prior to screening.
  • is likely to have unrecognized cardiovascular or cerebrovascular disease (based on history or risk factors).
  • blood pressure \>/= 140/90mmHg in 2 out of 3 BP measurements or is taking any angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker.
  • history of congenital heart disease, cardiac arrhythmias requiring medication, or a clinical significant electrocardiogram abnormality.
  • evidence or history of any ischemic vascular disease including: ischemic heart disease, ischemic abdominal syndromes, peripheral vascular disease or Raynaud's Syndrome, or signs/symptoms consistent with these.
  • evidence or history of central nervous system pathology including stroke and/or transient ischemic attacks (TIAs), epilepsy or structural brain lesions which lower the convulsive threshold; or has been treated with an antiepileptic drug for seizure control within 5 years prior to screening.
  • a history of impaired hepatic or renal function that contraindicates participation in the study.
  • hypersensitivity, allergy, intolerance, or contraindication to the use of any triptan, NSAID, aspirin, barbiturates, or acetaminophen (including all sumatriptan and naproxen preparations), has porphyria or has nasal polyps and asthma.
  • is currently taking, or has taken in the previous three months, an ergot preparation for migraine prophylaxis; or is taking a migraine or prophylactic medication that is not stabilized (i.e. a change of dose within the last 2 months) for either chronic or intermittent migraine prophylaxis or for a co-morbid condition that is not stabilized.
  • a recent history of regular use of opioids (including opioids in combination with butalbital, e.g. Fioricet with codeine) or barbiturates other than butalbital. Regular use is defined as an average of 4 days per month over the last 6 months.
  • taken, or plans to take, a monoamine oxidase inhibitor (MAOI), including herbal preparations containing St. John's Wort (Hypericum perforatum), anytime within the 2 weeks prior to screening through 2 weeks post final study treatment.
  • history of any bleeding disorder or is currently taking any anti-coagulant or any antiplatelet agent (except low-dose aspirin \</= 325mg/day for cardioprotective reasons).
  • evidence or history of any gastrointestinal surgery or GI ulceration or perforation in the past six months, gastrointestinal bleeding in the past year; or evidence or history of inflammatory bowel disease.
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (107)

GSK Investigational Site

Chandler, Arizona, 85224, United States

Location

GSK Investigational Site

Gilbert, Arizona, 85234, United States

Location

GSK Investigational Site

Litchfield Park, Arizona, 85340, United States

Location

GSK Investigational Site

Mesa, Arizona, 85213, United States

Location

GSK Investigational Site

Phoenix, Arizona, 85014, United States

Location

GSK Investigational Site

Tempe, Arizona, 85283, United States

Location

GSK Investigational Site

Little Rock, Arkansas, 72201, United States

Location

GSK Investigational Site

Little Rock, Arkansas, 72205, United States

Location

GSK Investigational Site

Anaheim, California, 92801, United States

Location

GSk Investigational Site

Anaheim, California, 92805, United States

Location

GSK Investigational Site

Garden Grove, California, 92845, United States

Location

GSK Investigational Site

Irvine, California, 92618, United States

Location

GSK Investigational Site

Newport Beach, California, 92660, United States

Location

GSK Investigational Site

Northridge, California, 91325, United States

Location

GSK Investigational Site

Riverside, California, 92501, United States

Location

GSK Investigational Site

Sacramento, California, 92585, United States

Location

GSK Investigational Site

San Diego, California, 92108, United States

Location

GSK Investigational Site

San Francisco, California, 94109, United States

Location

GSK Investigational Site

Santa Monica, California, 90404, United States

Location

GSK Investigational Site

Sherman Oaks, California, 91403, United States

Location

GSK Investigational Site

Walnut Creek, California, 94596, United States

Location

GSK Investigational Site

Westlake Village, California, 91361, United States

Location

GSK Investigational Site

Colorado Springs, Colorado, 80909, United States

Location

GSK Investigational Site

East Hartford, Connecticut, 06118, United States

Location

GSK Investigational Site

New Britain, Connecticut, 06050, United States

Location

GSK Investigational Site

Clearwater, Florida, 33755, United States

Location

GSK Investigational Site

Daytona Beach, Florida, 32117, United States

Location

GSK Investigational Site

DeLand, Florida, 32720, United States

Location

GSK Investigational Site

Naples, Florida, 34102, United States

Location

GSK Investigational Site

Pembroke Pines, Florida, 33024, United States

Location

GSK Investigational Site

Plantation, Florida, 33324, United States

Location

GSK Investigational Site

West Palm Beach, Florida, 33407-2450, United States

Location

GSK Investigational Site

Atlanta, Georgia, 30309, United States

Location

GSK Investigational Site

Atlanta, Georgia, 30342, United States

Location

GSK Investigational Site

Rome, Georgia, 30165, United States

Location

GSK Investigational Site

Savannah, Georgia, 31406, United States

Location

GSK Investigational Site

Suwanee, Georgia, 30024, United States

Location

GSK Investigational Site

Chicago, Illinois, 60614, United States

Location

GSK Investigational Site

Gurnee, Illinois, 60031, United States

Location

GSK Investigational Site

Maywood, Illinois, 60153, United States

Location

GSK Investigational Site

Indianapolis, Indiana, 46256, United States

Location

GSK Investigational Site

Paducah, Kentucky, 42003, United States

Location

GSK Investigational Site

Shreveport, Louisiana, 71101, United States

Location

GSK Investigational Site

Shreveport, Louisiana, 71103, United States

Location

GSK Investigational Site

Biddeford, Maine, 04005, United States

Location

GSK Investigational Site

Pikesville, Maryland, 21208, United States

Location

GSk Investigational Site

Brockton, Massachusetts, 02301, United States

Location

GSK Investigational Site

Springfield, Massachusetts, 01104, United States

Location

GSK Investigational Site

Ann Arbor, Michigan, 48104, United States

Location

GSK Investigational Site

Kalamazoo, Michigan, 49009, United States

Location

GSK Investigational Site

Hattiesburg, Mississippi, 39401, United States

Location

GSK Investigational Site

Springfield, Missouri, 65807, United States

Location

GSK Investigational Site

St Louis, Missouri, 63141, United States

Location

GSK Investigational Site

Henderson, Nevada, 89014, United States

Location

GSK Investigational Site

Las Vegas, Nevada, 89119, United States

Location

GSK Investigational Site

Cherry Hill, New Jersey, 08002, United States

Location

GSK Investigational Site

Ridgewood, New Jersey, 07550, United States

Location

GSK Investigational Site

Stratford, New Jersey, 08084, United States

Location

GSK Investigational Site

Albuquerque, New Mexico, 87108, United States

Location

GSK Investigational Site

Albany, New York, 12205, United States

Location

GSK Investigational Site

Albany, New York, 12206, United States

Location

GSK Investigational Site

Brooklyn, New York, 11235, United States

Location

GSK Investigational Site

Mount Vernon, New York, 10550, United States

Location

GSK Investigational Site

New York, New York, 10021, United States

Location

GSK Investigational Site

New York, New York, 10022, United States

Location

GSK Investigational Site

Orchard Park, New York, 14127, United States

Location

GSK Investigational Site

Schenectady, New York, 12308, United States

Location

GSK Investigational Site

Syracuse, New York, 13210, United States

Location

GSK Investigational Site

The Bronx, New York, 10461, United States

Location

GSK Investigational Site

Valley Stream, New York, 11580, United States

Location

GSK Investigational Site

Cary, North Carolina, 27518, United States

Location

GSK Investigational Site

Charlotte, North Carolina, 28204, United States

Location

GSK Investigational Site

Greenville, North Carolina, 27858, United States

Location

GSK Investigational Site

Hickory, North Carolina, 28601, United States

Location

GSK Investigational Site

Wilmington, North Carolina, 28401, United States

Location

GSK Investigational Site

Winston-Salem, North Carolina, 27103, United States

Location

GSK Investigational Site

Bismarck, North Dakota, 58501, United States

Location

GSK Investigational Site

Fargo, North Dakota, 58104, United States

Location

GSK Investigational Site

Minot, North Dakota, 58704, United States

Location

GSK Investigational Site

Cincinnati, Ohio, 45227, United States

Location

GSK Investigational Site

Cincinnati, Ohio, 45245, United States

Location

GSK Investigational Site

Cleveland, Ohio, 44122, United States

Location

GSK Investigational Site

Columbus, Ohio, 43210, United States

Location

GSK Investigational Site

Dayton, Ohio, 45406, United States

Location

GSK Investigational Site

Toledo, Ohio, 43614-5809, United States

Location

GSK Investigational Site

Oklahoma City, Oklahoma, 73112, United States

Location

GSK Investigational Site

Greensburg, Pennsylvania, 15601, United States

Location

GSK Investigational Site

Philadelphia, Pennsylvania, 19107, United States

Location

GSK Investigational Site

Philadelphia, Pennsylvania, 19114, United States

Location

GSK Investigational Site

Pittsburgh, Pennsylvania, 15236, United States

Location

GSK Investigational Site

Warwick, Rhode Island, 02886, United States

Location

GSK Investigational Site

Beaufort, South Carolina, 29902, United States

Location

GSK Investigational Site

Charleston, South Carolina, 29412, United States

Location

GSK Investigational Site

Simpsonville, South Carolina, 29681, United States

Location

GSk Investigational Site

Rapid City, South Dakota, 57702, United States

Location

GSK Investigational Site

Columbia, Tennessee, 38401, United States

Location

GSK Investigational Site

Cordova, Tennessee, 38018, United States

Location

GSK Investigational Site

Germantown, Tennessee, 38139, United States

Location

GSK Investigational Site

Nashville, Tennessee, 37203, United States

Location

GSK Investigational Site

Austin, Texas, 78745, United States

Location

GSK Investigational Site

Dallas, Texas, 75231, United States

Location

GSK Investigational Site

Dallas, Texas, 75234, United States

Location

GSK Investigational Site

Houston, Texas, 77004, United States

Location

GSK Investigational Site

San Antonio, Texas, 78229, United States

Location

GSK Investigational Site

San Antonio, Texas, 78258, United States

Location

GSK Investigational Site

Salt Lake City, Utah, 84107, United States

Location

GSK Investigational Site

Virginia Beach, Virginia, 23452, United States

Location

Related Publications (4)

  • Silberstein SD, McCrory DC. Butalbital in the treatment of headache: history, pharmacology, and efficacy. Headache. 2001 Nov-Dec;41(10):953-67. doi: 10.1046/j.1526-4610.2001.01189.x.

    PMID: 11903523BACKGROUND
  • Bigal ME, Rapoport AM, Sheftell FD, Tepper SJ, Lipton RB. Transformed migraine and medication overuse in a tertiary headache centre--clinical characteristics and treatment outcomes. Cephalalgia. 2004 Jun;24(6):483-90. doi: 10.1111/j.1468-2982.2004.00691.x.

    PMID: 15154858BACKGROUND
  • Wenzel RG, Sarvis CA. Do butalbital-containing products have a role in the management of migraine? Pharmacotherapy. 2002 Aug;22(8):1029-35. doi: 10.1592/phco.22.12.1029.33595.

    PMID: 12173787BACKGROUND
  • Derosier F, Sheftell F, Silberstein S, Cady R, Ruoff G, Krishen A, Peykamian M. Sumatriptan-naproxen and butalbital: a double-blind, placebo-controlled crossover study. Headache. 2012 Apr;52(4):530-43. doi: 10.1111/j.1526-4610.2011.02039.x. Epub 2011 Nov 21.

MeSH Terms

Conditions

Migraine Disorders

Interventions

sumatriptan-naproxen

Condition Hierarchy (Ancestors)

Headache Disorders, PrimaryHeadache DisordersBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Limitations and Caveats

Enrolled participants included all those entering the screening part of the study. Randomized participants included only those who completed screening and completed the 2-week butalbital wash-out, and were successfully randomized to study drug.

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

Study Record Dates

First Submitted

December 12, 2007

First Posted

December 14, 2007

Study Start

February 1, 2008

Primary Completion

August 1, 2009

Study Completion

August 1, 2009

Last Updated

December 29, 2010

Results First Posted

December 29, 2010

Record last verified: 2010-11

Locations