TREXIMET® Versus Butalbital-containing Combination Medications for the Acute Treatment of Migraine in Adults
A Randomized, Double-blind, Double-dummy, Placebo-controlled, Crossover Study to Evaluate the Efficacy of TREXIMET® (Sumatriptan + Naproxen Sodium) vs. Butalbital-containing Combination Medications for the Acute Treatment of Migraine When Administered During the Moderate-Severe Migraine Pain, Studies 1 and 2 of 2
1 other identifier
interventional
375
1 country
107
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Feb 2008
107 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 12, 2007
CompletedFirst Posted
Study publicly available on registry
December 14, 2007
CompletedStudy Start
First participant enrolled
February 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2009
CompletedResults Posted
Study results publicly available
December 29, 2010
CompletedDecember 29, 2010
November 1, 2010
1.5 years
December 12, 2007
August 16, 2010
November 30, 2010
Conditions
Keywords
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
OTHERTREXIMET® (Attack 1), placebo (Attack 2), BCM (Attack 3)
TBP
OTHERTREXIMET® (Attack 1), BCM (Attack 2), placebo (Attack 3)
BTP
OTHERBCM (Attack 1), TREXIMET® (Attack 2), placebo (Attack 3)
BPT
OTHERBCM (Attack 1), placebo (Attack 2), TREXIMET® (Attack 3)
PTB
OTHERplacebo (Attack 1), TREXIMET® (Attack 2), BCM (Attack 3)
PBT
OTHERplacebo (Attack 1), BCM (Attack 2), TREXIMET® (Attack 3)
Interventions
Sumatriptan + Naproxen Sodium (fixed dose combination tablet of sumatriptan succinate \[equivalent to sumatriptan 85mg\] and naproxen sodium 500mg)
butalbital-containing combination medication (BCM; acetaminophen 325mg, caffeine 40mg, and butalbital 50mg) \[currently marketed as Fioricet\]
Eligibility Criteria
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
- GlaxoSmithKlinelead
Study Sites (107)
GSK Investigational Site
Chandler, Arizona, 85224, United States
GSK Investigational Site
Gilbert, Arizona, 85234, United States
GSK Investigational Site
Litchfield Park, Arizona, 85340, United States
GSK Investigational Site
Mesa, Arizona, 85213, United States
GSK Investigational Site
Phoenix, Arizona, 85014, United States
GSK Investigational Site
Tempe, Arizona, 85283, United States
GSK Investigational Site
Little Rock, Arkansas, 72201, United States
GSK Investigational Site
Little Rock, Arkansas, 72205, United States
GSK Investigational Site
Anaheim, California, 92801, United States
GSk Investigational Site
Anaheim, California, 92805, United States
GSK Investigational Site
Garden Grove, California, 92845, United States
GSK Investigational Site
Irvine, California, 92618, United States
GSK Investigational Site
Newport Beach, California, 92660, United States
GSK Investigational Site
Northridge, California, 91325, United States
GSK Investigational Site
Riverside, California, 92501, United States
GSK Investigational Site
Sacramento, California, 92585, United States
GSK Investigational Site
San Diego, California, 92108, United States
GSK Investigational Site
San Francisco, California, 94109, United States
GSK Investigational Site
Santa Monica, California, 90404, United States
GSK Investigational Site
Sherman Oaks, California, 91403, United States
GSK Investigational Site
Walnut Creek, California, 94596, United States
GSK Investigational Site
Westlake Village, California, 91361, United States
GSK Investigational Site
Colorado Springs, Colorado, 80909, United States
GSK Investigational Site
East Hartford, Connecticut, 06118, United States
GSK Investigational Site
New Britain, Connecticut, 06050, United States
GSK Investigational Site
Clearwater, Florida, 33755, United States
GSK Investigational Site
Daytona Beach, Florida, 32117, United States
GSK Investigational Site
DeLand, Florida, 32720, United States
GSK Investigational Site
Naples, Florida, 34102, United States
GSK Investigational Site
Pembroke Pines, Florida, 33024, United States
GSK Investigational Site
Plantation, Florida, 33324, United States
GSK Investigational Site
West Palm Beach, Florida, 33407-2450, United States
GSK Investigational Site
Atlanta, Georgia, 30309, United States
GSK Investigational Site
Atlanta, Georgia, 30342, United States
GSK Investigational Site
Rome, Georgia, 30165, United States
GSK Investigational Site
Savannah, Georgia, 31406, United States
GSK Investigational Site
Suwanee, Georgia, 30024, United States
GSK Investigational Site
Chicago, Illinois, 60614, United States
GSK Investigational Site
Gurnee, Illinois, 60031, United States
GSK Investigational Site
Maywood, Illinois, 60153, United States
GSK Investigational Site
Indianapolis, Indiana, 46256, United States
GSK Investigational Site
Paducah, Kentucky, 42003, United States
GSK Investigational Site
Shreveport, Louisiana, 71101, United States
GSK Investigational Site
Shreveport, Louisiana, 71103, United States
GSK Investigational Site
Biddeford, Maine, 04005, United States
GSK Investigational Site
Pikesville, Maryland, 21208, United States
GSk Investigational Site
Brockton, Massachusetts, 02301, United States
GSK Investigational Site
Springfield, Massachusetts, 01104, United States
GSK Investigational Site
Ann Arbor, Michigan, 48104, United States
GSK Investigational Site
Kalamazoo, Michigan, 49009, United States
GSK Investigational Site
Hattiesburg, Mississippi, 39401, United States
GSK Investigational Site
Springfield, Missouri, 65807, United States
GSK Investigational Site
St Louis, Missouri, 63141, United States
GSK Investigational Site
Henderson, Nevada, 89014, United States
GSK Investigational Site
Las Vegas, Nevada, 89119, United States
GSK Investigational Site
Cherry Hill, New Jersey, 08002, United States
GSK Investigational Site
Ridgewood, New Jersey, 07550, United States
GSK Investigational Site
Stratford, New Jersey, 08084, United States
GSK Investigational Site
Albuquerque, New Mexico, 87108, United States
GSK Investigational Site
Albany, New York, 12205, United States
GSK Investigational Site
Albany, New York, 12206, United States
GSK Investigational Site
Brooklyn, New York, 11235, United States
GSK Investigational Site
Mount Vernon, New York, 10550, United States
GSK Investigational Site
New York, New York, 10021, United States
GSK Investigational Site
New York, New York, 10022, United States
GSK Investigational Site
Orchard Park, New York, 14127, United States
GSK Investigational Site
Schenectady, New York, 12308, United States
GSK Investigational Site
Syracuse, New York, 13210, United States
GSK Investigational Site
The Bronx, New York, 10461, United States
GSK Investigational Site
Valley Stream, New York, 11580, United States
GSK Investigational Site
Cary, North Carolina, 27518, United States
GSK Investigational Site
Charlotte, North Carolina, 28204, United States
GSK Investigational Site
Greenville, North Carolina, 27858, United States
GSK Investigational Site
Hickory, North Carolina, 28601, United States
GSK Investigational Site
Wilmington, North Carolina, 28401, United States
GSK Investigational Site
Winston-Salem, North Carolina, 27103, United States
GSK Investigational Site
Bismarck, North Dakota, 58501, United States
GSK Investigational Site
Fargo, North Dakota, 58104, United States
GSK Investigational Site
Minot, North Dakota, 58704, United States
GSK Investigational Site
Cincinnati, Ohio, 45227, United States
GSK Investigational Site
Cincinnati, Ohio, 45245, United States
GSK Investigational Site
Cleveland, Ohio, 44122, United States
GSK Investigational Site
Columbus, Ohio, 43210, United States
GSK Investigational Site
Dayton, Ohio, 45406, United States
GSK Investigational Site
Toledo, Ohio, 43614-5809, United States
GSK Investigational Site
Oklahoma City, Oklahoma, 73112, United States
GSK Investigational Site
Greensburg, Pennsylvania, 15601, United States
GSK Investigational Site
Philadelphia, Pennsylvania, 19107, United States
GSK Investigational Site
Philadelphia, Pennsylvania, 19114, United States
GSK Investigational Site
Pittsburgh, Pennsylvania, 15236, United States
GSK Investigational Site
Warwick, Rhode Island, 02886, United States
GSK Investigational Site
Beaufort, South Carolina, 29902, United States
GSK Investigational Site
Charleston, South Carolina, 29412, United States
GSK Investigational Site
Simpsonville, South Carolina, 29681, United States
GSk Investigational Site
Rapid City, South Dakota, 57702, United States
GSK Investigational Site
Columbia, Tennessee, 38401, United States
GSK Investigational Site
Cordova, Tennessee, 38018, United States
GSK Investigational Site
Germantown, Tennessee, 38139, United States
GSK Investigational Site
Nashville, Tennessee, 37203, United States
GSK Investigational Site
Austin, Texas, 78745, United States
GSK Investigational Site
Dallas, Texas, 75231, United States
GSK Investigational Site
Dallas, Texas, 75234, United States
GSK Investigational Site
Houston, Texas, 77004, United States
GSK Investigational Site
San Antonio, Texas, 78229, United States
GSK Investigational Site
San Antonio, Texas, 78258, United States
GSK Investigational Site
Salt Lake City, Utah, 84107, United States
GSK Investigational Site
Virginia Beach, Virginia, 23452, United States
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: 11903523BACKGROUNDBigal 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: 15154858BACKGROUNDWenzel 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: 12173787BACKGROUNDDerosier 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.
PMID: 22103635DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
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
- STUDY DIRECTOR
GSK Clinical Trials
GlaxoSmithKline
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