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Migraine DisordersPhase 3NCT00383162

A Study of Combination Product (Sumatriptan Succinate and Naproxen Sodium) in Migraine Subjects Who Report Poor Response or Intolerance to Short Acting Triptans (Study 1 of 2)

A Phase 3 study testing Combination Product (sumatriptan succinate / naproxen sodium) in people with Migraine Disorders, run by GlaxoSmithKline at 26 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial 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. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Migraine Disorders
What is being tested?
Combination Product (sumatriptan succinate / naproxen sodium)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
173 participants
Where
26 sitesUnited States
Study dates
Nov 2006to Oct 2007
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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,
Show all 49Show fewer
  • 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,
  • Any other methods with published data showing that the highest expected failure rate for that method is less than 1% per year; or,
  • Any other barrier methods only if used in combination with any of the above acceptable methods.
  • Subject taking oral contraceptives has been on a stable regimen for at least 2 months prior to screening.
  • Subject is willing and able to provide informed consent prior to entry into this treatment phase of the study.
  • Subject is able to understand and complete the diary card.
  • Exclusion Criteria: Subjects with any of the following criteria may not enroll in the study:
  • 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).
  • Subject has hypersensitivity, intolerance, or contraindication to the use of sumatriptan or naproxen sodium or any of their components or any other 5-HT1 receptor agonist.
  • Subject has a history of allergic reactions to naproxen preparations, including subject in whom aspirin or other NSAID drugs induce the syndrome of asthma, rhinitis, and nasal polyps.
  • Subject has a history of any gastrointestinal surgery that specifically indicates a past history of bleeding, ulceration or perforation.
  • Subject has a history of gastric bypass or stapling surgery.
  • Subject has a history of GI ulceration in the past six months or gastrointestinal bleeding in the past year.
  • Subject has a history of inflammatory bowel disease.
  • Subject has a history of any bleeding disorder.
  • Subject is taking any antiplatelet agent (except low-dose aspirin ≤ 325mg/day for cardioprotective reasons).
  • Subject is taking any angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker.
  • Subject is pregnant, actively trying to become pregnant or breast-feeding.
  • Subject has evidence of alcohol or substance abuse within the last year which, in the investigator's judgment, will likely interfere with the study conduct, subject cooperation, or evaluation and interpretation of the study results.
  • Subject has any concurrent medical or psychiatric condition which, in the investigator's opinion, may affect the interpretation of efficacy and safety data or which otherwise contraindicates participation in this clinical trial.
  • Subject has participated in an investigational drug trial within the previous four weeks or plans to participate in another study at any time during this study.

Who cannot join

None listed.

Trial locations and contacts

26 sites in 1 country.

26 sites in 1 country

United States26 sites
  • GSK Investigational Site

    Alexandria, Virginia, 22304

  • GSK Investigational Site

    Aventura, Florida, 33180

  • GSK Investigational Site

    Chicago, Illinois, 60614

  • GSK Investigational Site

    Dallas, Texas, 75214

  • GSK Investigational Site

    Fairfield, Connecticut, 06824

  • GSK Investigational Site

    Fargo, North Dakota, 58103

  • GSK Investigational Site

    Fresno, California, 93720

  • GSK Investigational Site

    Greensboro, North Carolina, 27401

  • GSK Investigational Site

    Houston, Texas, 77004

  • GSK Investigational Site

    Lenexa, Kansas, 66214

  • GSK Investigational Site

    Matthews, North Carolina, 28105

  • GSK Investigational Site

    Newport Beach, California, 92660

  • GSK Investigational Site

    Northbrook, Illinois, 60062

  • GSK Investigational Site

    Omaha, Nebraska, 68144

  • GSK Investigational Site

    Orchard Park, New York, 14127

  • GSK Investigational Site

    Raleigh, North Carolina, 27607

  • GSK Investigational Site

    Roanoke, Virginia, 24013

  • GSK Investigational Site

    Santa Monica, California, 90404

  • GSK Investigational Site

    South Bend, Indiana, 46601

  • GSK Investigational Site

    St Louis, Missouri, 63110

  • GSK Investigational Site

    Stamford, Connecticut, 06902

  • GSK Investigational Site

    Tabor City, North Carolina, 28463

  • GSK Investigational Site

    Tallahassee, Florida, 32308

  • GSK Investigational Site

    Tampa, Florida, 33609

  • GSK Investigational Site

    Virginia Beach, Virginia, 23452

  • GSK Investigational Site

    Walnut Creek, California, 94596

Other trials in United States

About this study

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]

Read the detailed description

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); however, the order of these treatments will be randomized. A minimum 1-week washout period is required between study medication treatment of the first and second migraine attacks.

Each subject will have two visits: (1) a Screening visit at study entry and (2) a Final visit 4-10 days after the second (or last) attack. A telephone contact will also be required 1-3 days after the first attack, and then once per month until the Final visit.

The primary study objective is to assess efficacy as measured by sustained pain-free (SPF) relief of Combination Product compared to placebo in treating migraine subjects who have previously discontinued treatment with short acting triptans (rizatriptan, sumatriptan, almotriptan, zolmitriptan, and eletriptan).

Being tested
Combination Product (sumatriptan succinate / naproxen sodium), Placebo
Keywords
Combination Product, naproxen sodium, sumatriptan succinate, short acting triptan, migraine, acute, Poor response
Medical subject headings
Migraine Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Combination Product (sumatriptan succinate / naproxen sodium)Drug

    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.

  • PlaceboDrug

    Matching placebo tablet.

Study groups in NCT00383162
Study groupRoleWhat they receive
Combination Product - PlaceboOtherCombination product (sumatriptan and naproxen sodium) [Attack 1] followed by placebo [Attack 2]
Receives: Drug: Combination Product (sumatriptan succinate / naproxen sodium); Drug: Placebo
Placebo - Combination ProductOtherPlacebo [Attack 1] followed by Combination Product (sumatriptan and naproxen sodium) [Attack 2]
Receives: Drug: Combination Product (sumatriptan succinate / naproxen sodium); Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  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.

    Measured: 2 - 24 hours post-dose

Secondary outcomes (18)
  1. Pain-Free Assessment at 2 Hours Post-dose

    Participants rated their pain severity using a four point scale where 0=no pain, 1=mild pain, 2=moderate pain, and 3=severe pain. Pain-free was a rating of 0 (no pain) at the specified time.

    Measured: 2 hours post-dose

  2. Rescue Medication Used up to 24 Hours Post-dose

    A rescue medication was defined as an additional medication taken for the treatment of migraine headache pain symptoms associated with the attack. Allowed were a single dose of either: sumatriptan (50mg or 100mg), OR naproxen sodium (max 550mg), OR, an over-the-counter pain-reliever (per label).

    Measured: Dosing to 24 hours post-dose

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

    Participants rated their pain severity using a four point scale where 0=no pain, 1=mild pain, 2=moderate pain, and 3=severe pain. Pain-free was a rating of 0 (no pain) at the specified time.

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

  4. Sustained Freedom From Migraine

    Migraine-free was defined as pain-free with no traditional migraine-associated symptoms (i.e.,photophobia, phonophobia, nausea). Sustained migraine-free was defined as migraine-free at 2 hours and sustained from 2 to 24 hours post dose without the use of rescue medication.

    Measured: 2 - 24 hours post-dose

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

    Migraine-free was defined as pain-free with no traditional migraine-associated symptoms (i.e.,photophobia, phonophobia, nausea and vomiting) at the time of the assessment.

    Measured: 2, 4 , and 8 hours post-dose

  6. Sustained Freedom From Migraine-Associated Sinus Pain

    Sustained Freedom from Migraine-Associated Sinus Pain was defined as the absence of sinus pain from 2 to 24 hours post-dose.

    Measured: 2 - 24 hours post-dose

  7. Migraine-Associated Sinus Pain Assessed at Baseline, 2, 4, and 8 Hours Post-dose

    Number of participants who had sinus pain at the time of assessment.

    Measured: Baseline, 2, 4, and 8 hours post-dose

  8. Sustained Freedom From Migraine-Associated Neck Pain

    Sustained Freedom from Migraine-Associated Neck Pain was defined as the absence of neck pain from 2 to 24 hours post-dose.

    Measured: 2 - 24 hours post-dose

  9. Migraine-Associated Neck Pain Assessed at Baseline, 2, 4, and 8 Hours Post-dose

    Number of Participants with neck pain at the time of assessment.

    Measured: Baseline, 2, 4, and 8 hours post-dose

  10. Sustained Freedom From Migraine-Associated Photophobia

    Sustained Freedom from Migraine-Associated Photophobia was defined as the absence of photophobia (sensitivity to light) from 2 to 24 hours post-dose.

    Measured: 2 - 24 hours post-dose

  11. Migraine-Associated Photophobia Assessed at Baseline, 2, 4, and 8 Hours Post-dose

    Number of participants who had photophobia (sensitivity to light) at the time of assessment.

    Measured: Baseline, 2, 4, and 8 hours post-dose

  12. Sustained Freedom From Migraine-Associated Phonophobia

    Sustained Freedom from Migraine-Associated Phonophobia was defined as the absence of phonophobia (sensitivity to noise) from 2 to 24 hours post-dose.

    Measured: 2 - 24 hours post-dose

  13. Migraine-Associated Phonophobia Assessed at Baseline, 2, 4, and 8 Hours Post-dose

    Number of participants who had phonophobia (sensitivity to noise) at the time of assessment.

    Measured: Baseline, 2, 4, and 8 hours post-dose

  14. Sustained Freedom From Migraine-Associated Nausea

    Sustained Freedom from Migraine-Associated Nausea was defined as the absence of nausea from 2 to 24 hours post-dose.

    Measured: 2 - 24 hours post-dose

  15. Migraine-Associated Nausea Assessed at Baseline, 2, 4, and 8 Hours Post-dose

    Number of participants who had nausea at the time of assessment. Resolution of an associated symptom was defined as a migraine headache symptom that was present at the time of treatment that was not present post-dose. Symptom resolution was defined only among subjects who treated while their symptom was present.

    Measured: Baseline, 2, 4, and 8 hours

  16. Sustained Complete Pain/Symptom-Free

    Sustained Complete Pain/Symptom-Free was defined as completely symptom-free (migraine-free plus neck and sinus pain-free) at 2 hours and sustained from 2 to 24 hours without the use of rescue medication.

    Measured: 2 - 24 hours post-dose

  17. Complete Pain/Symptom-Free Assessed at Baseline, 2, 4, and 8 Hours Post-dose

    Number of participants who were completely symptom-free (migraine-free plus neck and sinus pain-free) at time of assessment."Complete pain/symptom-free" was defined as migraine-free, neck pain-free, and sinus pain free.

    Measured: Baseline, 2, 4, and 8 hours post-dose

  18. Recurrence of Any Migraine Headache Pain

    Recurrence is defined as the return of any migraine headache pain during the specified post-dose period, following a pain-free response at 2 hours.

    Measured: 24 hours and 48 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Oct 2006 (estimated)
  2. Study startNov 2006
  3. Primary completionOct 2007
  4. Study completionOct 2007

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
173 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00383162
Sponsor's protocol ID
TRX106571
Status last verified
Dec 2016
First submitted
29 Sep 2006
Last updated
2 Feb 2017
Data monitoring committee
No
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • 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.

  • 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.

    PubMed 19486178

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Combination Product (sumatriptan succinate / naproxen sodium) in people with Migraine Disorders, run by GlaxoSmithKline at 26 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 49 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 Feb 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sustained Freedom From Migraine Pain Between 2-24 Hours Post-dose (time frame: 2 - 24 hours post-dose). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00383162, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Feb 2017; AzTrials last refreshed its copy on 7 Nov 2026.

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