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MigrainesPhase 3NCT00483704

Multiple Attacks Study to Compare the Efficacy and Safety of MK-0974 With Placebo for Acute Migraine (MK-0974-031)

A Phase 3 study testing Telcagepant 140 mg and Talcagepant 280 mg in people with Migraines, run by Merck Sharp & Dohme LLC.

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

The purpose of the study is to assess the safety and efficacy of telcagepant (MK-0974) in acute treatment of multiple migraine attacks with or without aura. Primary hypotheses of this study are that telcagepant is superior to placebo, as measured by the proportion of participants who have pain freedom, pain relief… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Migraines
What is being tested?
Telcagepant 140 mg and Talcagepant 280 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,935 participants
Where
No sites listed yet
Study dates
14 Aug 2008to 25 Mar 2009
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • History of migraines within the past year
  • 1 to 8 moderate or severe migraine attacks per month in the past 2 months that lasted between 4 to 72 hours if untreated
  • Use acceptable contraception throughout the study
  • Able to complete the study questionnaire(s) and paper diary
  • Limit consumption of grapefruit juice to no more than one 8 ounce glass a day

Who cannot join

  • Pregnant or breast-feeding or is expecting to become pregnant during the study
  • Difficulty distinguishing his/her migraine attacks from tension or interval headaches
  • A history of mostly mild migraine attacks or migraines that usually resolve spontaneously in less than 2 hours
  • More than 15 headache-days per month or has taken medication for acute headache on more than 10 days a month in the past 3 months
  • Greater than 50 years old at the age of migraine onset
  • Previously taken telcagepant

About this study

Official title: A Multicenter, Double-Blind, Placebo-Controlled, Parallel Group Multiple Attacks Study to Compare the Efficacy and Safety of Oral MK-0974 With Placebo for the Acute Treatment of Migraine With or Without Aura

The purpose of the study is to assess the safety and efficacy of telcagepant (MK-0974) in acute treatment of multiple migraine attacks with or without aura. Primary hypotheses of this study are that telcagepant is superior to placebo, as measured by the proportion of participants who have pain freedom, pain relief, pain freedom consistency, pain relief consistency, and absence of photophobia, phonophobia, and nausea at 2 hours post-dose.

Conditions
Migraines
Being tested
Telcagepant 140 mg, Talcagepant 280 mg, Placebo
Keywords
multiple attacks of moderate to severe migraine headaches
Medical subject headings
Migraine Disorders

What participants receive

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

  • Telcagepant 140 mgDrug

    Telcagepant 140 mg tablets

  • Talcagepant 280 mgDrug

    Telcagepant 280 mg tablets

  • PlaceboDrug

    Placebo tablets

Study groups in NCT00483704
Study groupRoleWhat they receive
Telcagepant 140 mgExperimentalTelcagepant 140 mg, oral, tablet, across 4 migraine attacks. For migraine attack 1 only, if no headache relief is obtained after 2 hours post dose, or if the migraine recurs after 2 hours of the initial treatment, participants may receive an optional second dose of telcagepant 140 mg or placebo.
Receives: Drug: Telcagepant 140 mg
Telcagepant 280 mgExperimentalTelcagepant 280 mg, oral, tablet, across 4 migraine attacks. For migraine attack 1 only, if no headache relief is obtained after 2 hours post dose, or if the migraine recurs after 2 hours of the initial treatment, participants may receive an optional second dose of telcagepant 280 mg or placebo.
Receives: Drug: Talcagepant 280 mg
Control Group 1Placebo comparatorPlacebo, oral, tablet, across 3 migraine attacks (1st, 2nd, and 4th). Telcagepant 140 mg will be administered for the 3rd migraine attack. Participants will receive placebo for the optional second dose. For migraine attacks 2, 3, and 4, no study medication will be provided as an optional second dose.
Receives: Drug: Telcagepant 140 mg; Drug: Placebo
Control Group 2Placebo comparatorPlacebo, oral, tablet, across 3 migraine attacks (1st, 2nd, and 3rd). Telcagepant 140 mg will be administered for the 4th migraine attack. Participants will receive placebo for the optional second dose. For migraine attacks 2, 3, and 4, no study medication will be provided as an optional second dose.
Receives: Drug: Telcagepant 140 mg; Drug: Placebo

What is being measured

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

  1. Percentage of Participants Reporting Pain Freedom at 2 Hours Post-dose (First Migraine Attack)

    Pain Freedom (PF) at 2 hours post-dose (first migraine attack), with pain freedom defined as a reduction in headache severity from Grade 3/2 at baseline to Grade 0 at 2 hours post-dose. Headache severity was subjectively rated by the participant at predefined time points on a scale of Grade 0 to Grade 3: Grade 0 - No pain; Grade 1 - Mild pain; Grade 2 - Moderate Pain; and Grade 3 - Severe Pain.

    Measured: 2 hours post-dose for the first migraine attack (up to 6 months)

  2. Percentage of Participants Reporting Pain Relief at 2 Hours Post-dose (First Migraine Attack)

    Pain Relief (PR) at 2 hours post-dose (first migraine attack), with pain relief defined as a reduction in headache severity from Grade 3/2 at baseline to Grade 1/0 at 2 hours post-dose. Headache severity was subjectively rated by the participant at predefined time points on a scale of Grade 0 to Grade 3: Grade 0 - No pain; Grade 1 - Mild pain; Grade 2 - Moderate Pain; and Grade 3 - Severe Pain.

    Measured: 2 hours post-dose for the first migraine attack (up to 6 months)

  3. Percentage of Participants Reporting Pain Freedom Consistency at 2 Hours Post-dose

    Pain Freedom Consistency (PFC) at 2 hours post-dose, defined as having achieved PF at 2 hours post-dose on at least 3 treated migraine attacks. Note that for the control groups, a positive PF response arising from the administration of the 1 talcagepant treated migraine attack will count as one of the 3 positive PF responses needed to fulfill the criteria for PFC.

    Measured: 2 hours post-dose (up to 6 months)

  4. Percentage of Participants Reporting Pain Relief Consistency at 2 Hours Post-dose

    Pain Relief Consistency (PRC) at 2 hours post-dose, defined as having achieved PR at 2 hours post-dose on at least 3 treated migraine attacks. Note that for the control groups, a positive PR response arising from the administration of the 1 telcagepant treated migraine attack will count as one of the 3 positive PR responses needed to fulfill the criteria for PRC.

    Measured: 2 hours post-dose (up to 6 months)

  5. Percentage of Participants Reporting Absence of Photophobia at 2 Hours Post-dose (First Migraine Attack)

    The participant recorded whether photophobia (sensitivity to light) was present or absent at each of the predefined time points.

    Measured: 2 hours post-dose for the first migraine attack (up to 6 months)

  6. Percentage of Participants Reporting Absence of Phonophobia at 2 Hours Post-dose (First Migraine Attack)

    The participant recorded whether phonophobia (sensitivity to sound) was present or absent at each of the predefined time points.

    Measured: 2 hours post-dose for the first migraine attack (up to 6 months)

  7. Percentage of Participants Reporting Absence of Nausea 2 Hours Post-dose (First Migraine Attack)

    The participant recorded whether nausea was present or absent at each of the predefined time points.

    Measured: 2 hours post-dose for the first migraine attack (up to 6 months)

  8. Number of Participants Experiencing an Adverse Event (AE) Within 48 Hours Post-dose (First Migraine Attack)

    AEs were reported following treatment for the first migraine attack using a 48-hour post-dose window. AEs displayed are those reported by at least 4 participants in one or more treatment groups.

    Measured: Up to 48 hours post-dose for the first migraine attack (up to 6 months)

  9. Number of Participants Discontinuing Study Medication Due to an AE

    Participants discontinuing study medication due to an AE were reported for all migraine attacks.

    Measured: Up to the 4th dose of study medication (up to 6 months)

Secondary outcomes (4)
  1. Percentage of Participants Reporting Sustained Pain Freedom From 2 to 24 Hours Post-dose (First Migraine Attack)

    Sustained Pain Freedom (SPF) from 2 to 24 hours after study medication administration. SPF from 2 to 24 hours post-dose is defined as PF at 2 hours, with no administration of either rescue medication or the optional second dose and with no occurrence thereafter of a mild/moderate/severe headache during the 2 to 24 hours after dosing with the study medication.

    Measured: From 2 to 24 hours post-dose for the first migraine attack (up to 6 months)

  2. Percentage of Participants Reporting Sustained Pain Freedom From 2 to 48 Hours Post-dose (First Migraine Attack)

    Sustained Pain Freedom (SPF) from 2 to 48 hours post-dose after study medication administration. SPF from 2 to 48 hours post-dose is defined as PF at 2 hours, with no administration of either rescue medication or the optional second dose and with no occurrence thereafter of a mild/moderate/severe headache during the 2 to 48 hours after dosing with the study medication.

    Measured: From 2 to 48 hours post-dose for the first migraine attack (up to 6 months)

  3. Percentage of Participants Reporting Total Migraine Freedom at 2 Hours Post-dose (First Migraine Attack)

    TMF 2 hours post-dose, which is defined as TMF at 2 hours post-dose, with no administration of either rescue medication or the optional second dose and with no occurrence thereafter of a mild/moderate/severe headache and no reported occurrence of photophobia, phonophobia, nausea, or vomiting during the 2 hours after dosing with the study medication.

    Measured: 2 hours post-dose for the first migraine attack (up to 6 months)

  4. Percentage of Participants Reporting Total Migraine Freedom From 2 to 24 Hours Post-dose (First Migraine Attack)

    TMF from 2 to 24 hours post-dose, which is defined as TMF at 2 hours post-dose, with no administration of either rescue medication or the optional second dose and with no occurrence thereafter of a mild/moderate/severe headache and no reported occurrence of photophobia, phonophobia, nausea, or vomiting during the 2 to 24 hours after dosing with the study medication.

    Measured: From 2 to 24 hours post-dose for the first migraine attack (up to 6 months)

Timeline

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

  1. First posted7 Jun 2007 (estimated)
  2. Study start14 Aug 2008
  3. Primary completion25 Mar 2009
  4. Study completion25 Mar 2009

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
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,935 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00483704
Sponsor's protocol ID
0974-031
Other IDs
MK-0974-031, 2007_546
Status last verified
Sep 2018
First submitted
15 May 2007
Last updated
18 Oct 2018
Data monitoring committee
No
Individual data sharing
Yes: https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf

Publications

  • Ho AP, Dahlof CG, Silberstein SD, Saper JR, Ashina M, Kost JT, Froman S, Leibensperger H, Lines CR, Ho TW. Randomized, controlled trial of telcagepant over four migraine attacks. Cephalalgia. 2010 Dec;30(12):1443-57. doi: 10.1177/0333102410370878. Epub 2010 Jun 8.

    PubMed 20974601

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Telcagepant 140 mg and Talcagepant 280 mg in people with Migraines, run by Merck Sharp & Dohme LLC.

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 5 inclusion and 6 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 18 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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 29 Aug 2014). 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?

Percentage of Participants Reporting Pain Freedom at 2 Hours Post-dose (First Migraine Attack) (time frame: 2 hours post-dose for the first migraine attack (up to 6 months)). The study lists 9 primary outcomes in all. 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 NCT00483704, which also lists 1 linked publication.

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 18 Oct 2018.

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