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.
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 group | Role | What they receive |
|---|---|---|
| Telcagepant 140 mg | Experimental | Telcagepant 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 mg | Experimental | Telcagepant 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 1 | Placebo comparator | Placebo, 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 2 | Placebo comparator | Placebo, 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.
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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.
- First posted7 Jun 2007 (estimated)
- Study start14 Aug 2008
- Primary completion25 Mar 2009
- Study completion25 Mar 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for MigrainesStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Monitor, Study director, Merck Sharp & Dohme LLC
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 18 Oct 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT00483704
- Acronym / sponsor ID
- 0974-031
- Conditions
- Migraines
- Keywords
- multiple attacks of moderate to severe migraine headaches
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,935 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 14 Aug 2008 (actual)
- Primary completion
- 25 Mar 2009 (actual)
- Study completion
- 25 Mar 2009 (actual)
- First posted
- 7 Jun 2007 (estimated)
- Results
- Posted 29 Aug 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Telcagepant 140 mg | Experimental | Drug: Telcagepant 140 mgTelcagepant 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. |
| Telcagepant 280 mg | Experimental | Drug: Talcagepant 280 mgTelcagepant 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. |
| Control Group 1 | Placebo comparator | Drug: Telcagepant 140 mg, Drug: PlaceboPlacebo, 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. |
| Control Group 2 | Placebo comparator | Drug: Telcagepant 140 mg, Drug: PlaceboPlacebo, 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. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (6 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Telcagepant 140 mgTelcagepant 140 mg tablets | Drug | Control Group 1, Control Group 2, Telcagepant 140 mg |
| Talcagepant 280 mgTelcagepant 280 mg tablets | Drug | Telcagepant 280 mg |
| PlaceboPlacebo tablets | Drug | Control Group 1, Control Group 2 |
Primary outcome
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)
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.
Percentage of Participants Reporting Pain Relief at 2 Hours Post-dose (First Migraine Attack)
Time frame: 2 hours post-dose for the first migraine attack (up to 6 months)
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.
Percentage of Participants Reporting Pain Freedom Consistency at 2 Hours Post-dose
Time frame: 2 hours post-dose (up to 6 months)
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.
Percentage of Participants Reporting Pain Relief Consistency at 2 Hours Post-dose
Time frame: 2 hours post-dose (up to 6 months)
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.
Percentage of Participants Reporting Absence of Photophobia at 2 Hours Post-dose (First Migraine Attack)
Time frame: 2 hours post-dose for the first migraine attack (up to 6 months)
The participant recorded whether photophobia (sensitivity to light) was present or absent at each of the predefined time points.
Percentage of Participants Reporting Absence of Phonophobia at 2 Hours Post-dose (First Migraine Attack)
Time frame: 2 hours post-dose for the first migraine attack (up to 6 months)
The participant recorded whether phonophobia (sensitivity to sound) was present or absent at each of the predefined time points.
Percentage of Participants Reporting Absence of Nausea 2 Hours Post-dose (First Migraine Attack)
Time frame: 2 hours post-dose for the first migraine attack (up to 6 months)
The participant recorded whether nausea was present or absent at each of the predefined time points.
Number of Participants Experiencing an Adverse Event (AE) Within 48 Hours Post-dose (First Migraine Attack)
Time frame: Up to 48 hours post-dose for the first migraine attack (up to 6 months)
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.
Number of Participants Discontinuing Study Medication Due to an AE
Time frame: Up to the 4th dose of study medication (up to 6 months)
Participants discontinuing study medication due to an AE were reported for all migraine attacks.
4 secondary outcomes
Percentage of Participants Reporting Sustained Pain Freedom From 2 to 24 Hours Post-dose (First Migraine Attack)
Time frame: From 2 to 24 hours post-dose for the first migraine attack (up to 6 months)
Percentage of Participants Reporting Sustained Pain Freedom From 2 to 48 Hours Post-dose (First Migraine Attack)
Time frame: From 2 to 48 hours post-dose for the first migraine attack (up to 6 months)
Percentage of Participants Reporting Total Migraine Freedom at 2 Hours Post-dose (First Migraine Attack)
Time frame: 2 hours post-dose for the first migraine attack (up to 6 months)
Percentage of Participants Reporting Total Migraine Freedom From 2 to 24 Hours Post-dose (First Migraine Attack)
Time frame: From 2 to 24 hours post-dose for the first migraine attack (up to 6 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Oct 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 20974601Ho 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.
- Individual participant dataSharing planned: Yes. https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Monitor study director
Merck Sharp & Dohme LLC
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.