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MigrainePhase 3CopérnicoNCT01726920

Efficacy and Safety of a Fixed-dose Combination of Naratriptan and Naproxen in Acute Treatment of Migraine.

A Phase 3 study testing naratriptan + naproxen, naratriptan and naproxen in people with Migraine and Headache, run by Ache Laboratorios Farmaceuticos S.A..

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The purpose of this study is to determine whether a fixed-dose combination of naratriptan 2,5 mg + naproxen 500 mg is effective and safe compared each monotherapy for the acute treatment of migraine. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Migraine, Headache
What is being tested?
naratriptan + naproxen, naratriptan and naproxen
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
Jul 2014to Dec 2014
Phase
Phase 3
Are there results?
None posted in the registry

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

  • Male or female patient, age in the range of 18-65 years inclusive that has onset of migraine before age 50;
  • Patient has at least a 3-month history of migraine with or without aura according to the ICHD-II, 2004, IHS (International Headache Society) criteria;
  • Patients experienced an average migraine headache frequency of 2-6 moderate or severe attacks per month in the last 03 months prior to screening visit;
  • Patients able to distinguish his/her migraine attacks from any other types of headaches;
  • Patients able to understand and consent to participate in this clinical study, expressed by signing the Informed Consent (IC).

Who cannot join

  • History of more than 6 migraine attacks/month in the last 03 months prior to screening visit;
  • History of non-migraine headache frequency ≥ 15 days/month in each of the 3 months prior to screening;
  • History of following migraine variants, according to the ICHD-II, 2004, IHS (International Headache Society): basilar migraine, aura without headache, familial hemiplegic migraine, sporadic hemiplegic migraine or aura with non-migraine headache;
  • If female of childbearing potential, has a negative urine pregnancy test at Visit 0 and doesn't use, or doesn't agree to use, for the duration of the study, a medically acceptable form of contraception as determined by the investigator;
  • Woman in pregnancy or lactation period;
  • History of epilepsy or psychiatric condition that may affect the compliance of the treatment;
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  • Patients in acupuncture treatment for the symptoms of migraine attacks;
  • History or symptoms of cardiovascular disease (myocardial infarction, ischemic heart disease, or with Prinzmetal's angina) or has symptoms of ischemic heart disease;
  • Suffers from peripheral vascular disease;
  • History of cerebrovascular pathology including stroke and/or transient ischemic attacks;
  • History of allergic reactions to naproxen preparations, including subjects in whom aspirin or other NSAID drugs induce the syndrome of asthma, rhinitis, nasal polyps or urticaria;
  • Diagnosis of renal or hepatic failure;
  • Has significant (as determined by the investigator) cardiovascular risk factors that may include uncontrolled high blood pressure, post-menopausal women, males over 40 years old, hypercholesterolemia, obesity, diabetes mellitus, smoking, or a family history of cardiovascular disease in a 1st degree relative;
  • Patients who have stopped or changed the dosage of the preventive treatment of migraine in the last 2 weeks prior the screening visit (V0), including the use of calcium channel blockers, tricyclic antidepressants, beta blockers or serotonergic medications for any other indications;
  • Use of prohibited medicine as shown in 9.3 item of this protocol;
  • Inability to understand and report the categorical scale debilitating functional of study or symptoms diary;
  • Has abused, in the opinion of the Investigator, any of the following drugs, currently or within the past 2 years: opioids, alcohol, barbiturates, benzodiazepine, cocaine or abuse of drugs for migraine treatment including narcotics or ergotamines headache in the past 03 months;
  • Hypersensitivity to naratriptan, naproxen, or any of its components;
  • Hypersensitivity to sulfonamides;
  • History of malignancy ≤ 5 years or > 5 years without documentation of remission / cure, for example, melanoma, leukemia, lymphoma, myeloproliferative disorders and renal cell carcinoma of any duration. Exception: Subjects with basal cell skin cancers, squamous cell, and cervical cancer in situ may be eligible;
  • Participation in last one year of clinical protocols, unless it can be direct benefit to patient;
  • Any finding of clinical observation (anamnesis and physical exam) laboratory abnormality (eg, blood glucose, blood count), disease (for example, liver, cardiovascular system, lung) or therapy that, in opinion of the investigator, may endanger the patient or interfere with the endpoints of study.

About this study

Official title: A Phase III, Multicenter, National, Open, Randomized, Parallel and Comparative Study to Evaluate the Efficacy and Safety of a Fixed-dose Combination of Naratriptan 2,5 mg + Naproxen 500 mg for the Acute Treatment of Migraine.

The purpose of this study is to determine whether a fixed-dose combination of naratriptan 2,5 mg + naproxen 500 mg is effective and safe compared each monotherapy for the acute treatment of migraine.

Conditions
Migraine, Headache
Being tested
naratriptan + naproxen, naratriptan, naproxen
Keywords
Migraine, Naratriptan, Naproxen
Medical subject headings
Migraine Disorders, Headache

What participants receive

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

  • naratriptan + naproxenDrug

    Tablets containing naratriptan 2,5 mg + naproxen 500 mg

  • naratriptanDrug

    Tablets containing naratriptan 2,5 mg

  • naproxenDrug

    Tablets containing naproxen 500 mg

Study groups in NCT01726920
Study groupRoleWhat they receive
naratriptan + naproxenExperimentalFixed-dose combination of naratriptan + naproxen
Receives: Drug: naratriptan + naproxen
naratriptanActive comparatorNot described
Receives: Drug: naratriptan
naproxenActive comparatorNot described
Receives: Drug: naproxen

What is being measured

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

  1. Headache relief 2 hours after dosing, without use of rescue medication

    Participants were evaluated (self-assessment) for pain intensity by using a 4-point rating scale: 0= none, 1= mild, 2= moderate, and 3= severe.

    Measured: 2 hours after single dose treatment

Secondary outcomes (9)
  1. Headache relief 4 hours after dosing, without use of rescue medication

    Participants were evaluated (self-assessment) for pain intensity by using a 4-point rating scale: 0= none, 1= mild, 2= moderate, and 3= severe

    Measured: 4 hours after single dose treatment

  2. Maintenance of pain relief between 2 and 24 hours after dosing, without use of rescue medication

    Participants were evaluated (self-assessment) for pain intensity by using a 4-point rating scale: 0=none, 1=mild, 2=moderate, and 3=severe.

    Measured: 2 to 24 hours after single dose treatment

  3. Pain-free response 2 and 4 hours after dosing, without use of rescue medication

    Participants were evaluated (self-assessment) for pain intensity by using a 4-point rating scale: 0= none, 1= mild, 2= moderate, and 3= severe.

    Measured: 2 and 4 hours after single dose treatment

  4. Maintenance of pain-free response between 2 and 24 hours, without use of rescue medication

    Participants were evaluated (self-assessment) for pain intensity by using a 4-point rating scale: 0= none, 1= mild, 2= moderate, and 3= severe.

    Measured: 2 to 24 hours after single dose treatment

  5. Freedom from nausea, vomiting, photophobia and phonophobia 2 and 4 hours after dosing

    Participants were evaluated (self-assessment) for the presence of vomiting, nausea, photophobia and phonophobia.

    Measured: 2 and 4 hours after single dose treatment

  6. Maintenance of freedom from nausea, vomiting, photophobia and phonophobia between 2 and 24 hours after dosing, without use of rescue medication

    Participants were evaluated (self-assessment) for the presence of vomiting, nausea, photophobia and phonophobia.

    Measured: 2 to 24 hours after single dose treatment

  7. Recurrence of pain between 2 and 24 hours after dosing, without use of rescue medication

    Participants were evaluated (self-assessment) for pain intensity by using a 4-point rating scale: 0= none, 1= mild, 2= moderate, and 3= severe.

    Measured: 2 to 24 hours after single dose treatment

  8. Proportion of subjects who used rescue medication between 2 and 24 hours after dosing, at least once

    Participants were evaluated (self-assessment) about use of rescue medication.

    Measured: 2 to 24 hours after single dose treatment

  9. Safety descriptive about occurence of adverse events, evaluation of results of general physical examination.

    Measured: Collection of safety data throughout the whole study period

Timeline

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

  1. First posted15 Nov 2012 (estimated)
  2. Study startJul 2014
  3. Primary completionDec 2014 (estimated)

Why it stopped: Due to budget limitations, the company decided to withdraw this study.

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
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01726920
Sponsor's protocol ID
ACH-NRP-03(04/12)
Acronym
Copérnico
Status last verified
Mar 2016
First submitted
12 Nov 2012
Last updated
16 Mar 2016
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing naratriptan + naproxen, naratriptan and naproxen in people with Migraine and Headache, run by Ache Laboratorios Farmaceuticos S.A..

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 22 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: withdrawn, as of the sponsor's last update on 16 Mar 2016. 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. 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?

The study was withdrawn before enrolling participants, so there are no results.

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?

Headache relief 2 hours after dosing, without use of rescue medication (time frame: 2 hours after single dose treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 16 Mar 2016.

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