Headache Disorders, PrimaryPRESTONCT02115269
IndoProCaf Effervescent Tablets Effectiveness in Acute Treatment of Migraine and/or Episodic Tension-type Headache and Patients' Satisfaction With the Treatment in Routine Clinical Practice
An observational study of Headache Disorders, Primary and Migraine With Aura, run by Abbott at 30 sites in 2 countries.
Trial summary
Headaches are a common medical problem that physicians frequently encounter in their practice. One of key findings of The Atlas of Headache Disorders prepared by World Health Organization (WHO) is: headache disorders, including migraine and tension-type headache (TTH), are among the most prevalent disorders of… Read more about this study
- Who is it for?
- Ages 18 to 99 years
- Conditions the study is for
- Headache Disorders, Primary, Migraine With Aura, Migraine Without Aura
- How many people
- 759 participants
- Where
- 30 sitesin 2 countries
- Study dates
- Jun 2014to Nov 2015
- Phase
- Observational
- 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 99 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients with migraine (with or without aura) and/or episodic TTH
Who may be able to join
- Diagnosis of primary headache (migraine with or without aura and/or episodic TTH) and whose headache attacks required acute pharmacological treatment.
- Were administered IndoProCaf (Difmetre®) effervescent tablets therapy according to the local product labelling.
- Adults 18 years and older (male, female).
- Provide Authorization to the investigator to use and/or disclose personal and/or health data.
Who cannot join
- Meet contraindications for treatment with IndoProCaf (Difmetre®) effervescent tablets as outlined in the latest version of local product labelling.
- Patients who are required prescription by physician of IndoProCaf and nonsteroidal anti-inflammatory drug-containing products at the same time for acute headache attacks treatment.
- Previous discontinuation of IndoProCaf treatment due to safety (i.e. hypersensitivity) events, lack of efficacy.
- Female patients who are pregnant or are breast-feeding.
Trial locations and contacts
30 sites in 2 countries.
30 sites in 2 countries
Kazakhstan15 sites
Research facility ID ORG-000986
Aktobe, 030000
LLP Medical Centre "Medical Assistance Group"
Almaty, 050000
Research facility ID ORG-000994
Almaty, 050000
Research facility ID ORG-000990
Astana, 010000
Research facility ID ORG-000991
Astana, 010000
Research facility ID ORG-000992
Astana, 010000
State enterprise on the right of business City Clinic №1
Astana, 10000
LLP "State Center for Primary Health Care"
Karaganda, 100008
LLP Clinic "Alanda"
Karaganda, 100008
State enterprise on the right of business City Clinic №2
Karaganda, 90005
Branch of the JSC " Railway Hospital of the medical catastrophes" "Kostanay railway hospital"
Kostanay, 110000
LLP "Aksim-plus"
Kostanay, 110000
State enterprise on the right of business "Consultative-diagnostic center Semey"
Semey, 71400
Research facility ID ORG-000989
Shymkent, 160000
State communal enterprise " City emergency health care hospital"
Shymkent, 160000
Ukraine15 sites
Research facility ORG-001131
Dnipropetrovsk, 49000
Research facility ORG-001127
Kharkiv, 61068
Research facility ID ORG-000999
Kharkiv, 61176
Research facility ID ORG-000335
Kiev, 04112
"Public Institution ""Kyiv City Clinical Hospital №4"", Neurology Department №1 and №2;
Kyiv, 03110
"Public Institution 'Volyn Regional Clinical Hospital',
Lutsk, 43005
Research facility ID ORG-001001
Lviv, 79010
Research facility ID ORG-001004
Lviv, 79010
Research facility ID ORG-001000
Mukachevo, 89600
Research facility ID ORG-000340
Mykolaiv, 54001
Research facility ORG-001130
Odesa, 65080
Research faciity ID ORG-001003
Odesa, 65113
Research facility ORG-001129
Poltava, 36011
Education and Research Medical Center "University Hospital of Zaporizhzhia State Medical University", Neurology Department
Zaporizhzhya, 69063
Public Institution "Zaporizhzhia City Multispecialty Clinical Hospital №9", Neurology Department
Zaporizhzhya, 69065
About this study
Official title: IndoProCaf (Difmetre®) Effervescent Tablets Effectiveness in Acute Treatment of Primary Headaches (Migraine and/or Episodic Tension-type Headache) and Patients' Satisfaction With the Treatment in Routine Clinical Practice in Ukraine and Kazakhstan
Headaches are a common medical problem that physicians frequently encounter in their practice. One of key findings of The Atlas of Headache Disorders prepared by World Health Organization (WHO) is: headache disorders, including migraine and tension-type headache (TTH), are among the most prevalent disorders of mankind. The fixed combination of indomethacin, prochlorperazine and caffeine (IndoProCaf) showed efficacy and safety in acute treatment of migraine and episodic tension-type headache attacks. IndoProCaf (Difmetre®) is widely used in common daily practice only in Italy from early 1970s, is available at the Commonwealth of Independent States (CIS) pharmaceutical market now. There are limited data regarding IndoProCaf usage from post-marketing settings. This will be a first post-marketing observational study which aimed to evaluate the effectiveness and patients' satisfaction of primary headaches acute treatment in routine clinical settings in Ukraine and Kazakhstan.
Read the detailed description
The study is designed as a prospective, multicentre, observational, non-interventional, non-randomized, non-controlled, single arm, post-marketing study where IndoProCaf will be prescribed in the usual manner per standard clinical practice of the treating physician and in accordance with the terms of the locally approved instruction for medical use. No additional procedures (other than the standard of care) shall be applied to the patients.
- Conditions
- Headache Disorders, Primary, Migraine With Aura, Migraine Without Aura, Tension-Type Headache
- Keywords
- Indoprocaf, Indomethacin, Caffeine, Prochlorperazine, Migraine with Aura, Migraine without Aura, Tension-Type Headache
- Medical subject headings
- Headache Disorders, Primary, Migraine with Aura, Migraine without Aura, Tension-Type Headache
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| primary headaches | Adults taking IndoProCaf for acute treatment of their primary headache attacks (migraine and/or episodic tension-type headache) as per routine clinical practice |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Patients With Significant Pain Reduction
significant pain reduction defined as improvement to mild or no pain 2 hours post-dose by 4-point pain severity scale: 0 = no pain; 1 = mild headache, allowing normal activities; 2 = moderate headache, disturbing normal activities; 3 = severe headache, disabling activities, requiring bed-rest
Measured: up to 2 hours
Percentage of Patients Who Are Satisfied With IndoProCaf Treatment
Patients are asked to evaluate their satisfaction with headache pain reduction after treatment by selecting the options: =very poor, =poor, =no opinion, =good, =very good. The satisfied patients are defined as those with =good and = very good answers.
Measured: up to 24 hours post dose
Secondary outcomes (4)
Time to Significant Pain Reduction
Time to significant pain reduction at 1, 2, 4, 6 and 24 hours post-dose period are summarized with number of patients in each category; significant pain reduction is defined as improvement to mild or no pain 2 hours post-dose by 4-point pain severity scale: 0 = no pain; 1 = mild headache, allowing normal activities; 2 = moderate headache, disturbing normal activities; 3 = severe headache, disabling activities, requiring bed-rest
Measured: up to 24 hours post-dose
Percentage of Patients With Significant Pain Reduction in Case of First Dose no Response
significant pain reduction defined as improvement to mild or no pain 2 hours post-dose by 4-point pain severity scale: 0 = no pain; 1 = mild headache, allowing normal activities; 2 = moderate headache, disturbing normal activities; 3 = severe headache, disabling activities, requiring bed-rest
Measured: up to 2 hours
Percentage of Patients With Significant Pain Reduction in Case of Headache Relapse
significant pain reduction defined as improvement to mild or no pain 2 hours post-dose by 4-point pain severity scale: 0 = no pain; 1 = mild headache, allowing normal activities; 2 = moderate headache, disturbing normal activities; 3 = severe headache, disabling activities, requiring bed-rest
Measured: up to 48 hours
Percentage of Patients Who Are Satisfied With Different Medicines Previously Used for Headache Attack
Defined as good and very good by Likert-type scale (e.g. very poor, poor, no opinion, good, very good)
Measured: baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Apr 2014 (estimated)
- Study startJun 2014
- Primary completionNov 2015
- Study completionNov 2015
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.
- Other trials for Headache Disorders, PrimaryStudies of the same condition, open and under way.
- 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
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 759 participants (actual)
Sponsor and investigators
- Lead sponsor
- Abbott
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Almedis
- Responsible party
- Sponsor
- Investigators
- Jean-Pascal Berrou, MD, Study director, Abbott
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02115269
- Sponsor's protocol ID
- P14-389
- Acronym
- PRESTO
- Status last verified
- Oct 2017
- First submitted
- 9 Apr 2014
- Last updated
- 6 Nov 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- IndoProCaf (Difmetre®) Effervescent Tablets Effectiveness in Acute Treatment of Primary Headaches (Migraine and/or Episodic Tension-type Headache) and Patients' Satisfaction With the Treatment in Routine Clinical Practice in Ukraine and Kazakhstan
- ClinicalTrials.gov ID
- NCT02115269
- Acronym / sponsor ID
- PRESTO / P14-389
- Conditions
- Headache Disorders, Primary, Migraine With Aura, Migraine Without Aura, Tension-Type Headache
- Keywords
- Indoprocaf, Indomethacin, Caffeine, Prochlorperazine, Migraine with Aura, Migraine without Aura, Tension-Type Headache
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 759 participants (actual)
- Lead sponsor
- AbbottIndustry (pharma, biotech, devices)
- Collaborators
- Almedis
- Study start
- Jun 2014
- Primary completion
- Nov 2015 (actual)
- Study completion
- Nov 2015 (actual)
- First posted
- 16 Apr 2014 (estimated)
- Results
- Posted 25 Sep 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Headaches are a common medical problem that physicians frequently encounter in their practice. One of key findings of The Atlas of Headache Disorders prepared by World Health Organization (WHO) is: headache disorders, including migraine and tension-type headache (TTH), are among the most prevalent disorders of mankind. The fixed combination of indomethacin, prochlorperazine and caffeine (IndoProCaf) showed efficacy and safety in acute treatment of migraine and episodic tension-type headache attacks. IndoProCaf (Difmetre®) is widely used in common daily practice only in Italy from early 1970s, is available at the Commonwealth of Independent States (CIS) pharmaceutical market now. There are limited data regarding IndoProCaf usage from post-marketing settings. This will be a first post-marketing observational study which aimed to evaluate the effectiveness and patients' satisfaction of primary headaches acute treatment in routine clinical settings in Ukraine and Kazakhstan.
Detailed description
The study is designed as a prospective, multicentre, observational, non-interventional, non-randomized, non-controlled, single arm, post-marketing study where IndoProCaf will be prescribed in the usual manner per standard clinical practice of the treating physician and in accordance with the terms of the locally approved instruction for medical use. No additional procedures (other than the standard of care) shall be applied to the patients.
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| primary headaches | – | –Adults taking IndoProCaf for acute treatment of their primary headache attacks (migraine and/or episodic tension-type headache) as per routine clinical practice |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients with migraine (with or without aura) and/or episodic TTH
Key inclusion criteria (4 listed)
- Diagnosis of primary headache (migraine with or without aura and/or episodic TTH) and whose headache attacks required acute pharmacological treatment.
- Were administered IndoProCaf (Difmetre®) effervescent tablets therapy according to the local product labelling.
- Adults 18 years and older (male, female).
- Provide Authorization to the investigator to use and/or disclose personal and/or health data.
Key exclusion criteria (4 listed)
- Meet contraindications for treatment with IndoProCaf (Difmetre®) effervescent tablets as outlined in the latest version of local product labelling.
- Patients who are required prescription by physician of IndoProCaf and nonsteroidal anti-inflammatory drug-containing products at the same time for acute headache attacks treatment.
- Previous discontinuation of IndoProCaf treatment due to safety (i.e. hypersensitivity) events, lack of efficacy.
- Female patients who are pregnant or are breast-feeding.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Percentage of Patients With Significant Pain Reduction
Time frame: up to 2 hours
significant pain reduction defined as improvement to mild or no pain 2 hours post-dose by 4-point pain severity scale: 0 = no pain; 1 = mild headache, allowing normal activities; 2 = moderate headache, disturbing normal activities; 3 = severe headache, disabling activities, requiring bed-rest
Percentage of Patients Who Are Satisfied With IndoProCaf Treatment
Time frame: up to 24 hours post dose
Patients are asked to evaluate their satisfaction with headache pain reduction after treatment by selecting the options: =very poor, =poor, =no opinion, =good, =very good. The satisfied patients are defined as those with =good and = very good answers.
4 secondary outcomes
Time to Significant Pain Reduction
Time frame: up to 24 hours post-dose
Percentage of Patients With Significant Pain Reduction in Case of First Dose no Response
Time frame: up to 2 hours
Percentage of Patients With Significant Pain Reduction in Case of Headache Relapse
Time frame: up to 48 hours
Percentage of Patients Who Are Satisfied With Different Medicines Previously Used for Headache Attack
Time frame: baseline
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Nov 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Jean-Pascal Berrou, MD study director
Abbott
30 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Headache Disorders, Primary and Migraine With Aura, run by Abbott at 30 sites in 2 countries.
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 4 inclusion and 4 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 6 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 30 sites in Kazakhstan, Ukraine. 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.
Are results available for this study?
Yes. Results are posted in the registry (first posted 25 Sep 2017). 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 Patients With Significant Pain Reduction (time frame: up to 2 hours). The study lists 2 primary outcomes in all. 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 6 Nov 2017.