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Migraine HeadachePhase 3NCT03006276

Efficacy, Tolerability, and Safety Study of DFN-15

A Phase 3 study testing DFN-15 Active in people with Migraine Headache, run by BioDelivery Sciences International at 45 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

Efficacy, Tolerability, and Safety of DFN-15 in episodic migraine with or without aura, being conducted at multiple centers in the United States. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Migraine Headache
What is being tested?
DFN-15 Active
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
622 participants
Where
45 sitesUnited States
Study dates
Dec 2016to May 2019
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A history of episodic migraine, who experience 2 to 8 migraine attacks per month for at least the past 12 months, with no more than 14 headache days per month, and with 48 hours of headache-free time between migraine attacks.
  • Patients who have migraine with or without aura with onset before age 50 years
  • Report usual migraine pain of 2 (moderate) or 3 (severe) on headache pain severity scale without treatment.
  • Subjects who are willing and able to:
  • Evaluate and record pain, migraine symptoms, and study drug effectiveness information in real-time using a subject eDiary for the duration of the study;
  • Record each instance of the use of study drug and rescue medication in real-time using a subject eDiary for the duration of the study;
  • Comply with all other study procedures and scheduling requirements.

Who cannot join

  • Minors, even if they are in the specified study age range
  • Medication overuse:
  • Opioids greater than or equal to 10 days during the 90 days prior to screening
  • Combination medications (e.g., Fiorinal®) greater than or equal to 10 days during the 90 days prior to screening (applies only if includes opioid and/or barbiturate)
  • Nonsteroidal Anti-inflammatory Drugs or other simple medications greater than 14 days a month during the 90 days prior to screening
  • Triptans or ergots greater than or equal to 10 days a month during the 90 days prior to screening
Show all 11Show fewer
  • Treated with onabotulinumtoxin A (Botox®) for migraine within 4 months prior to screening. (If treated for cosmetic reasons, subjects may be included).
  • Current treatment with antipsychotics or use of antipsychotics within 30 days prior to randomization.
  • Patients who have received treatment with an investigational drug or device within 30 days of randomization, or participated in a central nervous system clinical trial within 2 months prior to randomization
  • Patients with positive screening test for human immunodeficiency virus [HIV], positive hepatitis B surface antigen (HBsAg), or positive hepatitis C virus [HCV] antibody
  • Subjects who are employees or immediate relatives of the employees of the Sponsor, any of its affiliates or partners, or of the clinical research study site.

Trial locations and contacts

45 sites in 1 country.

45 sites in 1 country

United States45 sites
  • Site 746

    Amherst, New York, 14226

  • Site 710

    Anderson, South Carolina, 29621

  • Site 719

    Austin, Texas, 78731

  • Site 712

    Baltimore, Maryland, 21236

  • Site 722

    Bellevue, Washington, 98007

  • Site 716

    Berlin, New Jersey, 08009

  • Site 744

    Birmingham, Alabama, 35216

  • Site 740

    Blue Ridge, Georgia, 30513

  • Site 703

    Boston, Massachusetts, 02131

  • Site 724

    Chattanooga, Tennessee, 37421

  • Site 728

    Cincinnati, Ohio, 45255

  • Site 726

    Colorado Springs, Colorado, 80907

  • Site 707

    Dayton, Ohio, 45424

  • Site 720

    Decatur, Georgia, 30030

  • Site 735

    DeLand, Florida, 32720

  • Site 736

    Hazelwood, Missouri, 63042

  • Site 711

    Hialeah, Florida, 33016

  • Site 721

    Jacksonville, Florida, 32256

  • Site 745

    Las Vegas, Nevada, 89103

  • Site 742

    Lincoln, Rhode Island, 02865

  • Site 723

    Little Rock, Arkansas, 72211

  • Site 709

    Los Angeles, California, 90017

  • Site 705

    Manhattan, New York, 10018

  • Site 717

    Media, Pennsylvania, 19063

  • Site 704

    Minneapolis, Minnesota, 55402

  • Site 730

    New Bedford, Massachusetts, 02740

  • Site 701

    Oklahoma City, Oklahoma, 73103

  • Site 708

    Orange, California, 92868

  • Site 731

    Philadelphia, Pennsylvania, 19107

  • Site 727

    Phoenix, Arizona, 85018

  • Site 702

    Plano, Texas, 75024

  • Site 739

    Prairie Village, Kansas, 66208

  • Site 715

    Raleigh, North Carolina, 27612

  • Site 718

    Rogers, Arkansas, 72758

  • Site 741

    Salem, Oregon, 97301

  • Site 729

    San Diego, California, 92103

  • Site 725

    Santa Monica, California, 90404

  • Site 706

    Shreveport, Louisiana, 71105

  • Site 738

    Simi Valley, California, 93065

  • Site 737

    Springfield, Missouri, 65807

  • Site 733

    Upland, California, 91786

  • Site 714

    Virginia Beach, Virginia, 23454

  • Site 734

    West Des Moines, Iowa, 50265

  • Site 713

    Wichita, Kansas, 67205

  • Site 743

    Williamsville, New York, 14221

Other trials in United States

About this study

Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Efficacy, Tolerability, and Safety Study of DFN-15 in Episodic Migraine With or Without Aura

Efficacy, Tolerability, and Safety of DFN-15 in episodic migraine with or without aura, being conducted at multiple centers in the United States.

Being tested
DFN-15 Active, DFN-15 Placebo
Medical subject headings
Migraine Disorders

What participants receive

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

  • DFN-15 ActiveDrug

    Also called Celecoxib Oral Solution

  • DFN-15 PlaceboOther

Study groups in NCT03006276
Study groupRoleWhat they receive
DFN-15 ActiveExperimentalDFN-15 Active
Receives: Drug: DFN-15 Active
DFN-15 PlaceboPlacebo comparatorDFN-15 Placebo
Receives: Other: DFN-15 Placebo

What is being measured

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

  1. Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1)

    Percentage of subjects who were pain-free 2 hours postdose compared between DFN-15 and placebo in the DB1 period (defined as a reduction from predose moderate [Grade 2] or severe [Grade 3] pain to none [Grade 0]) during DB1.

    Measured: 2 hours post dose

  2. Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1)

    Percentage of subjects who are free from their most bothersome symptom (MBS) among nausea, photophobia, and phonophobia at 2 hours postdose during DB1.

    Measured: 2 hours post dose

Secondary outcomes (15)
  1. Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)

    The percentage of subjects who were free from nausea, photophobia, and phonophobia at 15, 30, and 45 minutes and 1, 1.5, 2, 4, and 24 hours postdose during each DB treatment period were summarized by symptom, treatment group, and time point.

    Measured: 15 minutes through 24 hours

  2. Time to Headache Pain Relief Postdose (DB1 and DB2)

    Measured: 2 hours postdose

  3. Time to Headache Pain Freedom Postdose (DB1 and DB2)

    Measured: 2 hours postdose

  4. Headache Pain Relief Postdose (DB1 and DB2)

    Headache pain relief during postdose in DB1 was defined as a reduction from moderate or severe pain at predose reduced to mild or none postdose, and for DB2 as moderate or severe pain at predose reduced to mild or none postdose, or mild pain at predose reduced to none postdose. Outcome measure shows percentage of subjects experiencing headache pain relief by time point.

    Measured: 15 minutes to 24 hours postdose

  5. Headache Pain Freedom Postdose (DB1 and DB2)

    The percentage of subjects who were pain-free at 15, 30, and 45 minutes and 1, 1.5, 2 (DB2), and 4, and 24 hours postdose during each DB treatment period were summarized by treatment group.

    Measured: 15 minutes to 24 hours postdose

  6. Absence of Screening MBS at Time Points Postdose (DB1 and DB2)

    The percentage of subjects with their Screening MBS (most bothersome symptoms) among nausea, photophobia, and phonophobia (from eDiary data collection) absent at 15, 30, and 45 minutes and 1, 1.5, 2 (DB2 period), 4, and 24 hours postdose during each DB treatment period were summarized by treatment group and time point.

    Measured: 15 minutes to 24 hours postdose

  7. Change in Functional Disability Score Postdose (DB1 and DB2)

    The values of the functional disability scale were: 0=no disability, able to function normally; 1=performance of daily activities mildly impaired, can still do everything but with difficulty; 2=performance of daily activities moderately impaired, unable to do some things; 3=performance of daily activities severely impaired, cannot do all or most things, bed rest may be necessary.

    A decrease in values indicates improvement from baseline.

    Measured: 2 to 24 hours postdose

  8. Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)

    The percentage of subjects who were pain-free at 2 and 4 hours postdose during each DB treatment period among those subjects reporting cutaneous allodynia before dosing were summarized by treatment group and time point.

    Measured: 2 to 4 hours postdose

  9. Headache Pain Freedom Among BMI Category (DB1 and DB2)

    The percentage of subjects who were pain-free at 2 and 4 hours postdose whose BMI was <30 kg/m2 vs. subjects whose BMI was ≥30 kg/m2 during each DB treatment period were summarized by treatment group and time point.

    Measured: 2 to 4 hours postdose

  10. Headache Pain Recurrence Postdose (DB1 and DB2)

    Headache pain recurrence was defined as pain-free at 2 hours postdose with pain reported as mild, moderate, or severe at 24 hours postdose. This outcome measure shows percentage of subjects who reported pain-free status and 2 hours postdose but subsequently reported recurrent pain at 24 hours postdose.

    Measured: 2 to 24 hours postdose

  11. Sustained Headache Pain Relief Postdose (DB1 and DB2)

    Sustained headache pain relief was defined as pain relief at 2 hours postdose with no use of rescue medication and no worsening of headache pain within 2 to 24 hours postdose. This outcome measure shows the percentage of subjects who reported pain relief at 2 hours postdose with no use of rescue medication or worsening of headache pain through 24 hours postdose.

    Measured: 2 to 24 hours postdose

  12. Sustained Headache Pain Freedom Postdose (DB1 and DB2)

    Sustained headache pain freedom was defined as pain-free at 2 hours postdose, with no use of rescue medication and no recurrence of headache pain within 2 to 24 hours postdose. This outcome measure shows percentage of subjects who were pain-free at 2 hours postdose without the use of rescue medication or recurrence of headache pain through 24 hours postdose.

    Measured: 2 to 24 hours postdose

  13. Use of Rescue Medication Postdose (DB1 and DB2)

    The percentage of subjects who used rescue mediation after 2 hours (2 to 24 hours) postdose compared between DFN-15 and placebo in each DB period.

    Measured: 2 to 24 hours postdose

  14. Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)

    Subject-rated treatment overall satisfaction was based on a 7-point scale at 2 and 4 hours postdose during each DB treatment period. The difference between the subject-rated study drug treatment satisfaction score at 2 and 4 hours postdose and the baseline PPMQ-R (Patient Perception of Migraine Questionnaire) response for the same question were summarized by treatment group (global satisfaction item at baseline asked about the subject's usual migraine treatment). The possible values of the subject treatment satisfaction scale were: 1=very satisfied, 2=satisfied, 3=somewhat satisfied, 4=neither satisfied nor dissatisfied, 5=somewhat dissatisfied, 6=dissatisfied, 7=very dissatisfied.

    A decrease in values indicates improvement from baseline.

    Measured: 2 to 4 hours postdose

  15. Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)

    Patient Perception of Migraine Questionnaire-Revised had 30 questions assessing subject's satisfaction with migraine medication, including 3 global items \& 4 subscales (i.e., efficacy, function, ease of use, tolerability). A 5-point scale (1-Not At All to 5-Extremely) was used for tolerability subscale questions; a 7-point scale (1-Very Satisfied to 7-Very Dissatisfied) was used for all other subscales and global items. Total score was average of efficacy/function/ease of use subscale scores. Each subscale \& total scores were transformed to range from 0-100, with higher scores indicating better satisfaction or tolerability. Total raw score/global items were not transformed. The total raw score could range from 17 (min) to 119 (max), with lower scores indicating better satisfaction. Change from baseline scores at 24-hour-postdose for each subscale score, global item score, total score, \& total raw score were summarized by treatment group below.

    Measured: 24 hours postdose

Timeline

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

  1. First posted30 Dec 2016 (estimated)
  2. Study startDec 2016
  3. Primary completionNov 2017
  4. Study completionMay 2019

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
622 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03006276
Sponsor's protocol ID
DFN-15-CD-007
Status last verified
Dec 2022
First submitted
27 Dec 2016
Last updated
10 Jan 2023
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing DFN-15 Active in people with Migraine Headache, run by BioDelivery Sciences International at 45 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 7 inclusion and 11 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 10 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 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. 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 10 Jan 2023). 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 Subjects Who Are Pain-free at 2 Hours Postdose (DB1) (time frame: 2 hours post dose). 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 10 Jan 2023.

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