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.
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
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.
- Conditions
- Migraine Headache
- 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 group | Role | What they receive |
|---|---|---|
| DFN-15 Active | Experimental | DFN-15 Active Receives: Drug: DFN-15 Active |
| DFN-15 Placebo | Placebo comparator | DFN-15 Placebo Receives: Other: DFN-15 Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
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
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)
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
Time to Headache Pain Relief Postdose (DB1 and DB2)
Measured: 2 hours postdose
Time to Headache Pain Freedom Postdose (DB1 and DB2)
Measured: 2 hours postdose
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
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
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
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
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
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
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
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
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
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
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
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.
- First posted30 Dec 2016 (estimated)
- Study startDec 2016
- Primary completionNov 2017
- Study completionMay 2019
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 Migraine HeadacheStudies 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
- 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)
Sponsor and investigators
- Lead sponsor
- BioDelivery Sciences International
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Jan 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Efficacy, Tolerability, and Safety Study of DFN-15 in Episodic Migraine With or Without Aura
- ClinicalTrials.gov ID
- NCT03006276
- Acronym / sponsor ID
- DFN-15-CD-007
- Conditions
- Migraine Headache
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 622 participants (actual)
- Lead sponsor
- BioDelivery Sciences InternationalIndustry (pharma, biotech, devices)
- Study start
- Dec 2016
- Primary completion
- Nov 2017 (actual)
- Study completion
- May 2019 (actual)
- First posted
- 30 Dec 2016 (estimated)
- Results
- Posted 10 Jan 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Efficacy, Tolerability, and Safety of DFN-15 in episodic migraine with or without aura, being conducted at multiple centers in the United States.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| DFN-15 Active | Experimental | Drug: DFN-15 ActiveDFN-15 Active |
| DFN-15 Placebo | Placebo comparator | Other: DFN-15 PlaceboDFN-15 Placebo |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 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:
Key exclusion criteria (11 listed)
- Minors, even if they are in the specified study age range
- Medication overuse:
- 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
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 |
|---|---|---|
| DFN-15 ActiveAlso: Celecoxib Oral Solution | Drug | DFN-15 Active |
| DFN-15 Placebo | Other | DFN-15 Placebo |
Primary outcome
Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1)
Time frame: 2 hours post dose
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.
Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1)
Time frame: 2 hours post dose
Percentage of subjects who are free from their most bothersome symptom (MBS) among nausea, photophobia, and phonophobia at 2 hours postdose during DB1.
15 secondary outcomes
Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)
Time frame: 15 minutes through 24 hours
Time to Headache Pain Relief Postdose (DB1 and DB2)
Time frame: 2 hours postdose
Time to Headache Pain Freedom Postdose (DB1 and DB2)
Time frame: 2 hours postdose
Headache Pain Relief Postdose (DB1 and DB2)
Time frame: 15 minutes to 24 hours postdose
Headache Pain Freedom Postdose (DB1 and DB2)
Time frame: 15 minutes to 24 hours postdose
Absence of Screening MBS at Time Points Postdose (DB1 and DB2)
Time frame: 15 minutes to 24 hours postdose
Change in Functional Disability Score Postdose (DB1 and DB2)
Time frame: 2 to 24 hours postdose
Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)
Time frame: 2 to 4 hours postdose
Headache Pain Freedom Among BMI Category (DB1 and DB2)
Time frame: 2 to 4 hours postdose
Headache Pain Recurrence Postdose (DB1 and DB2)
Time frame: 2 to 24 hours postdose
Sustained Headache Pain Relief Postdose (DB1 and DB2)
Time frame: 2 to 24 hours postdose
Sustained Headache Pain Freedom Postdose (DB1 and DB2)
Time frame: 2 to 24 hours postdose
Use of Rescue Medication Postdose (DB1 and DB2)
Time frame: 2 to 24 hours postdose
Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)
Time frame: 2 to 4 hours postdose
Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)
Time frame: 24 hours postdose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jan 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Publication of study resultsLink provided by the sponsor.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
45 sites in 1 country: see every site and its status.
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.