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Migraine HeadachePhase 3NCT03009019

Efficacy, Tolerability, and Safety of DFN-15

A Phase 3 study testing DFN-15 Active in people with Migraine Headache, run by BioDelivery Sciences International at 43 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
631 participants
Where
43 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

43 sites in 1 country.

43 sites in 1 country

United States43 sites
  • Site 636

    Albuquerque, New Mexico, 87102

  • Site 634

    Ann Arbor, Michigan, 48104

  • Site 627

    Austin, Texas, 78745

  • Site 609

    Birmingham, Alabama, 35205

  • Site 604

    Blue Island, Illinois, 60406

  • Site 645

    Brooklyn, New York, 11229

  • Site 638

    City of Saint Peters, Missouri, 63303

  • Site 628

    Cleveland, Ohio, 44122

  • Site 612

    Dakota Dunes, South Dakota, 57049

  • Site 611

    Dallas, Texas, 75231

  • Site 625

    Decatur, Georgia, 30034

  • Site 623

    Edina, Minnesota, 55435

  • Site 626

    Fargo, North Dakota, 58103

  • Site 620

    High Point, North Carolina, 27262

  • Site 616

    Hot Springs, Arkansas, 71901

  • Site 637

    Huntington Beach, California, 92647

  • Site 647

    Lebanon, New Hampshire, 03756

  • Site 631

    Littleton, Colorado, 80127

  • Site 602

    Louisville, Kentucky, 40213

  • Site 642

    Meridian, Idaho, 83642

  • Site 603

    Miami, Florida, 33176

  • Site 606

    Missoula, Montana, 59808

  • Site 640

    Mobile, Alabama, 36608

  • Site 643

    Mooresville, North Carolina, 28117

  • Site 639

    Mt. Pleasant, South Carolina, 29464

  • Site 618

    Nashua, New Hampshire, 03060

  • Site 644

    New Orleans, Louisiana, 70115

  • Site 610

    New Orleans, Louisiana, 70124

  • Site 615

    Oakland, California, 94607

  • Site 613

    Omaha, Nebraska, 68134

  • Site 641

    Orange City, Florida, 32763

  • Site 629

    Orlando, Florida, 32801

  • Site 635

    Richmond, Virginia, 23294

  • Site 608

    Rochester, New York, 14609

  • Site 632

    San Antonio, Texas, 78240

  • Site 646

    San Diego, California, 92108

  • Site 619

    San Francisco, California, 94102

  • Site 624

    San Marcos, California, 92078

  • Site 630

    Sandy Springs, Georgia, 30328

  • Site 621

    Taylorsville, Utah, 84123

  • Site 622

    Tucson, Arizona, 85745

  • Site 614

    Warwick, Rhode Island, 02886

  • Site 601

    West Palm Beach, Florida, 33409

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 NCT03009019
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 (First Treated Double-blind Treatment Period)

    The primary efficacy end point (for first treated DB1 attack only) were the percentage of subjects who were pain-free 2 hours postdose compared between DFN-15 and placebo (defined as a reduction from predose moderate [Grade 2] or severe [Grade 3] pain to none [Grade 0]

    Measured: 2 hours postdose

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

    Percentage of subjects who are free from their Most Bothersome Symptom (MBS) among nausea, photophobia, and phonophobia (first double-blind treatment period)

    Measured: 2 hours postdose

Secondary outcomes (16)
  1. The Number of Subjects With TEAEs After Study Drug Compared Between DFN-15 and Placebo

    For DB1: TEAE that started or worsening of a pre-existing condition on or after the first dose of study drug (DFN-15 or placebo) in to taking DB2 study drug, whichever occurs first.

    For DB2: TEAE that started or worsened on or after the first dose of study drug in DB2 up to 5 days after the date of the last dose of study drug in DB2.

    Measured: Per protocol, the maximum dosing timeframe for DB2 was 10 weeks; therefore, the maximum AE collection window was 11 weeks total.

  2. 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 compared between DFN-15 and placebo

    Measured: 15 minutes to 24 hours postdose

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

    The time to headache pain relief was defined as the time in minutes from when a subject took study drug until the time pain relief was indicated by the subject in the eDiary within 2 hours postdose.

    Measured: 2 hours postdose

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

    The time to headache pain freedom was defined as the time in minutes from when a subject took study drug until the time pain freedom was indicated by the subject in the eDiary within 2 hours postdose.

    Measured: 2 hours postdose

  5. Headache Pain Relief Postdose (DB1 and DB2)

    Headache pain relief was defined for DB1 as a reduction from moderate or severe pain before dosing to mild or none postdose, and for DB2 as moderate or severe pain before dosing reduced to mild or none postdose, or mild pain before dosing reduced to none postdose. Data are reported by percentage reporting headache pain relief over time postdose.

    Measured: 15 minutes to 24 hours postdose

  6. 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 period), 4, and 24 hours postdose compared between DFN-15 and placebo

    Measured: 15 minutes to 24 hours postdose

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

    The percentage of subjects with their Screening MBS (Most Bothersome Symptom) absent at 15, 30, and 45 minutes and 1, 1.5, 2 (DB2 period), 4, and 24 hours postdose compared between DFN-15 and placebo.

    Measured: 15 minutes to 24 hours postdose

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

    Change in functional disability score at 2, 4, and 24 hours postdose compared between DFN-15 and placebo. 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

  9. 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 compared between DFN-15 and placebo, among those reporting cutaneous allodynia predose

    Measured: 2 and 4 hours postdose

  10. 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, and whose BMI was < 25 kg/m2 vs. subjects whose BMI was ≥ 25 kg/m2

    Measured: 2 and 4 hours postdose

  11. Headache Pain Recurrence Postdose (DB1 and DB2)

    The percentage of subjects who had pain recurrence between 2 to 24 hours (i.e., pain-free at 2 hours postdose, with pain [mild, moderate, or severe] reported at 24 hours postdose) compared between DFN-15 and placebo

    Measured: 2 to 24 hours postdose

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

    The percentage of the population of subjects who reported headache pain relief between 2 and 24 hours postdose.

    Measured: 2 to 24 hours postdose

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

    The percentage of subjects who had sustained pain freedom at 2 to 24 hours postdose compared between DFN-15 and placebo in each DB period. Sustained pain freedom at 2 to 24 hours postdose is 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

    Measured: 2 to 24 hours postdose

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

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

    Measured: 2 to 24 hours postdose

  15. 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 and 4 hours postdose

  16. 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 posted4 Jan 2017 (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
631 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03009019
Sponsor's protocol ID
DFN-15-CD-006
Status last verified
Dec 2022
First submitted
27 Dec 2016
Last updated
10 Jan 2023
Data monitoring committee
No
Individual data sharing
No

Publications

  • Lipton RB, Munjal S, Tepper SJ, Iaconangelo C, Serrano D. A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy, Tolerability, and Safety of Celecoxib Oral Solution (ELYXYB) in Acute Treatment of Episodic Migraine with or without Aura. J Pain Res. 2021 Aug 19;14:2529-2542. doi: 10.2147/JPR.S322292. eCollection 2021.

    PubMed 34447267

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 43 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 43 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 (First Treated Double-blind Treatment Period) (time frame: 2 hours postdose). 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?

On the ClinicalTrials.gov record for NCT03009019, 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 10 Jan 2023.

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