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.
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
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 (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
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)
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.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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 posted4 Jan 2017 (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.
- Publications (1)Papers the sponsor has linked to this study.
- 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
- 631 participants (actual)
Sponsor and investigators
- Lead sponsor
- BioDelivery Sciences International
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Dr. Reddy's Laboratories Limited
- Responsible party
- Sponsor
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
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
- NCT03009019
- Acronym / sponsor ID
- DFN-15-CD-006
- Conditions
- Migraine Headache
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 631 participants (actual)
- Lead sponsor
- BioDelivery Sciences InternationalIndustry (pharma, biotech, devices)
- Collaborators
- Dr. Reddy's Laboratories Limited
- Study start
- Dec 2016
- Primary completion
- Nov 2017 (actual)
- Study completion
- May 2019 (actual)
- First posted
- 4 Jan 2017 (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 (First Treated Double-blind Treatment Period)
Time frame: 2 hours postdose
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]
Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose
Time frame: 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)
16 secondary outcomes
The Number of Subjects With TEAEs After Study Drug Compared Between DFN-15 and Placebo
Time frame: Per protocol, the maximum dosing timeframe for DB2 was 10 weeks; therefore, the maximum AE collection window was 11 weeks total.
Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)
Time frame: 15 minutes to 24 hours postdose
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 and 4 hours postdose
Headache Pain Freedom Among BMI Category (DB1 and DB2)
Time frame: 2 and 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 and 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.
- Derived from this study: PubMed 34447267Lipton 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.
- 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.
43 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 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.