MigrainePhase 3EMERGENCT03901482
A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate STS101 in the Acute Treatment of Migraine
A Phase 3 study testing Dihydroergotamine in people with Migraine and Migraine With Aura, run by Satsuma Pharmaceuticals, Inc. at 117 sites in United States.
Trial summary
Study STS101-002 is a randomized, double-blind, parallel group, placebo-controlled, multicenter study to evaluate the efficacy, safety, and tolerability of single doses of STS101 (dihydroergotamine nasal powder) in the acute treatment of migraine Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Migraine, Migraine With Aura, Migraine Without Aura
- What is being tested?
- Dihydroergotamine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,201 participants
- Where
- 117 sitesUnited States
- Study dates
- 24 Jun 2019to 13 Aug 2020
- 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males or females, 18-65 years of age at the time of Screening Visit
- Subject has at least 1-year history of migraines (with or without aura), according to the International Classification of Headache Disorder, 3rd Edition (ICHD3)
Who cannot join
- Pregnant or breast-feeding women
- Women of child-bearing potential not using or not willing to use highly effective contraception.
- Diagnosis of headache conditions other than migraine with or without aura, including diagnosis of basilar or hemiplegic migraines or cluster headache.
- History of coronary artery disease, coronary artery vasospasm (including Printz-metals' angina), clinically significant arrhythmia or, peripheral vascular disease, ischemic disease (e.g. Raynaud's syndrome, ischemic bowel syndrome, angina pectoris, myocardial infarction, or documented silent ischemia); percutaneous coronary intervention, or cardiac surgery.
- History of cerebrovascular disease, including but not limited to stroke, transient ischemic attack, cerebral hemorrhage, subarachnoid hemorrhage.
- Diagnosis of major depression with current symptoms, psychosis, alcohol abuse or dependence, drug abuse or dependence, major psychiatric conditions (e.g. schizophrenia, psychosis or Bipolar disorder), dementia. Other significant neurological or psychiatric disorders (including other pain syndromes or risk of suicide) that in the opinion of the investigator might interfere with study participation and assessments or subject safety.
- Any clinically significant symptoms or conditions, including but not limited to central nervous system (e.g., seizures), cardiac, pulmonary, metabolic, renal, hepatic or gastrointestinal conditions or history of such conditions that, in the opinion of the investigator might interfere with study assessments or safety of participant.
Trial locations and contacts
117 sites in 1 country.
117 sites in 1 country
United States117 sites
Albuquerque Clinical Trials
Albuquerque, New Mexico, 87109
Albuquerque Neuroscience
Albuquerque, New Mexico, 87109
Wellness Clinical Research
Allen, Texas, 75013
Michigan Headache and Neurological Institute
Ann Arbor, Michigan, 48104
FutureSearch Trials of Neurology
Austin, Texas, 78731
Delricht - Baton Rouge
Baton Rouge, Louisiana, 70816
Hassman Research Institute
Berlin, New Jersey, 08009
Accel Clinical - Birmingham
Birmingham, Alabama, 35216
Alabama Clinical Therapeutics
Birmingham, Alabama, 35235
Boston Clinical Trials
Boston, Massachusetts, 02131
SPRI Clinical Trials
Brooklyn, New York, 11235
Minneapolis Clinic of Neurology
Burnsville, Minnesota, 55337
The Research Center of Southern California
Carlsbad, California, 92011
Med Center Medical Clinic
Carmichael, California, 95608
Charlottesville Medical Research
Charlottesville, Virginia, 22911
WR-ClinSearch
Chattanooga, Tennessee, 37421
CTI Clinical Research Center
Cincinnati, Ohio, 45212
StudyMetrix Research
City of Saint Peters, Missouri, 63303
Rapid Medical Research Inc.
Cleveland, Ohio, 44122
Aventiv Research
Columbus, Ohio, 43213
Future Search Trials
Dallas, Texas, 75231
HRMD Research
Dallas, Texas, 75240
Neurology Diagnosis
Dayton, Ohio, 45459
Neuro Studios
Decatur, Georgia, 30033
Accel Clinical - DeLand
DeLand, Florida, 32720
PMG Research of DuPage Medical Group
Downers Grove, Illinois, 60515
Hartford Headache Center
East Hartford, Connecticut, 06118
WR-PRI
Encino, California, 91316
Lillestol Research
Fargo, North Dakota, 58104
Healthcare Research Network II, LLC
Flossmoor, Illinois, 60422
Gulf Coast Clinical Research
Fort Myers, Florida, 33912
Headache Wellness Center - Greensboro
Greensboro, North Carolina, 27405
PharmQuest
Greensboro, North Carolina, 27408
MD Clinical
Hallandale, Florida, 33009
CMR of Greater New Haven
Hamden, Connecticut, 06517
Healthcare Research Network II, LLC
Hazelwood, Missouri, 63042
AGA Clinical Trials
Hialeah, Florida, 33012
Galiz Research- Hialeah
Hialeah, Florida, 33016
Research Centers of America
Hollywood, Florida, 33024
Texas Center for Drug Development
Houston, Texas, 77081
Marvel Clinical Research
Huntington Beach, California, 92647
CNS Healthcare
Jacksonville, Florida, 32256
eStudySite
La Mesa, California, 91942
Multispecialty Research Associates
Lake City, Florida, 32055
Altea Research
Las Vegas, Nevada, 89102
Wake Research-Clinical Research Center of Nevada
Las Vegas, Nevada, 89118
Clinical Research of South Nevada
Las Vegas, Nevada, 89121
Dartmouth-Hitchcock Clinical Trials Office
Lebanon, New Hampshire, 03756
Collaborative Neuroscience
Long Beach, California, 90806
WP-PRI
Los Alamitos, California, 90720
Downtown LA Research
Los Angeles, California, 90017
Cal Neuro Research Group
Los Angeles, California, 90024
ClinCloud
Maitland, Florida, 32751
Tandem Clinical Research
Marrero, Louisiana, 70072
CNS Healthcare
Memphis, Tennessee, 38119
Advanced Clinical Research
Meridian, Idaho, 83642
SMS Clinical Research
Mesquite, Texas, 75149
Premier Clinical Reserch Institute, INC
Miami, Florida, 33122
QPS MRA
Miami, Florida, 33143
Applemed Research Group
Miami, Florida, 33155
Biotech Pharmaceuticals Group
Miami, Florida, 33155
Montana Medical Research
Missoula, Montana, 59808
Clinical Research Associates
Nashville, Tennessee, 37203
Nashville Neuroscience Group
Nashville, Tennessee, 37203
BTC of New Bedford
New Bedford, Massachusetts, 02740
Delricht - NewOrleans
New Orleans, Louisiana, 70124
Manhattan Behavioral Medicine
New York, New York, 10036
WR-PRI
Newport Beach, California, 92660
Behavioral Clinical Research
North Miami, Florida, 33161
Alliance Sites
Oakland, California, 94607
Sensible Health
Ocoee, Florida, 34761
Delynn Institute
Oklahoma City, Oklahoma, 73112
Quality Clinical Research
Omaha, Nebraska, 68114
Accel - Orange City
Orange City, Florida, 32763
Aspen Clinical Research
Orem, Utah, 84058
CNS Health Care - Orlando
Orlando, Florida, 32801
Neurology Associates of Ormond Beach
Ormond Beach, Florida, 32174
Stanford Neuroscience Health Center
Palo Alto, California, 94304
National Research Institute
Panorama City, California, 91402
Thomas Jefferson University/Jefferson Headache Center
Philadelphia, Pennsylvania, 19107
Alea Research
Phoenix, Arizona, 85012
Elite Clinical Studies
Phoenix, Arizona, 85018
Arizona Research Center
Phoenix, Arizona, 85053
Empire Clinical Reserch
Pomona, California, 91767
Phoenix Medical Reserch
Prairie Village, Kansas, 66208
M3-Wake Research
Raleigh, North Carolina, 27612
Artemis Institute for Clinical Research- Riverside
Riverside, California, 92503
Rochester Clinical Research
Rochester, New York, 14609
CNS Research Inc - Rhode Island
Rumford, Rhode Island, 02916
Wasatch Clinical Research
Salt Lake City, Utah, 84107
Highland Clinical Research
Salt Lake City, Utah, 84124
Artemis Institute of Clinical Research - San Diego
San Diego, California, 92103
Pacific Research Network
San Diego, California, 92103
WR-MCCR
San Diego, California, 92108
Optimus Medical Group
San Francisco, California, 94102
Artemis Institute for Clinical Research- San Marcos
San Marcos, California, 92103
Neurological Research Institute
Santa Monica, California, 90404
Schuster Medical Research Institute
Sherman Oaks, California, 91403
Southern California Research
Simi Valley, California, 93065
Encompass Clinical Research
Spring Valley, California, 91978
Clinvest Research
Springfield, Missouri, 65810
New England Institute for Neurology and Headache
Stamford, Connecticut, 06905
Infinity Clinical Research, LLC
Sunrise, Florida, 33351
Precision Clinical Research
Sunrise, Florida, 33351
Montefiori Medical Center
The Bronx, New York, 10461
DM Clinical Research
Tomball, Texas, 77375
Tucson Neuroscience Research
Tucson, Arizona, 85710
Delricht Research
Tulsa, Oklahoma, 74133
Omega Medical Research
Warwick, Rhode Island, 02886
Chase Medical Research
Waterbury, Connecticut, 06708
Medvadis Research Group
Watertown, Massachusetts, 02472
ClinPoint Trials
Waxahachie, Texas, 75165
Upstate Clinical Research Associates
Williamsville, New York, 14221
PMG Research of Wilmington
Wilmington, North Carolina, 28401
Clinical Research CF
Winter Haven, Florida, 33880
Conquest Research
Winter Park, Florida, 32789
Michigan Pain Consultants
Wyoming, Michigan, 49519
About this study
Official title: EMERGE: A Randomized, Double-Blind, Parallel Group, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of Single Doses of STS101 (Dihydroergotamine Nasal Powder) in the Acute Treatment of Migraine
Study STS101-002 is a randomized, double-blind, parallel group, placebo-controlled, multicenter study to evaluate the efficacy, safety, and tolerability of single doses of STS101 (dihydroergotamine nasal powder) in the acute treatment of migraine
Read the detailed description
The EMERGE trial is a multi-center, single-dose, randomized, double-blind, placebo-controlled, parallel group study in subjects with acute migraine (ages 18 to 65 years).
- Conditions
- Migraine, Migraine With Aura, Migraine Without Aura
- Being tested
- Dihydroergotamine, Placebos
- Keywords
- dihydroergotamine, dihydroergotamine mesylate, migraine
- Medical subject headings
- Migraine Disorders, Migraine with Aura, Migraine without Aura
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DihydroergotamineDrug
Also called Dihydroergotamine Mesylate
Dihydroergotamine is a semi-synthetic derivative of ergotamine tartrate.
PlacebosDrug
Also called STS101 Placebo
Placebo for STS101
| Study group | Role | What they receive |
|---|---|---|
| STS101 Low Dose | Experimental | STS101 (dihydroergotamine nasal powder), low dose Receives: Drug: Dihydroergotamine |
| STS101 High Dose | Experimental | STS101 (dihydroergotamine nasal powder), high dose Receives: Drug: Dihydroergotamine |
| STS101 Placebo | Placebo comparator | STS101 Placebo Receives: Drug: Placebos |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Subjects With Freedom From Migraine Headache Pain at 2 Hours Post Dose
The subject's rating was documented on a four-point scale from no pain (= 0), mild pain (= 1), moderate pain (= 2) to severe pain (= 3). Pain freedom means the pain went from moderate (2) or severe (3) to no pain (0).
Measured: 2 Hours Post-Dose
Percentage of Subjects With Freedom From Most-Bothersome Symptom at 2 Hours Post Dose
Subjects were prompted to document the presence of 3 symptoms (photophobia, phonophobia, and nausea) immediately before study drug administration and during the treated migraine attack.
Measured: 2 Hours Post-Dose
Secondary outcomes (1)
Percentage of Subjects With Relief From Migraine Headache Pain at 2 Hours Post Dose
The subject's rating was documented on a four-point scale from no pain (= 0), mild pain (= 1), moderate pain (= 2) to severe pain (= 3). Pain relief means the pain went from moderate (2) or severe (3) to mild pain (1) or no pain (0).
Measured: 2 Hours Post Dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Apr 2019
- Study start24 Jun 2019
- Primary completion31 Jul 2020
- Study completion13 Aug 2020
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 MigraineStudies 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, Care provider, Investigator
- Enrolment
- 1,201 participants (actual)
Sponsor and investigators
- Lead sponsor
- Satsuma Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Detlef Albrecht, MD, Study chair, Satsuma Pharmaceuticals, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03901482
- Sponsor's protocol ID
- STS101-002
- Acronym
- EMERGE
- Status last verified
- Jun 2023
- First submitted
- 2 Apr 2019
- Last updated
- 29 Jun 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- EMERGE: A Randomized, Double-Blind, Parallel Group, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of Single Doses of STS101 (Dihydroergotamine Nasal Powder) in the Acute Treatment of Migraine
- ClinicalTrials.gov ID
- NCT03901482
- Acronym / sponsor ID
- EMERGE / STS101-002
- Conditions
- Migraine, Migraine With Aura, Migraine Without Aura
- Keywords
- dihydroergotamine, dihydroergotamine mesylate, migraine
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,201 participants (actual)
- Lead sponsor
- Satsuma Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- 24 Jun 2019 (actual)
- Primary completion
- 31 Jul 2020 (actual)
- Study completion
- 13 Aug 2020 (actual)
- First posted
- 3 Apr 2019 (actual)
- Results
- Posted 29 Jun 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Study STS101-002 is a randomized, double-blind, parallel group, placebo-controlled, multicenter study to evaluate the efficacy, safety, and tolerability of single doses of STS101 (dihydroergotamine nasal powder) in the acute treatment of migraine
Detailed description
The EMERGE trial is a multi-center, single-dose, randomized, double-blind, placebo-controlled, parallel group study in subjects with acute migraine (ages 18 to 65 years).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| STS101 Low Dose | Experimental | Drug: DihydroergotamineSTS101 (dihydroergotamine nasal powder), low dose |
| STS101 High Dose | Experimental | Drug: DihydroergotamineSTS101 (dihydroergotamine nasal powder), high dose |
| STS101 Placebo | Placebo comparator | Drug: PlacebosSTS101 Placebo |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Males or females, 18-65 years of age at the time of Screening Visit
- Subject has at least 1-year history of migraines (with or without aura), according to the International Classification of Headache Disorder, 3rd Edition (ICHD3)
Key exclusion criteria (7 listed)
- Pregnant or breast-feeding women
- Women of child-bearing potential not using or not willing to use highly effective contraception.
- Diagnosis of headache conditions other than migraine with or without aura, including diagnosis of basilar or hemiplegic migraines or cluster headache.
- History of coronary artery disease, coronary artery vasospasm (including Printz-metals' angina), clinically significant arrhythmia or, peripheral vascular disease, ischemic disease (e.g. Raynaud's syndrome, ischemic bowel syndrome, angina pectoris, myocardial infarction, or documented silent ischemia); percutaneous coronary intervention, or cardiac surgery.
- History of cerebrovascular disease, including but not limited to stroke, transient ischemic attack, cerebral hemorrhage, subarachnoid hemorrhage.
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 |
|---|---|---|
| DihydroergotamineAlso: Dihydroergotamine MesylateDihydroergotamine is a semi-synthetic derivative of ergotamine tartrate. | Drug | STS101 High Dose, STS101 Low Dose |
| PlacebosAlso: STS101 PlaceboPlacebo for STS101 | Drug | STS101 Placebo |
Primary outcome
Percentage of Subjects With Freedom From Migraine Headache Pain at 2 Hours Post Dose
Time frame: 2 Hours Post-Dose
The subject's rating was documented on a four-point scale from no pain (= 0), mild pain (= 1), moderate pain (= 2) to severe pain (= 3). Pain freedom means the pain went from moderate (2) or severe (3) to no pain (0).
Percentage of Subjects With Freedom From Most-Bothersome Symptom at 2 Hours Post Dose
Time frame: 2 Hours Post-Dose
Subjects were prompted to document the presence of 3 symptoms (photophobia, phonophobia, and nausea) immediately before study drug administration and during the treated migraine attack.
1 secondary outcome
Percentage of Subjects With Relief From Migraine Headache Pain at 2 Hours Post Dose
Time frame: 2 Hours Post Dose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jun 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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.
Detlef Albrecht, MD study chair
Satsuma Pharmaceuticals, Inc.
117 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 Dihydroergotamine in people with Migraine and Migraine With Aura, run by Satsuma Pharmaceuticals, Inc. at 117 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 2 inclusion and 7 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 29 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 117 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 29 Jun 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 With Freedom From Migraine Headache Pain at 2 Hours Post Dose (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 29 Jun 2023.