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MigrainePhase 2MONONOFUNCT03962738

A Study Lasmiditan (LY573144) in a Single Migraine Attack in Japanese Participants With Migraine

A Phase 2 study testing Lasmiditan in people with Migraine, run by Eli Lilly and Company at 34 sites in Japan.

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

This study will assess the efficacy and safety of lasmiditan in the acute treatment of a migraine attack in Japanese adult participants with or without aura. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Migraine
What is being tested?
Lasmiditan
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
846 participants
Where
34 sitesJapan
Study dates
31 May 2019to 8 Jun 2020
Phase
Phase 2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants with migraine with or without aura fulfilling the International Classification of Headache Disorders (ICHD)-2.
  • History of disabling migraine for at least 1 year.
  • Migraine Disability Assessment Test (MIDAS) score ≥11.
  • Migraine onset before the age of 50 years.
  • History of 3-8 migraine attacks per month and <15 headache days per month during the past 3 months.

Who cannot join

  • Known hypersensitivity to lasmiditan, or to any excipient of lasmiditan oral tablets.
  • History or evidence of hemorrhagic stroke, epilepsy, or any other condition placing the patient at increased risk of seizures.
  • History of recurrent dizziness and/or vertigo including benign paroxysmal positional vertigo, Meniere's disease, vestibular migraine, and other vestibular disorders.
  • History of diabetes mellitus with complications (diabetic retinopathy, nephropathy, or neuropathy).
  • History of orthostatic hypotension with syncope.

Trial locations and contacts

34 sites in 1 country.

34 sites in 1 country

Japan34 sites
  • Niwa Family Clinic

    Chofu-shi, Tokyo, 182-0006

  • Doi Clinic Internal Medicine Neurology

    Hiroshima, 730-0031

  • Saitama Medical University Hospital

    Iruma-Gun, Saitama, 350-0495

  • Tanaka neurosurgical clinic

    Kagoshima, 892-0844

  • Nagaseki Headache Clinic

    Kai-Shi, Yamanashi, 400-0124

  • Ikeda Neurosurgical Clinic

    Kasuga-shi, Fukuoka, 816 0824

  • Jinnouchi Neurosurgery Clinic

    Kasuga-shi, Fukuoka, 816-0802

  • Fujitsu Clinic

    Kawasaki, Kanagawa, 211-8588

  • Kohnan Hospital

    Kobe, Hyōgo, 658-0064

  • Umenotsuji Clinic

    Kochi, 780-8011

  • Kumamoto City Hospital

    Kumamoto, 862-8505

  • Tatsuoka Neurology Clinic

    Kyoto, 600-8811

  • Ishikawa Clinic

    Kyoto, 606-0851

  • Takanoko Hospital

    Matsuyama, Ehime, 790-0925

  • Sanno Clinic Shinagawa

    Minato-ku, Tokyo, 108-0075

  • Nishinomiya Municipal Central Hospital

    Nishinomiya, Hyōgo, 663-8014

  • Yamaguchi Clinic

    Nishinomiya-shi, Hyōgo, 663-8204

  • Okayama City General Medical Center Okayama City Hospital

    Okayama, Okayama-ken, 700-8557

  • Chibune General Hospital

    Osaka, Osaka, 555-0034

  • Osaka Saiseikai Nakatsu Hospital

    Osaka, 530-0012

  • Tominaga Hospital

    Osaka, 5560017

  • SUBARU Health Insurance Society Ota Memorial Hospital

    Ota-shi, Gunma, 373-8585

  • Osoegawa Neurology Clinic

    Saga, Saga-ken, 840-0806

  • Saitama Neuropsychiatric Institute

    Saitama, Saitama, 338-8577

  • Nakamura Memorial Hospital

    Sapporo, Hokkaido, 060 8570

  • Sendai Headache and Neurology Clinic

    Sendai, Miyagi, 982-0014

  • USUDA CLINIC for internal medicine

    Setagaya-ku, Tokyo, 156-0043

  • Tokyo Headache Clinic

    Shibuya-ku, Tokyo, 151-0051

  • Dokkyo Medical University Hospital

    Shimotsuga-Gun, Tochigi, 321 0293

  • Fukuuchi Pain Clinic

    Shinjuku-ku, Tokyo, 160-0017

  • Japanese Red Cross Shizuoka Hospital

    Shizuoka, 420-0853

  • Saino Clinic

    Tokorozawa, Saitama, 359-1141

  • Sakura Clinic Internal Medicine Neurology

    Toyama, Toyama, 9300803

  • Takase internal medicine clinic

    Toyonaka-shi, Osaka, 560-0012

Other trials in Japan

About this study

Official title: RandoMized, DOuble-bliNd, PlacebO-coNtrolled Trial Of Lasmiditan in a Single Migraine Attack in Japanese Patients SuFfering From Migraine With or WithoUt Aura - the MONONOFU Study

This study will assess the efficacy and safety of lasmiditan in the acute treatment of a migraine attack in Japanese adult participants with or without aura.

Conditions
Migraine
Being tested
Lasmiditan, 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.

  • LasmiditanDrug

    Also called LY573144

    Administered orally

  • PlaceboDrug

    Administered orally

Study groups in NCT03962738
Study groupRoleWhat they receive
50 milligram (mg) LasmiditanExperimental50 mg Lasmiditan tablet plus two placebo tablets (to match Lasmiditan dose) administered once orally to treat a single migraine attack.
Receives: Drug: Lasmiditan; Drug: Placebo
100 mg LasmiditanExperimental100 mg Lasmiditan tablet plus two placebo tablets (to match Lasmiditan dose) administered once orally to treat a single migraine attack.
Receives: Drug: Lasmiditan; Drug: Placebo
200 mg LasmiditanExperimental200 mg Lasmiditan (two 100 mg tablets) plus one placebo tablet (to match Lasmiditan dose) administered once orally to treat a single migraine attack.
Receives: Drug: Lasmiditan; Drug: Placebo
PlaceboPlacebo comparatorPlacebo tablets (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered once orally to treat a single migraine attack.
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Participants Who Are Headache Pain Free In High Dose Group (200 mg Lasmiditan)

    Percentage of participants who were headache pain free (defined as moderate or severe pain becoming none) at 2 hours postdose.

    Measured: 2 Hours Postdose

Secondary outcomes (18)
  1. Percentage of Participants Who Are Headache Pain Free in Each Dose Group

    Percentage of participants who are headache pain free in each dose group at 2 hours postdose.

    Measured: 2 Hours Postdose

  2. Percentage of Participants With Headache Pain Relief

    Percentage of participants with headache pain relief (defined as moderate or severe headache pain becoming mild or none) at 2 hours postdose.

    Measured: 2 Hours Postdose

  3. Percentage of Participants Who Are Free of Most Bothersome Symptoms (MBS) Associated With Migraine

    Percentage of participants defined as the associated symptom present and identified as MBS (nausea, photophobia, or phonophobia) prior to dosing and being absent at 2 hours postdose.

    Missing value at a particular time point was considered as "nonresponder."

    Measured: 2 Hours Postdose

  4. Percentage of Participants With 24-Hour Sustained Pain Freedom

    Percentage of participants who are headache pain free at 2 hours postdose and 24 hours postdose with no rescue medication.

    Measured: 24 Hours Postdose

  5. Percentage of Participants With 48-Hour Sustained Pain Freedom

    Percentage of participants who are headache pain free at 2 hours postdose and 48 hours postdose with no rescue medication.

    Measured: 48 Hours Postdose

  6. Percentage of Participants That Are Free of Phonophobia

    Percentage of participants that are free of phonophobia at 2 hours postdose.

    Measured: 2 Hours Postdose

  7. Percentage of Participants That Are Free of Photophobia

    Percentage of participants that are free of photophobia at 2 hours postdose.

    Measured: 2 Hours Postdose

  8. Percentage of Participants That Are Free of Nausea

    Percentage of participants that are free of nausea at 2 hours postdose.

    Measured: 2 Hours Postdose

  9. Percentage of Participants That Are Free of Vomiting

    Percentage of participants that are free of vomiting at 2 hours postdose.

    Measured: 2 Hours Postdose

  10. Percentage of Participants With Pain Freedom

    Percentage of participants with pain freedom.

    Measured: 1 Hour Postdose

  11. Percentage of Participants With Headache Pain Relief

    Percentage of participants with headache pain relief at 1 hour postdose.

    Measured: 1 Hour Postdose

  12. Percentage of Participants With Freedom From Most Bothersome Symptom (MBS)

    Percentage of participants defined as the associated symptom present and identified as MBS (nausea, photophobia, or phonophobia) prior to dosing and being absent at 1 hour postdose.

    Measured: 1 Hour Postdose

  13. Percentage of Participants With No Disability

    Disability will be measured by determining the level of interference with normal activities with 4 response options including: not at all (0); mild interference (1), marked interference (2); and need complete bed rest (3). No Disability timing is defined as the first time when severity becomes 0.

    Percentage of participants who are responders defined as score = 0 at 1 hours postdose.

    Measured: 1 Hour Postdose

  14. Percentage of Participants With No Disability

    Disability will be measured by determining the level of interference with normal activities with 4 response options including not at all (0); mild interference (1), marked interference (2); and need complete bed rest (3). No Disability timing is defined as the first time when severity becomes 0.

    Percentage of participants who are responders defined as score = 0 at 2 hours postdose.

    Measured: 2 Hours Postdose

  15. Change From Baseline on the EuroQol 5 Dimension 5-level Scale (EQ-5D-5L) Health Status Index Score Japan

    The EQ-5D-5L was assessed based the EQ-5D-5L Health Status Index Score. The Japan specific tariffs (Japanese population-based index value) was used. The EQ-5D-5L is a participant rated, 2-part questionnaire. The first part assesses 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) that have 5 levels (no problems, slight problems, moderate problems, severe problems, and extreme problems). The health state index score was calculated based on the responses to the 5 dimensions, providing a single value on a scale from less than 0 (where 0 is a health state equivalent to death; negative values are valued as worse than death) to 1 (perfect health), with higher scores indicating better health utility.

    Measured: Baseline, 24 Hours Postdose

  16. Change From Baseline on the EuroQol 5 Dimension 5-level Scale (EQ-5D-5L) Visual Analog Scale

    The EQ-5D-5L is a participant rated, 2-part questionnaire. The second part of the questionnaire consists of a visual analog scale on which the participant rates their perceived health state from 0 (the worst health you can imagine) to 100 (the best health you can imagine).

    Measured: Baseline, 24 Hours Postdose

  17. Percentage of Participants With Very Much or Much Better as Measured by the Patient Global Impression of Change (PGI-C)

    The PGI-C is a one-item questionnaire that asks participants to provide their impression of change since taking the medicine. The PGI-C is measured using a 7-point Likert scale, with 1 = very much better, 2 = much better, 3 = a little better, 4 = no change, 5 = a little worse, 6 = much worse, and 7 = very much worse. Percentage of participants who are responders defined as having rated their impression of change as "very much better" or "much better" at 2 hours postdose.

    Measured: 2 Hours Postdose

  18. Health-Related Quality of Life (HRQoL) Total Score as Measured by the 24-Hour Migraine Quality of Life Questionnaire (MQoLQ)

    The HRQoL is a 15-item, self-administered questionnaire. The items cover 5 domains (work functioning, social functioning, energy and vitality, feelings and concerns, and migraine symptoms). Each domain consists of 3 questions answered on a 7-point scale there 1 indicates maximum impairment and 7 indicating no impairment. A domain score is calculated by summing the responses to the 3 questions and the domain score ranges from 3 to 21, where a lower score indicates greater impairment, and a higher score indicates less impairment. The questionnaire will be administered 24 hours after the study drug.

    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 posted24 May 2019
  2. Study start31 May 2019
  3. Primary completion8 Jun 2020
  4. Study completion8 Jun 2020

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
846 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03962738
Sponsor's protocol ID
17012
Other IDs
H8H-JE-LAIH
Acronym
MONONOFU
Status last verified
May 2021
First submitted
23 May 2019
Last updated
11 Jun 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Publications

  • Kitamura S, Imai N, Tanji Y, Ozeki A, Komori M. Lasmiditan in Japanese Patients with Common Migraine Comorbidities or Concomitant Medications: A Post Hoc Safety and Efficacy Analysis from the MONONOFU Study. J Pain Res. 2023 May 25;16:1725-1738. doi: 10.2147/JPR.S399567. eCollection 2023.

    PubMed 37255987
  • Matsumori Y, Komori M, Tanji Y, Ozeki A, Sakai F. Rapid Onset and Sustained Efficacy of Lasmiditan Among Japanese Patients with Migraine: Prespecified Analyses of a Randomized Controlled Trial. Neurol Ther. 2022 Dec;11(4):1721-1734. doi: 10.1007/s40120-022-00403-2. Epub 2022 Sep 22.

    PubMed 36136232
  • MacGregor EA, Komori M, Krege JH, Baygani S, Vincent M, Pavlovic J, Igarashi H. Efficacy of lasmiditan for the acute treatment of perimenstrual migraine. Cephalalgia. 2022 Dec;42(14):1467-1475. doi: 10.1177/03331024221118929. Epub 2022 Aug 18.

    PubMed 35979677
  • Doty EG, Hauck PM, Krege JH, Komori M, Hake AM, Dong Y, Lipton RB. The Association Between the Occurrence of Common Treatment-Emergent Adverse Events and Efficacy Outcomes After Lasmiditan Treatment of a Single Migraine Attack: Secondary Analyses from Four Pooled Randomized Clinical Trials. CNS Drugs. 2022 Jul;36(7):771-783. doi: 10.1007/s40263-022-00928-y. Epub 2022 Jul 2.

    PubMed 35779194
  • Hashimoto Y, Komori M, Tanji Y, Ozeki A, Hirata K. Lasmiditan for single migraine attack in Japanese patients with cardiovascular risk factors: subgroup analysis of a phase 2 randomized placebo-controlled trial. Expert Opin Drug Saf. 2022 Dec;21(12):1495-1503. doi: 10.1080/14740338.2022.2078302. Epub 2022 Jun 24.

    PubMed 35748397
  • Krege JH, Lipton RB, Baygani SK, Komori M, Ryan SM, Vincent M. Lasmiditan for Patients with Migraine and Contraindications to Triptans: A Post Hoc Analysis. Pain Ther. 2022 Jun;11(2):701-712. doi: 10.1007/s40122-022-00388-8. Epub 2022 Apr 26.

    PubMed 35471625

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Lasmiditan in people with Migraine, run by Eli Lilly and Company at 34 sites in Japan.

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 5 inclusion and 5 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 11 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in Japan. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 5 May 2021). 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 Participants Who Are Headache Pain Free In High Dose Group (200 mg Lasmiditan) (time frame: 2 Hours Postdose). 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 NCT03962738, which also lists 6 linked publications.

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 11 Jun 2021.

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