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MigrainePhase 2NCT01657370

A Pharmacokinetic Study of MK-1602 in the Treatment of Acute Migraine (MK-1602-007)

A Phase 2 study testing MK-1602 and Rescue medication in people with Migraine, run by Allergan.

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

The purpose of this study is to characterize the pharmacokinetics of MK-1602 in the treatment of acute migraine, including the influence of demographic and other variables on MK-1602 pharmacokinetics, and to evaluate the relationship between MK-1602 concentrations and efficacy of the drug. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Migraine
What is being tested?
MK-1602 and Rescue medication
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
195 participants
Where
No sites listed yet
Study dates
Aug 2012to Dec 2012
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • > 1 year history of migraine with or without aura as defined by International Headache Society (IHS) criteria 1.1 and/or 1.2
  • Migraines typically last between 4 to 72 hours, if untreated
  • ≥ 2 and ≤ 8 moderate or severe migraine attacks per month in each of
  • the two months prior to screening
  • Male, female who is not of reproductive potential, or female of
  • reproductive potential with a screening serum β-human chorionic gonadotropin (β-hCG) level consistent with a not-pregnant state, and who agrees to use acceptable contraception

Who cannot join

  • Pregnant or breast-feeding, or is a female expecting to conceive within the projected duration of study participation
  • Participant has difficulty distinguishing his/her migraine attacks from tension-type headaches
  • History of predominantly mild migraine attacks or migraines that usually
  • resolve spontaneously in less than two hours
  • More than 15 headache-days per month or has taken medication for acute headache on more than 10 days per month in any of the three months prior to screening
  • Basilar-type or hemiplegic migraine headache
Show all 36Show fewer
  • > 50 years old at age of migraine onset
  • Taking migraine prophylactic medication where the prescribed daily dose
  • has changed during the 3 months prior to screening and during the study
  • Taking a proton pump inhibitor (PPI) or a histamine receptor 2 (H2) blocker on a daily or near daily basis (> 3 days per week)
  • Taking the following medications from 1 month prior to screening through study period: potent cytochrome P450 (CYP) 3A4 inhibitors (e.g., cyclosporine, itraconazole, ketoconazole, fluconazole, erythromycin, clarithromycin, nefazodone, telithromycin, cimetidine, quinine, diltiazem, verapamil, modafinil and human immunodeficiency virus [HIV] protease inhibitors), moderate or marked CYP3A4 inducers (e.g., rifampicin, rifabutin, barbiturates [e.g., phenobarbital and primidone], systemic glucocorticoids, nevirapine, efavirenz, pioglitazone, carbamazepine, phenytoin, and St. Johns wort), or drugs with narrow therapeutic margins and potential for drug interactions in the CYP2C family (e.g., warfarin)
  • Participant is unable to refrain from consumption of grapefruit or grapefruit juice during study
  • History of hypersensitivity to, or has experienced a serious adverse event
  • in response to 3 or more classes of drugs (prescription and over-the-counter)
  • Clinical or laboratory evidence of uncontrolled diabetes, HIV disease, or significant pulmonary, renal, hepatic, endocrine, or other systemic disease
  • Other confounding pain syndromes, psychiatric conditions such as uncontrolled major depression, dementia or significant neurological disorders other than migraine. Patients who are currently being treated with non-prohibited medication for depression and symptoms are well controlled are eligible to participate
  • Participant is at imminent risk of self-harm
  • History of malignancy ≤ 5 years prior to study, except for adequately treated basal cell or squamous cell skin cancer, or in situ cervical cancer
  • History of gastric or small intestinal surgery (including gastric bypass
  • surgery or banding), or presence of a disease that causes malabsorption
  • History or current evidence of any condition, therapy, lab abnormality or
  • other circumstance that might confound the results of the study, or interfere with subject's participation for the full duration of the study
  • Participant has recent history (within the last year) of drug or alcohol abuse or dependence or is a user of recreational or illicit drugs
  • Participant is legally or mentally incapacitated
  • Donation of blood products or phlebotomy of > 300 ml within 8
  • weeks of study, or intent to donate blood products or receive
  • blood products within 30 days of screening and throughout study
  • Intent to donate eggs or sperm within the projected duration of the
  • study
  • Current participation in or participation within 30 days of screening
  • in a study with an investigational compound or device, with the exception of MK-1602 Protocol 006
  • Previous exposure to MK-0974 and/or MK-3207
  • Use within the past 2 months of an opioid- or barbiturate-containing
  • analgesic for migraine relief
  • Inpatient or emergency department treatment of an acute migraine
  • attack within the past 2 months

About this study

Official title: A Phase IIb, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Pharmacokinetic Study of MK-1602 in the Treatment of Acute Migraine

The purpose of this study is to characterize the pharmacokinetics of MK-1602 in the treatment of acute migraine, including the influence of demographic and other variables on MK-1602 pharmacokinetics, and to evaluate the relationship between MK-1602 concentrations and efficacy of the drug.

Conditions
Migraine
Being tested
MK-1602, Placebo, Rescue medication
Medical subject headings
Migraine Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MK-1602Drug

    Three administrations of the same dose of MK-1602 on separate days. All 3 doses are either 1, 10, 25, 50 or 100 mg of MK-1602. Dose 1: Taken at onset of migraine of moderate or severe intensity. Dose 2: Taken the evening before Visit 2. Dose 3: Taken at Visit 2, which is Day 4 post migraine treatment (Dose 1).

    Dosage form is film coated tablet for oral administration.

  • PlaceboDrug

    Three administrations of placebo for MK-1602 on separate days. Dose 1: Taken at onset of migraine of moderate or severe intensity. Dose 2: Taken the evening before Visit 2. Dose 3: Taken at Visit 2, which is Day 4 post migraine treatment (Dose 1).

    Dosage form is film coated tablet for oral administration.

  • Rescue medicationDrug

    If moderate or severe migraine headache pain continues 2 hours after dose of study medication or if migraine headache comes back within 48 hours,

    Participants will be allowed to take their own rescue migraine medication, which may include analgesics (e.g., nonsteroidal anti-inflammatory drugs [NSAIDs]), anti-emetics, triptans, opiates or other medication not explicitly excluded.

Study groups in NCT01657370
Study groupRoleWhat they receive
PlaceboPlacebo comparatorMK-1602 placebo-matching tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Receives: Drug: Placebo; Drug: Rescue medication
MK-1602 1 mgExperimentalMK-1602 1 mg tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Receives: Drug: MK-1602; Drug: Rescue medication
MK-1602 10 mgExperimentalMK-1602 10 mg tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Receives: Drug: MK-1602; Drug: Rescue medication
MK-1602 25 mgExperimentalMK-1602 25 mg tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Receives: Drug: MK-1602; Drug: Rescue medication
MK-1602 50 mgExperimentalMK-1602 50 mg tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Receives: Drug: MK-1602; Drug: Rescue medication
MK-1602 100 mgExperimentalMK-1602 100 mg tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Receives: Drug: MK-1602; Drug: Rescue medication

What is being measured

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

  1. Dry Blood Spot (DBS) MK-1602 Concentration at 2 Hours Post-Dose on Migraine Treatment Day

    The participant collected blood by fingerstick on a card. The card was sent to a laboratory and the concentration of MK-1602 determined using the dried blood spot (DBS) assay.

    Measured: 2 hours post dose 1

  2. Percentage of Participants Reporting Pain Freedom (PF) at 2 Hours Post-Dose on Migraine Treatment Day

    PF was defined as a decrease from a moderate or severe migraine headache (Grade 2 or 3) at Baseline to no pain (Grade 0) 2 hours post-dose. Headache severity was reported by the participant using a 4-point scale where: 0=no pain, 1=mild pain, 2=moderate pain and 3=severe pain.

    Measured: 2 hours post dose 1

  3. Percentage of Participants With Pain Relief (PR) at 2 Hours Post-Dose on Migraine Treatment Day

    PR was defined as a decrease from a moderate or severe migraine headache (Grade 2 or 3) at Baseline to a mild headache or no headache (Grade 1 or 0) 2 hours post dose. Headache severity was reported by the participant using a 4-point scale where: 0=no pain, 1=mild pain, 2=moderate pain and 3=severe pain.

    Measured: 2 hours post dose 1

Secondary outcomes (7)
  1. Percentage of Participants Reporting Absence of Phonophobia at 2 Hours Post-Dose on Migraine Treatment Day

    Phonophobia is sensitivity to sound.

    Measured: 2 hours post dose 1

  2. Percentage of Participants Reporting Absence of Photophobia at 2 Hours Post-Dose on Migraine Treatment Day

    Photophobia is sensitivity to light.

    Measured: 2 hours post dose 1

  3. Percentage of Participants Reporting Absence of Nausea at 2 Hours Post-Dose on Migraine Treatment Day

    Measured: 2 hours post dose 1

  4. Percentage of Participants With Sustained Pain Freedom (SPF) From 2-24 Hours Post-Dose on Migraine Treatment Day

    SPF was defined as PF at 2 hours post-dose, with no administration of any rescue medication and with no occurrence of a mild/moderate/severe headache during the 2-24 hour period after dosing with study medication.

    Measured: 2-24 hours post dose 1

  5. Percentage of Participants With Sustained Pain Relief (SPR) From 2-24 Hours Post-Dose on Migraine Treatment Day

    SPR was defined as PR at 2 hours post-dose, with no administration of any rescue medication and with no occurrence of a moderate/severe headache during the 2-24 hour period after dosing with study medication.

    Measured: 2-24 hours post dose 1

  6. Percentage of Participants With Total Migraine Freedom (TMF) at 2 Hours Post-Dose on Migraine Treatment Day

    TMF at 2 hours post-dose was defined as PF with no photophobia, phonophobia, nausea, or vomiting at 2 hours post-dose.

    Measured: 2 hours post dose 1

  7. Percentage of Participants With TMF From 2-24 Hours Post-Dose on Migraine Treatment Day

    TMF from 2-24 hours post-dose was defined as SPF with no photophobia, phonophobia, nausea, or vomiting during the 2-24 hour period after dosing with study medication.

    Measured: 2-24 hours post dose 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Aug 2012 (estimated)
  2. Study startAug 2012
  3. Primary completionNov 2012
  4. Study completionDec 2012

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
195 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01657370
Sponsor's protocol ID
1602-007
Status last verified
Oct 2016
First submitted
2 Aug 2012
Last updated
9 Dec 2016
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MK-1602 and Rescue medication in people with Migraine, run by Allergan.

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 6 inclusion and 36 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 9 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.

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 9 Dec 2016). 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?

Dry Blood Spot (DBS) MK-1602 Concentration at 2 Hours Post-Dose on Migraine Treatment Day (time frame: 2 hours post dose 1). The study lists 3 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 9 Dec 2016.

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