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MigrainePhase 4NCT05411978

Safety and Efficacy of Oral Idebenone for Preventive Treatment of Migraine in Adult Migraine Patients

A Phase 4 study testing Idebenone in people with Migraine, run by Beijing Tiantan Hospital at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a multi-center, prospective, double-blind randomized controlled trial on a sample of patients with migraine. Subjects will only be enrolled when a physician or research assistant who is familiar with the study protocol is available to enroll patients. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Migraine
What is being tested?
Idebenone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
900 participants
Where
1 siteChina
Study dates
9 May 2022to 20 Jun 2024
Phase
Phase 4
Are there results?
None posted in the registry

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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Male or female participants ages 18 to 65 years;
  • At least a 1-year history of migraine with or without aura is consistent with a diagnosis according to the ICHD-3;
  • Migraine onset before age 50 years;
  • History of 4 to 15 migraine attacks days per month in each of the 3 months prior to the screening visit;
  • The number of headache attacks <15 days/month during the 3 months prior to the screening visit;
  • Be willing to use effective contraception during the trial and for 28 days after the end of the last dose;
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  • Sign the informed consent form.
  • History of 4 to 14 migraine attacks days within 4 weeks during the screening visit.
  • The number of headache attacks <14 days/month within 4 weeks during the screening visit;
  • Completed at least 23 days of the electronic diary within 28 days during the screening visit. And the participant is to be able to read, understand and complete the study questionnaire and headache diary;
  • Understand and comply with the study procedures and methods, and voluntarily participate in this study.

Who cannot join

  • Participants diagnosed with probable migraine by ICHD-3
  • Current or previous diagnosis of primary, secondary, or painful cranial neuropathy other than migraine (diagnostic criteria according to ICHD-3)
  • Prior ineffectiveness after adequate treatment with more than 2 medications, which are listed below: Divalproex, sodium valproate; topiramate; beta-blockers; Tricyclic antidepressants; serotonin-norepinephrine reuptake inhibitors; Flunarizine, Verapamil; Lisinopril, Candesartan.
  • Definition of failure to treat: frequency, duration, and severity of headache 6 weeks after administration of the degree of the above drug does not decrease.
  • Use of other devices or prohibited medications such as painkillers containing opioids for the treatment of migraine within 2 months before or during the screening visit
  • Therapeutic injections of Botulinum toxin in the head, face, or neck within 4 months before screening and during the study periods
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  • Simultaneous use of 2 or more drugs within 2 months before or during the screening visit may be prophylactic Medications for migraine effects (if used only 1 prophylactic drug, the dose must be stable for 2 months before the screening visit and throughout the study period)
  • The following situations occur within 2 months before the screening period begins: take ergotamines or triptans at least 10 days per month, or take non-steroidal anti-inflammatory drugs (NSAID) only every month ≥15 days, NSAID combination ≥10 days, or use opioid or barbiturate analgesics ≥4 days per month;
  • Participants use the prohibited drugs such as painkillers containing opioids, devices, or regimens during treatment.
  • History of active chronic pain syndrome (e.g., fibromyalgia, chronic pelvic pain, face Pain, etc.);
  • History of mental illness (e.g., schizophrenia or bipolar disorder) or Patient Health Questionnaire (PHQ-9) score ≥15. If the participant has a history of anxiety or depression (PHQ-9 score < 15) and takes no more than one psychotropic drug, the participant will be allowed to enter. (participant must take a steady dose of treatment within 3 months before the screening visit)
  • Severe neurological disorders other than migraines (including febrile seizures);
  • History of a malignant tumor within 5 years before the screening visit, except for non-melanoma skin cancer, cervical or ductal carcinoma in situ;
  • The screening visit meets any of the following laboratory test values: Alanine transaminase (ALT) or aspartate aminotransferase(AST) >1.5×ULN, or total bilirubin >1.5×ULN (except for participants diagnosed with Gilbert syndrome);
  • History of myocardial infarction, stroke, or transient ischemic attack, unstable angina or coronary bypass surgery within 12 months before the screening visit
  • Expose participants to significant risk or confuse the study
  • Based on clinical interviews or C-SSRS, the investigator believes that the subject has self-harmed or harmed him Human risk;
  • History of drugs or alcohol abuse within 12 months before the screening visit
  • Pregnant, planning pregnancy, or Lactating women;
  • Fertile female participants are unwilling to use an effective contraceptive during the study period Method.
  • Infertile women as follows: history of menopause, age ≥ 55 years, menopause ≥12 months.
  • Age < 55 years, free from spontaneous menstruation for at least 2 years. Age < 55, has spontaneous menstruation in the past 1 year, but currently amenorrhea (e.g., Spontaneous or secondary to hysterectomy), and postmenopausal gonadotropin levels gonadotropin Luteinizing hormone (LH), follicle-stimulating Hormone> 40 IU/L or postmenopausal estradiol level <5 ng/dL History of bilateral oophorectomy, hysterectomy, or bilateral salpingectomy
  • Participated in other clinical trials within the first 3 months
  • Known allergy to Idebenone or any of its ingredients(e.g., lactose intolerant);
  • The participants are employees or immediate family members of the research center (parents, spouses, siblings, or children).

Trial locations and contacts

1 site in 1 country.

YONGGANG WANG contact

15010066622

w100yg@163.com

YAQING ZHANG contact

13910760399

Zhyq0401@126.com

China1 site, 1 recruiting
  • Yonggang Wang

    Beijing, 100050

    Yonggang Wang, w100yg@163.com

    Recruiting

Other trials in China

About this study

Official title: A Multi-center, Randomized, Double-blind, Placebo-controlled Parallel Pilot Study to Evaluate Safety and Efficacy of Oral Idebenone for Preventive Treatment of Migraine in Adult Migraine Patients

This is a multi-center, prospective, double-blind randomized controlled trial on a sample of patients with migraine. Subjects will only be enrolled when a physician or research assistant who is familiar with the study protocol is available to enroll patients. Written, informed consent will be obtained from each patient. Consent will include a discussion of the risks and benefits.

Conditions
Migraine
Being tested
Idebenone+ placebo, Idebenone, Placebo
Keywords
Migraine Prophylaxis, Mitochondrial Dysfunction, Idebenone Individualized Treatment
Medical subject headings
Migraine Disorders, Mitochondrial Diseases

What participants receive

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

  • Idebenone+ placeboDrug

    Also called Idebenone 30 mg+ placebo 60 mg

    Participants will receive Idebenone 30 mg+ placebo 60 mg for 12 weeks.

  • IdebenoneDrug

    Also called Idebenone 90 mg

    Participants will receive Idebenone 90 mg for 12 weeks.

  • PlaceboDrug

    Also called Placebo 90 mg

    Participants will receive Placebo 90 mg for 12 weeks

Study groups in NCT05411978
Study groupRoleWhat they receive
Idebenone 30 mg+ Placebo 60 mgPlacebo comparatorIdebenone 30 mg+ placebo 60 mg TID Oral ,for 12 weeks
Receives: Drug: Idebenone+ placebo
Idebenone 90 mgExperimentalIdebenone 90 mg TID Oral ,for 12 weeks
Receives: Drug: Idebenone
Placebo 90 mgPlacebo comparatorPlacebo 90 mg TID Oral,for 12 weeks
Receives: Drug: Placebo

What is being measured

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

  1. Changes in the migraine days per 4 weeks relative to the baseline.

    Days with migraine in the last four weeks from a daily headache diary.

    Measured: baseline, 4,8,12 weeks

Secondary outcomes (20)
  1. Frequency of headache attacks per 4 weeks as compared to baseline.

    Headache attack as any consistent headache attacks or the use of specific headache drugs.

    Measured: baseline,at 4,8,12 weeks

  2. Changes in the moderate / severe headache days per 4 weeks relative to the baseline

    Moderate / severe headache days as a day in which moderate or severe pain persists for at least 4 hours, or headache lasts for one day after successful medication for acute headache.

    Measured: baseline,at 4,8,12 weeks

  3. Percentage of participants with at Least 50%, 75% and 100% reduction in the Number of Days of Migraine Attacks per 4 weeks.

    The response rate as the percentage reduction in the frequency of migraine attacks (or days of migraine, or days of moderate or severe headache) compared with the baseline during each treatment period.

    Measured: baseline,at 4,8,12 weeks

  4. Change in frequency of acute drug use per 4 weeks relative to baseline.

    The allowed medications include the following categories of drugs: triptans, ergots, opioids, analgesics (including acetaminophen), NSAIDs (including aspirin), and antiemetics.

    Measured: baseline,at 4,8,12 weeks

  5. Change in dose of acute drug use per 4 weeks relative to baseline.

    The allowed medications include the following categories of drugs: triptans, ergots, opioids, analgesics (including acetaminophen), NSAIDs (including aspirin), and antiemetics.

    Measured: baseline,at 4,8,12 weeks

  6. Change in peak headache pain intensity per 4 weeks relative to baseline.

    Participates record the maximum intensity of daily headaches and any medication used. The Visual Analogue Scale (VAS) can be used instead of or in conjunction with a 4-level classified rating scale.

    Measured: baseline,at 4,8,12 weeks

  7. Change in average headache intensity per 4 weeks relative to baseline.

    Four-point rating scale to evaluate the headache intensity of each migraine day--painless, mild, moderate, or severe. The Visual Analogue Scale (VAS) can be used instead of or in conjunction with a 4-level classified rating scale.

    Measured: baseline,at 4,8,12 weeks

  8. Change in cumulative hours of moderate/severe headache pain per 4 weeks relative to baseline.

    The cumulative number of hours of moderate / severe pain calculated by electronic headache diaries. If an attack occurs before going to bed and when you wake up, the amount of sleep also counts as the number of headache hours.

    Measured: baseline,at 4,8,12 weeks

  9. Change in the number of without symptoms days per 4 weeks relative to baseline.

    The number of days without aura, prodromal symptoms, headaches, pain, and subsequent symptoms by headache diary.

    Measured: baseline,at 4,8,12 weeks

  10. Change in the number of without headache days per 4 weeks relative to baseline.

    The number of days without headaches by headache diary.

    Measured: baseline,at 4,8,12 weeks

  11. Change in The Fatigue Severity Scale (FSS) score per 4 weeks relative to baseline.

    The Fatigue Severity Scale (FSS) is a method of evaluating the impact of fatigue on you. The FSS is a short questionnaire that requires you to rate your level of fatigue. The FSS questionnaire contains nine statements that rate the severity of your fatigue symptoms. Read each statement and circle a number from 1 to 7, based on how accurately it reflects your condition during the past week and the extent to which you agree or disagree that the statement applies to you. A higher score indicates greater severity.

    Measured: baseline,at 4,8,12 weeks

  12. Change in The Modified Migraine Disability Assessment Scale score per 4 weeks relative to baseline.

    The Modified Migraine Disability Assessment Scale is a 7-item questionnaire designed. The score is the sum of missed work or school days, days at work or school plus days of household work where productivity was reduced by half or more, missed household work days, and missed non-work activity days due to headaches in the last 1 months.

    Measured: baseline,at 4,8,12 weeks

  13. Change in The Headache Impact Test(HIT-6) score per 4 weeks relative to baseline.

    The HIT-6 is a 6-question assessment used to measure the impact headaches have on a participant's ability to function on the job, at school, at home, and in social situations. It assesses the effect that headaches have on normal daily life and the participant's ability to function.

    Responses are based on frequency using a 5-point scale ranging from "never" to "always." The HIT-6 total score, which ranges from 36 to 78, is the sum of the responses - each of which is assigned a score ranging from 6 points (never) to 13 points (always).

    Measured: baseline,at 4,8,12 weeks

  14. Change in The Migraine-Specific Quality-of-Life Questionnaire, Version 2.1 (MSQ Version 2.1) score per 4 weeks relative to baseline.

    The MSQ v2.1 is a 14-item questionnaire designed to measure health-related quality-of-life impairments attributed to migraine in the past 4 weeks. It is divided into 3 domains: Role Function Restrictive assesses how migraines limit one's daily social and work-related activities; Role Function Preventive assesses how migraines prevent these activities; and the Emotional Function domain assesses the emotions associated with migraines.

    Measured: baseline,at 4,8,12 weeks

  15. Patient Global Impression of Change (PGIC).

    The PGIC is a single item questionnaire used to measure the participant's impression of overall change in migraine since the first dose of study medication. The measure uses a 7-point rating scale with responses ranging from "very much better" to "very much worse."

    Measured: baseline,at 4,8,12 weeks

  16. Change in The Patient Health Questionnaire-9 (PHQ-9) score per 4 weeks relative to baseline.

    The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day). A PHQ-9 score total of 0-4 points equals "normal" or minimal depression. Scoring between 5-9 points indicates mild depression, 10-14 points indicates moderate depression, 15-19 points indicates moderately severe depression, and 20 or more points indicates severe depression.

    Measured: baseline,at 4,8,12 weeks

  17. Change in The General Anxiety Disorder-7(GAD-7) score per 4 weeks relative to baseline.

    GAD-7 is a proven, self-administered and concise tool for screening and diagnosing mental health disorders, which has been tested in the field in office practice. The GAD-7 scale score ranges from 0 to 21.

    Measured: baseline,at 4,8,12 weeks

  18. Change in The Functional Impairment Scale (FIS) score per 4 weeks relative to baseline.

    Functional impairment scale (FIS) is a 4-point scale to evaluate the functional status and injury intensity in daily activities. It can be used in conjunction with the four-point pain intensity scale, usually done daily and summarized within four weeks.

    Measured: baseline,at 4,8,12 weeks

  19. Change in The European Quality of Life 5 Dimensions 3 Level Version (EQ-5D-3L) scores per 4 weeks relative to baseline.

    EQ-5D-3L is a generic instrument for use as a measure of health status. The EQ-5D-3L consists of 2 components-the EQ-5D descriptive system and the EQ VAS. The descriptive system comprises of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). The respondent is asked to indicate his/her health state by ticking (or placing a cross) in the box against the most appropriate statement in each of the 5 dimensions.

    The EQ VAS records the respondent's self-rated health on a vertical, VAS where the endpoints are labelled "Best imaginable health state" and "Worst imaginable health state." The scoring range of the EQ VAS is from 0 (worst imaginable health) to 100 (best imaginable health).

    Measured: baseline,at 4,8,12 weeks

  20. Change in The Columbia-Suicide Severity Rating Scale (C-SSRS) score per 4 weeks relative to baseline.

    C-SSRS will be administered to study subjects at each study visit to assess possible suicidal ideation and behavior. Reports of suicidal ideation with intent to act (endorse item 4 or 5) and reports of actual, aborted, or interrupted suicide attempts or a behavior preparatory for making an attempt indicate subjects at high risk for suicide.

    Measured: baseline,at 4,8,12 weeks

Timeline

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

  1. First posted9 Jun 2022
  2. Study start9 May 2022
  3. Primary completion20 Jun 2024 (estimated)
  4. Study completion20 Jun 2024 (estimated)

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 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
900 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05411978
Sponsor's protocol ID
ADBK-3101-303-002
Status last verified
Jun 2022
First submitted
31 May 2022
Last updated
23 Jun 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Idebenone in people with Migraine, run by Beijing Tiantan Hospital at 1 site in China.

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 11 inclusion and 25 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: status not confirmed, as of the sponsor's last update on 23 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact YONGGANG WANG (15010066622, w100yg@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in the migraine days per 4 weeks relative to the baseline. (time frame: baseline, 4,8,12 weeks). 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 23 Jun 2022.

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