Efficacy and Safety of a Fixed-dose Combination of Naratriptan and Naproxen in Acute Treatment of Migraine

Overview[ - collapse ][ - ]

Purpose The purpose of this study is to determine whether a fixed-dose combination of naratriptan + naproxen is effective compared each monotherapy for the acute treatment of migraine.
ConditionMigraine
Headache
InterventionDrug: Fixed-dose combination of naratriptan + naproxen
Drug: Naratriptan
Drug: Naproxen
PhasePhase 3
SponsorAche Laboratorios Farmaceuticos S.A.
Responsible PartyAche Laboratorios Farmaceuticos S.A.
ClinicalTrials.gov IdentifierNCT01390324
First ReceivedJuly 7, 2011
Last UpdatedAugust 18, 2011
Last verifiedJuly 2011

Tracking Information[ + expand ][ + ]

First Received DateJuly 7, 2011
Last Updated DateAugust 18, 2011
Start DateDecember 2011
Estimated Primary Completion DateNot Provided
Current Primary Outcome MeasuresHeadache relief 2 hours after dosing, without use of rescue medication. [Time Frame: 2 hours after single dose of double-blind treatment] [Designated as safety issue: No]Participants were evaluated (self-assessment) for pain intensity by using a 4-point rating scale: 0=none, 1=mild, 2=moderate, and 3=severe.
Current Secondary Outcome Measures
  • Headache relief 4 hours after dosing, without use of rescue medication [Time Frame: 4 hours after single dose of double-blind treatment] [Designated as safety issue: No]
  • Sustained headache relief over 24 hours, without use of rescue medication [Time Frame: 24 hours after single dose of double-blind treatment] [Designated as safety issue: No]
  • Pain-free response 2 and 4 hours after dosing, without use of rescue medication [Time Frame: 2 and 4 hours after single dose of double-blind treatment] [Designated as safety issue: No]
  • Sustained pain-free response over 24 hours, without use of rescue medication [Time Frame: 24 hours after single dose of double-blind treatment] [Designated as safety issue: No]
  • Freedom from photophobia, phonophobia and nausea 2 and 4 hours after dosing, without use of rescue medication [Time Frame: 2 and 4 hours after single dose of double-blind treatment] [Designated as safety issue: No]
  • Sustained freedom from photophobia, phonophobia and nausea from 2 through 24 hours after dosing, without use of rescue medication [Time Frame: 2 through 24 hours after single dose of double-blind treatment] [Designated as safety issue: No]
  • Proportion of subjects who used rescue medication between 2 and 24 hours after dosing, at least once [Time Frame: 2 and 24 hours after single dose of double-blind treatment] [Designated as safety issue: No]
  • Safety descriptive about occurence of adverse events, evaluation of results of general physical examination. [Time Frame: Collection of safety data throughout the whole study period] [Designated as safety issue: Yes]

Descriptive Information[ + expand ][ + ]

Brief TitleEfficacy and Safety of a Fixed-dose Combination of Naratriptan and Naproxen in Acute Treatment of Migraine
Official TitleA Multicenter, National, Double-blind, Randomized Study to Evaluate the Efficacy and Safety of a Fixed-dose Combination of Naratriptan 2,5 mg + Naproxen 500 mg Relative to Efficacy and Safety of Each Monotherapy for the Acute Treatment of Migraine
Brief Summary
The purpose of this study is to determine whether a fixed-dose combination of naratriptan +
naproxen is effective compared each monotherapy for the acute treatment of migraine.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 3
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Condition
  • Migraine
  • Headache
InterventionDrug: Fixed-dose combination of naratriptan + naproxen
Tablets containing naratriptan 2,5 mg + naproxen 500 mg
Drug: Naratriptan
Tablets containing naratriptan 2,5 mg
Drug: Naproxen
Tablets containing naproxen 500 mg
Study Arm (s)
  • Experimental: • Fixed-dose combination of naratriptan + naproxen
  • Active Comparator: Naratriptan
  • Active Comparator: Naproxen

Recruitment Information[ + expand ][ + ]

Recruitment StatusNot yet recruiting
Estimated Enrollment564
Estimated Completion DateNot Provided
Estimated Primary Completion DateOctober 2012
Eligibility Criteria
Inclusion Criteria:

- Male or female patient, age in the range of 18-65 years inclusive that has onset of
migraine before age 50;

- Patient has at least a 3-month history of migraine with or without aura according to
the ICHD-II, 2004, IHS (International Headache Society) criteria;

- Patients experienced an average migraine headache frequency of 2-6 moderate or severe
attacks per month in the last 03 months prior to screening visit;

- Patients able to distinguish his/her migraine attacks from any other types of
headaches;

- Patients able to understand and consent to participate in this clinical study,
expressed by signing the Informed Consent (IC).

Exclusion Criteria:

- History of more than 6 migraine attacks/month in the last 03 months prior to
screening visit;

- History of non-migraine headache frequency ≥ 15 days/month in each of the 3 months
prior to screening.

- History of following migraine variants, according to the ICHD-II, 2004, IHS
(International Headache Society): basilar migraine, aura without headache, familial
hemiplegic migraine, sporadic hemiplegic migraine or aura with non-migraine
headache;

- If female of childbearing potential, has a negative urine pregnancy test at Visit 0
and uses, or agrees to use, for the duration of the study, a medically acceptable
form of contraception as determined by the investigator;

- Woman in pregnancy or lactation period;

- History of epilepsy or psychiatric condition that may affect the compliance of the
treatment;

- Patients in acupuncture treatment for the symptoms of migraine attacks;

- Suffers from cardiovascular disease (ischemic heart disease, including angina
pectoris, myocardial infarction, documented silent ischemia, or with Prinzmetal's
angina) or has symptoms of ischemic heart disease;

- History of cerebrovascular pathology including stroke and/or transient ischemic
attacks;

- History of allergic reactions to naproxen preparations, including subjects in whom
aspirin or other NSAID drugs induce the syndrome of asthma, rhinitis, nasal polyps or
urticaria;

- Diagnosis of renal or hepatic failure;

- Has significant (as determined by the investigator) cardiovascular risk factors that
may include uncontrolled high blood pressure, post-menopausal women, males over 40
years old, hypercholesterolemia, obesity, diabetes mellitus, smoking, or a family
history of cardiovascular disease in a 1st degree relative.

- Patients who have stopped or changed the dosage of the preventive treatment of
migraine in the last 2 weeks prior the screening visit (V0), including the use of
calcium channel blockers, tricyclic antidepressants, beta blockers or serotonergic
medications for any other indications;

- Use of prohibited medicine as shown in 9.3 item of this protocol;

- Inability to understand and report the categorical scale debilitating functional of
study or symptoms diary;

- Has abused, in the opinion of the Investigator, any of the following drugs, currently
or within the past 2 years: opioids, alcohol, barbiturates, benzodiazepine, cocaine
or abuse of drugs for migraine treatment including narcotics ergotamines headache in
the past 03 months;

- Hypersensitivity, intolerance, or contraindication to the use of naratriptan or
naproxen, any of its components;

- Hypersensitivity, intolerance, or contraindication to the use of sulfonamides;

- History of malignancy ≤ 5 years or > 5 years without documentation of remission /
cure, for example, melanoma, leukemia, lymphoma, myeloproliferative disorders and
renal cell carcinoma of any duration. Exception: Subjects with basal cell skin
cancers, squamous cell, and cervical cancer in situ may be eligible;

- Participation in last one year of clinical protocols, unless it can be direct benefit
to patient;

- Any finding of clinical observation (anamnesis and physical exam) laboratory
abnormality (eg, blood glucose, blood count), disease (for example, liver,
cardiovascular system, lung) or therapy that, in opinion of the investigator, may
endanger the patient or interfere with the endpoints of study.
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsContact: Carla R Peron, Physician
+55 11 2608-8680
carla.peron@ache.com.br
Location CountriesNot Provided

Administrative Information[ + expand ][ + ]

NCT Number NCT01390324
Other Study ID NumbersACH-NRP-03(05/11)
Has Data Monitoring CommitteeNo
Information Provided ByAche Laboratorios Farmaceuticos S.A.
Study SponsorAche Laboratorios Farmaceuticos S.A.
CollaboratorsNot Provided
Investigators Principal Investigator: Deusvenir S Carvalho Federal University of São Paulo
Verification DateJuly 2011