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This study was a randomized, parallel group, double-blind, placebo controlled design to compare the efficacy and tolerability of NP101 to a placebo iontophoretic transdermal patch. The primary objective of this study was to assess the proportion of subjects who were headache pain free at two hours after patch activation.
Key secondary objectives included:
Subjects stayed in the study until they had treated one migraine headache with a study patch or two months after randomization, whichever occurred first. During a migraine headache, subjects rated their baseline headache pain severity in a Migraine Study Diary using a 4-point scale (0 = none, 1 = mild, 2 = moderate, 3 = severe) and applied the study patch only if their score was 2 or 3 (i.e., qualifying migraine headache). In addition to headache pain severity, subjects also recorded the presence or absence of aura, nausea, phonophobia, and photophobia, as well as the location of their headache (unilateral or bilateral) and whether their headache increased with movement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sumatriptan | Experimental | NP101 - sumatriptan iontophoretic transdermal patch |
|
| Placebo | Placebo Comparator | Placebo iontophoretic transdermal patch |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NP101 - Sumatriptan iontophoretic transdermal patch | Drug | Sumatriptan iontophoretic transdermal patch |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain Free at Two Hours | Subjects whose headache severity score equaled zero (0) two hours post patch activation and who had not received any rescue medication before their two-hour assessment. | 2 hours post patch activation |
| Measure | Description | Time Frame |
|---|---|---|
| Photophobia Free at Two Hours | Subjects who were photophobia free and who had not received any rescue medication before their two-hour assessment. | 2 hours post patch activation |
| Phonophobia Free at Two Hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mark Pierce, MD | NuPathe Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Phoenix | Arizona | United States | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22694484 | Derived | Goldstein J, Smith TR, Pugach N, Griesser J, Sebree T, Pierce M. A sumatriptan iontophoretic transdermal system for the acute treatment of migraine. Headache. 2012 Oct;52(9):1402-10. doi: 10.1111/j.1526-4610.2012.02198.x. Epub 2012 Jun 13. |
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The study was initiated January 2009 and completed July 2009. Patients were enrolled from 38 investigative sites across the United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | NP101 Patch | The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain. |
| FG001 | Placebo Patch |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Placebo | Drug | NP101 Placebo iontophoretic transdermal patch |
|
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Subjects who were phonophobia free and who had not received any rescue medication before their two-hour assessment.
| 2 hours post patch activation |
| Nausea Free at Two Hours | Number of subjects who were nausea free and who had not received any rescue medication before their two-hour assessment. | 2 hours post patch activation |
| Little Rock |
| Arkansas |
| United States |
| Newport Beach | California | United States |
| San Francisco | California | United States |
| Santa Monica | California | United States |
| Fairfield | Connecticut | United States |
| Ocala | Florida | United States |
| Palm Beach Gardens | Florida | United States |
| Sunrise | Florida | United States |
| Atlanta | Georgia | United States |
| Columbus | Georgia | United States |
| Decatur | Georgia | United States |
| Savannah | Georgia | United States |
| Chicago | Illinois | United States |
| Ann Arbor | Michigan | United States |
| Kalamazoo | Michigan | United States |
| Springfield | Missouri | United States |
| St Louis | Missouri | United States |
| Mount Vernon | New York | United States |
| Plainview | New York | United States |
| Greensboro | North Carolina | United States |
| West Chester | Ohio | United States |
| Oklahoma City | Oklahoma | United States |
| Philadelphia | Pennsylvania | United States |
| Pittsburgh | Pennsylvania | United States |
| Wynnewood | Pennsylvania | United States |
| Memphis | Tennessee | United States |
| Nashville | Tennessee | United States |
| Dallas | Texas | United States |
| Houston | Texas | United States |
| San Antonio | Texas | United States |
| Alexandria | Virginia | United States |
| Virginia Beach | Virginia | United States |
| Seattle | Washington | United States |
The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain. |
| COMPLETED |
|
| NOT COMPLETED |
|
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Per protocol, the safety population was defined as subjects who applied a study patch. In each treatment group there were subjects who were randomized but not treated (NP101=31, placebo patch=30) and are therefore not included in the safety population.
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| ID | Title | Description |
|---|---|---|
| BG000 | NP101 Patch | The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain. |
| BG001 | Placebo Patch | The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Pain Free at Two Hours | Subjects whose headache severity score equaled zero (0) two hours post patch activation and who had not received any rescue medication before their two-hour assessment. | Per protocol, the intent-to-treat population was assessed. | Posted | Number | participants | 2 hours post patch activation |
|
|
| |||||||||||||||||||||||||||||
| Secondary | Photophobia Free at Two Hours | Subjects who were photophobia free and who had not received any rescue medication before their two-hour assessment. | Per protocol, the intent-to-treat population was assessed. | Posted | Number | participants | 2 hours post patch activation |
|
| ||||||||||||||||||||||||||||||
| Secondary | Phonophobia Free at Two Hours | Subjects who were phonophobia free and who had not received any rescue medication before their two-hour assessment. | Per protocol, the intent-to-treat population was assessed. | Posted | Number | participants | 2 hours post patch activation |
|
| ||||||||||||||||||||||||||||||
| Secondary | Nausea Free at Two Hours | Number of subjects who were nausea free and who had not received any rescue medication before their two-hour assessment. | Per protocol, the intent-to-treat population was assessed. | Posted | Number | participants | 2 hours post patch activation |
|
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All Adverse Events were collected from study screening until 30 days post patch removal.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | NP101 Patch | The NP101 patch contained 86 mg of sumatriptan and was designed to deliver approximately 6.5 mg of sumatriptan over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain. | 0 | 234 | 114 | 234 | ||
| EG001 | Placebo Patch | The study placebo patch contained sodium chloride instead of sumatriptan which was delivered over 4 hours. Patients were asked to treat one migraine episode with moderate to severe headache pain. | 0 | 235 | 100 | 235 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Application site pain | General disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Application site paraesthesia | General disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Application site pruritus | General disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Application site reaction | General disorders | MedDRA (10.0) | Systematic Assessment |
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Per the study agreement, Investigators have the right to publish or present information and/or data arising from the study, provided the text of any such publication or presentation is submitted for review at least thirty days prior to submission for publication or other disclosure and NuPathe shall have the right to request the removal of any confidential information.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Mark Pierce, MD, PhD | NuPathe Inc. | 484-567-0130 | mpierce@nupathe.com |
| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D018170 | Sumatriptan |
| ID | Term |
|---|---|
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D014363 | Tryptamines |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| >=65 years |
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| Male |
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