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Safety and Efficacy of DFN-11 in patients with episodic migraines with or without aura.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DFN-11 | Experimental | DFN-11 active injection upon occurrence of migraine |
|
| Placebo | Placebo Comparator | Placebo injection upon occurrence of migraine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DFN-11 | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| The Percentage of Subjects in the Double-blind Period Who Are Pain Free at 2 Hours After Dosing as Reported by the Subject in the eDiary | 2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| The Percentage of Subjects in the Double-blind Period Who Are Pain Free at 1 Hour After Dosing as Reported by the Subject in the eDiary | 1 hour |
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Inclusion Criteria:
Exclusion Criteria:
Minors, even if they are in specified study age range
Medication overuse headache as defined by ICHD II:
Subjects treated with onabotulinumtoxin A (Botox®) or other botulinum toxin treatment; or history of receiving such treatment during the 180 days prior to screening
On unstable dosages of migraine prophylactic medications during the 30 days prior to and through screening
Taking mini-prophylaxis for menstrual migraine
Subjects with hemiplegic or basilar migraine or other forms of neurologically complicated migraine
Subjects who have prolonged aura (i.e., more than 1 hour)
Cerebrovascular disease including but not limited to a history of stroke or transient ischemic attack (TIA)
A history of migralepsy (seizure following a migraine) or a concurrent diagnosis of seizure disorder
Subjects who cannot differentiate between a migraine headache and tension-type or cluster headache or other types of headache
Subjects with a history of more than occasional (based on Investigator's judgment) tension-type headache (distinct from migraine headache days count).
Subjects with a history of cluster headaches
Subjects with the diagnosis of "probable migraine" (ICHD II)
Ischemic coronary artery disease (CAD): including but not limited to angina pectoris, history of myocardial infarction or documented silent ischemia or coronary artery vasospasm, including Prinzmetal's angina
Subjects with Wolff-Parkinson-White syndrome or arrhythmias associated with other cardiac accessory conduction pathway disorders
Subjects with a history of congenital heart disease
A history of uncontrolled hypertension or screening systolic/diastolic > 140/90 mmHg
Have peripheral vascular disease including but not limited to ischemic bowel disease (IBD) and Raynaud's disease.
Any abnormal physiology and/or pathology which, in the opinion of the Investigator or Sponsor, which would be contraindicated for study participation and would not allow the objectives of the study to be met
Subjects who show any clinical laboratory or electrocardiogram (ECG) abnormality that in the opinion of the Investigator would endanger the subject or interfere with the study conduct. If the results of the clinical laboratory or ECG are outside of normal reference range the subject may still be enrolled but only if these findings are determined to be not clinically significant by the Investigator. This determination must be recorded in the subject's source document prior to enrolment.
Fridericia's corrected QT (QTcF) interval greater than 450 msec
Severe renal impairment (creatinine > 2 mg/dl)
Serum total bilirubin > 2.0 mg/dL
Serum aspartate aminotransferase (AST), alanine aminotransferase (ALT), or alkaline phosphatase > 2.5 times the upper limit of normal
Subjects with uncontrolled diabetes mellitus, or a glycosylated hemoglobin (HbA1c) > 7.0%, or with diabetes mellitus requiring insulin
A history of alcohol or substance use disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Edition V (DSM-V) (including marijuana) within 1 year prior to screening
Current treatment with antipsychotics or use of antipsychotics within 30 days of screening
A history of or current neurological or psychiatric impairment, including but not limited to psychosis, current major depression, bipolar disorder or cognitive dysfunction that, in the opinion of the Investigator, would compromise data collection
Subjects who have received treatment with an investigational drug or device within 30 days of the screening visit or participated in a central nervous system clinical trial in the 3 months prior to screening
Subjects with any other medical condition that, in the judgment of the Investigator and/or Medical Monitor, would confound the objectives of the study (e.g., positive screening test for human immunodeficiency virus [HIV], hepatitis B surface antigen positive or hepatitis C positive, a known history of systemic lupus erythematosis)
Subjects who plan to donate blood, sperm, or oocytes during the study and for 30 days after the last dose of study medication
Subjects who are employees or immediate relatives of the employees of the Sponsor, any of its affiliates or partners, or of the study center
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dr. Reddy's Investigational Site #18 | Santa Monica | California | 80404 | United States | ||
| Dr. Reddy's Investigational Site #24 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30112726 | Derived | Landy S, Munjal S, Brand-Schieber E, Rapoport AM. Efficacy and safety of DFN-11 (sumatriptan injection, 3 mg) in adults with episodic migraine: a multicenter, randomized, double-blind, placebo-controlled study. J Headache Pain. 2018 Aug 15;19(1):69. doi: 10.1186/s10194-018-0881-z. | |
| 30112725 | Derived | Landy S, Munjal S, Brand-Schieber E, Rapoport AM. Efficacy and safety of DFN-11 (sumatriptan injection, 3 mg) in adults with episodic migraine: an 8-week open-label extension study. J Headache Pain. 2018 Aug 15;19(1):70. doi: 10.1186/s10194-018-0882-y. |
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| ID | Title | Description |
|---|---|---|
| FG000 | DFN-11 - Double-Blind | DFN-11 active injection upon occurrence of migraine DFN-11 |
| FG001 | Placebo - Double-Blind | Placebo injection upon occurrence of migraine Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Aug 24, 2016 |
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|
| Jacksonville |
| Florida |
| 32256 |
| United States |
| Dr. Reddy's Investigational Site #23 | Maitland | Florida | 32751 | United States |
| Dr. Reddy's Investigational Site #27 | Boise | Idaho | 83716 | United States |
| Dr. Reddy's Investigational Site #20 | Watertown | Massachusetts | 02472 | United States |
| Dr. Reddy's Investigational Site #19 | Ann Arbor | Michigan | 48104 | United States |
| Dr. Reddy's Investigational Site #13 | Springfield | Missouri | 65807 | United States |
| Dr. Reddy's Investigational Site #12 | Albuquerque | New Mexico | 87102 | United States |
| Dr. Reddy's Investigational Site #10 | Williamsville | New York | 14221 | United States |
| Dr. Reddy's Investigational Site #26 | Greensboro | North Carolina | 27405 | United States |
| Dr. Reddy's Investigational Site #15 | Cleveland | Ohio | 44122 | United States |
| Dr. Reddy's Investigational Site #21 | Mt. Pleasant | South Carolina | 29464 | United States |
| Dr. Reddy's Investigational Site #25 | Memphis | Tennessee | 38119 | United States |
| Dr. Reddy's Investigational Site #14 | Dallas | Texas | 75231 | United States |
| Dr. Reddy's Investigational Site #16 | Hurst | Texas | 76054 | United States |
| Dr. Reddy's Investigational Site #17 | West Jordan | Utah | 84088 | United States |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | DFN-11 - Double-blind | DFN-11 active injection upon occurrence of migraine DFN-11 |
| BG001 | Placebo - Double-blind | Placebo injection upon occurrence of migraine Placebo |
| 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, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | 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 | The Percentage of Subjects in the Double-blind Period Who Are Pain Free at 2 Hours After Dosing as Reported by the Subject in the eDiary | Subjects analyzed had efficacy data at the time of specified assessment | Posted | Number | Percentage of responders | 2 hours |
|
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| ||||||||||||||||||||||||||||||
| Secondary | The Percentage of Subjects in the Double-blind Period Who Are Pain Free at 1 Hour After Dosing as Reported by the Subject in the eDiary | Subjects analyzed had efficacy data at the time of specified assessment | Posted | Number | Percentage of responders | 1 hour |
|
|
During the double-blind treatment period, treatment-emergent adverse events were collected for 5 days after each time a subject treated a migraine with the study drug (DFN-11 or placebo).
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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 | DFN-11 - Double-blind | DFN-11 active injection upon occurrence of migraine DFN-11 | 0 | 131 | 0 | 131 | 37 | 131 |
| EG001 | Placebo - Double-blind | Placebo injection upon occurrence of migraine Placebo | 0 | 137 | 0 | 137 | 16 | 137 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection site reaction | General disorders | Systematic Assessment |
| ||
| Paraesthesia | General disorders | Systematic Assessment |
| ||
| Chest discomfort | General disorders | Systematic Assessment |
| ||
| Nausea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Throat tightness | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Sinus tachycardia | Cardiac disorders | Systematic Assessment |
| ||
| Ventricular extrasystoles | Cardiac disorders | Systematic Assessment |
| ||
| diarrhea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Dysphagia | Gastrointestinal disorders | Systematic Assessment |
| ||
| Ear infection | Infections and infestations | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Development | Dr. Reddy's | 609-375-9900 | ebrandschieber@drreddys.com |
| Jun 27, 2018 |
| Prot_SAP_000.pdf |
| Male |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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