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Study STS101-002 is a randomized, double-blind, parallel group, placebo-controlled, multicenter study to evaluate the efficacy, safety, and tolerability of single doses of STS101 (dihydroergotamine nasal powder) in the acute treatment of migraine
The EMERGE trial is a multi-center, single-dose, randomized, double-blind, placebo-controlled, parallel group study in subjects with acute migraine (ages 18 to 65 years).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| STS101 Low Dose | Experimental | STS101 (dihydroergotamine nasal powder), low dose |
|
| STS101 High Dose | Experimental | STS101 (dihydroergotamine nasal powder), high dose |
|
| STS101 Placebo | Placebo Comparator | STS101 Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dihydroergotamine | Drug | Dihydroergotamine is a semi-synthetic derivative of ergotamine tartrate. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Subjects With Freedom From Migraine Headache Pain at 2 Hours Post Dose | The subject's rating was documented on a four-point scale from no pain (= 0), mild pain (= 1), moderate pain (= 2) to severe pain (= 3). Pain freedom means the pain went from moderate (2) or severe (3) to no pain (0). | 2 Hours Post-Dose |
| Percentage of Subjects With Freedom From Most-Bothersome Symptom at 2 Hours Post Dose | Subjects were prompted to document the presence of 3 symptoms (photophobia, phonophobia, and nausea) immediately before study drug administration and during the treated migraine attack. | 2 Hours Post-Dose |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Subjects With Relief From Migraine Headache Pain at 2 Hours Post Dose | The subject's rating was documented on a four-point scale from no pain (= 0), mild pain (= 1), moderate pain (= 2) to severe pain (= 3). Pain relief means the pain went from moderate (2) or severe (3) to mild pain (1) or no pain (0). | 2 Hours Post Dose |
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Key Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Detlef Albrecht, MD | Satsuma Pharmaceuticals, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Accel Clinical - Birmingham | Birmingham | Alabama | 35216 | United States | ||
| Alabama Clinical Therapeutics |
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A total of 1201 participants were randomized in the study, of which 1065 reported a qualifying migraine attack, received study drug, and reported a post-dose efficacy evaluation for at least one time point at or before the 2-hour timepoint (mITT population).
The study was conducted at 119 sites in the United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | STS101 Low Dose | Subjects received a single oral dose of STS101 (dihydroergotamine nasal powder) 3.9 mg. |
| FG001 | STS101 High Dose | Subjects received a single oral dose of STS101 (dihydroergotamine nasal powder) 5.2 mg. |
| 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 | Apr 9, 2019 |
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| Placebos | Drug | Placebo for STS101 |
|
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| Birmingham |
| Alabama |
| 35235 |
| United States |
| Alea Research | Phoenix | Arizona | 85012 | United States |
| Elite Clinical Studies | Phoenix | Arizona | 85018 | United States |
| Arizona Research Center | Phoenix | Arizona | 85053 | United States |
| Tucson Neuroscience Research | Tucson | Arizona | 85710 | United States |
| The Research Center of Southern California | Carlsbad | California | 92011 | United States |
| Med Center Medical Clinic | Carmichael | California | 95608 | United States |
| WR-PRI | Encino | California | 91316 | United States |
| Marvel Clinical Research | Huntington Beach | California | 92647 | United States |
| eStudySite | La Mesa | California | 91942 | United States |
| Collaborative Neuroscience | Long Beach | California | 90806 | United States |
| WP-PRI | Los Alamitos | California | 90720 | United States |
| Downtown LA Research | Los Angeles | California | 90017 | United States |
| Cal Neuro Research Group | Los Angeles | California | 90024 | United States |
| WR-PRI | Newport Beach | California | 92660 | United States |
| Alliance Sites | Oakland | California | 94607 | United States |
| Stanford Neuroscience Health Center | Palo Alto | California | 94304 | United States |
| National Research Institute | Panorama City | California | 91402 | United States |
| Empire Clinical Reserch | Pomona | California | 91767 | United States |
| Artemis Institute for Clinical Research- Riverside | Riverside | California | 92503 | United States |
| Artemis Institute of Clinical Research - San Diego | San Diego | California | 92103 | United States |
| Pacific Research Network | San Diego | California | 92103 | United States |
| WR-MCCR | San Diego | California | 92108 | United States |
| Optimus Medical Group | San Francisco | California | 94102 | United States |
| Artemis Institute for Clinical Research- San Marcos | San Marcos | California | 92103 | United States |
| Neurological Research Institute | Santa Monica | California | 90404 | United States |
| Schuster Medical Research Institute | Sherman Oaks | California | 91403 | United States |
| Southern California Research | Simi Valley | California | 93065 | United States |
| Encompass Clinical Research | Spring Valley | California | 91978 | United States |
| Hartford Headache Center | East Hartford | Connecticut | 06118 | United States |
| CMR of Greater New Haven | Hamden | Connecticut | 06517 | United States |
| New England Institute for Neurology and Headache | Stamford | Connecticut | 06905 | United States |
| Chase Medical Research | Waterbury | Connecticut | 06708 | United States |
| Accel Clinical - DeLand | DeLand | Florida | 32720 | United States |
| Gulf Coast Clinical Research | Fort Myers | Florida | 33912 | United States |
| MD Clinical | Hallandale | Florida | 33009 | United States |
| AGA Clinical Trials | Hialeah | Florida | 33012 | United States |
| Galiz Research- Hialeah | Hialeah | Florida | 33016 | United States |
| Research Centers of America | Hollywood | Florida | 33024 | United States |
| CNS Healthcare | Jacksonville | Florida | 32256 | United States |
| Multispecialty Research Associates | Lake City | Florida | 32055 | United States |
| ClinCloud | Maitland | Florida | 32751 | United States |
| Premier Clinical Reserch Institute, INC | Miami | Florida | 33122 | United States |
| QPS MRA | Miami | Florida | 33143 | United States |
| Applemed Research Group | Miami | Florida | 33155 | United States |
| Biotech Pharmaceuticals Group | Miami | Florida | 33155 | United States |
| Behavioral Clinical Research | North Miami | Florida | 33161 | United States |
| Sensible Health | Ocoee | Florida | 34761 | United States |
| Accel - Orange City | Orange City | Florida | 32763 | United States |
| CNS Health Care - Orlando | Orlando | Florida | 32801 | United States |
| Neurology Associates of Ormond Beach | Ormond Beach | Florida | 32174 | United States |
| Infinity Clinical Research, LLC | Sunrise | Florida | 33351 | United States |
| Precision Clinical Research | Sunrise | Florida | 33351 | United States |
| Clinical Research CF | Winter Haven | Florida | 33880 | United States |
| Conquest Research | Winter Park | Florida | 32789 | United States |
| Neuro Studios | Decatur | Georgia | 30033 | United States |
| Advanced Clinical Research | Meridian | Idaho | 83642 | United States |
| PMG Research of DuPage Medical Group | Downers Grove | Illinois | 60515 | United States |
| Healthcare Research Network II, LLC | Flossmoor | Illinois | 60422 | United States |
| Phoenix Medical Reserch | Prairie Village | Kansas | 66208 | United States |
| Delricht - Baton Rouge | Baton Rouge | Louisiana | 70816 | United States |
| Tandem Clinical Research | Marrero | Louisiana | 70072 | United States |
| Delricht - NewOrleans | New Orleans | Louisiana | 70124 | United States |
| Boston Clinical Trials | Boston | Massachusetts | 02131 | United States |
| BTC of New Bedford | New Bedford | Massachusetts | 02740 | United States |
| Medvadis Research Group | Watertown | Massachusetts | 02472 | United States |
| Michigan Headache and Neurological Institute | Ann Arbor | Michigan | 48104 | United States |
| Michigan Pain Consultants | Wyoming | Michigan | 49519 | United States |
| Minneapolis Clinic of Neurology | Burnsville | Minnesota | 55337 | United States |
| StudyMetrix Research | City of Saint Peters | Missouri | 63303 | United States |
| Healthcare Research Network II, LLC | Hazelwood | Missouri | 63042 | United States |
| Clinvest Research | Springfield | Missouri | 65810 | United States |
| Montana Medical Research | Missoula | Montana | 59808 | United States |
| Quality Clinical Research | Omaha | Nebraska | 68114 | United States |
| Altea Research | Las Vegas | Nevada | 89102 | United States |
| Wake Research-Clinical Research Center of Nevada | Las Vegas | Nevada | 89118 | United States |
| Clinical Research of South Nevada | Las Vegas | Nevada | 89121 | United States |
| Dartmouth-Hitchcock Clinical Trials Office | Lebanon | New Hampshire | 03756 | United States |
| Hassman Research Institute | Berlin | New Jersey | 08009 | United States |
| Albuquerque Clinical Trials | Albuquerque | New Mexico | 87109 | United States |
| Albuquerque Neuroscience | Albuquerque | New Mexico | 87109 | United States |
| SPRI Clinical Trials | Brooklyn | New York | 11235 | United States |
| Manhattan Behavioral Medicine | New York | New York | 10036 | United States |
| Rochester Clinical Research | Rochester | New York | 14609 | United States |
| Montefiori Medical Center | The Bronx | New York | 10461 | United States |
| Upstate Clinical Research Associates | Williamsville | New York | 14221 | United States |
| Headache Wellness Center - Greensboro | Greensboro | North Carolina | 27405 | United States |
| PharmQuest | Greensboro | North Carolina | 27408 | United States |
| M3-Wake Research | Raleigh | North Carolina | 27612 | United States |
| PMG Research of Wilmington | Wilmington | North Carolina | 28401 | United States |
| Lillestol Research | Fargo | North Dakota | 58104 | United States |
| CTI Clinical Research Center | Cincinnati | Ohio | 45212 | United States |
| Rapid Medical Research Inc. | Cleveland | Ohio | 44122 | United States |
| Aventiv Research | Columbus | Ohio | 43213 | United States |
| Neurology Diagnosis | Dayton | Ohio | 45459 | United States |
| Delynn Institute | Oklahoma City | Oklahoma | 73112 | United States |
| Delricht Research | Tulsa | Oklahoma | 74133 | United States |
| Thomas Jefferson University/Jefferson Headache Center | Philadelphia | Pennsylvania | 19107 | United States |
| CNS Research Inc - Rhode Island | Rumford | Rhode Island | 02916 | United States |
| Omega Medical Research | Warwick | Rhode Island | 02886 | United States |
| WR-ClinSearch | Chattanooga | Tennessee | 37421 | United States |
| CNS Healthcare | Memphis | Tennessee | 38119 | United States |
| Clinical Research Associates | Nashville | Tennessee | 37203 | United States |
| Nashville Neuroscience Group | Nashville | Tennessee | 37203 | United States |
| Wellness Clinical Research | Allen | Texas | 75013 | United States |
| FutureSearch Trials of Neurology | Austin | Texas | 78731 | United States |
| Future Search Trials | Dallas | Texas | 75231 | United States |
| HRMD Research | Dallas | Texas | 75240 | United States |
| Texas Center for Drug Development | Houston | Texas | 77081 | United States |
| SMS Clinical Research | Mesquite | Texas | 75149 | United States |
| DM Clinical Research | Tomball | Texas | 77375 | United States |
| ClinPoint Trials | Waxahachie | Texas | 75165 | United States |
| Aspen Clinical Research | Orem | Utah | 84058 | United States |
| Wasatch Clinical Research | Salt Lake City | Utah | 84107 | United States |
| Highland Clinical Research | Salt Lake City | Utah | 84124 | United States |
| Charlottesville Medical Research | Charlottesville | Virginia | 22911 | United States |
| FG002 | STS101 Placebo | Subjects received a single oral dose of Placebo for STS101 (dihydroergotamine nasal powder). |
| COMPLETED |
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| NOT COMPLETED |
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Patient demographics are presented for the safety population defined as all subjects who were randomized and received the study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | STS101 Low Dose | Subjects received a single oral dose of STS101 (dihydroergotamine nasal powder) 3.9 mg. |
| BG001 | STS101 High Dose | Subjects received a single oral dose of STS101 (dihydroergotamine nasal powder) 5.2 mg. |
| BG002 | STS101 Placebo | Subjects received a single oral dose of Placebo for STS101 (dihydroergotamine nasal powder). |
| BG003 | 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, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
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| 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 | Percentage of Subjects With Freedom From Migraine Headache Pain at 2 Hours Post Dose | The subject's rating was documented on a four-point scale from no pain (= 0), mild pain (= 1), moderate pain (= 2) to severe pain (= 3). Pain freedom means the pain went from moderate (2) or severe (3) to no pain (0). | The analysis was performed on the mITT population. | Posted | Count of Participants | Participants | 2 Hours Post-Dose |
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| Primary | Percentage of Subjects With Freedom From Most-Bothersome Symptom at 2 Hours Post Dose | Subjects were prompted to document the presence of 3 symptoms (photophobia, phonophobia, and nausea) immediately before study drug administration and during the treated migraine attack. | This analysis was conducted on the mITT population. | Posted | Count of Participants | Participants | 2 Hours Post-Dose |
|
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| Secondary | Percentage of Subjects With Relief From Migraine Headache Pain at 2 Hours Post Dose | The subject's rating was documented on a four-point scale from no pain (= 0), mild pain (= 1), moderate pain (= 2) to severe pain (= 3). Pain relief means the pain went from moderate (2) or severe (3) to mild pain (1) or no pain (0). | This analysis was conducted on the mITT population. | Posted | Count of Participants | Participants | 2 Hours Post Dose |
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Serious adverse events (SAEs) were collected from informed consent up to the end of study, and adverse events (AEs) were collected from randomization up to the end of the study (7±3 days after migraine treatment or early study termination).
The safety population was used for adverse event reporting.
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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 | STS101 Low Dose | Subjects received a single oral dose of STS101 (dihydroergotamine nasal powder) 3.9 mg. | 0 | 363 | 0 | 363 | 49 | 363 |
| EG001 | STS101 High Dose | Subjects received a single oral dose of STS101 (dihydroergotamine nasal powder) 5.2 mg. | 0 | 367 | 1 | 367 | 52 | 367 |
| EG002 | STS101 Placebo | Subjects received a single oral dose of Placebo for STS101 (dihydroergotamine nasal powder). | 0 | 363 | 0 | 363 | 19 | 363 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumonia | Infections and infestations | Systematic Assessment | The subject was hospitalized for pneumonia after study randomization but before use of study medication. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasal Discomfort | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Dyseusia | Nervous system disorders | Systematic Assessment |
| ||
| Rhinorrhea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Nasal Congestion | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Vice President of Regulatory Affairs and Quality | Satsuma Pharmaceuticals, Inc. | 650-837-0799 | clin.inquiries@satsumarx.com |
| Apr 19, 2023 |
| Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| D020325 | Migraine with Aura |
| D020326 | Migraine without Aura |
| 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 |
|---|---|
| D004087 | Dihydroergotamine |
| ID | Term |
|---|---|
| D004879 | Ergotamines |
| D004876 | Ergot Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| >30-50 years |
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| >50-65 years |
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| 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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