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A Placebo-Controlled Adaptive Treatment Assignment Study of Intravenous COL-144 in the Acute Treatment of Migraine

A Placebo-Controlled, Group Sequential, Adaptive Treatment Assignment Study of Intravenous COL-144 (LY573144) in the Acute Treatment of Migraine

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00384774
Enrollment
130
Registered
2006-10-06
Start date
2006-11-30
Completion date
2007-06-30
Last updated
2019-12-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Migraine

Keywords

Migraine

Brief summary

This study evaluates the efficacy of a range of intravenous doses of COL-144 in the treatment of migraine headache in order to select a dose range for further studies.

Detailed description

This study is set up: * to evaluate the efficacy (headache response at two hours) of a range of intravenous doses of COL-144 in order to select a dose range for further evaluation, * to explore the time course and effect of a range of dose levels of COL-144 on features of the migraine including: headache response, proportion of participants pain-free, headache recurrence, nausea, photophobia, phonophobia, disability, use of rescue medication, patient global impression and vomiting * to explore the safety and tolerability of a range of doses of COL-144 in terms of adverse events, physical exam, vital signs, laboratory evaluations, and ECGs * to determine key PK parameters for COL-144 and to explore the relationship between the PK of COL-144 and the time course and extent of clinical response

Interventions

DRUGLasmiditan

Administered as intravenous infusion

DRUGPlacebo

Administered as intravenous infusion

Sponsors

CoLucid Pharmaceuticals
CollaboratorINDUSTRY
Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Patients with migraine with or without aura fulfilling the IHS diagnostic criteria 1.1 and 1.2.1 (2004) * History of migraine of at least 1 year * Migraine onset before the age of 50 years * History of 1 - 8 migraine attacks per month * Male or female subjects aged 18 to 65 years * Female patients of child-bearing potential must be using a highly effective form of contraception (eg combined oral contraceptive, IUD, abstinence, vasectomized partner) * Able and willing to return to the clinic for treatment within 4 hours of the onset of a migraine headache * Able and willing to give written informed consent

Exclusion criteria

* History of life threatening or intolerable adverse reaction to any triptan * Use of prescription migraine prophylactic drugs * Pregnant or breast-feeding women * Women of child-bearing potential not using highly effective contraception * History or evidence of coronary artery disease, ischemic or hemorrhagic stroke, epilepsy or any other condition placing the patient at increased risk of seizures * History of hypertension (controlled or uncontrolled) * Sitting BP \>160mmHg systolic or \>90mmHg diastolic on 2 repeated measurements at screening * Current use of hemodynamically active cardiovascular drugs * History within the previous 3 years or current evidence of abuse of any drug, prescription or illicit, or alcohol * Significant renal impairment * Previous participation in this clinical trial * Participation in any clinical trial of an experimental drug or device in the previous 30 days * Any medical condition or laboratory test which in the judgment of the investigator makes the patient unsuitable for the study * Relatives of, or staff directly reporting to, the investigator * Patients with known hypersensitivity to COL-144, other 5HT1F receptor agonists or to any excipient of COL-144

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Headache Response at Two Hours After Initiation of Infusion of Study Drug2 hours post doseHeadache response is a binary response variable derived from the headache intensities recorded in the participant diary. Headache response is defined as a reduction in headache severity from moderate or severe at baseline to mild or no headache, at two hours after initiation of infusion of study drug.

Secondary

MeasureTime frameDescription
Percentage of Participants Headache Free10, 20, 40, 60 90, 120, 180 and 240 minutes post doseHeadache free is defined as a reduction in headache severity from moderate or severe at baseline to no headache pain at 10 min, 20 min, 40 min, 60 min, 90 min, 120 min, 180 min, and 240 min after initiation of study drug.
Number of Participants With Sustained Headache Response2 to 24 hours post doseSustained headache response at 2 hours is a binary response variable derived from the headache intensities recorded in the participant diary. Sustained headache response was defined as moderate or severe headache pain at baseline which became mild or absent (pain free) at 2 hours after initiation of study drug and which did not recur (became moderate or severe) within 24 hours of initiation of study drug. If rescue medication was taken within 24 hours, this was considered a headache recurrence, even if no headache was reported.
Number of Participants With Sustained Pain Free2 to 24 hours post doseSustained pain free was defined as moderate or severe headache pain at baseline which became mild or absent (pain free) at 2 hours after initiation of study drug and which did not recur (became moderate or severe) within 24 hours of initiation of study drug. If rescue medication was taken within 24 hours, this was considered a headache recurrence, even if no headache was reported.
Percentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose10, 20, 40, 60 90, 120, 180 and 240 minutes post doseHeadache response is defined as a reduction in headache severity from moderate or severe at baseline to mild or no headache, at two hours after initiation of infusion of study drug.
Number of Participants With Clinical Disability2 hours post doseClinical disability for each participant was assessed using the Clinical Disability Questionnaire (CDQ). Participants graded their disability on the following scale: 0, no disability, able to function normally; 1, performance of daily activities mildly impaired, can still do everything but with difficulty; 2, performance of daily activities moderately impaired, unable to do some things; 3, performance of daily activities severely impaired, cannot do all or most things, bed rest may be necessary.
Percentage of Participants Using Rescue Medication24 hours post doseUse of rescue medication up to 24 hours after initiation of study drug.
Percentage of Participants Reporting a Score on the Patient Global Impression (PGI)2 hours post dosePGI scale is a participant-rated instrument that measures participants own global impression of their illness severity. Participants were asked to mark the box that best describes their headache condition since they started taking the medicine. The options in the displayed boxes are represented on a 7-point scale, with 1 = very much better, 2 = much better, 3 = a little better, 4 = no change, 5 = a little worse, 6 = much worse, and 7 = very much worse.
Number of Participants With Absence of Nausea, Vomiting, Photophobia and Phonophobia2 hours post doseNumber of participants with absence of nausea, vomiting, photophobia and phonophobia.

Countries

Finland, Germany, Netherlands

Participant flow

Participants by arm

ArmCount
Placebo
Participants received intravenous infusion of placebo solution.
42
Lasmiditan 2.5 mg
Participants received 2.5 mg of lasmiditan administered as intravenous infusion.
4
Lasmiditan 5.0 mg
Participants received 5 mg of lasmiditan administered as intravenous infusion.
12
Lasmiditan 10 mg
Participants received 10 mg of lasmiditan administered as intravenous infusion.
24
Lasmiditan 20 mg
Participants received 20 mg of lasmiditan administered as intravenous infusion.
28
Lasmiditan 30 mg
Participants received 30 mg of lasmiditan administered as intravenous infusion.
16
Lasmiditan 45 mg
Participants received 45 mg of lasmiditan administered as intravenous infusion.
4
Total130

Baseline characteristics

CharacteristicPlaceboLasmiditan 2.5 mgLasmiditan 5.0 mgLasmiditan 10 mgLasmiditan 20 mgLasmiditan 30 mgLasmiditan 45 mgTotal
Age, Continuous40.3 Years
STANDARD_DEVIATION 13.1
46.8 Years
STANDARD_DEVIATION 14
39.2 Years
STANDARD_DEVIATION 8.8
34.5 Years
STANDARD_DEVIATION 10.3
38.9 Years
STANDARD_DEVIATION 10.1
40.3 Years
STANDARD_DEVIATION 11.2
40.8 Years
STANDARD_DEVIATION 11
39.0 Years
STANDARD_DEVIATION 11.4
Race/Ethnicity, Customized
Black
0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Caucasian
42 Participants4 Participants11 Participants20 Participants28 Participants16 Participants4 Participants125 Participants
Race/Ethnicity, Customized
Latin
0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Romanian
0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
South-American
0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Region of Enrollment
Finland
10 Participants0 Participants6 Participants4 Participants2 Participants1 Participants1 Participants24 Participants
Region of Enrollment
Germany
29 Participants4 Participants5 Participants17 Participants25 Participants15 Participants2 Participants97 Participants
Region of Enrollment
Netherlands
3 Participants0 Participants1 Participants3 Participants1 Participants0 Participants1 Participants9 Participants
Sex: Female, Male
Female
38 Participants3 Participants10 Participants21 Participants24 Participants14 Participants3 Participants113 Participants
Sex: Female, Male
Male
4 Participants1 Participants2 Participants3 Participants4 Participants2 Participants1 Participants17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
0 / 420 / 40 / 120 / 240 / 280 / 160 / 4
other
Total, other adverse events
18 / 422 / 43 / 1217 / 2419 / 2813 / 163 / 4
serious
Total, serious adverse events
0 / 420 / 40 / 120 / 240 / 280 / 160 / 4

Outcome results

Primary

Number of Participants With Headache Response at Two Hours After Initiation of Infusion of Study Drug

Headache response is a binary response variable derived from the headache intensities recorded in the participant diary. Headache response is defined as a reduction in headache severity from moderate or severe at baseline to mild or no headache, at two hours after initiation of infusion of study drug.

Time frame: 2 hours post dose

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugNo23 Participants
PlaceboNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugYes19 Participants
Lasmiditan 2.5 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugNo2 Participants
Lasmiditan 2.5 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugYes2 Participants
Lasmiditan 5.0 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugNo10 Participants
Lasmiditan 5.0 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugYes2 Participants
Lasmiditan 10 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugNo11 Participants
Lasmiditan 10 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugYes13 Participants
Lasmiditan 20 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugNo10 Participants
Lasmiditan 20 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugYes18 Participants
Lasmiditan 30 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugNo5 Participants
Lasmiditan 30 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugYes11 Participants
Lasmiditan 45 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugNo1 Participants
Lasmiditan 45 mgNumber of Participants With Headache Response at Two Hours After Initiation of Infusion of Study DrugYes3 Participants
Comparison: Headache Responsep-value: 1Fisher Exact
Comparison: Headache Responsep-value: 0.0991Fisher Exact
Comparison: Headache Responsep-value: 0.4851Chi-squared
Comparison: Headache Responsep-value: 0.1178Chi-squared
Comparison: Headache Responsep-value: 0.1093Chi-squared
Comparison: Headache Responsep-value: 0.3364Fisher Exact
Secondary

Number of Participants With Absence of Nausea, Vomiting, Photophobia and Phonophobia

Number of participants with absence of nausea, vomiting, photophobia and phonophobia.

Time frame: 2 hours post dose

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaVomiting1 Participants
PlaceboNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaNausea7 Participants
PlaceboNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhonophobia18 Participants
PlaceboNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhotophobia21 Participants
Lasmiditan 2.5 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhonophobia1 Participants
Lasmiditan 2.5 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaVomiting0 Participants
Lasmiditan 2.5 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaNausea1 Participants
Lasmiditan 2.5 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhotophobia1 Participants
Lasmiditan 5.0 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaVomiting0 Participants
Lasmiditan 5.0 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaNausea5 Participants
Lasmiditan 5.0 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhotophobia9 Participants
Lasmiditan 5.0 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhonophobia5 Participants
Lasmiditan 10 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaVomiting1 Participants
Lasmiditan 10 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhotophobia11 Participants
Lasmiditan 10 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaNausea3 Participants
Lasmiditan 10 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhonophobia6 Participants
Lasmiditan 20 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaVomiting0 Participants
Lasmiditan 20 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaNausea6 Participants
Lasmiditan 20 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhotophobia12 Participants
Lasmiditan 20 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhonophobia7 Participants
Lasmiditan 30 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaVomiting0 Participants
Lasmiditan 30 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaNausea1 Participants
Lasmiditan 30 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhonophobia4 Participants
Lasmiditan 30 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhotophobia4 Participants
Lasmiditan 45 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhonophobia1 Participants
Lasmiditan 45 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaPhotophobia1 Participants
Lasmiditan 45 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaNausea1 Participants
Lasmiditan 45 mgNumber of Participants With Absence of Nausea, Vomiting, Photophobia and PhonophobiaVomiting0 Participants
Secondary

Number of Participants With Clinical Disability

Clinical disability for each participant was assessed using the Clinical Disability Questionnaire (CDQ). Participants graded their disability on the following scale: 0, no disability, able to function normally; 1, performance of daily activities mildly impaired, can still do everything but with difficulty; 2, performance of daily activities moderately impaired, unable to do some things; 3, performance of daily activities severely impaired, cannot do all or most things, bed rest may be necessary.

Time frame: 2 hours post dose

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Clinical DisabilityNo disability11 Participants
PlaceboNumber of Participants With Clinical DisabilityMild disability10 Participants
PlaceboNumber of Participants With Clinical DisabilityModerate disability14 Participants
PlaceboNumber of Participants With Clinical DisabilitySevere disability7 Participants
Lasmiditan 2.5 mgNumber of Participants With Clinical DisabilitySevere disability1 Participants
Lasmiditan 2.5 mgNumber of Participants With Clinical DisabilityModerate disability0 Participants
Lasmiditan 2.5 mgNumber of Participants With Clinical DisabilityNo disability2 Participants
Lasmiditan 2.5 mgNumber of Participants With Clinical DisabilityMild disability1 Participants
Lasmiditan 5.0 mgNumber of Participants With Clinical DisabilityModerate disability6 Participants
Lasmiditan 5.0 mgNumber of Participants With Clinical DisabilityMild disability1 Participants
Lasmiditan 5.0 mgNumber of Participants With Clinical DisabilityNo disability1 Participants
Lasmiditan 5.0 mgNumber of Participants With Clinical DisabilitySevere disability4 Participants
Lasmiditan 10 mgNumber of Participants With Clinical DisabilityNo disability6 Participants
Lasmiditan 10 mgNumber of Participants With Clinical DisabilityMild disability7 Participants
Lasmiditan 10 mgNumber of Participants With Clinical DisabilityModerate disability7 Participants
Lasmiditan 10 mgNumber of Participants With Clinical DisabilitySevere disability4 Participants
Lasmiditan 20 mgNumber of Participants With Clinical DisabilityNo disability9 Participants
Lasmiditan 20 mgNumber of Participants With Clinical DisabilitySevere disability1 Participants
Lasmiditan 20 mgNumber of Participants With Clinical DisabilityMild disability7 Participants
Lasmiditan 20 mgNumber of Participants With Clinical DisabilityModerate disability11 Participants
Lasmiditan 30 mgNumber of Participants With Clinical DisabilityMild disability5 Participants
Lasmiditan 30 mgNumber of Participants With Clinical DisabilityNo disability7 Participants
Lasmiditan 30 mgNumber of Participants With Clinical DisabilityModerate disability3 Participants
Lasmiditan 30 mgNumber of Participants With Clinical DisabilitySevere disability1 Participants
Lasmiditan 45 mgNumber of Participants With Clinical DisabilityModerate disability0 Participants
Lasmiditan 45 mgNumber of Participants With Clinical DisabilityNo disability3 Participants
Lasmiditan 45 mgNumber of Participants With Clinical DisabilityMild disability0 Participants
Lasmiditan 45 mgNumber of Participants With Clinical DisabilitySevere disability1 Participants
Secondary

Number of Participants With Sustained Headache Response

Sustained headache response at 2 hours is a binary response variable derived from the headache intensities recorded in the participant diary. Sustained headache response was defined as moderate or severe headache pain at baseline which became mild or absent (pain free) at 2 hours after initiation of study drug and which did not recur (became moderate or severe) within 24 hours of initiation of study drug. If rescue medication was taken within 24 hours, this was considered a headache recurrence, even if no headache was reported.

Time frame: 2 to 24 hours post dose

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Sustained Headache ResponseNo29 Participants
PlaceboNumber of Participants With Sustained Headache ResponseYes13 Participants
Lasmiditan 2.5 mgNumber of Participants With Sustained Headache ResponseNo2 Participants
Lasmiditan 2.5 mgNumber of Participants With Sustained Headache ResponseYes2 Participants
Lasmiditan 5.0 mgNumber of Participants With Sustained Headache ResponseNo11 Participants
Lasmiditan 5.0 mgNumber of Participants With Sustained Headache ResponseYes1 Participants
Lasmiditan 10 mgNumber of Participants With Sustained Headache ResponseNo16 Participants
Lasmiditan 10 mgNumber of Participants With Sustained Headache ResponseYes8 Participants
Lasmiditan 20 mgNumber of Participants With Sustained Headache ResponseNo18 Participants
Lasmiditan 20 mgNumber of Participants With Sustained Headache ResponseYes10 Participants
Lasmiditan 30 mgNumber of Participants With Sustained Headache ResponseNo7 Participants
Lasmiditan 30 mgNumber of Participants With Sustained Headache ResponseYes9 Participants
Lasmiditan 45 mgNumber of Participants With Sustained Headache ResponseNo3 Participants
Lasmiditan 45 mgNumber of Participants With Sustained Headache ResponseYes1 Participants
Secondary

Number of Participants With Sustained Pain Free

Sustained pain free was defined as moderate or severe headache pain at baseline which became mild or absent (pain free) at 2 hours after initiation of study drug and which did not recur (became moderate or severe) within 24 hours of initiation of study drug. If rescue medication was taken within 24 hours, this was considered a headache recurrence, even if no headache was reported.

Time frame: 2 to 24 hours post dose

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Sustained Pain FreeNo35 Participants
PlaceboNumber of Participants With Sustained Pain FreeYes7 Participants
Lasmiditan 2.5 mgNumber of Participants With Sustained Pain FreeNo4 Participants
Lasmiditan 2.5 mgNumber of Participants With Sustained Pain FreeYes0 Participants
Lasmiditan 5.0 mgNumber of Participants With Sustained Pain FreeNo12 Participants
Lasmiditan 5.0 mgNumber of Participants With Sustained Pain FreeYes0 Participants
Lasmiditan 10 mgNumber of Participants With Sustained Pain FreeNo21 Participants
Lasmiditan 10 mgNumber of Participants With Sustained Pain FreeYes3 Participants
Lasmiditan 20 mgNumber of Participants With Sustained Pain FreeNo23 Participants
Lasmiditan 20 mgNumber of Participants With Sustained Pain FreeYes5 Participants
Lasmiditan 30 mgNumber of Participants With Sustained Pain FreeNo13 Participants
Lasmiditan 30 mgNumber of Participants With Sustained Pain FreeYes3 Participants
Lasmiditan 45 mgNumber of Participants With Sustained Pain FreeNo3 Participants
Lasmiditan 45 mgNumber of Participants With Sustained Pain FreeYes1 Participants
Secondary

Percentage of Participants Headache Free

Headache free is defined as a reduction in headache severity from moderate or severe at baseline to no headache pain at 10 min, 20 min, 40 min, 60 min, 90 min, 120 min, 180 min, and 240 min after initiation of study drug.

Time frame: 10, 20, 40, 60 90, 120, 180 and 240 minutes post dose

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Headache Free40 min2.4 Percentage of participants
PlaceboPercentage of Participants Headache Free10 min0 Percentage of participants
PlaceboPercentage of Participants Headache Free20 min2.4 Percentage of participants
PlaceboPercentage of Participants Headache Free60 min7.1 Percentage of participants
PlaceboPercentage of Participants Headache Free90 min14.3 Percentage of participants
PlaceboPercentage of Participants Headache Free120 min19.0 Percentage of participants
PlaceboPercentage of Participants Headache Free180 min21.4 Percentage of participants
PlaceboPercentage of Participants Headache Free240 min21.4 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants Headache Free20 min0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants Headache Free10 min0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants Headache Free40 min0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants Headache Free60 min0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants Headache Free90 min0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants Headache Free120 min0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants Headache Free180 min0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants Headache Free240 min25.0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants Headache Free120 min0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants Headache Free40 min0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants Headache Free90 min0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants Headache Free10 min0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants Headache Free180 min0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants Headache Free20 min0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants Headache Free240 min0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants Headache Free60 min0 Percentage of participants
Lasmiditan 10 mgPercentage of Participants Headache Free240 min20.8 Percentage of participants
Lasmiditan 10 mgPercentage of Participants Headache Free180 min20.8 Percentage of participants
Lasmiditan 10 mgPercentage of Participants Headache Free10 min0 Percentage of participants
Lasmiditan 10 mgPercentage of Participants Headache Free60 min20.8 Percentage of participants
Lasmiditan 10 mgPercentage of Participants Headache Free90 min20.8 Percentage of participants
Lasmiditan 10 mgPercentage of Participants Headache Free40 min8.3 Percentage of participants
Lasmiditan 10 mgPercentage of Participants Headache Free20 min8.3 Percentage of participants
Lasmiditan 10 mgPercentage of Participants Headache Free120 min20.8 Percentage of participants
Lasmiditan 20 mgPercentage of Participants Headache Free90 min25.0 Percentage of participants
Lasmiditan 20 mgPercentage of Participants Headache Free180 min32.1 Percentage of participants
Lasmiditan 20 mgPercentage of Participants Headache Free120 min28.6 Percentage of participants
Lasmiditan 20 mgPercentage of Participants Headache Free240 min28.6 Percentage of participants
Lasmiditan 20 mgPercentage of Participants Headache Free20 min3.6 Percentage of participants
Lasmiditan 20 mgPercentage of Participants Headache Free10 min3.6 Percentage of participants
Lasmiditan 20 mgPercentage of Participants Headache Free40 min14.3 Percentage of participants
Lasmiditan 20 mgPercentage of Participants Headache Free60 min21.4 Percentage of participants
Lasmiditan 30 mgPercentage of Participants Headache Free10 min0 Percentage of participants
Lasmiditan 30 mgPercentage of Participants Headache Free40 min18.8 Percentage of participants
Lasmiditan 30 mgPercentage of Participants Headache Free60 min25.0 Percentage of participants
Lasmiditan 30 mgPercentage of Participants Headache Free90 min37.5 Percentage of participants
Lasmiditan 30 mgPercentage of Participants Headache Free120 min37.5 Percentage of participants
Lasmiditan 30 mgPercentage of Participants Headache Free240 min31.3 Percentage of participants
Lasmiditan 30 mgPercentage of Participants Headache Free180 min37.5 Percentage of participants
Lasmiditan 30 mgPercentage of Participants Headache Free20 min0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants Headache Free180 min25.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants Headache Free120 min25.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants Headache Free90 min25.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants Headache Free60 min25.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants Headache Free240 min25.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants Headache Free20 min25.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants Headache Free10 min25.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants Headache Free40 min25.0 Percentage of participants
Secondary

Percentage of Participants Reporting a Score on the Patient Global Impression (PGI)

PGI scale is a participant-rated instrument that measures participants own global impression of their illness severity. Participants were asked to mark the box that best describes their headache condition since they started taking the medicine. The options in the displayed boxes are represented on a 7-point scale, with 1 = very much better, 2 = much better, 3 = a little better, 4 = no change, 5 = a little worse, 6 = much worse, and 7 = very much worse.

Time frame: 2 hours post dose

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)No change19.0 Percentage of Participants
PlaceboPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much better9.5 Percentage of Participants
PlaceboPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much worse2.4 Percentage of Participants
PlaceboPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much better19.0 Percentage of Participants
PlaceboPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much worse11.9 Percentage of Participants
PlaceboPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little better23.8 Percentage of Participants
PlaceboPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little worse14.3 Percentage of Participants
Lasmiditan 2.5 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much better0 Percentage of Participants
Lasmiditan 2.5 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much better75.0 Percentage of Participants
Lasmiditan 2.5 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much worse0 Percentage of Participants
Lasmiditan 2.5 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little worse0 Percentage of Participants
Lasmiditan 2.5 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)No change0 Percentage of Participants
Lasmiditan 2.5 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little better0 Percentage of Participants
Lasmiditan 2.5 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much worse25.0 Percentage of Participants
Lasmiditan 5.0 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little better41.7 Percentage of Participants
Lasmiditan 5.0 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much worse16.7 Percentage of Participants
Lasmiditan 5.0 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much better8.3 Percentage of Participants
Lasmiditan 5.0 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much better0 Percentage of Participants
Lasmiditan 5.0 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much worse0 Percentage of Participants
Lasmiditan 5.0 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)No change25.0 Percentage of Participants
Lasmiditan 5.0 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little worse8.3 Percentage of Participants
Lasmiditan 10 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)No change29.2 Percentage of Participants
Lasmiditan 10 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much better8.3 Percentage of Participants
Lasmiditan 10 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much better29.2 Percentage of Participants
Lasmiditan 10 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little better29.2 Percentage of Participants
Lasmiditan 10 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little worse4.2 Percentage of Participants
Lasmiditan 10 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much worse0 Percentage of Participants
Lasmiditan 10 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much worse0 Percentage of Participants
Lasmiditan 20 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much worse0 Percentage of Participants
Lasmiditan 20 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much better25.0 Percentage of Participants
Lasmiditan 20 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)No change7.1 Percentage of Participants
Lasmiditan 20 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little better42.9 Percentage of Participants
Lasmiditan 20 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much better17.9 Percentage of Participants
Lasmiditan 20 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much worse0 Percentage of Participants
Lasmiditan 20 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little worse7.1 Percentage of Participants
Lasmiditan 30 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much worse0 Percentage of Participants
Lasmiditan 30 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much better37.5 Percentage of Participants
Lasmiditan 30 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much better31.3 Percentage of Participants
Lasmiditan 30 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little worse0 Percentage of Participants
Lasmiditan 30 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much worse0 Percentage of Participants
Lasmiditan 30 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)No change12.5 Percentage of Participants
Lasmiditan 30 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little better18.8 Percentage of Participants
Lasmiditan 45 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)No change25.0 Percentage of Participants
Lasmiditan 45 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little worse0 Percentage of Participants
Lasmiditan 45 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much better50.0 Percentage of Participants
Lasmiditan 45 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Much worse0 Percentage of Participants
Lasmiditan 45 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much better0 Percentage of Participants
Lasmiditan 45 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)Very much worse0 Percentage of Participants
Lasmiditan 45 mgPercentage of Participants Reporting a Score on the Patient Global Impression (PGI)A little better25.0 Percentage of Participants
Secondary

Percentage of Participants Using Rescue Medication

Use of rescue medication up to 24 hours after initiation of study drug.

Time frame: 24 hours post dose

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Using Rescue Medication69.0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants Using Rescue Medication25.0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants Using Rescue Medication91.7 Percentage of participants
Lasmiditan 10 mgPercentage of Participants Using Rescue Medication58.3 Percentage of participants
Lasmiditan 20 mgPercentage of Participants Using Rescue Medication53.6 Percentage of participants
Lasmiditan 30 mgPercentage of Participants Using Rescue Medication37.5 Percentage of participants
Lasmiditan 45 mgPercentage of Participants Using Rescue Medication25.0 Percentage of participants
Secondary

Percentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose

Headache response is defined as a reduction in headache severity from moderate or severe at baseline to mild or no headache, at two hours after initiation of infusion of study drug.

Time frame: 10, 20, 40, 60 90, 120, 180 and 240 minutes post dose

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose40 min35.7 Percentage of participants
PlaceboPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose20 min26.2 Percentage of participants
PlaceboPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose10 min11.9 Percentage of participants
PlaceboPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose60 min33.3 Percentage of participants
PlaceboPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose90 min47.6 Percentage of participants
PlaceboPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose120 min45.2 Percentage of participants
PlaceboPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose180 min33.3 Percentage of participants
PlaceboPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose240 min31.0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose180 min50.0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose120 min50.0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose90 min50.0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose20 min0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose40 min0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose240 min75.0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose60 min50.0 Percentage of participants
Lasmiditan 2.5 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose10 min0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose60 min25.0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose20 min16.7 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose240 min33.3 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose90 min25.0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose40 min25.0 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose120 min16.7 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose10 min8.3 Percentage of participants
Lasmiditan 5.0 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose180 min25.0 Percentage of participants
Lasmiditan 10 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose90 min45.8 Percentage of participants
Lasmiditan 10 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose120 min54.2 Percentage of participants
Lasmiditan 10 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose240 min54.2 Percentage of participants
Lasmiditan 10 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose40 min37.5 Percentage of participants
Lasmiditan 10 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose20 min25.0 Percentage of participants
Lasmiditan 10 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose180 min54.2 Percentage of participants
Lasmiditan 10 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose60 min50.0 Percentage of participants
Lasmiditan 10 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose10 min8.3 Percentage of participants
Lasmiditan 20 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose240 min57.1 Percentage of participants
Lasmiditan 20 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose20 min39.3 Percentage of participants
Lasmiditan 20 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose40 min50.0 Percentage of participants
Lasmiditan 20 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose60 min53.6 Percentage of participants
Lasmiditan 20 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose90 min53.6 Percentage of participants
Lasmiditan 20 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose120 min64.3 Percentage of participants
Lasmiditan 20 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose180 min60.7 Percentage of participants
Lasmiditan 20 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose10 min14.3 Percentage of participants
Lasmiditan 30 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose10 min12.5 Percentage of participants
Lasmiditan 30 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose120 min68.8 Percentage of participants
Lasmiditan 30 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose60 min75.0 Percentage of participants
Lasmiditan 30 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose40 min75.0 Percentage of participants
Lasmiditan 30 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose180 min68.8 Percentage of participants
Lasmiditan 30 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose240 min68.8 Percentage of participants
Lasmiditan 30 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose20 min50.0 Percentage of participants
Lasmiditan 30 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose90 min68.8 Percentage of participants
Lasmiditan 45 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose180 min75.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose90 min75.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose120 min75.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose60 min50.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose20 min75.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose40 min75.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose240 min25.0 Percentage of participants
Lasmiditan 45 mgPercentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose10 min75.0 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 31, 2026