Migraine
Conditions
Brief summary
A study to assess the safety and efficacy of MK0974 for preventing migraines in patients with episodic migraine.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient is 18 years of age or older * Patient has had a history of migraine with or without aura * Patient is able to complete study questionnaire(s) and paper diary
Exclusion criteria
* Patient is pregnant or breast-feeding, or is a female expecting to conceive within the projected duration of the study * Patient has basilar or hemiplegic migraine headache, hepatitis or psychiatric conditions * Patient was older than 50 years of age at migraine onset * History of gastric or small intestinal surgery or has a disease that causes malabsorption * Patient has heart attack, unstable angina, coronary artery bypass surgery or other revascularization procedure, stroke, or transient ischemic attack 3 months before starting the study * Currently participating or has participated in a study with an investigational compound or device within 30 days of starting the study * Currently participating in a study with MK-0974 or MK-3207
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Mean Monthly Headache Days | Baseline and Week 12 | Participants entered information about the number of migraine headaches, symptoms, headache pain duration and severity, use of medication, and side effects into a diary each evening just before going to bed. This information was used to determine the mean monthly headache days; a headache day was defined as any day in which a qualified headache (\>=30 minute duration or requiring acute treatment) started, ended, or recurred. Headache pain persisting for more than 1 calendar day after initial onset was considered an occurrence of multiple distinct headache days. Mean monthly rate was adjusted to 28 days. |
| Change From Baseline in Mean Monthly Migraine Days | Baseline and Week 12 | Participants entered information about the number of migraine headaches, symptoms, headache pain duration and severity, use of medication, and side effects into a diary each evening just before going to bed. This information was used to determine the mean monthly migraine days; a migraine day was defined as any day in which a qualified headache( i.e., aura, photophobia, phonophobia, nausea, or vomiting) started, ended, or recurred. Migraine pain persisting for more than 1 calendar day after initial onset was considered an occurrence of multiple distinct migraine days. Mean monthly rate was adjusted to 28 days. |
| Percentage of Participants Who Experienced an Adverse Event | up to 14 days after last dose of study drug (up to 12 weeks) | Participants were assessed throughout the study for adverse events and recorded adverse events in a daily dairy. An adverse event was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an adverse event. |
| Percentage of Participants Who Had Study Drug Discontinued During the Study Due to an Adverse Event | up to 12 weeks | Participants were assessed throughout the study for adverse events and recorded adverse events in a daily dairy. An adverse event was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an adverse event. The percentage of participants who discontinued study was summarized. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in the Mean Monthly Migraine Attacks | Baseline and Week 12 | Participants entered information about the number of migraine headaches, symptoms, headache pain duration and severity, use of medication, and side effects into a diary each evening just before going to bed. This information was used to determine the mean monthly migraine days; a migraine day was defined as any day in which a qualified headache was accompanied with associated symptoms.( i.e., aura, photophobia, phonophobia, nausea, or vomiting) started, ended, or recurred. A migraine attack was defined as any migraine headache that occurs within 2 consecutive calendar days. Pain persisting for more than 2 days after its initial onset was considered a new, distinct migraine attack. The number of migraine attacks that occurred per month was calculated. Mean monthly rate was adjusted to 28 days. |
| Change From Baseline in the Mean Number of Days Per Month Requiring Rescue Medication | Baseline and Week 12 | Participants completed a diary each evening just before going to bed. Information recorded included: date of assessment, administration of study medication, medication to treat breakthrough migraines and other headaches, associated symptoms, duration of headache pain, headache severity, and side effects. Participants use of medication to treat a breakthrough migraine/headache was considered rescue medication. The number of days per month requiring rescue medication was calculated. |
| Percentage of Participants With at Least a 50% Reduction in Mean Monthly Headache Days | Week 12 | Participants entered information about the number of migraine headaches, symptoms, headache pain duration and severity, use of medication, and side effects into a diary each evening just before going to bed. This information was used to determine the mean monthly headache days; a headache day was defined as any day in which a qualified headache (\>=30 minute duration or requiring acute treatment) started, ended, or recurred. Headache pain persisting for more than 1 calendar day after initial onset was considered an occurrence of multiple distinct headache days. Mean monthly rate was adjusted to 28 days. The percentage of participants who had at least a 50% reduction in mean monthly headache days during the 12 weeks treatment period was summarized |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Telcagepant 140 mg Participants receive one telcagepant 140 mg tablet and one 280 mg telcagepant placebo, orally, twice daily for 12 weeks | 263 |
| Telcagepant 280 mg Participants receive one telcagepant 280 mg tablet and one 140 mg telcagepant placebo, orally, twice daily for 12 weeks | 263 |
| Placebo Participants receive one 140 mg telcagepant placebo and one 280 mg telcagepant placebo, orally, twice daily for 12 weeks | 130 |
| Total | 656 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Adverse Event | 19 | 8 | 8 |
| Overall Study | Lack of Efficacy | 0 | 1 | 0 |
| Overall Study | Lost to Follow-up | 8 | 12 | 2 |
| Overall Study | Physician Decision | 3 | 1 | 0 |
| Overall Study | Pregnancy | 2 | 0 | 0 |
| Overall Study | Protocol Violation | 2 | 7 | 0 |
| Overall Study | Study Terminated by Sponsor | 217 | 216 | 115 |
| Overall Study | Withdrawal by Subject | 9 | 14 | 2 |
Baseline characteristics
| Characteristic | Total | Telcagepant 140 mg | Telcagepant 280 mg | Placebo |
|---|---|---|---|---|
| Age, Customized 20-29 years | 118 Participants | 54 Participants | 47 Participants | 17 Participants |
| Age, Customized < 20 years | 7 Participants | 2 Participants | 3 Participants | 2 Participants |
| Age, Customized 30-39 years | 165 Participants | 52 Participants | 70 Participants | 43 Participants |
| Age, Customized 40-49 years | 193 Participants | 81 Participants | 80 Participants | 32 Participants |
| Age, Customized 50-59 years | 146 Participants | 66 Participants | 50 Participants | 30 Participants |
| Age, Customized 60-64 years | 19 Participants | 7 Participants | 10 Participants | 2 Participants |
| Age, Customized >=65 years | 8 Participants | 1 Participants | 3 Participants | 4 Participants |
| Sex: Female, Male Female | 551 Participants | 223 Participants | 216 Participants | 112 Participants |
| Sex: Female, Male Male | 105 Participants | 40 Participants | 47 Participants | 18 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 61 / 263 | 73 / 265 | 30 / 128 |
| serious Total, serious adverse events | 4 / 263 | 3 / 265 | 1 / 128 |
Outcome results
Change From Baseline in Mean Monthly Headache Days
Participants entered information about the number of migraine headaches, symptoms, headache pain duration and severity, use of medication, and side effects into a diary each evening just before going to bed. This information was used to determine the mean monthly headache days; a headache day was defined as any day in which a qualified headache (\>=30 minute duration or requiring acute treatment) started, ended, or recurred. Headache pain persisting for more than 1 calendar day after initial onset was considered an occurrence of multiple distinct headache days. Mean monthly rate was adjusted to 28 days.
Time frame: Baseline and Week 12
Population: Full Analysis Set (FAS), which included all randomized patients who took at least one dose of study medication and had at least one post-randomization efficacy measurement.
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Telcagepant 140 mg | Change From Baseline in Mean Monthly Headache Days | -3.4 Days per month |
| Telcagepant 280 mg | Change From Baseline in Mean Monthly Headache Days | -3.6 Days per month |
| Placebo | Change From Baseline in Mean Monthly Headache Days | -2.4 Days per month |
Change From Baseline in Mean Monthly Migraine Days
Participants entered information about the number of migraine headaches, symptoms, headache pain duration and severity, use of medication, and side effects into a diary each evening just before going to bed. This information was used to determine the mean monthly migraine days; a migraine day was defined as any day in which a qualified headache( i.e., aura, photophobia, phonophobia, nausea, or vomiting) started, ended, or recurred. Migraine pain persisting for more than 1 calendar day after initial onset was considered an occurrence of multiple distinct migraine days. Mean monthly rate was adjusted to 28 days.
Time frame: Baseline and Week 12
Population: Full Analysis Set (FAS), which included all randomized patients who took at least one dose of study medication and had at least one post-randomization efficacy measurement.
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Telcagepant 140 mg | Change From Baseline in Mean Monthly Migraine Days | -3.0 Days per month |
| Telcagepant 280 mg | Change From Baseline in Mean Monthly Migraine Days | -3.4 Days per month |
| Placebo | Change From Baseline in Mean Monthly Migraine Days | -2.3 Days per month |
Percentage of Participants Who Experienced an Adverse Event
Participants were assessed throughout the study for adverse events and recorded adverse events in a daily dairy. An adverse event was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an adverse event.
Time frame: up to 14 days after last dose of study drug (up to 12 weeks)
Population: All Patients as Treated, which consisted of all participants who received at least 1 dose of study drug and were included in the treatment arm corresponding to the study treatment actually received. If participants took incorrect or mixed study treatment they were included in treatment arm corresponding to the highest dose they actually received.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telcagepant 140 mg | Percentage of Participants Who Experienced an Adverse Event | 52.5 Percentage of Participants |
| Telcagepant 280 mg | Percentage of Participants Who Experienced an Adverse Event | 54.0 Percentage of Participants |
| Placebo | Percentage of Participants Who Experienced an Adverse Event | 57.8 Percentage of Participants |
Percentage of Participants Who Had Study Drug Discontinued During the Study Due to an Adverse Event
Participants were assessed throughout the study for adverse events and recorded adverse events in a daily dairy. An adverse event was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an adverse event. The percentage of participants who discontinued study was summarized.
Time frame: up to 12 weeks
Population: All Patients as Treated, which consisted of all participants who received at least 1 dose of study drug and were included in the treatment arm corresponding to the study treatment actually received. If participants took incorrect or mixed study treatment they were included in treatment arm corresponding to the highest dose they actually received.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telcagepant 140 mg | Percentage of Participants Who Had Study Drug Discontinued During the Study Due to an Adverse Event | 8.0 Percentage of Participants |
| Telcagepant 280 mg | Percentage of Participants Who Had Study Drug Discontinued During the Study Due to an Adverse Event | 3.0 Percentage of Participants |
| Placebo | Percentage of Participants Who Had Study Drug Discontinued During the Study Due to an Adverse Event | 7.8 Percentage of Participants |
Change From Baseline in the Mean Monthly Migraine Attacks
Participants entered information about the number of migraine headaches, symptoms, headache pain duration and severity, use of medication, and side effects into a diary each evening just before going to bed. This information was used to determine the mean monthly migraine days; a migraine day was defined as any day in which a qualified headache was accompanied with associated symptoms.( i.e., aura, photophobia, phonophobia, nausea, or vomiting) started, ended, or recurred. A migraine attack was defined as any migraine headache that occurs within 2 consecutive calendar days. Pain persisting for more than 2 days after its initial onset was considered a new, distinct migraine attack. The number of migraine attacks that occurred per month was calculated. Mean monthly rate was adjusted to 28 days.
Time frame: Baseline and Week 12
Population: Full Analysis Set (FAS), which included all randomized patients who took at least one dose of study medication and had at least one post-randomization efficacy measurement.
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Telcagepant 140 mg | Change From Baseline in the Mean Monthly Migraine Attacks | -2.1 attacks per month |
| Telcagepant 280 mg | Change From Baseline in the Mean Monthly Migraine Attacks | -2.5 attacks per month |
| Placebo | Change From Baseline in the Mean Monthly Migraine Attacks | -1.7 attacks per month |
Change From Baseline in the Mean Number of Days Per Month Requiring Rescue Medication
Participants completed a diary each evening just before going to bed. Information recorded included: date of assessment, administration of study medication, medication to treat breakthrough migraines and other headaches, associated symptoms, duration of headache pain, headache severity, and side effects. Participants use of medication to treat a breakthrough migraine/headache was considered rescue medication. The number of days per month requiring rescue medication was calculated.
Time frame: Baseline and Week 12
Population: Full Analysis Set (FAS), which included all randomized patients who took at least one dose of study medication and had at least one post-randomization efficacy measurement.
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Telcagepant 140 mg | Change From Baseline in the Mean Number of Days Per Month Requiring Rescue Medication | -3.0 Days per month |
| Telcagepant 280 mg | Change From Baseline in the Mean Number of Days Per Month Requiring Rescue Medication | -3.2 Days per month |
| Placebo | Change From Baseline in the Mean Number of Days Per Month Requiring Rescue Medication | -1.7 Days per month |
Percentage of Participants With at Least a 50% Reduction in Mean Monthly Headache Days
Participants entered information about the number of migraine headaches, symptoms, headache pain duration and severity, use of medication, and side effects into a diary each evening just before going to bed. This information was used to determine the mean monthly headache days; a headache day was defined as any day in which a qualified headache (\>=30 minute duration or requiring acute treatment) started, ended, or recurred. Headache pain persisting for more than 1 calendar day after initial onset was considered an occurrence of multiple distinct headache days. Mean monthly rate was adjusted to 28 days. The percentage of participants who had at least a 50% reduction in mean monthly headache days during the 12 weeks treatment period was summarized
Time frame: Week 12
Population: Full Analysis Set (FAS), which included all randomized patients who took at least one dose of study medication and had at least one post-randomization efficacy measurement.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telcagepant 140 mg | Percentage of Participants With at Least a 50% Reduction in Mean Monthly Headache Days | 36.7 Percentage of Participants |
| Telcagepant 280 mg | Percentage of Participants With at Least a 50% Reduction in Mean Monthly Headache Days | 40.1 Percentage of Participants |
| Placebo | Percentage of Participants With at Least a 50% Reduction in Mean Monthly Headache Days | 25.6 Percentage of Participants |