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MK0974 (Telcagepant) for Migraine Prophylaxis in Patients With Episodic Migraine (0974-049)

A Phase IIa, Multicenter, Randomized, Placebo-controlled Clinical Trial to Study the Safety and Efficacy of MK0974 for Migraine Prophylaxis in Patients With Episodic Migraine

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00797667
Enrollment
660
Registered
2008-11-25
Start date
2008-11-12
Completion date
2009-05-20
Last updated
2018-10-18

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

Conditions

Migraine

Brief summary

A study to assess the safety and efficacy of MK0974 for preventing migraines in patients with episodic migraine.

Interventions

DRUGTelcagepant 280 mg
DRUG140 mg telcagepant placebo
DRUG280 mg telcagepant placebo

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

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

MeasureTime frameDescription
Change From Baseline in Mean Monthly Headache DaysBaseline and Week 12Participants 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 DaysBaseline and Week 12Participants 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 Eventup 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 Eventup to 12 weeksParticipants 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

MeasureTime frameDescription
Change From Baseline in the Mean Monthly Migraine AttacksBaseline and Week 12Participants 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 MedicationBaseline and Week 12Participants 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 DaysWeek 12Participants 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

ArmCount
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
Total656

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event1988
Overall StudyLack of Efficacy010
Overall StudyLost to Follow-up8122
Overall StudyPhysician Decision310
Overall StudyPregnancy200
Overall StudyProtocol Violation270
Overall StudyStudy Terminated by Sponsor217216115
Overall StudyWithdrawal by Subject9142

Baseline characteristics

CharacteristicTotalTelcagepant 140 mgTelcagepant 280 mgPlacebo
Age, Customized
20-29 years
118 Participants54 Participants47 Participants17 Participants
Age, Customized
< 20 years
7 Participants2 Participants3 Participants2 Participants
Age, Customized
30-39 years
165 Participants52 Participants70 Participants43 Participants
Age, Customized
40-49 years
193 Participants81 Participants80 Participants32 Participants
Age, Customized
50-59 years
146 Participants66 Participants50 Participants30 Participants
Age, Customized
60-64 years
19 Participants7 Participants10 Participants2 Participants
Age, Customized
>=65 years
8 Participants1 Participants3 Participants4 Participants
Sex: Female, Male
Female
551 Participants223 Participants216 Participants112 Participants
Sex: Female, Male
Male
105 Participants40 Participants47 Participants18 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
61 / 26373 / 26530 / 128
serious
Total, serious adverse events
4 / 2633 / 2651 / 128

Outcome results

Primary

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.

ArmMeasureValue (MEAN)
Telcagepant 140 mgChange From Baseline in Mean Monthly Headache Days-3.4 Days per month
Telcagepant 280 mgChange From Baseline in Mean Monthly Headache Days-3.6 Days per month
PlaceboChange From Baseline in Mean Monthly Headache Days-2.4 Days per month
Primary

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.

ArmMeasureValue (MEAN)
Telcagepant 140 mgChange From Baseline in Mean Monthly Migraine Days-3.0 Days per month
Telcagepant 280 mgChange From Baseline in Mean Monthly Migraine Days-3.4 Days per month
PlaceboChange From Baseline in Mean Monthly Migraine Days-2.3 Days per month
Primary

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.

ArmMeasureValue (NUMBER)
Telcagepant 140 mgPercentage of Participants Who Experienced an Adverse Event52.5 Percentage of Participants
Telcagepant 280 mgPercentage of Participants Who Experienced an Adverse Event54.0 Percentage of Participants
PlaceboPercentage of Participants Who Experienced an Adverse Event57.8 Percentage of Participants
Primary

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.

ArmMeasureValue (NUMBER)
Telcagepant 140 mgPercentage of Participants Who Had Study Drug Discontinued During the Study Due to an Adverse Event8.0 Percentage of Participants
Telcagepant 280 mgPercentage of Participants Who Had Study Drug Discontinued During the Study Due to an Adverse Event3.0 Percentage of Participants
PlaceboPercentage of Participants Who Had Study Drug Discontinued During the Study Due to an Adverse Event7.8 Percentage of Participants
Secondary

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.

ArmMeasureValue (MEAN)
Telcagepant 140 mgChange From Baseline in the Mean Monthly Migraine Attacks-2.1 attacks per month
Telcagepant 280 mgChange From Baseline in the Mean Monthly Migraine Attacks-2.5 attacks per month
PlaceboChange From Baseline in the Mean Monthly Migraine Attacks-1.7 attacks per month
Secondary

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.

ArmMeasureValue (MEAN)
Telcagepant 140 mgChange From Baseline in the Mean Number of Days Per Month Requiring Rescue Medication-3.0 Days per month
Telcagepant 280 mgChange From Baseline in the Mean Number of Days Per Month Requiring Rescue Medication-3.2 Days per month
PlaceboChange From Baseline in the Mean Number of Days Per Month Requiring Rescue Medication-1.7 Days per month
Secondary

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.

ArmMeasureValue (NUMBER)
Telcagepant 140 mgPercentage of Participants With at Least a 50% Reduction in Mean Monthly Headache Days36.7 Percentage of Participants
Telcagepant 280 mgPercentage of Participants With at Least a 50% Reduction in Mean Monthly Headache Days40.1 Percentage of Participants
PlaceboPercentage of Participants With at Least a 50% Reduction in Mean Monthly Headache Days25.6 Percentage of Participants

Source: ClinicalTrials.gov · Data processed: Mar 19, 2026