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Safety & Efficacy of a Single Dose of Sumatriptan Powder Delivered Intranasally With the Bi-directional Device in Adults With Acute Migraine

A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study Evaluating the Efficacy and Safety of a Single 20 mg Dose of Sumatriptan Powder Delivered Intranasally With the Bi-directional Device in Adults With Acute Migraine With or Without Aura

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01462812
Enrollment
223
Registered
2011-10-31
Start date
2011-01-31
Completion date
2012-06-30
Last updated
2015-05-06

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

Conditions

Migraine Headache

Keywords

Migraine, Headache, Sumatriptan

Brief summary

The study is being conducted to determine if OPTINOSE SUMATRIPTAN delivered nasally (through the nose) using the OPTINOSE SUMATRIPTAN Device can reduce the pain and symptoms associated with migraine headaches.

Detailed description

The primary objective for this study is to compare headache relief (defined as a reduction from moderate \[Grade 2\] or severe \[Grade 3\] pain to none \[Grade 0\] or mild \[Grade 1\] pain) at 120 minutes following a dose of 20 mg of OPTINOSE SUMATRIPTAN with placebo in the acute treatment of a single migraine attack.

Interventions

DRUGSumatriptan

Sumatriptan 20mg

DRUGPlacebo

Matching placebo

Sponsors

Optinose US Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

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

Inclusion criteria

* Men or women, between the ages of 18 to 65 years * Diagnosis of migraine, with or without aura * Experiences between 1 and 8 migraine attacks per month for the past 12 months

Exclusion criteria

* Inability to distinguish other headaches from migraine * Experiences headache of any kind at a frequency greater than or equal to 15 days per month * History of resistance to sumatriptan, or non-response to 2 or more other triptans, defined as subjects who have not responded to an adequate dose and duration of treatment * Current use of medication for migraine prophylaxis that has not been stable (no dose adjustment) for 30 days prior to screening * Chronic opioid therapy (\>3 consecutive days in the 30 days prior to screening)

Design outcomes

Primary

MeasureTime frameDescription
Headache Relief120 MinutesThe primary objective for this study is to compare headache relief (defined as a reduction from moderate \[Grade 2\] or severe \[Grade 3\] pain to none \[Grade 0\] or mild \[Grade 1\] pain) at 120 minutes following a dose of 20 mg of OPTINOSE SUMATRIPTAN with placebo in the acute treatment of a single migraine attack.

Countries

United States

Participant flow

Recruitment details

private practices and research clinics

Pre-assignment details

Screening period (general medical exams, labs, medical and headache history, concomitant medications.

Participants by arm

ArmCount
Matching Placebo
Placebo : Matching placebo
111
Sumatriptan
Sumatriptan : Sumatriptan 20mg
112
Total223

Baseline characteristics

CharacteristicSumatriptanMatching PlaceboTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
112 Participants111 Participants223 Participants
Age, Continuous42.2 years
STANDARD_DEVIATION 10.27
42.3 years
STANDARD_DEVIATION 10.71
42.2 years
STANDARD_DEVIATION 10.47
Region of Enrollment
United States
112 participants111 participants223 participants
Sex: Female, Male
Female
94 Participants93 Participants187 Participants
Sex: Female, Male
Male
18 Participants18 Participants36 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
9 / 11145 / 112
serious
Total, serious adverse events
0 / 1110 / 112

Outcome results

Primary

Headache Relief

The primary objective for this study is to compare headache relief (defined as a reduction from moderate \[Grade 2\] or severe \[Grade 3\] pain to none \[Grade 0\] or mild \[Grade 1\] pain) at 120 minutes following a dose of 20 mg of OPTINOSE SUMATRIPTAN with placebo in the acute treatment of a single migraine attack.

Time frame: 120 Minutes

Population: The full analysis dataset (FAD) will include all subjects who are randomized, receive study medication, and record at least one post-treatment assessment of pain severity. The treatment group assignment will be designated according to treatment received. The FAD will serve as the basis for the efficacy analyses.

ArmMeasureValue (NUMBER)
Matching PlaceboHeadache Relief47 participants
SumatriptanHeadache Relief73 participants

Source: ClinicalTrials.gov · Data processed: Mar 5, 2026