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Efficacy, Tolerability, and Safety Study of DFN-15

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Efficacy, Tolerability, and Safety Study of DFN-15 in Episodic Migraine With or Without Aura

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03006276
Enrollment
622
Registered
2016-12-30
Start date
2016-12-31
Completion date
2019-05-31
Last updated
2023-01-10

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

Conditions

Migraine Headache

Brief summary

Efficacy, Tolerability, and Safety of DFN-15 in episodic migraine with or without aura, being conducted at multiple centers in the United States.

Interventions

Sponsors

BioDelivery Sciences International
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

1. A history of episodic migraine, who experience 2 to 8 migraine attacks per month for at least the past 12 months, with no more than 14 headache days per month, and with 48 hours of headache-free time between migraine attacks. 2. Patients who have migraine with or without aura with onset before age 50 years 3. Report usual migraine pain of 2 (moderate) or 3 (severe) on headache pain severity scale without treatment. 4. Subjects who are willing and able to: 1. Evaluate and record pain, migraine symptoms, and study drug effectiveness information in real-time using a subject eDiary for the duration of the study; 2. Record each instance of the use of study drug and rescue medication in real-time using a subject eDiary for the duration of the study; 3. Comply with all other study procedures and scheduling requirements.

Exclusion criteria

1. Minors, even if they are in the specified study age range 2. Medication overuse: 1. Opioids greater than or equal to 10 days during the 90 days prior to screening 2. Combination medications (e.g., Fiorinal®) greater than or equal to 10 days during the 90 days prior to screening (applies only if includes opioid and/or barbiturate) 3. Nonsteroidal Anti-inflammatory Drugs or other simple medications greater than 14 days a month during the 90 days prior to screening 4. Triptans or ergots greater than or equal to 10 days a month during the 90 days prior to screening 3. Treated with onabotulinumtoxin A (Botox®) for migraine within 4 months prior to screening. (If treated for cosmetic reasons, subjects may be included). 4. Current treatment with antipsychotics or use of antipsychotics within 30 days prior to randomization. 5. Patients who have received treatment with an investigational drug or device within 30 days of randomization, or participated in a central nervous system clinical trial within 2 months prior to randomization 6. Patients with positive screening test for human immunodeficiency virus \[HIV\], positive hepatitis B surface antigen (HBsAg), or positive hepatitis C virus \[HCV\] antibody 7. Subjects who are employees or immediate relatives of the employees of the Sponsor, any of its affiliates or partners, or of the clinical research study site.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1)2 hours post dosePercentage of subjects who were pain-free 2 hours postdose compared between DFN-15 and placebo in the DB1 period (defined as a reduction from predose moderate \[Grade 2\] or severe \[Grade 3\] pain to none \[Grade 0\]) during DB1.
Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1)2 hours post dosePercentage of subjects who are free from their most bothersome symptom (MBS) among nausea, photophobia, and phonophobia at 2 hours postdose during DB1.

Secondary

MeasureTime frameDescription
Time to Headache Pain Freedom Postdose (DB1 and DB2)2 hours postdose
Headache Pain Relief Postdose (DB1 and DB2)15 minutes to 24 hours postdoseHeadache pain relief during postdose in DB1 was defined as a reduction from moderate or severe pain at predose reduced to mild or none postdose, and for DB2 as moderate or severe pain at predose reduced to mild or none postdose, or mild pain at predose reduced to none postdose. Outcome measure shows percentage of subjects experiencing headache pain relief by time point.
Headache Pain Freedom Postdose (DB1 and DB2)15 minutes to 24 hours postdoseThe percentage of subjects who were pain-free at 15, 30, and 45 minutes and 1, 1.5, 2 (DB2), and 4, and 24 hours postdose during each DB treatment period were summarized by treatment group.
Absence of Screening MBS at Time Points Postdose (DB1 and DB2)15 minutes to 24 hours postdoseThe percentage of subjects with their Screening MBS (most bothersome symptoms) among nausea, photophobia, and phonophobia (from eDiary data collection) absent at 15, 30, and 45 minutes and 1, 1.5, 2 (DB2 period), 4, and 24 hours postdose during each DB treatment period were summarized by treatment group and time point.
Change in Functional Disability Score Postdose (DB1 and DB2)2 to 24 hours postdoseThe values of the functional disability scale were: 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. A decrease in values indicates improvement from baseline.
Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)2 to 4 hours postdoseThe percentage of subjects who were pain-free at 2 and 4 hours postdose during each DB treatment period among those subjects reporting cutaneous allodynia before dosing were summarized by treatment group and time point.
Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes through 24 hoursThe percentage of subjects who were free from nausea, photophobia, and phonophobia at 15, 30, and 45 minutes and 1, 1.5, 2, 4, and 24 hours postdose during each DB treatment period were summarized by symptom, treatment group, and time point.
Headache Pain Recurrence Postdose (DB1 and DB2)2 to 24 hours postdoseHeadache pain recurrence was defined as pain-free at 2 hours postdose with pain reported as mild, moderate, or severe at 24 hours postdose. This outcome measure shows percentage of subjects who reported pain-free status and 2 hours postdose but subsequently reported recurrent pain at 24 hours postdose.
Sustained Headache Pain Relief Postdose (DB1 and DB2)2 to 24 hours postdoseSustained headache pain relief was defined as pain relief at 2 hours postdose with no use of rescue medication and no worsening of headache pain within 2 to 24 hours postdose. This outcome measure shows the percentage of subjects who reported pain relief at 2 hours postdose with no use of rescue medication or worsening of headache pain through 24 hours postdose.
Sustained Headache Pain Freedom Postdose (DB1 and DB2)2 to 24 hours postdoseSustained headache pain freedom was defined as pain-free at 2 hours postdose, with no use of rescue medication and no recurrence of headache pain within 2 to 24 hours postdose. This outcome measure shows percentage of subjects who were pain-free at 2 hours postdose without the use of rescue medication or recurrence of headache pain through 24 hours postdose.
Use of Rescue Medication Postdose (DB1 and DB2)2 to 24 hours postdoseThe percentage of subjects who used rescue mediation after 2 hours (2 to 24 hours) postdose compared between DFN-15 and placebo in each DB period.
Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)2 to 4 hours postdoseSubject-rated treatment overall satisfaction was based on a 7-point scale at 2 and 4 hours postdose during each DB treatment period. The difference between the subject-rated study drug treatment satisfaction score at 2 and 4 hours postdose and the baseline PPMQ-R (Patient Perception of Migraine Questionnaire) response for the same question were summarized by treatment group (global satisfaction item at baseline asked about the subject's usual migraine treatment). The possible values of the subject treatment satisfaction scale were: 1=very satisfied, 2=satisfied, 3=somewhat satisfied, 4=neither satisfied nor dissatisfied, 5=somewhat dissatisfied, 6=dissatisfied, 7=very dissatisfied. A decrease in values indicates improvement from baseline.
Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)24 hours postdosePatient Perception of Migraine Questionnaire-Revised had 30 questions assessing subject's satisfaction with migraine medication, including 3 global items & 4 subscales (i.e., efficacy, function, ease of use, tolerability). A 5-point scale (1-Not At All to 5-Extremely) was used for tolerability subscale questions; a 7-point scale (1-Very Satisfied to 7-Very Dissatisfied) was used for all other subscales and global items. Total score was average of efficacy/function/ease of use subscale scores. Each subscale & total scores were transformed to range from 0-100, with higher scores indicating better satisfaction or tolerability. Total raw score/global items were not transformed. The total raw score could range from 17 (min) to 119 (max), with lower scores indicating better satisfaction. Change from baseline scores at 24-hour-postdose for each subscale score, global item score, total score, & total raw score were summarized by treatment group below.
Headache Pain Freedom Among BMI Category (DB1 and DB2)2 to 4 hours postdoseThe percentage of subjects who were pain-free at 2 and 4 hours postdose whose BMI was \<30 kg/m2 vs. subjects whose BMI was ≥30 kg/m2 during each DB treatment period were summarized by treatment group and time point.
Time to Headache Pain Relief Postdose (DB1 and DB2)2 hours postdose

Countries

United States

Participant flow

Participants by arm

ArmCount
DB1 Placebo
Subjects received placebo in the Double-blind period 1 (DB1)
282
DB1 DFN-15
Subjects received DFN-15 in the Double-blind period 1 (DB1)
285
Total567

Baseline characteristics

CharacteristicDB1 DFN-15TotalDB1 Placebo
Age, Continuous40.5 years
STANDARD_DEVIATION 11.68
40.3 years
STANDARD_DEVIATION 12.12
40.1 years
STANDARD_DEVIATION 12.59
Ethnicity (NIH/OMB)
Hispanic or Latino
40 Participants78 Participants38 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
242 Participants485 Participants243 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants4 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants1 Participants0 Participants
Race (NIH/OMB)
Asian
5 Participants11 Participants6 Participants
Race (NIH/OMB)
Black or African American
75 Participants125 Participants50 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants2 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants11 Participants7 Participants
Race (NIH/OMB)
White
198 Participants417 Participants219 Participants
Sex: Female, Male
Female
252 Participants494 Participants242 Participants
Sex: Female, Male
Male
33 Participants73 Participants40 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 2820 / 2850 / 2490 / 2440 / 567
other
Total, other adverse events
9 / 28217 / 2855 / 2496 / 24437 / 567
serious
Total, serious adverse events
2 / 2820 / 2850 / 2490 / 2442 / 567

Outcome results

Primary

Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1)

Percentage of subjects who are free from their most bothersome symptom (MBS) among nausea, photophobia, and phonophobia at 2 hours postdose during DB1.

Time frame: 2 hours post dose

ArmMeasureValue (NUMBER)
Placebo LOCFPercentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1)44.8 percentage of subjects
DFN-15 LOCFPercentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1)57.8 percentage of subjects
Placebo OCPercentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1)45.4 percentage of subjects
DFN-15 OCPercentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1)58.3 percentage of subjects
Comparison: last observation carried forward (LOCF)p-value: 0.00795% CI: [1.17, 2.43]Fisher Exact
Comparison: observed cases (OC)p-value: 0.00795% CI: [1.16, 2.44]Fisher Exact
Primary

Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1)

Percentage of subjects who were pain-free 2 hours postdose compared between DFN-15 and placebo in the DB1 period (defined as a reduction from predose moderate \[Grade 2\] or severe \[Grade 3\] pain to none \[Grade 0\]) during DB1.

Time frame: 2 hours post dose

Population: Full Analysis Set 1

ArmMeasureValue (NUMBER)
Placebo LOCFPercentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1)21.7 percentage of subjects
DFN-15 LOCFPercentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1)35.6 percentage of subjects
Placebo OCPercentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1)22.1 percentage of subjects
DFN-15 OCPercentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1)35.8 percentage of subjects
Comparison: Last Observation Carried Forward (LOCF)p-value: <0.00195% CI: [1.36, 2.94]Fisher Exact
p-value: <0.00195% CI: [1.34, 2.89]Fisher Exact
Secondary

Absence of Screening MBS at Time Points Postdose (DB1 and DB2)

The percentage of subjects with their Screening MBS (most bothersome symptoms) among nausea, photophobia, and phonophobia (from eDiary data collection) absent at 15, 30, and 45 minutes and 1, 1.5, 2 (DB2 period), 4, and 24 hours postdose during each DB treatment period were summarized by treatment group and time point.

Time frame: 15 minutes to 24 hours postdose

ArmMeasureGroupValue (NUMBER)
Placebo LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)15 minutes postdose10.6 percentage of subjects
Placebo LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)30 minutes postdose17.4 percentage of subjects
Placebo LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)45 minutes postdose22.5 percentage of subjects
Placebo LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)1 hour postdose25.0 percentage of subjects
Placebo LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)1.5 hours postdose38.7 percentage of subjects
Placebo LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)2 hours postdose44.8 percentage of subjects
Placebo LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)4 hours postdose61.3 percentage of subjects
Placebo LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)24 hours postdose86.0 percentage of subjects
DFN-15 LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)2 hours postdose57.8 percentage of subjects
DFN-15 LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)1.5 hours postdose49.1 percentage of subjects
DFN-15 LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)30 minutes postdose17.3 percentage of subjects
DFN-15 LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)24 hours postdose82.5 percentage of subjects
DFN-15 LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)4 hours postdose67.4 percentage of subjects
DFN-15 LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)1 hour postdose39.6 percentage of subjects
DFN-15 LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)45 minutes postdose28.5 percentage of subjects
DFN-15 LOCFAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)15 minutes postdose6.3 percentage of subjects
Placebo OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)4 hours postdose60.7 percentage of subjects
Placebo OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)45 minutes postdose27.5 percentage of subjects
Placebo OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)1 hour postdose35.8 percentage of subjects
Placebo OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)1.5 hours postdose42.6 percentage of subjects
Placebo OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)2 hours postdose50.0 percentage of subjects
Placebo OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)24 hours postdose83.7 percentage of subjects
Placebo OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)15 minutes postdose8.0 percentage of subjects
Placebo OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)30 minutes postdose15.8 percentage of subjects
DFN-15 OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)45 minutes postdose36.8 percentage of subjects
DFN-15 OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)1 hour postdose44.7 percentage of subjects
DFN-15 OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)30 minutes postdose22.9 percentage of subjects
DFN-15 OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)15 minutes postdose8.9 percentage of subjects
DFN-15 OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)1.5 hours postdose53.4 percentage of subjects
DFN-15 OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)24 hours postdose89.6 percentage of subjects
DFN-15 OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)4 hours postdose78.0 percentage of subjects
DFN-15 OCAbsence of Screening MBS at Time Points Postdose (DB1 and DB2)2 hours postdose63.4 percentage of subjects
Secondary

Change in Functional Disability Score Postdose (DB1 and DB2)

The values of the functional disability scale were: 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. A decrease in values indicates improvement from baseline.

Time frame: 2 to 24 hours postdose

ArmMeasureGroupValue (MEAN)Dispersion
Placebo LOCFChange in Functional Disability Score Postdose (DB1 and DB2)2 hours postdose-0.7 units on a scaleStandard Deviation 0.94
Placebo LOCFChange in Functional Disability Score Postdose (DB1 and DB2)24 hours postdose-1.8 units on a scaleStandard Deviation 0.82
Placebo LOCFChange in Functional Disability Score Postdose (DB1 and DB2)4 hours postdose-1.1 units on a scaleStandard Deviation 0.99
DFN-15 LOCFChange in Functional Disability Score Postdose (DB1 and DB2)2 hours postdose-0.9 units on a scaleStandard Deviation 1
DFN-15 LOCFChange in Functional Disability Score Postdose (DB1 and DB2)24 hours postdose-1.7 units on a scaleStandard Deviation 0.84
DFN-15 LOCFChange in Functional Disability Score Postdose (DB1 and DB2)4 hours postdose-1.3 units on a scaleStandard Deviation 1.01
Placebo OCChange in Functional Disability Score Postdose (DB1 and DB2)4 hours postdose-1.0 units on a scaleStandard Deviation 0.95
Placebo OCChange in Functional Disability Score Postdose (DB1 and DB2)2 hours postdose-0.6 units on a scaleStandard Deviation 0.83
Placebo OCChange in Functional Disability Score Postdose (DB1 and DB2)24 hours postdose-1.5 units on a scaleStandard Deviation 0.86
DFN-15 OCChange in Functional Disability Score Postdose (DB1 and DB2)2 hours postdose-0.9 units on a scaleStandard Deviation 0.87
DFN-15 OCChange in Functional Disability Score Postdose (DB1 and DB2)24 hours postdose-1.5 units on a scaleStandard Deviation 0.88
DFN-15 OCChange in Functional Disability Score Postdose (DB1 and DB2)4 hours postdose-1.2 units on a scaleStandard Deviation 0.94
Secondary

Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)

The percentage of subjects who were free from nausea, photophobia, and phonophobia at 15, 30, and 45 minutes and 1, 1.5, 2, 4, and 24 hours postdose during each DB treatment period were summarized by symptom, treatment group, and time point.

Time frame: 15 minutes through 24 hours

ArmMeasureGroupValue (NUMBER)
Placebo LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose43.8 percentage of subjects
Placebo LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose33.6 percentage of subjects
Placebo LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose16.8 percentage of subjects
Placebo LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose49.3 percentage of subjects
Placebo LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose58.5 percentage of subjects
Placebo LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose62.2 percentage of subjects
Placebo LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose75.5 percentage of subjects
Placebo LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose91.4 percentage of subjects
DFN-15 LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose90.6 percentage of subjects
DFN-15 LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose45.3 percentage of subjects
DFN-15 LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose15.7 percentage of subjects
DFN-15 LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose75.0 percentage of subjects
DFN-15 LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose32.9 percentage of subjects
DFN-15 LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose67.6 percentage of subjects
DFN-15 LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose63.5 percentage of subjects
DFN-15 LOCFFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose56.8 percentage of subjects
Placebo OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose20.2 percentage of subjects
Placebo OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose44.4 percentage of subjects
Placebo OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose13.0 percentage of subjects
Placebo OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose8.8 percentage of subjects
Placebo OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose85.2 percentage of subjects
Placebo OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose26.5 percentage of subjects
Placebo OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose61.2 percentage of subjects
Placebo OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose36.0 percentage of subjects
DFN-15 OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose85.7 percentage of subjects
DFN-15 OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose9.6 percentage of subjects
DFN-15 OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose30.6 percentage of subjects
DFN-15 OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose20.1 percentage of subjects
DFN-15 OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose47.4 percentage of subjects
DFN-15 OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose58.3 percentage of subjects
DFN-15 OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose69.9 percentage of subjects
DFN-15 OCFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose38.9 percentage of subjects
DB1 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose89.7 percentage of subjects
DB1 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose26.7 percentage of subjects
DB1 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose47.2 percentage of subjects
DB1 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose26.0 percentage of subjects
DB1 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose15.7 percentage of subjects
DB1 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose38.3 percentage of subjects
DB1 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose72.9 percentage of subjects
DB1 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose54.5 percentage of subjects
DB1 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose10.5 percentage of subjects
DB1 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose45.0 percentage of subjects
DB1 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose85.1 percentage of subjects
DB1 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose71.5 percentage of subjects
DB1 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose35.8 percentage of subjects
DB1 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose61.1 percentage of subjects
DB1 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose50.8 percentage of subjects
DB1 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose24.6 percentage of subjects
DB2 Placebo (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose66.9 percentage of subjects
DB2 Placebo (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose87.1 percentage of subjects
DB2 Placebo (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose52.5 percentage of subjects
DB2 Placebo (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose74.2 percentage of subjects
DB2 Placebo (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose14.5 percentage of subjects
DB2 Placebo (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose26.9 percentage of subjects
DB2 Placebo (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose41.8 percentage of subjects
DB2 Placebo (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose60.2 percentage of subjects
DB2 DFN-15 (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose13.7 percentage of subjects
DB2 DFN-15 (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose31.4 percentage of subjects
DB2 DFN-15 (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose44.3 percentage of subjects
DB2 DFN-15 (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose93.5 percentage of subjects
DB2 DFN-15 (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose51.9 percentage of subjects
DB2 DFN-15 (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose67.3 percentage of subjects
DB2 DFN-15 (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose69.2 percentage of subjects
DB2 DFN-15 (Nausea)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose85.0 percentage of subjects
DB2 Placebo (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose7.5 percentage of subjects
DB2 Placebo (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose45.9 percentage of subjects
DB2 Placebo (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose22.1 percentage of subjects
DB2 Placebo (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose35.4 percentage of subjects
DB2 Placebo (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose84.6 percentage of subjects
DB2 Placebo (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose14.4 percentage of subjects
DB2 Placebo (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose27.9 percentage of subjects
DB2 Placebo (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose62.8 percentage of subjects
DB2 DFN-15 (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose8.0 percentage of subjects
DB2 DFN-15 (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose78.1 percentage of subjects
DB2 DFN-15 (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose43.7 percentage of subjects
DB2 DFN-15 (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose21.9 percentage of subjects
DB2 DFN-15 (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose36.2 percentage of subjects
DB2 DFN-15 (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose64.0 percentage of subjects
DB2 DFN-15 (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose52.5 percentage of subjects
DB2 DFN-15 (Photophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose91.6 percentage of subjects
DB2 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose43.2 percentage of subjects
DB2 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose48.7 percentage of subjects
DB2 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose81.5 percentage of subjects
DB2 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose34.2 percentage of subjects
DB2 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose59.0 percentage of subjects
DB2 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose25.8 percentage of subjects
DB2 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose15.6 percentage of subjects
DB2 Placebo (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose8.5 percentage of subjects
DB2 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose27.4 percentage of subjects
DB2 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose67.7 percentage of subjects
DB2 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose38.6 percentage of subjects
DB2 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose44.0 percentage of subjects
DB2 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose10.3 percentage of subjects
DB2 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose56.3 percentage of subjects
DB2 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose90.5 percentage of subjects
DB2 DFN-15 (Phonophobia)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose76.2 percentage of subjects
Secondary

Headache Pain Freedom Among BMI Category (DB1 and DB2)

The percentage of subjects who were pain-free at 2 and 4 hours postdose whose BMI was \<30 kg/m2 vs. subjects whose BMI was ≥30 kg/m2 during each DB treatment period were summarized by treatment group and time point.

Time frame: 2 to 4 hours postdose

Population: Subjects were striated by BMI by dosing assignment for DB1 and DB2, therefore subject numbers differ from overall totals.

ArmMeasureGroupValue (NUMBER)
Placebo LOCFHeadache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI>=30)47.8 percentage of subjects
Placebo LOCFHeadache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI<30)22.1 percentage of subjects
Placebo LOCFHeadache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI <30)41.7 percentage of subjects
Placebo LOCFHeadache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI>=30)21.1 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI>=30)40.3 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI <30)55.9 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI<30)31.5 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI>=30)56.9 percentage of subjects
Placebo OCHeadache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI <30)50.0 percentage of subjects
Placebo OCHeadache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI>=30)37.3 percentage of subjects
Placebo OCHeadache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI<30)26.8 percentage of subjects
Placebo OCHeadache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI>=30)50.0 percentage of subjects
DFN-15 OCHeadache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI<30)41.9 percentage of subjects
DFN-15 OCHeadache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI>=30)56.2 percentage of subjects
DFN-15 OCHeadache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI>=30)50.4 percentage of subjects
DFN-15 OCHeadache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI <30)67.8 percentage of subjects
Secondary

Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)

The percentage of subjects who were pain-free at 2 and 4 hours postdose during each DB treatment period among those subjects reporting cutaneous allodynia before dosing were summarized by treatment group and time point.

Time frame: 2 to 4 hours postdose

ArmMeasureGroupValue (NUMBER)
Placebo LOCFHeadache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)2 hours postdose19.2 percentage of subjects
Placebo LOCFHeadache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)4 hours postdose45.3 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)4 hours postdose56.0 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)2 hours postdose38.0 percentage of subjects
Placebo OCHeadache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)2 hours postdose31.0 percentage of subjects
Placebo OCHeadache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)4 hours postdose40.5 percentage of subjects
DFN-15 OCHeadache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)2 hours postdose54.3 percentage of subjects
DFN-15 OCHeadache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)4 hours postdose56.5 percentage of subjects
Secondary

Headache Pain Freedom Postdose (DB1 and DB2)

The percentage of subjects who were pain-free at 15, 30, and 45 minutes and 1, 1.5, 2 (DB2), and 4, and 24 hours postdose during each DB treatment period were summarized by treatment group.

Time frame: 15 minutes to 24 hours postdose

Population: Data were not collected at 2 hours postdose during DB1 per protocol

ArmMeasureGroupValue (NUMBER)
Placebo LOCFHeadache Pain Freedom Postdose (DB1 and DB2)15 minutes postdose1.3 percentage of subjects
Placebo LOCFHeadache Pain Freedom Postdose (DB1 and DB2)45 minutes postdose8.6 percentage of subjects
Placebo LOCFHeadache Pain Freedom Postdose (DB1 and DB2)30 minutes postdose3.6 percentage of subjects
Placebo LOCFHeadache Pain Freedom Postdose (DB1 and DB2)4 hours postdose44.4 percentage of subjects
Placebo LOCFHeadache Pain Freedom Postdose (DB1 and DB2)24 hours postdose77.2 percentage of subjects
Placebo LOCFHeadache Pain Freedom Postdose (DB1 and DB2)1.5 hours postdose17.4 percentage of subjects
Placebo LOCFHeadache Pain Freedom Postdose (DB1 and DB2)1 hour postdose12.8 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Postdose (DB1 and DB2)15 minutes postdose0.4 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Postdose (DB1 and DB2)4 hours postdose56.4 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Postdose (DB1 and DB2)24 hours postdose77.3 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Postdose (DB1 and DB2)45 minutes postdose11.1 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Postdose (DB1 and DB2)1 hour postdose17.9 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Postdose (DB1 and DB2)1.5 hours postdose27.1 percentage of subjects
DFN-15 LOCFHeadache Pain Freedom Postdose (DB1 and DB2)30 minutes postdose3.0 percentage of subjects
Placebo OCHeadache Pain Freedom Postdose (DB1 and DB2)1 hour postdose15.8 percentage of subjects
Placebo OCHeadache Pain Freedom Postdose (DB1 and DB2)15 minutes postdose1.4 percentage of subjects
Placebo OCHeadache Pain Freedom Postdose (DB1 and DB2)4 hours postdose50.0 percentage of subjects
Placebo OCHeadache Pain Freedom Postdose (DB1 and DB2)2 hours postdose31.1 percentage of subjects
Placebo OCHeadache Pain Freedom Postdose (DB1 and DB2)1.5 hours postdose25.2 percentage of subjects
Placebo OCHeadache Pain Freedom Postdose (DB1 and DB2)45 minutes postdose11.7 percentage of subjects
Placebo OCHeadache Pain Freedom Postdose (DB1 and DB2)24 hours postdose75.1 percentage of subjects
Placebo OCHeadache Pain Freedom Postdose (DB1 and DB2)30 minutes postdose6.4 percentage of subjects
DFN-15 OCHeadache Pain Freedom Postdose (DB1 and DB2)24 hours postdose82.9 percentage of subjects
DFN-15 OCHeadache Pain Freedom Postdose (DB1 and DB2)15 minutes postdose0.9 percentage of subjects
DFN-15 OCHeadache Pain Freedom Postdose (DB1 and DB2)30 minutes postdose6.8 percentage of subjects
DFN-15 OCHeadache Pain Freedom Postdose (DB1 and DB2)45 minutes postdose12.7 percentage of subjects
DFN-15 OCHeadache Pain Freedom Postdose (DB1 and DB2)1 hour postdose23.2 percentage of subjects
DFN-15 OCHeadache Pain Freedom Postdose (DB1 and DB2)1.5 hours postdose36.1 percentage of subjects
DFN-15 OCHeadache Pain Freedom Postdose (DB1 and DB2)2 hours postdose46.2 percentage of subjects
DFN-15 OCHeadache Pain Freedom Postdose (DB1 and DB2)4 hours postdose61.9 percentage of subjects
Secondary

Headache Pain Recurrence Postdose (DB1 and DB2)

Headache pain recurrence was defined as pain-free at 2 hours postdose with pain reported as mild, moderate, or severe at 24 hours postdose. This outcome measure shows percentage of subjects who reported pain-free status and 2 hours postdose but subsequently reported recurrent pain at 24 hours postdose.

Time frame: 2 to 24 hours postdose

ArmMeasureValue (NUMBER)
Placebo LOCFHeadache Pain Recurrence Postdose (DB1 and DB2)14.0 percentage of subjects
DFN-15 LOCFHeadache Pain Recurrence Postdose (DB1 and DB2)9.2 percentage of subjects
Placebo OCHeadache Pain Recurrence Postdose (DB1 and DB2)6.6 percentage of subjects
DFN-15 OCHeadache Pain Recurrence Postdose (DB1 and DB2)6.4 percentage of subjects
Secondary

Headache Pain Relief Postdose (DB1 and DB2)

Headache pain relief during postdose in DB1 was defined as a reduction from moderate or severe pain at predose reduced to mild or none postdose, and for DB2 as moderate or severe pain at predose reduced to mild or none postdose, or mild pain at predose reduced to none postdose. Outcome measure shows percentage of subjects experiencing headache pain relief by time point.

Time frame: 15 minutes to 24 hours postdose

ArmMeasureGroupValue (NUMBER)
Placebo LOCFHeadache Pain Relief Postdose (DB1 and DB2)1.5 hours postdose55.2 percentage of subjects
Placebo LOCFHeadache Pain Relief Postdose (DB1 and DB2)45 minutes postdose40.2 percentage of subjects
Placebo LOCFHeadache Pain Relief Postdose (DB1 and DB2)1 hour postdose45.1 percentage of subjects
Placebo LOCFHeadache Pain Relief Postdose (DB1 and DB2)24 hours postdose92.5 percentage of subjects
Placebo LOCFHeadache Pain Relief Postdose (DB1 and DB2)4 hours postdose75.2 percentage of subjects
Placebo LOCFHeadache Pain Relief Postdose (DB1 and DB2)30 minutes postdose28.9 percentage of subjects
Placebo LOCFHeadache Pain Relief Postdose (DB1 and DB2)15 minutes postdose16.6 percentage of subjects
Placebo LOCFHeadache Pain Relief Postdose (DB1 and DB2)2 hours postdose60.5 percentage of subjects
DFN-15 LOCFHeadache Pain Relief Postdose (DB1 and DB2)45 minutes postdose46.5 percentage of subjects
DFN-15 LOCFHeadache Pain Relief Postdose (DB1 and DB2)15 minutes postdose13.4 percentage of subjects
DFN-15 LOCFHeadache Pain Relief Postdose (DB1 and DB2)30 minutes postdose32.2 percentage of subjects
DFN-15 LOCFHeadache Pain Relief Postdose (DB1 and DB2)1 hour postdose56.8 percentage of subjects
DFN-15 LOCFHeadache Pain Relief Postdose (DB1 and DB2)1.5 hours postdose70.0 percentage of subjects
DFN-15 LOCFHeadache Pain Relief Postdose (DB1 and DB2)2 hours postdose74.5 percentage of subjects
DFN-15 LOCFHeadache Pain Relief Postdose (DB1 and DB2)4 hours postdose79.6 percentage of subjects
DFN-15 LOCFHeadache Pain Relief Postdose (DB1 and DB2)24 hours postdose92.4 percentage of subjects
Placebo OCHeadache Pain Relief Postdose (DB1 and DB2)30 minutes postdose27.5 percentage of subjects
Placebo OCHeadache Pain Relief Postdose (DB1 and DB2)24 hours postdose89.0 percentage of subjects
Placebo OCHeadache Pain Relief Postdose (DB1 and DB2)4 hours postdose75.0 percentage of subjects
Placebo OCHeadache Pain Relief Postdose (DB1 and DB2)1.5 hours postdose53.3 percentage of subjects
Placebo OCHeadache Pain Relief Postdose (DB1 and DB2)45 minutes postdose37.1 percentage of subjects
Placebo OCHeadache Pain Relief Postdose (DB1 and DB2)2 hours postdose60.7 percentage of subjects
Placebo OCHeadache Pain Relief Postdose (DB1 and DB2)1 hour postdose43.8 percentage of subjects
Placebo OCHeadache Pain Relief Postdose (DB1 and DB2)15 minutes postdose10.9 percentage of subjects
DFN-15 OCHeadache Pain Relief Postdose (DB1 and DB2)1 hour postdose56.1 percentage of subjects
DFN-15 OCHeadache Pain Relief Postdose (DB1 and DB2)1.5 hours postdose66.4 percentage of subjects
DFN-15 OCHeadache Pain Relief Postdose (DB1 and DB2)24 hours postdose93.8 percentage of subjects
DFN-15 OCHeadache Pain Relief Postdose (DB1 and DB2)2 hours postdose74.4 percentage of subjects
DFN-15 OCHeadache Pain Relief Postdose (DB1 and DB2)15 minutes postdose11.7 percentage of subjects
DFN-15 OCHeadache Pain Relief Postdose (DB1 and DB2)45 minutes postdose47.7 percentage of subjects
DFN-15 OCHeadache Pain Relief Postdose (DB1 and DB2)4 hours postdose82.2 percentage of subjects
DFN-15 OCHeadache Pain Relief Postdose (DB1 and DB2)30 minutes postdose31.6 percentage of subjects
Secondary

Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)

Patient Perception of Migraine Questionnaire-Revised had 30 questions assessing subject's satisfaction with migraine medication, including 3 global items & 4 subscales (i.e., efficacy, function, ease of use, tolerability). A 5-point scale (1-Not At All to 5-Extremely) was used for tolerability subscale questions; a 7-point scale (1-Very Satisfied to 7-Very Dissatisfied) was used for all other subscales and global items. Total score was average of efficacy/function/ease of use subscale scores. Each subscale & total scores were transformed to range from 0-100, with higher scores indicating better satisfaction or tolerability. Total raw score/global items were not transformed. The total raw score could range from 17 (min) to 119 (max), with lower scores indicating better satisfaction. Change from baseline scores at 24-hour-postdose for each subscale score, global item score, total score, & total raw score were summarized by treatment group below.

Time frame: 24 hours postdose

ArmMeasureGroupValue (MEAN)Dispersion
Placebo LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Efficacy-4.196 units on a scaleStandard Deviation 39.0051
Placebo LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Overall Satisfaction (Global Item)0.5 units on a scaleStandard Deviation 2.67
Placebo LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Function-0.020 units on a scaleStandard Deviation 40.3093
Placebo LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Ease of Use2.247 units on a scaleStandard Deviation 28.5348
Placebo LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Medication Effectiveness (Global Item)0.7 units on a scaleStandard Deviation 2.59
Placebo LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Score-0.657 units on a scaleStandard Deviation 30.9929
Placebo LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Side Effects (Global Item)-0.3 units on a scaleStandard Deviation 2.05
Placebo LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Raw Score0.835 units on a scaleStandard Deviation 12.0599
Placebo LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Tolerability5.99 units on a scaleStandard Deviation 16.521
DFN-15 LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Raw Score-1.254 units on a scaleStandard Deviation 12.9334
DFN-15 LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Score4.367 units on a scaleStandard Deviation 33.7146
DFN-15 LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Ease of Use2.876 units on a scaleStandard Deviation 29.3816
DFN-15 LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Medication Effectiveness (Global Item)0.2 units on a scaleStandard Deviation 2.77
DFN-15 LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Function7.931 units on a scaleStandard Deviation 42.8913
DFN-15 LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Overall Satisfaction (Global Item)0.1 units on a scaleStandard Deviation 2.75
DFN-15 LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Tolerability8.45 units on a scaleStandard Deviation 15.93
DFN-15 LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Side Effects (Global Item)2.6 units on a scaleStandard Deviation 1.36
DFN-15 LOCFSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Efficacy2.292 units on a scaleStandard Deviation 40.8958
Placebo OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Medication Effectiveness (Global Item)0.2 units on a scaleStandard Deviation 2.64
Placebo OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Side Effects (Global Item)-0.7 units on a scaleStandard Deviation 1.88
Placebo OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Overall Satisfaction (Global Item)0.1 units on a scaleStandard Deviation 2.62
Placebo OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Score3.544 units on a scaleStandard Deviation 32.3791
Placebo OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Raw Score-0.744 units on a scaleStandard Deviation 12.3973
Placebo OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Efficacy0.385 units on a scaleStandard Deviation 39.7293
Placebo OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Function6.239 units on a scaleStandard Deviation 39.8213
Placebo OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Ease of Use4.009 units on a scaleStandard Deviation 28.6588
Placebo OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Tolerability9.01 units on a scaleStandard Deviation 15.301
DFN-15 OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Side Effects (Global Item)-0.3 units on a scaleStandard Deviation 1.92
DFN-15 OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Ease of Use0.047 units on a scaleStandard Deviation 28.888
DFN-15 OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Raw Score-1.448 units on a scaleStandard Deviation 12.3105
DFN-15 OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Score3.940 units on a scaleStandard Deviation 31.7753
DFN-15 OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Medication Effectiveness (Global Item)0.2 units on a scaleStandard Deviation 2.63
DFN-15 OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Tolerability6.72 units on a scaleStandard Deviation 15.565
DFN-15 OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Overall Satisfaction (Global Item)0.0 units on a scaleStandard Deviation 2.48
DFN-15 OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Function8.169 units on a scaleStandard Deviation 38.6639
DFN-15 OCSubject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Efficacy3.604 units on a scaleStandard Deviation 39.9214
Secondary

Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)

Subject-rated treatment overall satisfaction was based on a 7-point scale at 2 and 4 hours postdose during each DB treatment period. The difference between the subject-rated study drug treatment satisfaction score at 2 and 4 hours postdose and the baseline PPMQ-R (Patient Perception of Migraine Questionnaire) response for the same question were summarized by treatment group (global satisfaction item at baseline asked about the subject's usual migraine treatment). The possible values of the subject treatment satisfaction scale were: 1=very satisfied, 2=satisfied, 3=somewhat satisfied, 4=neither satisfied nor dissatisfied, 5=somewhat dissatisfied, 6=dissatisfied, 7=very dissatisfied. A decrease in values indicates improvement from baseline.

Time frame: 2 to 4 hours postdose

ArmMeasureGroupValue (MEAN)Dispersion
Placebo LOCFSubject-Rated Treatment Satisfaction Postdose (DB1 and DB2)2 hours postdose3.9 units on a scaleStandard Deviation 1.9
Placebo LOCFSubject-Rated Treatment Satisfaction Postdose (DB1 and DB2)4 hours postdose3.7 units on a scaleStandard Deviation 2.05
DFN-15 LOCFSubject-Rated Treatment Satisfaction Postdose (DB1 and DB2)4 hours postdose3.2 units on a scaleStandard Deviation 1.9
DFN-15 LOCFSubject-Rated Treatment Satisfaction Postdose (DB1 and DB2)2 hours postdose3.3 units on a scaleStandard Deviation 1.78
Placebo OCSubject-Rated Treatment Satisfaction Postdose (DB1 and DB2)2 hours postdose3.6 units on a scaleStandard Deviation 1.97
Placebo OCSubject-Rated Treatment Satisfaction Postdose (DB1 and DB2)4 hours postdose3.5 units on a scaleStandard Deviation 2.06
DFN-15 OCSubject-Rated Treatment Satisfaction Postdose (DB1 and DB2)2 hours postdose3.1 units on a scaleStandard Deviation 1.85
DFN-15 OCSubject-Rated Treatment Satisfaction Postdose (DB1 and DB2)4 hours postdose2.9 units on a scaleStandard Deviation 1.8
Secondary

Sustained Headache Pain Freedom Postdose (DB1 and DB2)

Sustained headache pain freedom was defined as pain-free at 2 hours postdose, with no use of rescue medication and no recurrence of headache pain within 2 to 24 hours postdose. This outcome measure shows percentage of subjects who were pain-free at 2 hours postdose without the use of rescue medication or recurrence of headache pain through 24 hours postdose.

Time frame: 2 to 24 hours postdose

ArmMeasureValue (NUMBER)
Placebo LOCFSustained Headache Pain Freedom Postdose (DB1 and DB2)17.0 percentage of subjects
DFN-15 LOCFSustained Headache Pain Freedom Postdose (DB1 and DB2)26.8 percentage of subjects
Placebo OCSustained Headache Pain Freedom Postdose (DB1 and DB2)26.5 percentage of subjects
DFN-15 OCSustained Headache Pain Freedom Postdose (DB1 and DB2)39.8 percentage of subjects
Secondary

Sustained Headache Pain Relief Postdose (DB1 and DB2)

Sustained headache pain relief was defined as pain relief at 2 hours postdose with no use of rescue medication and no worsening of headache pain within 2 to 24 hours postdose. This outcome measure shows the percentage of subjects who reported pain relief at 2 hours postdose with no use of rescue medication or worsening of headache pain through 24 hours postdose.

Time frame: 2 to 24 hours postdose

ArmMeasureValue (NUMBER)
Placebo LOCFSustained Headache Pain Relief Postdose (DB1 and DB2)43.4 percentage of subjects
DFN-15 LOCFSustained Headache Pain Relief Postdose (DB1 and DB2)55.1 percentage of subjects
Placebo OCSustained Headache Pain Relief Postdose (DB1 and DB2)49.7 percentage of subjects
DFN-15 OCSustained Headache Pain Relief Postdose (DB1 and DB2)60.2 percentage of subjects
Secondary

Time to Headache Pain Freedom Postdose (DB1 and DB2)

Time frame: 2 hours postdose

ArmMeasureValue (MEAN)Dispersion
Placebo LOCFTime to Headache Pain Freedom Postdose (DB1 and DB2)66.6 minutesStandard Deviation 32.31
DFN-15 LOCFTime to Headache Pain Freedom Postdose (DB1 and DB2)68.5 minutesStandard Deviation 31.01
Placebo OCTime to Headache Pain Freedom Postdose (DB1 and DB2)68.8 minutesStandard Deviation 25.06
DFN-15 OCTime to Headache Pain Freedom Postdose (DB1 and DB2)80.8 minutesStandard Deviation 25.8
Secondary

Time to Headache Pain Relief Postdose (DB1 and DB2)

Time frame: 2 hours postdose

ArmMeasureValue (MEAN)Dispersion
Placebo LOCFTime to Headache Pain Relief Postdose (DB1 and DB2)59.5 minutesStandard Deviation 29.82
DFN-15 LOCFTime to Headache Pain Relief Postdose (DB1 and DB2)68.9 minutesStandard Deviation 43.67
Placebo OCTime to Headache Pain Relief Postdose (DB1 and DB2)55.3 minutesStandard Deviation 29.22
DFN-15 OCTime to Headache Pain Relief Postdose (DB1 and DB2)62.1 minutesStandard Deviation 29.58
Secondary

Use of Rescue Medication Postdose (DB1 and DB2)

The percentage of subjects who used rescue mediation after 2 hours (2 to 24 hours) postdose compared between DFN-15 and placebo in each DB period.

Time frame: 2 to 24 hours postdose

ArmMeasureValue (NUMBER)
Placebo LOCFUse of Rescue Medication Postdose (DB1 and DB2)30.1 percentage of subjects
DFN-15 LOCFUse of Rescue Medication Postdose (DB1 and DB2)15.8 percentage of subjects
Placebo OCUse of Rescue Medication Postdose (DB1 and DB2)18.4 percentage of subjects
DFN-15 OCUse of Rescue Medication Postdose (DB1 and DB2)16.7 percentage of subjects

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026