Migraine Headache
Conditions
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1) | 2 hours post dose | 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. |
| Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1) | 2 hours post dose | Percentage of subjects who are free from their most bothersome symptom (MBS) among nausea, photophobia, and phonophobia at 2 hours postdose during DB1. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to Headache Pain Freedom Postdose (DB1 and DB2) | 2 hours postdose | — |
| Headache Pain Relief Postdose (DB1 and DB2) | 15 minutes to 24 hours postdose | 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. |
| Headache Pain Freedom Postdose (DB1 and DB2) | 15 minutes to 24 hours postdose | 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. |
| Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 15 minutes to 24 hours postdose | 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. |
| Change in Functional Disability Score Postdose (DB1 and DB2) | 2 to 24 hours postdose | 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. |
| Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2) | 2 to 4 hours postdose | 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. |
| Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes through 24 hours | 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. |
| Headache Pain Recurrence Postdose (DB1 and DB2) | 2 to 24 hours postdose | 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. |
| Sustained Headache Pain Relief Postdose (DB1 and DB2) | 2 to 24 hours postdose | 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. |
| Sustained Headache Pain Freedom Postdose (DB1 and DB2) | 2 to 24 hours postdose | 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. |
| Use of Rescue Medication Postdose (DB1 and DB2) | 2 to 24 hours postdose | 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. |
| Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2) | 2 to 4 hours postdose | 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. |
| Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | 24 hours postdose | 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. |
| Headache Pain Freedom Among BMI Category (DB1 and DB2) | 2 to 4 hours postdose | 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 to Headache Pain Relief Postdose (DB1 and DB2) | 2 hours postdose | — |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 567 |
Baseline characteristics
| Characteristic | DB1 DFN-15 | Total | DB1 Placebo |
|---|---|---|---|
| Age, Continuous | 40.5 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 Participants | 78 Participants | 38 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 242 Participants | 485 Participants | 243 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 3 Participants | 4 Participants | 1 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 5 Participants | 11 Participants | 6 Participants |
| Race (NIH/OMB) Black or African American | 75 Participants | 125 Participants | 50 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 2 Participants | 2 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 4 Participants | 11 Participants | 7 Participants |
| Race (NIH/OMB) White | 198 Participants | 417 Participants | 219 Participants |
| Sex: Female, Male Female | 252 Participants | 494 Participants | 242 Participants |
| Sex: Female, Male Male | 33 Participants | 73 Participants | 40 Participants |
Adverse events
| Event type | EG000 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 / 282 | 0 / 285 | 0 / 249 | 0 / 244 | 0 / 567 |
| other Total, other adverse events | 9 / 282 | 17 / 285 | 5 / 249 | 6 / 244 | 37 / 567 |
| serious Total, serious adverse events | 2 / 282 | 0 / 285 | 0 / 249 | 0 / 244 | 2 / 567 |
Outcome results
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo LOCF | Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1) | 44.8 percentage of subjects |
| DFN-15 LOCF | Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1) | 57.8 percentage of subjects |
| Placebo OC | Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1) | 45.4 percentage of subjects |
| DFN-15 OC | Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose (DB1) | 58.3 percentage of subjects |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo LOCF | Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1) | 21.7 percentage of subjects |
| DFN-15 LOCF | Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1) | 35.6 percentage of subjects |
| Placebo OC | Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1) | 22.1 percentage of subjects |
| DFN-15 OC | Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (DB1) | 35.8 percentage of subjects |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 15 minutes postdose | 10.6 percentage of subjects |
| Placebo LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 30 minutes postdose | 17.4 percentage of subjects |
| Placebo LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 45 minutes postdose | 22.5 percentage of subjects |
| Placebo LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 1 hour postdose | 25.0 percentage of subjects |
| Placebo LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 1.5 hours postdose | 38.7 percentage of subjects |
| Placebo LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 2 hours postdose | 44.8 percentage of subjects |
| Placebo LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 4 hours postdose | 61.3 percentage of subjects |
| Placebo LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 24 hours postdose | 86.0 percentage of subjects |
| DFN-15 LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 2 hours postdose | 57.8 percentage of subjects |
| DFN-15 LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 1.5 hours postdose | 49.1 percentage of subjects |
| DFN-15 LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 30 minutes postdose | 17.3 percentage of subjects |
| DFN-15 LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 24 hours postdose | 82.5 percentage of subjects |
| DFN-15 LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 4 hours postdose | 67.4 percentage of subjects |
| DFN-15 LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 1 hour postdose | 39.6 percentage of subjects |
| DFN-15 LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 45 minutes postdose | 28.5 percentage of subjects |
| DFN-15 LOCF | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 15 minutes postdose | 6.3 percentage of subjects |
| Placebo OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 4 hours postdose | 60.7 percentage of subjects |
| Placebo OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 45 minutes postdose | 27.5 percentage of subjects |
| Placebo OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 1 hour postdose | 35.8 percentage of subjects |
| Placebo OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 1.5 hours postdose | 42.6 percentage of subjects |
| Placebo OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 2 hours postdose | 50.0 percentage of subjects |
| Placebo OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 24 hours postdose | 83.7 percentage of subjects |
| Placebo OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 15 minutes postdose | 8.0 percentage of subjects |
| Placebo OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 30 minutes postdose | 15.8 percentage of subjects |
| DFN-15 OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 45 minutes postdose | 36.8 percentage of subjects |
| DFN-15 OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 1 hour postdose | 44.7 percentage of subjects |
| DFN-15 OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 30 minutes postdose | 22.9 percentage of subjects |
| DFN-15 OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 15 minutes postdose | 8.9 percentage of subjects |
| DFN-15 OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 1.5 hours postdose | 53.4 percentage of subjects |
| DFN-15 OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 24 hours postdose | 89.6 percentage of subjects |
| DFN-15 OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 4 hours postdose | 78.0 percentage of subjects |
| DFN-15 OC | Absence of Screening MBS at Time Points Postdose (DB1 and DB2) | 2 hours postdose | 63.4 percentage of subjects |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo LOCF | Change in Functional Disability Score Postdose (DB1 and DB2) | 2 hours postdose | -0.7 units on a scale | Standard Deviation 0.94 |
| Placebo LOCF | Change in Functional Disability Score Postdose (DB1 and DB2) | 24 hours postdose | -1.8 units on a scale | Standard Deviation 0.82 |
| Placebo LOCF | Change in Functional Disability Score Postdose (DB1 and DB2) | 4 hours postdose | -1.1 units on a scale | Standard Deviation 0.99 |
| DFN-15 LOCF | Change in Functional Disability Score Postdose (DB1 and DB2) | 2 hours postdose | -0.9 units on a scale | Standard Deviation 1 |
| DFN-15 LOCF | Change in Functional Disability Score Postdose (DB1 and DB2) | 24 hours postdose | -1.7 units on a scale | Standard Deviation 0.84 |
| DFN-15 LOCF | Change in Functional Disability Score Postdose (DB1 and DB2) | 4 hours postdose | -1.3 units on a scale | Standard Deviation 1.01 |
| Placebo OC | Change in Functional Disability Score Postdose (DB1 and DB2) | 4 hours postdose | -1.0 units on a scale | Standard Deviation 0.95 |
| Placebo OC | Change in Functional Disability Score Postdose (DB1 and DB2) | 2 hours postdose | -0.6 units on a scale | Standard Deviation 0.83 |
| Placebo OC | Change in Functional Disability Score Postdose (DB1 and DB2) | 24 hours postdose | -1.5 units on a scale | Standard Deviation 0.86 |
| DFN-15 OC | Change in Functional Disability Score Postdose (DB1 and DB2) | 2 hours postdose | -0.9 units on a scale | Standard Deviation 0.87 |
| DFN-15 OC | Change in Functional Disability Score Postdose (DB1 and DB2) | 24 hours postdose | -1.5 units on a scale | Standard Deviation 0.88 |
| DFN-15 OC | Change in Functional Disability Score Postdose (DB1 and DB2) | 4 hours postdose | -1.2 units on a scale | Standard Deviation 0.94 |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 43.8 percentage of subjects |
| Placebo LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 33.6 percentage of subjects |
| Placebo LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 16.8 percentage of subjects |
| Placebo LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 49.3 percentage of subjects |
| Placebo LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 58.5 percentage of subjects |
| Placebo LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 62.2 percentage of subjects |
| Placebo LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 75.5 percentage of subjects |
| Placebo LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 91.4 percentage of subjects |
| DFN-15 LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 90.6 percentage of subjects |
| DFN-15 LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 45.3 percentage of subjects |
| DFN-15 LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 15.7 percentage of subjects |
| DFN-15 LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 75.0 percentage of subjects |
| DFN-15 LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 32.9 percentage of subjects |
| DFN-15 LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 67.6 percentage of subjects |
| DFN-15 LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 63.5 percentage of subjects |
| DFN-15 LOCF | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 56.8 percentage of subjects |
| Placebo OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 20.2 percentage of subjects |
| Placebo OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 44.4 percentage of subjects |
| Placebo OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 13.0 percentage of subjects |
| Placebo OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 8.8 percentage of subjects |
| Placebo OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 85.2 percentage of subjects |
| Placebo OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 26.5 percentage of subjects |
| Placebo OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 61.2 percentage of subjects |
| Placebo OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 36.0 percentage of subjects |
| DFN-15 OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 85.7 percentage of subjects |
| DFN-15 OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 9.6 percentage of subjects |
| DFN-15 OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 30.6 percentage of subjects |
| DFN-15 OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 20.1 percentage of subjects |
| DFN-15 OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 47.4 percentage of subjects |
| DFN-15 OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 58.3 percentage of subjects |
| DFN-15 OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 69.9 percentage of subjects |
| DFN-15 OC | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 38.9 percentage of subjects |
| DB1 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 89.7 percentage of subjects |
| DB1 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 26.7 percentage of subjects |
| DB1 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 47.2 percentage of subjects |
| DB1 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 26.0 percentage of subjects |
| DB1 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 15.7 percentage of subjects |
| DB1 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 38.3 percentage of subjects |
| DB1 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 72.9 percentage of subjects |
| DB1 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 54.5 percentage of subjects |
| DB1 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 10.5 percentage of subjects |
| DB1 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 45.0 percentage of subjects |
| DB1 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 85.1 percentage of subjects |
| DB1 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 71.5 percentage of subjects |
| DB1 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 35.8 percentage of subjects |
| DB1 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 61.1 percentage of subjects |
| DB1 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 50.8 percentage of subjects |
| DB1 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 24.6 percentage of subjects |
| DB2 Placebo (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 66.9 percentage of subjects |
| DB2 Placebo (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 87.1 percentage of subjects |
| DB2 Placebo (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 52.5 percentage of subjects |
| DB2 Placebo (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 74.2 percentage of subjects |
| DB2 Placebo (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 14.5 percentage of subjects |
| DB2 Placebo (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 26.9 percentage of subjects |
| DB2 Placebo (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 41.8 percentage of subjects |
| DB2 Placebo (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 60.2 percentage of subjects |
| DB2 DFN-15 (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 13.7 percentage of subjects |
| DB2 DFN-15 (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 31.4 percentage of subjects |
| DB2 DFN-15 (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 44.3 percentage of subjects |
| DB2 DFN-15 (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 93.5 percentage of subjects |
| DB2 DFN-15 (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 51.9 percentage of subjects |
| DB2 DFN-15 (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 67.3 percentage of subjects |
| DB2 DFN-15 (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 69.2 percentage of subjects |
| DB2 DFN-15 (Nausea) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 85.0 percentage of subjects |
| DB2 Placebo (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 7.5 percentage of subjects |
| DB2 Placebo (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 45.9 percentage of subjects |
| DB2 Placebo (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 22.1 percentage of subjects |
| DB2 Placebo (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 35.4 percentage of subjects |
| DB2 Placebo (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 84.6 percentage of subjects |
| DB2 Placebo (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 14.4 percentage of subjects |
| DB2 Placebo (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 27.9 percentage of subjects |
| DB2 Placebo (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 62.8 percentage of subjects |
| DB2 DFN-15 (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 8.0 percentage of subjects |
| DB2 DFN-15 (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 78.1 percentage of subjects |
| DB2 DFN-15 (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 43.7 percentage of subjects |
| DB2 DFN-15 (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 21.9 percentage of subjects |
| DB2 DFN-15 (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 36.2 percentage of subjects |
| DB2 DFN-15 (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 64.0 percentage of subjects |
| DB2 DFN-15 (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 52.5 percentage of subjects |
| DB2 DFN-15 (Photophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 91.6 percentage of subjects |
| DB2 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 43.2 percentage of subjects |
| DB2 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 48.7 percentage of subjects |
| DB2 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 81.5 percentage of subjects |
| DB2 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 34.2 percentage of subjects |
| DB2 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 59.0 percentage of subjects |
| DB2 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 25.8 percentage of subjects |
| DB2 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 15.6 percentage of subjects |
| DB2 Placebo (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 8.5 percentage of subjects |
| DB2 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 30 minutes postdose | 27.4 percentage of subjects |
| DB2 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 2 hours postdose | 67.7 percentage of subjects |
| DB2 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 45 minutes postdose | 38.6 percentage of subjects |
| DB2 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1 hour postdose | 44.0 percentage of subjects |
| DB2 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 15 minutes postdose | 10.3 percentage of subjects |
| DB2 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 1.5 hours postdose | 56.3 percentage of subjects |
| DB2 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 24 hours postdose | 90.5 percentage of subjects |
| DB2 DFN-15 (Phonophobia) | Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2) | 4 hours postdose | 76.2 percentage of subjects |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo LOCF | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 4 hours postdose (BMI>=30) | 47.8 percentage of subjects |
| Placebo LOCF | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 2 hours postdose (BMI<30) | 22.1 percentage of subjects |
| Placebo LOCF | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 4 hours postdose (BMI <30) | 41.7 percentage of subjects |
| Placebo LOCF | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 2 hours postdose (BMI>=30) | 21.1 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 2 hours postdose (BMI>=30) | 40.3 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 4 hours postdose (BMI <30) | 55.9 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 2 hours postdose (BMI<30) | 31.5 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 4 hours postdose (BMI>=30) | 56.9 percentage of subjects |
| Placebo OC | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 4 hours postdose (BMI <30) | 50.0 percentage of subjects |
| Placebo OC | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 2 hours postdose (BMI>=30) | 37.3 percentage of subjects |
| Placebo OC | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 2 hours postdose (BMI<30) | 26.8 percentage of subjects |
| Placebo OC | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 4 hours postdose (BMI>=30) | 50.0 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 2 hours postdose (BMI<30) | 41.9 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 4 hours postdose (BMI>=30) | 56.2 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 2 hours postdose (BMI>=30) | 50.4 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Among BMI Category (DB1 and DB2) | 4 hours postdose (BMI <30) | 67.8 percentage of subjects |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo LOCF | Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2) | 2 hours postdose | 19.2 percentage of subjects |
| Placebo LOCF | Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2) | 4 hours postdose | 45.3 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2) | 4 hours postdose | 56.0 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2) | 2 hours postdose | 38.0 percentage of subjects |
| Placebo OC | Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2) | 2 hours postdose | 31.0 percentage of subjects |
| Placebo OC | Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2) | 4 hours postdose | 40.5 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2) | 2 hours postdose | 54.3 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2) | 4 hours postdose | 56.5 percentage of subjects |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 15 minutes postdose | 1.3 percentage of subjects |
| Placebo LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 45 minutes postdose | 8.6 percentage of subjects |
| Placebo LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 30 minutes postdose | 3.6 percentage of subjects |
| Placebo LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 4 hours postdose | 44.4 percentage of subjects |
| Placebo LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 24 hours postdose | 77.2 percentage of subjects |
| Placebo LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 1.5 hours postdose | 17.4 percentage of subjects |
| Placebo LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 1 hour postdose | 12.8 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 15 minutes postdose | 0.4 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 4 hours postdose | 56.4 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 24 hours postdose | 77.3 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 45 minutes postdose | 11.1 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 1 hour postdose | 17.9 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 1.5 hours postdose | 27.1 percentage of subjects |
| DFN-15 LOCF | Headache Pain Freedom Postdose (DB1 and DB2) | 30 minutes postdose | 3.0 percentage of subjects |
| Placebo OC | Headache Pain Freedom Postdose (DB1 and DB2) | 1 hour postdose | 15.8 percentage of subjects |
| Placebo OC | Headache Pain Freedom Postdose (DB1 and DB2) | 15 minutes postdose | 1.4 percentage of subjects |
| Placebo OC | Headache Pain Freedom Postdose (DB1 and DB2) | 4 hours postdose | 50.0 percentage of subjects |
| Placebo OC | Headache Pain Freedom Postdose (DB1 and DB2) | 2 hours postdose | 31.1 percentage of subjects |
| Placebo OC | Headache Pain Freedom Postdose (DB1 and DB2) | 1.5 hours postdose | 25.2 percentage of subjects |
| Placebo OC | Headache Pain Freedom Postdose (DB1 and DB2) | 45 minutes postdose | 11.7 percentage of subjects |
| Placebo OC | Headache Pain Freedom Postdose (DB1 and DB2) | 24 hours postdose | 75.1 percentage of subjects |
| Placebo OC | Headache Pain Freedom Postdose (DB1 and DB2) | 30 minutes postdose | 6.4 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Postdose (DB1 and DB2) | 24 hours postdose | 82.9 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Postdose (DB1 and DB2) | 15 minutes postdose | 0.9 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Postdose (DB1 and DB2) | 30 minutes postdose | 6.8 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Postdose (DB1 and DB2) | 45 minutes postdose | 12.7 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Postdose (DB1 and DB2) | 1 hour postdose | 23.2 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Postdose (DB1 and DB2) | 1.5 hours postdose | 36.1 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Postdose (DB1 and DB2) | 2 hours postdose | 46.2 percentage of subjects |
| DFN-15 OC | Headache Pain Freedom Postdose (DB1 and DB2) | 4 hours postdose | 61.9 percentage of subjects |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo LOCF | Headache Pain Recurrence Postdose (DB1 and DB2) | 14.0 percentage of subjects |
| DFN-15 LOCF | Headache Pain Recurrence Postdose (DB1 and DB2) | 9.2 percentage of subjects |
| Placebo OC | Headache Pain Recurrence Postdose (DB1 and DB2) | 6.6 percentage of subjects |
| DFN-15 OC | Headache Pain Recurrence Postdose (DB1 and DB2) | 6.4 percentage of subjects |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 1.5 hours postdose | 55.2 percentage of subjects |
| Placebo LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 45 minutes postdose | 40.2 percentage of subjects |
| Placebo LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 1 hour postdose | 45.1 percentage of subjects |
| Placebo LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 24 hours postdose | 92.5 percentage of subjects |
| Placebo LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 4 hours postdose | 75.2 percentage of subjects |
| Placebo LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 30 minutes postdose | 28.9 percentage of subjects |
| Placebo LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 15 minutes postdose | 16.6 percentage of subjects |
| Placebo LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 2 hours postdose | 60.5 percentage of subjects |
| DFN-15 LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 45 minutes postdose | 46.5 percentage of subjects |
| DFN-15 LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 15 minutes postdose | 13.4 percentage of subjects |
| DFN-15 LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 30 minutes postdose | 32.2 percentage of subjects |
| DFN-15 LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 1 hour postdose | 56.8 percentage of subjects |
| DFN-15 LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 1.5 hours postdose | 70.0 percentage of subjects |
| DFN-15 LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 2 hours postdose | 74.5 percentage of subjects |
| DFN-15 LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 4 hours postdose | 79.6 percentage of subjects |
| DFN-15 LOCF | Headache Pain Relief Postdose (DB1 and DB2) | 24 hours postdose | 92.4 percentage of subjects |
| Placebo OC | Headache Pain Relief Postdose (DB1 and DB2) | 30 minutes postdose | 27.5 percentage of subjects |
| Placebo OC | Headache Pain Relief Postdose (DB1 and DB2) | 24 hours postdose | 89.0 percentage of subjects |
| Placebo OC | Headache Pain Relief Postdose (DB1 and DB2) | 4 hours postdose | 75.0 percentage of subjects |
| Placebo OC | Headache Pain Relief Postdose (DB1 and DB2) | 1.5 hours postdose | 53.3 percentage of subjects |
| Placebo OC | Headache Pain Relief Postdose (DB1 and DB2) | 45 minutes postdose | 37.1 percentage of subjects |
| Placebo OC | Headache Pain Relief Postdose (DB1 and DB2) | 2 hours postdose | 60.7 percentage of subjects |
| Placebo OC | Headache Pain Relief Postdose (DB1 and DB2) | 1 hour postdose | 43.8 percentage of subjects |
| Placebo OC | Headache Pain Relief Postdose (DB1 and DB2) | 15 minutes postdose | 10.9 percentage of subjects |
| DFN-15 OC | Headache Pain Relief Postdose (DB1 and DB2) | 1 hour postdose | 56.1 percentage of subjects |
| DFN-15 OC | Headache Pain Relief Postdose (DB1 and DB2) | 1.5 hours postdose | 66.4 percentage of subjects |
| DFN-15 OC | Headache Pain Relief Postdose (DB1 and DB2) | 24 hours postdose | 93.8 percentage of subjects |
| DFN-15 OC | Headache Pain Relief Postdose (DB1 and DB2) | 2 hours postdose | 74.4 percentage of subjects |
| DFN-15 OC | Headache Pain Relief Postdose (DB1 and DB2) | 15 minutes postdose | 11.7 percentage of subjects |
| DFN-15 OC | Headache Pain Relief Postdose (DB1 and DB2) | 45 minutes postdose | 47.7 percentage of subjects |
| DFN-15 OC | Headache Pain Relief Postdose (DB1 and DB2) | 4 hours postdose | 82.2 percentage of subjects |
| DFN-15 OC | Headache Pain Relief Postdose (DB1 and DB2) | 30 minutes postdose | 31.6 percentage of subjects |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Efficacy | -4.196 units on a scale | Standard Deviation 39.0051 |
| Placebo LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Overall Satisfaction (Global Item) | 0.5 units on a scale | Standard Deviation 2.67 |
| Placebo LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Function | -0.020 units on a scale | Standard Deviation 40.3093 |
| Placebo LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Ease of Use | 2.247 units on a scale | Standard Deviation 28.5348 |
| Placebo LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Medication Effectiveness (Global Item) | 0.7 units on a scale | Standard Deviation 2.59 |
| Placebo LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Total Score | -0.657 units on a scale | Standard Deviation 30.9929 |
| Placebo LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Side Effects (Global Item) | -0.3 units on a scale | Standard Deviation 2.05 |
| Placebo LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Total Raw Score | 0.835 units on a scale | Standard Deviation 12.0599 |
| Placebo LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Tolerability | 5.99 units on a scale | Standard Deviation 16.521 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Total Raw Score | -1.254 units on a scale | Standard Deviation 12.9334 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Total Score | 4.367 units on a scale | Standard Deviation 33.7146 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Ease of Use | 2.876 units on a scale | Standard Deviation 29.3816 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Medication Effectiveness (Global Item) | 0.2 units on a scale | Standard Deviation 2.77 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Function | 7.931 units on a scale | Standard Deviation 42.8913 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Overall Satisfaction (Global Item) | 0.1 units on a scale | Standard Deviation 2.75 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Tolerability | 8.45 units on a scale | Standard Deviation 15.93 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Side Effects (Global Item) | 2.6 units on a scale | Standard Deviation 1.36 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Efficacy | 2.292 units on a scale | Standard Deviation 40.8958 |
| Placebo OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Medication Effectiveness (Global Item) | 0.2 units on a scale | Standard Deviation 2.64 |
| Placebo OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Side Effects (Global Item) | -0.7 units on a scale | Standard Deviation 1.88 |
| Placebo OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Overall Satisfaction (Global Item) | 0.1 units on a scale | Standard Deviation 2.62 |
| Placebo OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Total Score | 3.544 units on a scale | Standard Deviation 32.3791 |
| Placebo OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Total Raw Score | -0.744 units on a scale | Standard Deviation 12.3973 |
| Placebo OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Efficacy | 0.385 units on a scale | Standard Deviation 39.7293 |
| Placebo OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Function | 6.239 units on a scale | Standard Deviation 39.8213 |
| Placebo OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Ease of Use | 4.009 units on a scale | Standard Deviation 28.6588 |
| Placebo OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Tolerability | 9.01 units on a scale | Standard Deviation 15.301 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Side Effects (Global Item) | -0.3 units on a scale | Standard Deviation 1.92 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Ease of Use | 0.047 units on a scale | Standard Deviation 28.888 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Total Raw Score | -1.448 units on a scale | Standard Deviation 12.3105 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Total Score | 3.940 units on a scale | Standard Deviation 31.7753 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Medication Effectiveness (Global Item) | 0.2 units on a scale | Standard Deviation 2.63 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Tolerability | 6.72 units on a scale | Standard Deviation 15.565 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Overall Satisfaction (Global Item) | 0.0 units on a scale | Standard Deviation 2.48 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Function | 8.169 units on a scale | Standard Deviation 38.6639 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2) | Efficacy | 3.604 units on a scale | Standard Deviation 39.9214 |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo LOCF | Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2) | 2 hours postdose | 3.9 units on a scale | Standard Deviation 1.9 |
| Placebo LOCF | Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2) | 4 hours postdose | 3.7 units on a scale | Standard Deviation 2.05 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2) | 4 hours postdose | 3.2 units on a scale | Standard Deviation 1.9 |
| DFN-15 LOCF | Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2) | 2 hours postdose | 3.3 units on a scale | Standard Deviation 1.78 |
| Placebo OC | Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2) | 2 hours postdose | 3.6 units on a scale | Standard Deviation 1.97 |
| Placebo OC | Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2) | 4 hours postdose | 3.5 units on a scale | Standard Deviation 2.06 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2) | 2 hours postdose | 3.1 units on a scale | Standard Deviation 1.85 |
| DFN-15 OC | Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2) | 4 hours postdose | 2.9 units on a scale | Standard Deviation 1.8 |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo LOCF | Sustained Headache Pain Freedom Postdose (DB1 and DB2) | 17.0 percentage of subjects |
| DFN-15 LOCF | Sustained Headache Pain Freedom Postdose (DB1 and DB2) | 26.8 percentage of subjects |
| Placebo OC | Sustained Headache Pain Freedom Postdose (DB1 and DB2) | 26.5 percentage of subjects |
| DFN-15 OC | Sustained Headache Pain Freedom Postdose (DB1 and DB2) | 39.8 percentage of subjects |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo LOCF | Sustained Headache Pain Relief Postdose (DB1 and DB2) | 43.4 percentage of subjects |
| DFN-15 LOCF | Sustained Headache Pain Relief Postdose (DB1 and DB2) | 55.1 percentage of subjects |
| Placebo OC | Sustained Headache Pain Relief Postdose (DB1 and DB2) | 49.7 percentage of subjects |
| DFN-15 OC | Sustained Headache Pain Relief Postdose (DB1 and DB2) | 60.2 percentage of subjects |
Time to Headache Pain Freedom Postdose (DB1 and DB2)
Time frame: 2 hours postdose
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo LOCF | Time to Headache Pain Freedom Postdose (DB1 and DB2) | 66.6 minutes | Standard Deviation 32.31 |
| DFN-15 LOCF | Time to Headache Pain Freedom Postdose (DB1 and DB2) | 68.5 minutes | Standard Deviation 31.01 |
| Placebo OC | Time to Headache Pain Freedom Postdose (DB1 and DB2) | 68.8 minutes | Standard Deviation 25.06 |
| DFN-15 OC | Time to Headache Pain Freedom Postdose (DB1 and DB2) | 80.8 minutes | Standard Deviation 25.8 |
Time to Headache Pain Relief Postdose (DB1 and DB2)
Time frame: 2 hours postdose
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo LOCF | Time to Headache Pain Relief Postdose (DB1 and DB2) | 59.5 minutes | Standard Deviation 29.82 |
| DFN-15 LOCF | Time to Headache Pain Relief Postdose (DB1 and DB2) | 68.9 minutes | Standard Deviation 43.67 |
| Placebo OC | Time to Headache Pain Relief Postdose (DB1 and DB2) | 55.3 minutes | Standard Deviation 29.22 |
| DFN-15 OC | Time to Headache Pain Relief Postdose (DB1 and DB2) | 62.1 minutes | Standard Deviation 29.58 |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo LOCF | Use of Rescue Medication Postdose (DB1 and DB2) | 30.1 percentage of subjects |
| DFN-15 LOCF | Use of Rescue Medication Postdose (DB1 and DB2) | 15.8 percentage of subjects |
| Placebo OC | Use of Rescue Medication Postdose (DB1 and DB2) | 18.4 percentage of subjects |
| DFN-15 OC | Use of Rescue Medication Postdose (DB1 and DB2) | 16.7 percentage of subjects |