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Efficacy, Tolerability, and Safety 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
NCT03009019
Enrollment
631
Registered
2017-01-04
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

Dr. Reddy's Laboratories Limited
CollaboratorINDUSTRY
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 (First Treated Double-blind Treatment Period)2 hours postdoseThe primary efficacy end point (for first treated DB1 attack only) were the percentage of subjects who were pain-free 2 hours postdose compared between DFN-15 and placebo (defined as a reduction from predose moderate \[Grade 2\] or severe \[Grade 3\] pain to none \[Grade 0\]
Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose2 hours postdosePercentage of subjects who are free from their Most Bothersome Symptom (MBS) among nausea, photophobia, and phonophobia (first double-blind treatment period)

Secondary

MeasureTime frameDescription
Time to Headache Pain Relief Postdose (DB1 and DB2)2 hours postdoseThe time to headache pain relief was defined as the time in minutes from when a subject took study drug until the time pain relief was indicated by the subject in the eDiary within 2 hours postdose.
Time to Headache Pain Freedom Postdose (DB1 and DB2)2 hours postdoseThe time to headache pain freedom was defined as the time in minutes from when a subject took study drug until the time pain freedom was indicated by the subject in the eDiary within 2 hours postdose.
Headache Pain Relief Postdose (DB1 and DB2)15 minutes to 24 hours postdoseHeadache pain relief was defined for DB1 as a reduction from moderate or severe pain before dosing to mild or none postdose, and for DB2 as moderate or severe pain before dosing reduced to mild or none postdose, or mild pain before dosing reduced to none postdose. Data are reported by percentage reporting headache pain relief over time postdose.
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 period), 4, and 24 hours postdose compared between DFN-15 and placebo
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 Symptom) absent at 15, 30, and 45 minutes and 1, 1.5, 2 (DB2 period), 4, and 24 hours postdose compared between DFN-15 and placebo.
Change in Functional Disability Score Postdose (DB1 and DB2)2 to 24 hours postdoseChange in functional disability score at 2, 4, and 24 hours postdose compared between DFN-15 and placebo. 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 and 4 hours postdoseThe percentage of subjects who were pain-free at 2 and 4 hours postdose compared between DFN-15 and placebo, among those reporting cutaneous allodynia predose
The Number of Subjects With TEAEs After Study Drug Compared Between DFN-15 and PlaceboPer protocol, the maximum dosing timeframe for DB2 was 10 weeks; therefore, the maximum AE collection window was 11 weeks total.For DB1: TEAE that started or worsening of a pre-existing condition on or after the first dose of study drug (DFN-15 or placebo) in to taking DB2 study drug, whichever occurs first. For DB2: TEAE that started or worsened on or after the first dose of study drug in DB2 up to 5 days after the date of the last dose of study drug in DB2.
Headache Pain Recurrence Postdose (DB1 and DB2)2 to 24 hours postdoseThe percentage of subjects who had pain recurrence between 2 to 24 hours (i.e., pain-free at 2 hours postdose, with pain \[mild, moderate, or severe\] reported at 24 hours postdose) compared between DFN-15 and placebo
Sustained Headache Pain Relief Postdose (DB1 and DB2)2 to 24 hours postdoseThe percentage of the population of subjects who reported headache pain relief between 2 and 24 hours postdose.
Sustained Headache Pain Freedom Postdose (DB1 and DB2)2 to 24 hours postdoseThe percentage of subjects who had sustained pain freedom at 2 to 24 hours postdose compared between DFN-15 and placebo in each DB period. Sustained pain freedom at 2 to 24 hours postdose is 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
Use of Rescue Medication Postdose (DB1 and DB2)2 to 24 hours postdoseThe percentage of subjects who used rescue medication 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 and 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 and 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, and whose BMI was \< 25 kg/m2 vs. subjects whose BMI was ≥ 25 kg/m2
Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes to 24 hours postdoseThe 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 compared between DFN-15 and placebo

Countries

United States

Participant flow

Participants by arm

ArmCount
DB1 Placebo
Subjects received placebo in the Double-blind period 1 (DB1)
283
DB1 DFN-15
Subjects received DFN-15 in the Double-blind period 1 (DB1)
289
Total572

Baseline characteristics

CharacteristicDB1 DFN-15TotalDB1 Placebo
Age, Continuous41.4 Years
STANDARD_DEVIATION 13.94
41.0 Years
STANDARD_DEVIATION 13.44
40.4 Years
STANDARD_DEVIATION 12.99
Ethnicity (NIH/OMB)
Hispanic or Latino
40 Participants81 Participants41 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
248 Participants489 Participants241 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants2 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants4 Participants3 Participants
Race (NIH/OMB)
Black or African American
64 Participants127 Participants63 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants18 Participants8 Participants
Race (NIH/OMB)
White
214 Participants423 Participants209 Participants
Sex: Female, Male
Female
237 Participants482 Participants245 Participants
Sex: Female, Male
Male
52 Participants90 Participants38 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 / 2830 / 2890 / 2540 / 2510 / 572
other
Total, other adverse events
5 / 2834 / 2893 / 2544 / 25113 / 572
serious
Total, serious adverse events
2 / 2831 / 2890 / 2541 / 2514 / 572

Outcome results

Primary

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

Percentage of subjects who are free from their Most Bothersome Symptom (MBS) among nausea, photophobia, and phonophobia (first double-blind treatment period)

Time frame: 2 hours postdose

Population: Full Analysis Set 1

ArmMeasureValue (NUMBER)
DFN-15 Placebo (LOCF)Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose45.0 percentage of subjects
DFN-15 Active (LOCF)Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose58.9 percentage of subjects
DFN-15 Placebo (OC)Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose44.4 percentage of subjects
DFN-15 Active (OC)Percentage of Subjects Who Are Free From Their MBS at 2 Hours Postdose58.5 percentage of subjects
p-value: 0.00395% CI: [1.22, 2.52]Regression, Logistic
p-value: 0.00395% CI: [1.22, 2.55]Regression, Logistic
Primary

Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (First Treated Double-blind Treatment Period)

The primary efficacy end point (for first treated DB1 attack only) were the percentage of subjects who were pain-free 2 hours postdose compared between DFN-15 and placebo (defined as a reduction from predose moderate \[Grade 2\] or severe \[Grade 3\] pain to none \[Grade 0\]

Time frame: 2 hours postdose

Population: Full Analysis Set 1

ArmMeasureValue (NUMBER)
DFN-15 Placebo (LOCF)Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (First Treated Double-blind Treatment Period)25.8 percentage of subjects
DFN-15 Active (LOCF)Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (First Treated Double-blind Treatment Period)32.9 percentage of subjects
DFN-15 Placebo (OC)Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (First Treated Double-blind Treatment Period)24.6 percentage of subjects
DFN-15 Active (OC)Percentage of Subjects Who Are Pain-free at 2 Hours Postdose (First Treated Double-blind Treatment Period)32.4 percentage of subjects
Comparison: Last Observation Carried Forward (LOCF)p-value: 0.07595% CI: [0.97, 2.03]Fisher Exact
Comparison: Observed cases (OC)p-value: 0.05595% CI: [1, 2.14]Fisher Exact
Secondary

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

The percentage of subjects with their Screening MBS (Most Bothersome Symptom) absent at 15, 30, and 45 minutes and 1, 1.5, 2 (DB2 period), 4, and 24 hours postdose compared between DFN-15 and placebo.

Time frame: 15 minutes to 24 hours postdose

ArmMeasureGroupValue (NUMBER)
DFN-15 Placebo (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)30 minutes postdose17.0 percentage of subjects
DFN-15 Placebo (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)45 minutes postdose24.0 percentage of subjects
DFN-15 Placebo (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)2 hours postdose45.0 percentage of subjects
DFN-15 Placebo (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)24 hours postdose83.8 percentage of subjects
DFN-15 Placebo (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)1.5 hours postdose38.1 percentage of subjects
DFN-15 Placebo (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)1 hour postdose27.6 percentage of subjects
DFN-15 Placebo (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)4 hours postdose61.4 percentage of subjects
DFN-15 Placebo (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)15 minutes postdose8.3 percentage of subjects
DFN-15 Active (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)4 hours postdose70.1 percentage of subjects
DFN-15 Active (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)1.5 hours postdose48.8 percentage of subjects
DFN-15 Active (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)2 hours postdose58.9 percentage of subjects
DFN-15 Active (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)30 minutes postdose18.2 percentage of subjects
DFN-15 Active (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)15 minutes postdose10.4 percentage of subjects
DFN-15 Active (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)45 minutes postdose29.1 percentage of subjects
DFN-15 Active (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)24 hours postdose86.4 percentage of subjects
DFN-15 Active (LOCF)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)1 hour postdose36.0 percentage of subjects
DFN-15 Placebo (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)2 hours postdose51.3 percentage of subjects
DFN-15 Placebo (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)4 hours postdose61.5 percentage of subjects
DFN-15 Placebo (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)24 hours postdose86.7 percentage of subjects
DFN-15 Placebo (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)30 minutes postdose16.4 percentage of subjects
DFN-15 Placebo (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)45 minutes postdose28.1 percentage of subjects
DFN-15 Placebo (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)15 minutes postdose5.8 percentage of subjects
DFN-15 Placebo (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)1 hour postdose32.3 percentage of subjects
DFN-15 Placebo (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)1.5 hours postdose44.7 percentage of subjects
DFN-15 Active (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)24 hours postdose91.0 percentage of subjects
DFN-15 Active (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)15 minutes postdose9.6 percentage of subjects
DFN-15 Active (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)30 minutes postdose21.5 percentage of subjects
DFN-15 Active (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)45 minutes postdose31.1 percentage of subjects
DFN-15 Active (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)1 hour postdose42.0 percentage of subjects
DFN-15 Active (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)1.5 hours postdose51.8 percentage of subjects
DFN-15 Active (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)2 hours postdose56.9 percentage of subjects
DFN-15 Active (OC)Absence of Screening MBS at Time Points Postdose (DB1 and DB2)4 hours postdose75.6 percentage of subjects
Secondary

Change in Functional Disability Score Postdose (DB1 and DB2)

Change in functional disability score at 2, 4, and 24 hours postdose compared between DFN-15 and placebo. 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
DFN-15 Placebo (LOCF)Change in Functional Disability Score Postdose (DB1 and DB2)2 hours postdose-0.7 units on a scaleStandard Deviation 0.95
DFN-15 Placebo (LOCF)Change in Functional Disability Score Postdose (DB1 and DB2)24 hours postdose-1.7 units on a scaleStandard Deviation 0.92
DFN-15 Placebo (LOCF)Change in Functional Disability Score Postdose (DB1 and DB2)4 hours postdose-1.0 units on a scaleStandard Deviation 1.06
DFN-15 Active (LOCF)Change in Functional Disability Score Postdose (DB1 and DB2)2 hours postdose-0.9 units on a scaleStandard Deviation 0.89
DFN-15 Active (LOCF)Change in Functional Disability Score Postdose (DB1 and DB2)24 hours postdose-1.7 units on a scaleStandard Deviation 0.78
DFN-15 Active (LOCF)Change in Functional Disability Score Postdose (DB1 and DB2)4 hours postdose-1.2 units on a scaleStandard Deviation 0.89
DFN-15 Placebo (OC)Change in Functional Disability Score Postdose (DB1 and DB2)4 hours postdose-0.9 units on a scaleStandard Deviation 0.97
DFN-15 Placebo (OC)Change in Functional Disability Score Postdose (DB1 and DB2)2 hours postdose-0.6 units on a scaleStandard Deviation 0.94
DFN-15 Placebo (OC)Change in Functional Disability Score Postdose (DB1 and DB2)24 hours postdose-1.5 units on a scaleStandard Deviation 0.84
DFN-15 Active (OC)Change in Functional Disability Score Postdose (DB1 and DB2)2 hours postdose-0.9 units on a scaleStandard Deviation 0.91
DFN-15 Active (OC)Change in Functional Disability Score Postdose (DB1 and DB2)24 hours postdose-1.7 units on a scaleStandard Deviation 0.82
DFN-15 Active (OC)Change in Functional Disability Score Postdose (DB1 and DB2)4 hours postdose-1.2 units on a scaleStandard Deviation 0.9
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 compared between DFN-15 and placebo

Time frame: 15 minutes to 24 hours postdose

ArmMeasureGroupValue (NUMBER)
DFN-15 Placebo (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose53.5 percentage of subjects
DFN-15 Placebo (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose35.3 percentage of subjects
DFN-15 Placebo (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose74.0 percentage of subjects
DFN-15 Placebo (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose20.3 percentage of subjects
DFN-15 Placebo (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose60.4 percentage of subjects
DFN-15 Placebo (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose89.1 percentage of subjects
DFN-15 Placebo (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose40.3 percentage of subjects
DFN-15 Placebo (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose45.8 percentage of subjects
DFN-15 Active (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose58.8 percentage of subjects
DFN-15 Active (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose44.4 percentage of subjects
DFN-15 Active (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose32.4 percentage of subjects
DFN-15 Active (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose14.3 percentage of subjects
DFN-15 Active (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose89.6 percentage of subjects
DFN-15 Active (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose66.7 percentage of subjects
DFN-15 Active (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose83.0 percentage of subjects
DFN-15 Active (LOCF)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose55.9 percentage of subjects
DFN-15 Placebo (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose22.8 percentage of subjects
DFN-15 Placebo (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose83.9 percentage of subjects
DFN-15 Placebo (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose6.2 percentage of subjects
DFN-15 Placebo (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose42.9 percentage of subjects
DFN-15 Placebo (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose57.5 percentage of subjects
DFN-15 Placebo (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose25.9 percentage of subjects
DFN-15 Placebo (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose14.7 percentage of subjects
DFN-15 Placebo (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose35.6 percentage of subjects
DFN-15 Active (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose46.3 percentage of subjects
DFN-15 Active (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose70.5 percentage of subjects
DFN-15 Active (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose9.0 percentage of subjects
DFN-15 Active (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose86.5 percentage of subjects
DFN-15 Active (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose15.9 percentage of subjects
DFN-15 Active (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose58.0 percentage of subjects
DFN-15 Active (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose25.2 percentage of subjects
DFN-15 Active (OC)Freedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose32.0 percentage of subjects
Placebo DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose16.8 percentage of subjects
Placebo DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose82.5 percentage of subjects
Placebo DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose11.1 percentage of subjects
Placebo DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose47.0 percentage of subjects
Placebo DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose40.9 percentage of subjects
Placebo DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose32.5 percentage of subjects
Placebo DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose65.2 percentage of subjects
Placebo DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose29.4 percentage of subjects
DFN-15 DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose52.0 percentage of subjects
DFN-15 DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose33.9 percentage of subjects
DFN-15 DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose59.2 percentage of subjects
DFN-15 DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose68.5 percentage of subjects
DFN-15 DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose24.5 percentage of subjects
DFN-15 DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose88.9 percentage of subjects
DFN-15 DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose39.5 percentage of subjects
DFN-15 DB1 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose15.5 percentage of subjects
Placebo DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose90.8 percentage of subjects
Placebo DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose68.5 percentage of subjects
Placebo DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose10.4 percentage of subjects
Placebo DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose27.5 percentage of subjects
Placebo DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose40.4 percentage of subjects
Placebo DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose58.9 percentage of subjects
Placebo DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose73.1 percentage of subjects
Placebo DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose55.1 percentage of subjects
DFN-15 DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose27.2 percentage of subjects
DFN-15 DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose16.2 percentage of subjects
DFN-15 DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose44.0 percentage of subjects
DFN-15 DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose56.9 percentage of subjects
DFN-15 DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose62.9 percentage of subjects
DFN-15 DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose72.9 percentage of subjects
DFN-15 DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose84.0 percentage of subjects
DFN-15 DB2 NauseaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose93.3 percentage of subjects
Placebo DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose61.0 percentage of subjects
Placebo DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose50.3 percentage of subjects
Placebo DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose15.0 percentage of subjects
Placebo DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose42.2 percentage of subjects
Placebo DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose85.7 percentage of subjects
Placebo DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose25.3 percentage of subjects
Placebo DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose3.3 percentage of subjects
Placebo DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose30.8 percentage of subjects
DFN-15 DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose48.2 percentage of subjects
DFN-15 DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose73.7 percentage of subjects
DFN-15 DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose90.4 percentage of subjects
DFN-15 DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose10.4 percentage of subjects
DFN-15 DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose37.2 percentage of subjects
DFN-15 DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose21.2 percentage of subjects
DFN-15 DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose30.2 percentage of subjects
DFN-15 DB2 PhotophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose53.7 percentage of subjects
Placebo DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose52.4 percentage of subjects
Placebo DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose38.2 percentage of subjects
Placebo DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose53.9 percentage of subjects
Placebo DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose29.2 percentage of subjects
Placebo DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose87.6 percentage of subjects
Placebo DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose69.5 percentage of subjects
Placebo DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose19.5 percentage of subjects
Placebo DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose8.7 percentage of subjects
DFN-15 DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1.5 hours postdose55.6 percentage of subjects
DFN-15 DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)4 hours postdose75.8 percentage of subjects
DFN-15 DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)30 minutes postdose25.9 percentage of subjects
DFN-15 DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)24 hours postdose89.2 percentage of subjects
DFN-15 DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)45 minutes postdose36.9 percentage of subjects
DFN-15 DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)2 hours postdose61.3 percentage of subjects
DFN-15 DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)1 hour postdose48.1 percentage of subjects
DFN-15 DB2 PhonophobiaFreedom From Nausea, Photophobia, and Phonophobia Postdose (DB1 and DB2)15 minutes postdose13.2 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, and whose BMI was \< 25 kg/m2 vs. subjects whose BMI was ≥ 25 kg/m2

Time frame: 2 and 4 hours postdose

Population: Subjects were stratified and data were evaluated by subject BMI, therefore the overall number analyzed differs from the participant numbers reported in the data table.

ArmMeasureGroupValue (NUMBER)
DFN-15 Placebo (LOCF)Headache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI>=30)29.3 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI>=30)42.7 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI<30)38.1 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI<30)22.9 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI<30)43.6 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI>=30)41.9 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI<30)25.6 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI>=30)56.0 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI>=30)26.5 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI<30)22.1 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI<30)44.3 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI>=30)49.2 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI<30)34.3 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Among BMI Category (DB1 and DB2)2 hours postdose (BMI>=30)40.0 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI>=30)64.7 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Among BMI Category (DB1 and DB2)4 hours postdose (BMI<30)55.0 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 compared between DFN-15 and placebo, among those reporting cutaneous allodynia predose

Time frame: 2 and 4 hours postdose

ArmMeasureGroupValue (NUMBER)
DFN-15 Placebo (LOCF)Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)2 hours postdose26.2 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)4 hours postdose37.9 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)4 hours postdose39.3 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)2 hours postdose26.2 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)4 hours postdose43.1 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)2 hours postdose25.5 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)4 hours postdose54.5 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Among Subjects With Cutaneous Allodynia (DB1 and DB2)2 hours postdose39.5 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 period), 4, and 24 hours postdose compared between DFN-15 and placebo

Time frame: 15 minutes to 24 hours postdose

Population: data for 2 hours postdose were not collected for DB1 per protocol

ArmMeasureGroupValue (NUMBER)
DFN-15 Placebo (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)4 hours postdose40.2 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)24 hours postdose71.9 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)45 minutes postdose9.7 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)30 minutes postdose5.5 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)15 minutes postdose2.9 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)1.5 hours postdose19.8 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)1 hour postdose12.6 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)15 minutes postdose1.2 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)24 hours postdose79.4 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)1.5 hours postdose24.7 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)30 minutes postdose3.7 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)1 hour postdose18.0 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)45 minutes postdose9.5 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Freedom Postdose (DB1 and DB2)4 hours postdose49.1 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Postdose (DB1 and DB2)2 hours postdose24.3 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Postdose (DB1 and DB2)15 minutes postdose0.5 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Postdose (DB1 and DB2)30 minutes postdose1.7 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Postdose (DB1 and DB2)45 minutes postdose7.3 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Postdose (DB1 and DB2)1 hour postdose11.9 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Postdose (DB1 and DB2)1.5 hours postdose20.7 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Postdose (DB1 and DB2)4 hours postdose46.7 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Freedom Postdose (DB1 and DB2)24 hours postdose74.7 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Postdose (DB1 and DB2)1 hour postdose18.7 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Postdose (DB1 and DB2)45 minutes postdose11.9 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Postdose (DB1 and DB2)24 hours postdose85.3 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Postdose (DB1 and DB2)4 hours postdose59.1 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Postdose (DB1 and DB2)30 minutes postdose8.6 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Postdose (DB1 and DB2)15 minutes postdose2.8 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Postdose (DB1 and DB2)1.5 hours postdose27.1 percentage of subjects
DFN-15 Active (OC)Headache Pain Freedom Postdose (DB1 and DB2)2 hours postdose36.7 percentage of subjects
Secondary

Headache Pain Recurrence Postdose (DB1 and DB2)

The percentage of subjects who had pain recurrence between 2 to 24 hours (i.e., pain-free at 2 hours postdose, with pain \[mild, moderate, or severe\] reported at 24 hours postdose) compared between DFN-15 and placebo

Time frame: 2 to 24 hours postdose

ArmMeasureValue (NUMBER)
DFN-15 Placebo (LOCF)Headache Pain Recurrence Postdose (DB1 and DB2)10.1 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Recurrence Postdose (DB1 and DB2)7.6 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Recurrence Postdose (DB1 and DB2)6.9 percentage of subjects
DFN-15 Active (OC)Headache Pain Recurrence Postdose (DB1 and DB2)4.5 percentage of subjects
Secondary

Headache Pain Relief Postdose (DB1 and DB2)

Headache pain relief was defined for DB1 as a reduction from moderate or severe pain before dosing to mild or none postdose, and for DB2 as moderate or severe pain before dosing reduced to mild or none postdose, or mild pain before dosing reduced to none postdose. Data are reported by percentage reporting headache pain relief over time postdose.

Time frame: 15 minutes to 24 hours postdose

ArmMeasureGroupValue (NUMBER)
DFN-15 Placebo (LOCF)Headache Pain Relief Postdose (DB1 and DB2)15 minutes postdose12.6 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Relief Postdose (DB1 and DB2)30 minutes postdose22.4 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Relief Postdose (DB1 and DB2)45 minutes postdose35.0 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Relief Postdose (DB1 and DB2)1 hour postdose39.8 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Relief Postdose (DB1 and DB2)1.5 hours postdose49.6 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Relief Postdose (DB1 and DB2)2 hours postdose56.9 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Relief Postdose (DB1 and DB2)4 hours postdose73.8 percentage of subjects
DFN-15 Placebo (LOCF)Headache Pain Relief Postdose (DB1 and DB2)24 hours postdose92.7 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Relief Postdose (DB1 and DB2)2 hours postdose68.6 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Relief Postdose (DB1 and DB2)1.5 hours postdose58.8 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Relief Postdose (DB1 and DB2)30 minutes postdose25.3 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Relief Postdose (DB1 and DB2)24 hours postdose94.3 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Relief Postdose (DB1 and DB2)4 hours postdose82.9 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Relief Postdose (DB1 and DB2)1 hour postdose49.6 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Relief Postdose (DB1 and DB2)45 minutes postdose40.0 percentage of subjects
DFN-15 Active (LOCF)Headache Pain Relief Postdose (DB1 and DB2)15 minutes postdose12.6 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Relief Postdose (DB1 and DB2)4 hours postdose74.6 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Relief Postdose (DB1 and DB2)45 minutes postdose35.3 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Relief Postdose (DB1 and DB2)1 hour postdose41.9 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Relief Postdose (DB1 and DB2)1.5 hours postdose51.9 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Relief Postdose (DB1 and DB2)2 hours postdose58.6 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Relief Postdose (DB1 and DB2)24 hours postdose88.2 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Relief Postdose (DB1 and DB2)15 minutes postdose7.9 percentage of subjects
DFN-15 Placebo (OC)Headache Pain Relief Postdose (DB1 and DB2)30 minutes postdose23.0 percentage of subjects
DFN-15 Active (OC)Headache Pain Relief Postdose (DB1 and DB2)45 minutes postdose40.0 percentage of subjects
DFN-15 Active (OC)Headache Pain Relief Postdose (DB1 and DB2)1 hour postdose52.8 percentage of subjects
DFN-15 Active (OC)Headache Pain Relief Postdose (DB1 and DB2)30 minutes postdose28.0 percentage of subjects
DFN-15 Active (OC)Headache Pain Relief Postdose (DB1 and DB2)15 minutes postdose15.0 percentage of subjects
DFN-15 Active (OC)Headache Pain Relief Postdose (DB1 and DB2)1.5 hours postdose62.7 percentage of subjects
DFN-15 Active (OC)Headache Pain Relief Postdose (DB1 and DB2)24 hours postdose95.1 percentage of subjects
DFN-15 Active (OC)Headache Pain Relief Postdose (DB1 and DB2)4 hours postdose84.7 percentage of subjects
DFN-15 Active (OC)Headache Pain Relief Postdose (DB1 and DB2)2 hours postdose69.6 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
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Medication effectiveness (Global Item)0.9 units on a scaleStandard Deviation 2.8
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Tolerability6.09 units on a scaleStandard Deviation 14.85
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Overall Satisfaction (Global Item)0.8 units on a scaleStandard Deviation 2.74
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Function-3.812 units on a scaleStandard Deviation 42.0995
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Efficacy-9.591 units on a scaleStandard Deviation 41.0822
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Raw Score2.463 units on a scaleStandard Deviation 12.7476
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Side Effects (Global Item)-0.5 units on a scaleStandard Deviation 2
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Ease of Use-1.197 units on a scaleStandard Deviation 29.1309
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Score-4.866 units on a scaleStandard Deviation 32.6258
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Ease of Use3.766 units on a scaleStandard Deviation 26.0805
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Medication effectiveness (Global Item)0.1 units on a scaleStandard Deviation 2.64
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Tolerability6.98 units on a scaleStandard Deviation 15.267
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Raw Score-1.498 units on a scaleStandard Deviation 12.0209
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Score5.112 units on a scaleStandard Deviation 30.638
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Efficacy3.016 units on a scaleStandard Deviation 38.9173
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Overall Satisfaction (Global Item)0.1 units on a scaleStandard Deviation 2.6
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Side Effects (Global Item)-0.4 units on a scaleStandard Deviation 1.88
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Function8.554 units on a scaleStandard Deviation 39.4248
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Ease of Use2.174 units on a scaleStandard Deviation 27.7924
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Score0.491 units on a scaleStandard Deviation 32.5487
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Raw Score0.426 units on a scaleStandard Deviation 12.8385
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Efficacy-3.261 units on a scaleStandard Deviation 41.6631
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Function2.559 units on a scaleStandard Deviation 42.3773
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Tolerability5.87 units on a scaleStandard Deviation 14.115
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Medication effectiveness (Global Item)0.6 units on a scaleStandard Deviation 2.65
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Side Effects (Global Item)-0.2 units on a scaleStandard Deviation 1.98
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Overall Satisfaction (Global Item)0.5 units on a scaleStandard Deviation 2.65
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Medication effectiveness (Global Item)-0.1 units on a scaleStandard Deviation 2.43
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Function10.708 units on a scaleStandard Deviation 35.2324
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Efficacy6.044 units on a scaleStandard Deviation 36.1736
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Overall Satisfaction (Global Item)-0.1 units on a scaleStandard Deviation 2.41
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Side Effects (Global Item)-0.5 units on a scaleStandard Deviation 2
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Raw Score-2.312 units on a scaleStandard Deviation 11.0429
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Tolerability7.62 units on a scaleStandard Deviation 17.579
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Ease of Use3.360 units on a scaleStandard Deviation 23.7033
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction at 24 Hours Postdose - PPMQ-R (DB1 and DB2)Total Score6.691 units on a scaleStandard Deviation 28.1563
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 and 4 hours postdose

ArmMeasureGroupValue (MEAN)Dispersion
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)Difference at 2 hours0.7 units on a scaleStandard Deviation 2.49
DFN-15 Placebo (LOCF)Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)Difference at 4 hours0.7 units on a scaleStandard Deviation 2.5
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)Difference at 4 hours-0.1 units on a scaleStandard Deviation 2.36
DFN-15 Active (LOCF)Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)Difference at 2 hours-0.1 units on a scaleStandard Deviation 2.35
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)Difference at 2 hours0.3 units on a scaleStandard Deviation 2.45
DFN-15 Placebo (OC)Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)Difference at 4 hours0.4 units on a scaleStandard Deviation 2.46
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)Difference at 2 hours-0.1 units on a scaleStandard Deviation 2.26
DFN-15 Active (OC)Subject-Rated Treatment Satisfaction Postdose (DB1 and DB2)Difference at 4 hours-0.1 units on a scaleStandard Deviation 2.29
Secondary

Sustained Headache Pain Freedom Postdose (DB1 and DB2)

The percentage of subjects who had sustained pain freedom at 2 to 24 hours postdose compared between DFN-15 and placebo in each DB period. Sustained pain freedom at 2 to 24 hours postdose is 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

Time frame: 2 to 24 hours postdose

ArmMeasureValue (NUMBER)
DFN-15 Placebo (LOCF)Sustained Headache Pain Freedom Postdose (DB1 and DB2)18.9 percentage of subjects
DFN-15 Active (LOCF)Sustained Headache Pain Freedom Postdose (DB1 and DB2)27.6 percentage of subjects
DFN-15 Placebo (OC)Sustained Headache Pain Freedom Postdose (DB1 and DB2)20.0 percentage of subjects
DFN-15 Active (OC)Sustained Headache Pain Freedom Postdose (DB1 and DB2)29.1 percentage of subjects
Secondary

Sustained Headache Pain Relief Postdose (DB1 and DB2)

The percentage of the population of subjects who reported headache pain relief between 2 and 24 hours postdose.

Time frame: 2 to 24 hours postdose

ArmMeasureValue (NUMBER)
DFN-15 Placebo (LOCF)Sustained Headache Pain Relief Postdose (DB1 and DB2)39.8 percentage of subjects
DFN-15 Active (LOCF)Sustained Headache Pain Relief Postdose (DB1 and DB2)55.1 percentage of subjects
DFN-15 Placebo (OC)Sustained Headache Pain Relief Postdose (DB1 and DB2)44.3 percentage of subjects
DFN-15 Active (OC)Sustained Headache Pain Relief Postdose (DB1 and DB2)56.6 percentage of subjects
Secondary

The Number of Subjects With TEAEs After Study Drug Compared Between DFN-15 and Placebo

For DB1: TEAE that started or worsening of a pre-existing condition on or after the first dose of study drug (DFN-15 or placebo) in to taking DB2 study drug, whichever occurs first. For DB2: TEAE that started or worsened on or after the first dose of study drug in DB2 up to 5 days after the date of the last dose of study drug in DB2.

Time frame: Per protocol, the maximum dosing timeframe for DB2 was 10 weeks; therefore, the maximum AE collection window was 11 weeks total.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
DFN-15 Placebo (LOCF)The Number of Subjects With TEAEs After Study Drug Compared Between DFN-15 and Placebo28 Participants
DFN-15 Active (LOCF)The Number of Subjects With TEAEs After Study Drug Compared Between DFN-15 and Placebo31 Participants
DFN-15 Placebo (OC)The Number of Subjects With TEAEs After Study Drug Compared Between DFN-15 and Placebo26 Participants
DFN-15 Active (OC)The Number of Subjects With TEAEs After Study Drug Compared Between DFN-15 and Placebo21 Participants
Secondary

Time to Headache Pain Freedom Postdose (DB1 and DB2)

The time to headache pain freedom was defined as the time in minutes from when a subject took study drug until the time pain freedom was indicated by the subject in the eDiary within 2 hours postdose.

Time frame: 2 hours postdose

ArmMeasureValue (MEDIAN)
DFN-15 Placebo (LOCF)Time to Headache Pain Freedom Postdose (DB1 and DB2)NA time (minutes)
DFN-15 Active (LOCF)Time to Headache Pain Freedom Postdose (DB1 and DB2)NA time (minutes)
DFN-15 Placebo (OC)Time to Headache Pain Freedom Postdose (DB1 and DB2)NA time (minutes)
DFN-15 Active (OC)Time to Headache Pain Freedom Postdose (DB1 and DB2)NA time (minutes)
Secondary

Time to Headache Pain Relief Postdose (DB1 and DB2)

The time to headache pain relief was defined as the time in minutes from when a subject took study drug until the time pain relief was indicated by the subject in the eDiary within 2 hours postdose.

Time frame: 2 hours postdose

ArmMeasureValue (MEAN)
DFN-15 Placebo (LOCF)Time to Headache Pain Relief Postdose (DB1 and DB2)NA time (hours)
DFN-15 Active (LOCF)Time to Headache Pain Relief Postdose (DB1 and DB2)NA time (hours)
DFN-15 Placebo (OC)Time to Headache Pain Relief Postdose (DB1 and DB2)NA time (hours)
DFN-15 Active (OC)Time to Headache Pain Relief Postdose (DB1 and DB2)NA time (hours)
Secondary

Use of Rescue Medication Postdose (DB1 and DB2)

The percentage of subjects who used rescue medication 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)
DFN-15 Placebo (LOCF)Use of Rescue Medication Postdose (DB1 and DB2)28.5 percentage of subjects
DFN-15 Active (LOCF)Use of Rescue Medication Postdose (DB1 and DB2)18.8 percentage of subjects
DFN-15 Placebo (OC)Use of Rescue Medication Postdose (DB1 and DB2)22.9 percentage of subjects
DFN-15 Active (OC)Use of Rescue Medication Postdose (DB1 and DB2)18.4 percentage of subjects

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026