The purpose of this study was to evaluate the effectiveness and safety of a single oral dose of NPS 1776 in the acute treatment of migraine pain and associated symptoms.
Migraine, the most common cause of recurrent severe or disabling headache, is diagnosed on the basis of a clinical history of intermittent headache with autonomic, constitutional, and neurologic disturbances. Many antiepileptic drugs (AEDs) have demonstrated efficacy as acute and/or prophylaxis therapy for migraine, even though the mechanism of action of the various AEDs is poorly understood. NPS 1776, isovaleramide, is a neutral aliphatic amide. The mechanism by which NPS 1776 exerts its therapeutic actions in nonclinical animal models of disease is unclear. The same is true for many antiepileptics on the market today. NPS 1776 does not appear to bind directly to various CNS receptor centers, although it shows a broad range of anticonvulsant activity in multiple animal models of seizures. This broad profile of anticonvulsant activity is similar to that of valproic acid (VPA), and may also predict NPS 1776 efficacy in the treatment of migraine.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
189
NPS 1776 (800 mg) powder
Placebo in non-carbonated fruit flavored drink (150 ml)
NPS1776 in powdered form to be mixed with a non-carbonated fruit flavored drink
Medical Affiliated Research Center
Huntsville, Alabama, United States
The response rate at 2 hours post-dose such that the percentage of subjects whose migraine pain-intensity score is none [0] or mild [1] at 2 hours post-dose, after a baseline pain intensity of moderate [2] or severe [3]
Time frame: 2 hours post-dose
Pain-free rate at 2 hours post-dose
Time frame: 2 hours post-dose
Response rate up to 48 (±24) hours post-dose
Time frame: 48 hours post-dose
Recurrence rate of migraine headache within 24 hours post dose
Time frame: 24 hours post-dose
Time to recurrence of migraine within 24 hours post-dose
Time frame: 24 hours post-dose
Area under the migraine pain curve in visual analogue scale (VAS) 0 4 hours post-dose
Time frame: 4 hours post-dose
VAS pain reduction: peak pain reduction in VAS score 0-4 hours post-dose
Time frame: 4 hours post-dose
Presence of nausea/vomiting, sensitivity to sound/light, skin sensitivity (cutaneous allodynia), intracranial sensitivity
Time frame: 24 hours post-dose
Brush allodynia
Time frame: 24 hours post-dose
Muscle tenderness
Time frame: 24 hours post-dose
Functional disability
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Clinical Study Centers, LLC
Little Rock, Arkansas, United States
North County Neurological Associates
Oceanside, California, United States
San Francisco Clinical Research Center
San Francisco, California, United States
Clinical Innovations
Santa Ana, California, United States
California Medical Clinic for Headache
Santa Monica, California, United States
The New England Center for Headache
Stamford, Connecticut, United States
University Clinical Research, Inc
Pembroke Pines, Florida, United States
Diamond Headache Clinic
Chicago, Illinois, United States
MedTrial Boston
Wellesley Hills, Massachusetts, United States
...and 12 more locations
Time frame: 24 hours post-dose
Use of rescue medication
Time frame: 4 hours post-dose
Time to meaningful pain relief
Time frame: 2 hours post-dose
Global Subject Impression (GSI)
Time frame: 24 hours post-dose