This study evaluates the efficacy of a range of intravenous doses of COL-144 in the treatment of migraine headache in order to select a dose range for further studies.
This study is set up: * to evaluate the efficacy (headache response at two hours) of a range of intravenous doses of COL-144 in order to select a dose range for further evaluation, * to explore the time course and effect of a range of dose levels of COL-144 on features of the migraine including: headache response, proportion of participants pain-free, headache recurrence, nausea, photophobia, phonophobia, disability, use of rescue medication, patient global impression and vomiting * to explore the safety and tolerability of a range of doses of COL-144 in terms of adverse events, physical exam, vital signs, laboratory evaluations, and ECGs * to determine key PK parameters for COL-144 and to explore the relationship between the PK of COL-144 and the time course and extent of clinical response
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
130
Administered as intravenous infusion
Administered as intravenous infusion
Unnamed facility
Helsinki, Finland
Unnamed facility
Essen, Germany
Unnamed facility
Leiden, Netherlands
Number of Participants With Headache Response at Two Hours After Initiation of Infusion of Study Drug
Headache response is a binary response variable derived from the headache intensities recorded in the participant diary. Headache response is defined as a reduction in headache severity from moderate or severe at baseline to mild or no headache, at two hours after initiation of infusion of study drug.
Time frame: 2 hours post dose
Percentage of Participants With Headache Response 10 to 240 Minutes (Min) Post Dose
Headache response is defined as a reduction in headache severity from moderate or severe at baseline to mild or no headache, at two hours after initiation of infusion of study drug.
Time frame: 10, 20, 40, 60 90, 120, 180 and 240 minutes post dose
Percentage of Participants Headache Free
Headache free is defined as a reduction in headache severity from moderate or severe at baseline to no headache pain at 10 min, 20 min, 40 min, 60 min, 90 min, 120 min, 180 min, and 240 min after initiation of study drug.
Time frame: 10, 20, 40, 60 90, 120, 180 and 240 minutes post dose
Number of Participants With Sustained Headache Response
Sustained headache response at 2 hours is a binary response variable derived from the headache intensities recorded in the participant diary. Sustained headache response was defined as moderate or severe headache pain at baseline which became mild or absent (pain free) at 2 hours after initiation of study drug and which did not recur (became moderate or severe) within 24 hours of initiation of study drug. If rescue medication was taken within 24 hours, this was considered a headache recurrence, even if no headache was reported.
Time frame: 2 to 24 hours post dose
Number of Participants With Sustained Pain Free
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Sustained pain free was defined as moderate or severe headache pain at baseline which became mild or absent (pain free) at 2 hours after initiation of study drug and which did not recur (became moderate or severe) within 24 hours of initiation of study drug. If rescue medication was taken within 24 hours, this was considered a headache recurrence, even if no headache was reported.
Time frame: 2 to 24 hours post dose
Number of Participants With Absence of Nausea, Vomiting, Photophobia and Phonophobia
Number of participants with absence of nausea, vomiting, photophobia and phonophobia.
Time frame: 2 hours post dose
Number of Participants With Clinical Disability
Clinical disability for each participant was assessed using the Clinical Disability Questionnaire (CDQ). Participants graded their disability on the following scale: 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.
Time frame: 2 hours post dose
Percentage of Participants Using Rescue Medication
Use of rescue medication up to 24 hours after initiation of study drug.
Time frame: 24 hours post dose
Percentage of Participants Reporting a Score on the Patient Global Impression (PGI)
PGI scale is a participant-rated instrument that measures participants own global impression of their illness severity. Participants were asked to mark the box that best describes their headache condition since they started taking the medicine. The options in the displayed boxes are represented on a 7-point scale, with 1 = very much better, 2 = much better, 3 = a little better, 4 = no change, 5 = a little worse, 6 = much worse, and 7 = very much worse.
Time frame: 2 hours post dose