A Study of 3 Dosage Strengths of Almotriptan Malate (AXERT®) in the Treatment of Acute Migraine in Adolescents - Full Text View

Sponsor:	Janssen-Ortho LLC
Collaborator:	Ortho-McNeil Neurologics, Inc.
Information provided by:	Janssen-Ortho LLC
ClinicalTrials.gov Identifier:	NCT00210483

Purpose

The purpose of this study is to evaluate the effectiveness and safety of almotriptan malate (AXERT®) in treating acute migraine headaches in adolescents. Amotriptan malate (AXERT®) is approved for use in the treatment of acute migraine headache with or without aura in adults. In this study, adolescents will be given a single dose of study medication to treat one migraine headache.

Condition	Intervention	Phase
Migraine	Drug: almotriptan malate	Phase III

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment
Official Title:	A Randomized, Double-blind, Placebo-controlled Study of Oral Almotriptan Malate (AXERT®) 6.25 mg, 12.5 mg, and 25 mg in the Acute Treatment of Migraine in Adolescents

Resource links provided by NLM:

Genetics Home Reference related topics: familial hemiplegic migraine

MedlinePlus related topics: Headache Migraine

Drug Information available for: Almotriptan Malic acid

U.S. FDA Resources

Further study details as provided by Janssen-Ortho LLC:

Primary Outcome Measures:

Efficacy determined by patient 2 hours after dosing by rating of headache intensity as a decrease from moderate or severe to mild or no pain

Secondary Outcome Measures:

Efficacy, symptoms, headache pain free at time points 0.25, 0.5, 1, 1.5 hours postdose; incidence of headache recurrence in 2 to 24 hours and use of rescue medication 2 to 24 hours postdose; pain relief or pain free at 24 hours; all by patient assessment

Enrollment:	866
Study Start Date:	July 2003
Study Completion Date:	July 2005

Detailed Description:

Amotriptan malate (AXERT®) is approved for use in the treatment of acute migraine headache with or without aura in adults. Other studies have shown that almotriptan is effective and well tolerated in adults. Migraines in teenagers/adolescents are very similar to migraines in adults, except that the duration is usually less in adolescents (they last 1 to 24 hours in adolescents). This study will evaluate the usefulness of almotriptan malate (AXERT®) in treating acute migraine headaches in adolescents. This is a randomized, double-blind, parallel-group, and placebo-controlled study. During a 30-day run-in period, patients will treat their migraines as they normally would. During this time, the frequency and severity of headaches will be recorded. At the second visit, patients will be randomized (like with the toss of a coin) to a treatment group to receive one oral dose of almotriptan malate (AXERT®) 6.25, 12.5, or 25 milligrams or placebo. Approximately the same number of patients will be assigned to each of the four treatment groups. Patients will take this one-time dose when the next migraine of at least moderate severity occurs. Patients will record assessments in a diary for up to 24 hours after the study drug is given to help determine the drug's effect on headache pain intensity. Patients will return for a third visit within 2 to 14 days from taking the study medication. A physical examination, electrocardiogram (a painless test of the heart), and laboratory tests will be performed at the first and third visits. The objective of this study is to determine the effectiveness and tolerability of 3 dosage strengths of almotriptan malate (AXERT®) in adolescents with migraine headaches.

Almotriptan oral tablets, 6.25, 12.5, or 25 milligrams, or placebo

Eligibility

Ages Eligible for Study:	12 Years to 17 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Diagnosis of migraine with or without aura for > 1 year
Average of 1 to 6 moderate or severe migraines per month for 2 months before entering the study
Untreated migraines lasting at least 4 hours
At least 24 hours between migraines
Able to tell the difference between migraines and other types of headache
If female, using birth control

Exclusion Criteria:

Chronic tension or cluster headache
Prolonged aura
Specific types of migraine
> 6 nonmigraine headaches per month
High blood pressure for the age
Medical history with specific significant conditions affecting the liver, kidney, heart or other body systems
Conditions that might affect the way the body absorbs or processes a drug
Positive blood tests for Hepatitis B or C
Recent head or neck injury
Body weight outside given parameters
Unable to take sumatriptan
Abusing drugs or alcohol
Pregnant or breast-feeding
Use of antimigraine medication that might interfere with the study, of antimigraine medication for < 2 weeks, of lithium or monoamine oxidase inhibitors in past 2 weeks, of an investigational drug within 2 months
Refuse to abstain from taking medicine with ergotamine or any other drug like almotriptan within 48 hours before and 24 hours after taking study medication, or drugs containing opiates or antivomiting medicine within 48 hours before and 2 hours after taking study medication
Use of simple pain medicines within 24 hours (like aspirin)

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00210483

Sponsors and Collaborators

Janssen-Ortho LLC

Ortho-McNeil Neurologics, Inc.

Investigators

Study Director:

Janssen Ortho LLC Clinical Trial

Janssen-Ortho LLC

More Information

Additional Information:

Axert in Pediatric Migraine This link exits the ClinicalTrials.gov site

No publications provided by Janssen-Ortho LLC

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Linder SL, Mathew NT, Cady RK, Finlayson G, Ishkanian G, Lewis DW. Efficacy and tolerability of almotriptan in adolescents: a randomized, double-blind, placebo-controlled trial. Headache. 2008 Oct;48(9):1326-36. Epub 2008 May 14.

ClinicalTrials.gov Identifier:	NCT00210483 History of Changes
Other Study ID Numbers:	CR004567
Study First Received:	September 13, 2005
Last Updated:	May 16, 2011
Health Authority:	United States: Food and Drug Administration

Keywords provided by Janssen-Ortho LLC:

pain
Migraine
aura
headache

Additional relevant MeSH terms:

Migraine Disorders
Headache Disorders, Primary
Headache Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Almotriptan

Serotonin Receptor Agonists
Serotonin Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Physiological Effects of Drugs

ClinicalTrials.gov processed this record on February 09, 2012