Chronic Migraine Clinical Trial
Official title:
A Multi-center, Randomized, Double-blind, Placebo Parallel-Controlled Clinical Study to Evaluate the Safety and Efficacy of Botulinum Toxin Type A for Injection (HengLi ®) for Prophylactic Treatment of Chronic Migraine in Adults
A study, multi-center, randomized, double-blind, placebo parallel-controlled method, will be carried out to evaluate the safety and efficacy of Botulinum Toxin Type A for injection (HengLi®) for prophylactic treatment with chronic migraine in adults. In the core phase, two treatments of HengLi® or the placebo will be administrated (randomized at a ratio of 2:1, the target number is 288 subjects). In the extension phase, three treatments of HengLi® will be still administrated on 288 subjects recruited ever.
Subjects in the core phase will be randomized into two groups: Botulinum Toxin Type A
(HengLi®) (155U to 195U) or placebo. Study include a 28-day baseline screening period, a
24-week core phase with 2 administrations, and a 32-week extension phase with 3
administrations .Subjects enrolled will get a e-headache-diary in recording their headache
symptoms and acute headache medications.
HengLi® was administered as 31 fixed-site, fixed-dose (5U), i.m. injections across 7 specific
head/neck muscle areas every 12 weeks (weeks 0, 12, 24, 36, and 48). At the investigator's
discretion, up to 40 U of additional HengLi® could have been administered among 3 muscle
groups (occipitalis, temporalis, or trapezius) using a protocol-defined paradigm. Hence the
maximum dose per treatment cycle was 195 U over 39 sites.
Efficacy Outcome Measures should be evaluated by headache diary, HIT-6 score and MIDAS score
. The primary Outcome Measure: Change from baseline in the average number of days with
headache per month (The last 4 weeks during the core phase and the 4 weeks during the
baseline period should be compared with the number of headache days per month on average.)
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