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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00293657
Other study ID # LNP-201
Secondary ID
Status Completed
Phase Phase 2
First received February 15, 2006
Last updated November 29, 2012
Start date December 2005
Est. completion date April 2006

Study information

Verified date November 2012
Source POZEN
Contact n/a
Is FDA regulated No
Health authority United States: Food and Drug Administration
Study type Interventional

Clinical Trial Summary

To determine whether a single dose of intravenous lornoxicam is superior to intravenous placebo for the acute treatment of moderate or severe headache associated with a single migraine attack in patients with a history of migraine. Two-thirds of patients in this study will receive a single dose of intravenous lornoxicam (8mg or 16 mg) and one-third of patients will receive a single dose of an intravenous placebo.


Description:

The headache of migraine is the primary symptom of this disorder that is estimated to affect approximately 10% of the population of developed countries, with the majority of persons with migraine being females between the ages of 20 and 50 years. Patients with migraine desire rapid and complete relief from headache and decreased frequency of recurrence over the 24 hours after treatment. Current treatments for migraine often provide incomplete pain relief and additional acute treatments are needed. Lornoxicam is a member of the NSAID class of anti-inflammatory drugs and is shown to be effective in the acute management of postoperative pain and arthritis. The current study will evaluate the efficacy of single doses of lornoxicam, administered intravenously, in treatment of the headache of migraine to determine possible future uses of this drug in this condition.


Recruitment information / eligibility

Status Completed
Enrollment 150
Est. completion date April 2006
Est. primary completion date April 2006
Accepts healthy volunteers
Gender Both
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria:

- Subjects must have a demonstrated history of migraine headaches according to the International Headache Society (IHS) criteria 1.1 or 1.2 (2004), had their first migraine prior to age 50, and have had an average migraine headache frequency of 2-6 migraines per month, of moderate or severe pain intensity, in each of the last 6 months prior to screening.

- Subjects are willing to come to the study site when he/she has onset of the headache of migraine to receive an intravenous dose of study medication and is willing to remain in the investigator's clinic for at least 2 hours after the intravenous dose for collection of study data (Subject is discharged to home after 2 hour post-dose evaluations are completed).

Exclusion Criteria:

- Subjects who are pregnant.

- Subjects has known allergic reactions or intolerance to NSAIDs; any subject in whom aspirin or other non-steroidal anti-inflammatory/analgesic drugs induce the symptoms of asthma, rhinitis and nasal polyps.

- Subject is receiving any medications known or suspected to have drug interactions with lornoxicam. These include: warfarin or other anticoagulants, digoxin, probenecid, methotrexate, lithium, aspirin, cimetidine, cyclosporine and/or furosemide.

- Subjects with a non-migraine (i.e., tension-type, sinus, etc.) headache frequency of >15 days/month in each of the 3 months (90 days) prior to screening.

- Subjects experiencing greater than an average of 6 migraine attacks per month and/or >15 migraine days per month in the 6 months prior to screening.

- Subjects with a history of documented gastrointestinal ulceration in the past six months or hospitalization for gastrointestinal bleeding in the past year.

- Subjects with history of impaired renal function and/or a history of kidney disease, interstitial nephritis, nephrotic syndrome, and/or peripheral edema.

- Subjects with history of heart disease or certain related conditions.

- Subjects with uncontrolled hypertension or hypertension that is difficult to control with medications.

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Drug:
Lornoxicam 8 mg

Lornoxicam 16 mg

Placebo


Locations

Country Name City State
United States The Innovative Clinical Research Center Alexandria Virginia
United States Michigan Head Pain and Neurological Institute Ann Arbor Michigan
United States Alabama Clinical Therapeutics Birmingham Alabama
United States University Headache Center Chapel Hill North Carolina
United States Diamond Headache Clinic Chicago Illinois
United States Headache Wellness Center Greensboro North Carolina
United States Houston Headache Clinic Houston Texas
United States Little Rock Family Practice Clinic Little Rock Arkansas
United States University of South Alabama Neurology Mobile Alabama
United States Clinical Research Associates, Inc. Nashville Tennessee
United States C. Phillip O'Carroll, MD, Inc. Newport Beach California
United States NE Medical Research Associates, Inc. North Dartmouth Massachusetts
United States Jefferson Headache Center Philadelphia Pennsylvania
United States Clinical Research Institute Plymouth Minnesota
United States North Carolina Clinical Research Raleigh North Carolina
United States Jean Brown Research Salt Lake City Utah
United States California Medical Clinic for Headache Santa Monica California
United States Swedish Pain Center Seattle Washington
United States Headache Care Center Springfield Missouri
United States Mercy Health Reserach / Ryan Headache Center St. Louis Missouri
United States Meridien Research St. Petersburg Florida
United States New England Center for Headache Stamford Connecticut
United States Premiere Research Institute West Palm Beach Florida

Sponsors (1)

Lead Sponsor Collaborator
POZEN

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Assessment of headache pain intensity over 24 hours after treatment, rated on a categorical scale of 0-3 and a visual analog scale (VAS).
Secondary Assessments of symptoms of photophobia, phonophobia, nausea and vomiting, rated as present or absent; use of rescue medication in the 24 hours after dosing; response of allodynia symptoms present at time of treatment.