Migraine Clinical Trial
Official title:
An Open-label Study to Evaluate "Completeness of Response" Following Treatment With Treximet™ for Migraine
Many clinical trials may not fully explore criteria that are important to some migraine patients' definition of "complete response." This study offers the opportunity to evaluate the effectiveness of Treximet™ when non-standard criteria are examined (for example, neck pain, irritability or fatigue). Subjects enrolled at 8 investigative sites will complete 2 visits. Subjects will complete a Completeness of Response Survey at Visit 1 considering their usual migraine medication (a triptan) and a Completeness of Response Survey at Visit 2 considering their study medication (Treximet™).
At the screening visit (Visit 1), following written informed consent, subjects will provide
a medical, medication and migraine history. A physical and neurological exam and pregnancy
test (if appropriate) will be performed. Vital signs will be recorded for all subjects. The
Headache Impact Test (HIT-6) and Baseline Patient Perception of Migraine Questionnaire
(PPMQ-R) will be completed with the Baseline Completeness of Response Survey (CORS)
considering migraine therapy (triptan) utilized during the 3 months prior to enrollment. The
Completeness of Response Survey will collect traditional and non-traditional symptoms.
Subjects are instructed to treat all migraines that occur in the next 2 months. Subjects
will treat with a single tablet of Treximet™ as soon as they have a headache indicative of
migraine and are encouraged to treat when the headache is mild. A Headache Diary documenting
onset of headache pain and associated symptoms, time of treatment with study medication,
symptoms at 2 hours following treatment, time of relief, recurrence of symptoms within 24
hours post-treatment, and adverse events will be dispensed with study medication. Subjects
may take a 2nd dose of study medication or medication determined by the investigator for
rescue of persistent or recurring headache at 2 or more hours following the 1st dose of
study medication. Alternate rescue medication can be provided at the discretion of the
investigator but may not include triptan, non-steroidal anti-inflammatory (short-acting
NSAID between 6 hours before and 2 hours after study medication or long-acting NSAID between
24 hours before and 24 hours after study medication), or ergotamine-containing or ergot-type
medication. Subjects must be headache-free for 24 hours before recording the onset of a
"new" migraine attack. The study coordinator will contact subjects at Month 1 to verify
treatment and diary compliance.
At Visit 2, following 2 months of treatment with Treximet™, the subject will return to the
study site and return completed Headache Diaries. The End of Study CORS, CORS Comparator and
End of Study PPMQ-R will be completed considering response with study medication. Adverse
events will be documented and Diaries and Questionnaires will be reviewed.
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Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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