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CompletedNCT00623636FREEDOM301Updated Jan 9, 2014Results posted

Phase 3 Study of MAP0004 in Adult Migraineurs

A Phase 3 interventional study of MAP0004 and Placebo in Migraine Disorders, sponsored by Allergan. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2014-01-09.

Sponsored by Allergan · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
902
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a randomized, double blind, placebo controlled, parallel group study of MAP0004 in adult migraineurs. Subjects will self administer study drug in the outpatient setting.

02

Conditions studied

  • Migraine Disorders

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Keywords

  • Migraine
03

In context

Migraine Disorders

1,528 studies on the registry are indexed under Migraine Disorders; 299 are open to participants now.

This study's enrollment of 902 is above the median of 80 across 1,175 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

Allergan is the lead sponsor of 499 studies on the registry; none are open to participants now.

Of its 91 completed or terminated interventional studies of FDA-regulated products, 89 (98%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Major Inclusion Criteria:

  • Male or female between 18 and 65 years of age.
  • History of episodic, acute migraine (with or without aura) with onset prior to 50

Major Exclusion Criteria:

  • Known allergy or sensitivity or contraindication to study drugs or their formulations
  • History of chronic pulmonary disease, coronary artery disease (CAD), liver disease, kidney disease, seizures, stroke, or major psychiatric condition.
  • Any condition that, in the opinion of the Investigator, would make the subject unsuitable for study participation
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
902 participants (actual)

Study arms

  • Experimental
    MAP0004

    MAP0004 1.0mg inhaled to treat a qualifying migraine up to 8 weeks followed by MAP0004 1.0mg inhaled to treat qualifying migraines for up to an additional 52 weeks.

    Drug: MAP0004

  • Other
    Placebo

    Placebo 1.0mg inhaled to treat a qualifying migraine up to 8 weeks followed by MAP0004 1.0mg inhaled to treat qualifying migraines for up to 52 weeks.

    Drug: MAP0004 · Drug: Placebo

Interventions

  • DrugMAP0004

    MAP0004 1.0mg inhaled to treat a qualifying migraine up to 8 weeks followed by MAP0004 1.0mg inhaled to treat qualifying migraines for up to an additional 52 weeks. Placebo treated patients will receive MAP0004 1.0mg inhaled to treat qualifying migraines for up to 52 weeks only.

  • DrugPlacebo

    Placebo 1.0mg inhaled to treat a qualifying migraine up to 8 weeks.

06

What researchers measure

Primary outcomes

  1. Number of Subjects With Pain Relief at 2 Hours From Time of First Dose

    Pain relief at 2 hours was defined as change in rating from severe or moderate (score 3 or 2) to a rating of none or mild (score 0 or 1) at the 2-hour time point and no usage of rescue medications from the time of first dose to 2 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

    Time frame: 2 hours from time of first dose

  2. Number of Subjects Photophobia Free at 2 Hours From Time of First Dose

    Photophobia free at 2 hours was defined as a rating of none (score 0) at the 2-hour time point and no usage of rescue medications from the time of first dose to 2 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

    Time frame: 2 hours from time of first dose

  3. Number of Subjects Phonophobia Free at 2 Hours From Time of First Dose

    Phonophobia free at 2 hours was defined as a rating of none (score 0) at the 2-hour time point and no usage of rescue medications from the time of first dose to 2 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

    Time frame: 2 hours from time of first dose

  4. Number of Subjects Nausea Free at 2 Hours From Time of First Dose

    Nausea free was defined as a rating of none (score 0) at the 2-hour time point and no usage of rescue medications from the time of first dose to 2 hours post-dose. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

    Time frame: 2 hours from time of first dose

Secondary outcomes

  1. Number of Subjects With Sustained Pain Relief From 2 to 24 Hours

    Sustained Pain Relief was defined as a rating of none or mild (score 0 or 1) at the 2-hour time point that was maintained during the 2-24 hour post-dose period and no use of rescue medication from the time of first dose to 24 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

    Time frame: From 2 to 24 hours from time of first dose

  2. Number of Subjects Whose Time to Pain Relief Occurred Within 2 Hours

    The number of subjects who reported pain relief (score of 0 or 1) at any time within the 2 hours following the time of first dose and who did not use rescue medication on or prior to this point. Subjects who did not reach pain relief by the end of the time period were not included. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

    Time frame: 2 hours from the first dose

  3. Number of Subjects With Pain Relief at 4 Hours

    Pain Relief at 4 hours was defined as a change in rating from severe or moderate (score 3 or 2) to none or mild (score 0 or 1) at the 4-hour time point and no use of rescue medication from the time of first dose to 4 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

    Time frame: 4 hours from time of first dose

  4. Number of Subjects With Pain Relief at 10 Minutes

    Pain Relief at 10 minutes was defined as a change in rating from severe or moderate (score 3 or 2) to none or mild (score 0 or 1) at the 10 minute time point and no use of rescue medication from the time of first dose to 2 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

    Time frame: 2 hours from time of first dose

07

Results

Posted Oct 29, 2013

Participant flow

Double Blind
Participant flow — Double Blind
MilestonePlaceboMAP0004
Started452450
Completed419422
Not completed3328
Open Label
Participant flow — Open Label
MilestonePlaceboMAP0004
Started0675
Completed0263
Not completed0412

Outcome measures

PrimaryNumber of Subjects With Pain Relief at 2 Hours From Time of First Dose

Pain relief at 2 hours was defined as change in rating from severe or moderate (score 3 or 2) to a rating of none or mild (score 0 or 1) at the 2-hour time point and no usage of rescue medications from the time of first dose to 2 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

Time frame:
2 hours from time of first dose
Reported as:
Number · participants
Number of Subjects With Pain Relief at 2 Hours From Time of First Dose
participantsPlaceboMAP0004
Number of Subjects With Pain Relief at 2 Hours From Time of First Dose136231
PrimaryNumber of Subjects Photophobia Free at 2 Hours From Time of First Dose

Photophobia free at 2 hours was defined as a rating of none (score 0) at the 2-hour time point and no usage of rescue medications from the time of first dose to 2 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

Time frame:
2 hours from time of first dose
Reported as:
Number · participants
Number of Subjects Photophobia Free at 2 Hours From Time of First Dose
participantsPlaceboMAP0004
Number of Subjects Photophobia Free at 2 Hours From Time of First Dose107182
PrimaryNumber of Subjects Phonophobia Free at 2 Hours From Time of First Dose

Phonophobia free at 2 hours was defined as a rating of none (score 0) at the 2-hour time point and no usage of rescue medications from the time of first dose to 2 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

Time frame:
2 hours from time of first dose
Reported as:
Number · participants
Number of Subjects Phonophobia Free at 2 Hours From Time of First Dose
participantsPlaceboMAP0004
Number of Subjects Phonophobia Free at 2 Hours From Time of First Dose133208
PrimaryNumber of Subjects Nausea Free at 2 Hours From Time of First Dose

Nausea free was defined as a rating of none (score 0) at the 2-hour time point and no usage of rescue medications from the time of first dose to 2 hours post-dose. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

Time frame:
2 hours from time of first dose
Reported as:
Number · participants
Number of Subjects Nausea Free at 2 Hours From Time of First Dose
participantsPlaceboMAP0004
Number of Subjects Nausea Free at 2 Hours From Time of First Dose234266
SecondaryNumber of Subjects With Sustained Pain Relief From 2 to 24 Hours

Sustained Pain Relief was defined as a rating of none or mild (score 0 or 1) at the 2-hour time point that was maintained during the 2-24 hour post-dose period and no use of rescue medication from the time of first dose to 24 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

Time frame:
From 2 to 24 hours from time of first dose
Reported as:
Number · participants
Number of Subjects With Sustained Pain Relief From 2 to 24 Hours
participantsPlaceboMAP0004
Number of Subjects With Sustained Pain Relief From 2 to 24 Hours76166
SecondaryNumber of Subjects Whose Time to Pain Relief Occurred Within 2 Hours

The number of subjects who reported pain relief (score of 0 or 1) at any time within the 2 hours following the time of first dose and who did not use rescue medication on or prior to this point. Subjects who did not reach pain relief by the end of the time period were not included. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

Time frame:
2 hours from the first dose
Reported as:
Number · participants
Number of Subjects Whose Time to Pain Relief Occurred Within 2 Hours
participantsPlaceboMAP0004
Number of Subjects Whose Time to Pain Relief Occurred Within 2 Hours156244
SecondaryNumber of Subjects With Pain Relief at 4 Hours

Pain Relief at 4 hours was defined as a change in rating from severe or moderate (score 3 or 2) to none or mild (score 0 or 1) at the 4-hour time point and no use of rescue medication from the time of first dose to 4 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

Time frame:
4 hours from time of first dose
Reported as:
Number · participants
Number of Subjects With Pain Relief at 4 Hours
participantsPlaceboMAP0004
Number of Subjects With Pain Relief at 4 Hours145254
SecondaryNumber of Subjects With Pain Relief at 10 Minutes

Pain Relief at 10 minutes was defined as a change in rating from severe or moderate (score 3 or 2) to none or mild (score 0 or 1) at the 10 minute time point and no use of rescue medication from the time of first dose to 2 hours. The 4-point scale from the International Headache Society was used: 0 = none; 1 = mild symptom, not interfering with normal daily activities; 2 = moderate symptom, causing some restriction to normal activities; 3 = severe, leading to inability to perform daily activities

Time frame:
2 hours from time of first dose
Reported as:
Number · participants
Number of Subjects With Pain Relief at 10 Minutes
participantsPlaceboMAP0004
Number of Subjects With Pain Relief at 10 Minutes3037

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Double-blind Placebo—0/404 (0%)60/404 (14.9%)
Double-blind MAP0004—0/410 (0%)86/410 (21%)
Open-label MAP0004—14/638 (2.2%)454/638 (71.2%)
Most frequent serious events
Showing 10 of 20
Most frequent serious events
EventDouble-blind PlaceboDouble-blind MAP0004Open-label MAP0004
Suicide attemptPsychiatric disorders0/4040/4102/638
Aplastic anemiaBlood and lymphatic system disorders0/4040/4101/638
Acute myocardial infarctionCardiac disorders0/4040/4101/638
Inguinal herniaGastrointestinal disorders0/4040/4101/638
Rectal haemorrhageGastrointestinal disorders0/4040/4101/638
Umbilical herniaGastrointestinal disorders0/4040/4101/638
GastroenteritisInfections and infestations0/4040/4101/638
AppendicitisInfections and infestations0/4040/4101/638
Septic shockInfections and infestations0/4040/4101/638
Decompression sicknessInjury, poisoning and procedural complications0/4040/4101/638
Most frequent other events
Most frequent other events
EventDouble-blind PlaceboDouble-blind MAP0004Open-label MAP0004
Upper Respiratory Tract InfectionInfections and infestations12/40411/41093/638
NauseaGastrointestinal disorders7/40418/41078/638
NasopharyngitisInfections and infestations15/4048/41067/638
SinusitisInfections and infestations5/4043/41065/638
Pharmaceutical Product CompaintSocial circumstances11/40425/41051/638
InfluenzaInfections and infestations0/4043/41035/638
VomitingGastrointestinal disorders3/4048/41033/638
CoughRespiratory, thoracic and mediastinal disorders7/40410/41032/638

Baseline characteristics

mITT population was defined as all randomized subjects who reported a qualifying migraine and received at least one dose of study treatment, and had at least one post-treatment efficacy evaluation.

Age, Continuous
Age, Continuous(years)PlaceboMAP0004Total
Mean39.6 ± 11.6740.5 ± 11.3040.1 ± 11.49
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboMAP0004Total
Female362365727
Male353267
08

Study locations

1 site
  • Swedish Pain and Headache Clinic
    Seattle, Washington 98104, United States
09

References and documents

Publications

  • Tepper SJ, Kori SH, Borland SW, Wang MH, Hu B, Mathew NT, Silberstein SD. Efficacy and safety of MAP0004, orally inhaled DHE in treating migraines with and without allodynia. Headache. 2012 Jan;52(1):37-47. doi: 10.1111/j.1526-4610.2011.02041.x. Epub 2011 Nov 22. PubMed 22106843 ↗
  • Tepper SJ, Kori SH, Goadsby PJ, Winner PK, Wang MH, Silberstein SD, Cutrer FM. MAP0004, orally inhaled dihydroergotamine for acute treatment of migraine: efficacy of early and late treatments. Mayo Clin Proc. 2011 Oct;86(10):948-55. doi: 10.4065/mcp.2011.0093. Erratum In: Mayo Clin Proc. 2011 Dec;86(12):1248. PubMed 21964172 ↗
  • Aurora SK, Silberstein SD, Kori SH, Tepper SJ, Borland SW, Wang M, Dodick DW. MAP0004, orally inhaled DHE: a randomized, controlled study in the acute treatment of migraine. Headache. 2011 Apr;51(4):507-17. doi: 10.1111/j.1526-4610.2011.01869.x. PubMed 21457235 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 9, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00623636
Lead sponsor
Allergan
Collaborators
MAP Pharmaceuticals, Inc., a wholly owned subsidiary of Allergan
Responsible party
Sponsor
First posted
Feb 26, 2008
Start date
Jul 2008
Primary completion
Dec 2010
Completion
Jan 2011
Results posted
Oct 29, 2013
Last update
Jan 9, 2014

Study contacts

Medical Director
study director · MAP Pharmaceuticals a Wholly Owned Subsidiary of Allergan

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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