A Phase 2 interventional study of GSK1838262 and Placebo in Migraine Disorders and Migraine, sponsored by XenoPort, Inc.. Completed at 59 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-07-22.
Sponsored by XenoPort, Inc. · Phase 2, Interventional, and Prevention
Purpose of the study is to evaluate dose response relationship, efficacy, safety and tolerability of target doses of GSK1838262 compared to placebo in the prophylactic treatment of migraine headache. Once subjects complete the baseline and meet the randomization criteria, they will complete a 5-wk flexible titration period and then enter the 12 week maintenance period.
MPX111381 is a multicenter, randomized, double-blind, placebo-controlled, parallel group, flexible-dose evaluation of GSK1838262 1200 mg/day, 1800 mg/day, 2400 mg/day and 3000 mg/day compared with placebo in the prophylactic treatment of migraine headache.
Subjects 18 years of age must have experienced at least three migraine headache attacks (with or without aura according to 2004 International Headache Society [IHS] criteria 1.1 and 1.2.1) per month during the 3 months prior to screening and at least four migraine headache days but less than 15 total headache days (migraine or non-migraine) per month during the 3 months prior to screening and must maintain this requirement throughout the last 4 weeks of the baseline period. Approximately 528 subjects from approximately 53 centers in North America will be randomized in a 2:1:2:2:1 ratio to the following treatment groups: placebo, GSK1838262 1200 mg/day, 1800 mg/day, 2400 mg/day and 3000 mg/day. Investigational product will be administered twice daily (morning and evening) with food (e.g., meal or snack).
The study will consist of six study periods for a total study duration of up to 30 weeks: Screening (2 weeks), baseline (including randomization, 6 weeks), flexible titration (5 weeks), maintenance (12 weeks), taper (3 weeks) and post-treatment (2 weeks). The flexible titration administration of investigational product is designed to allow subjects to reach the target dose for maintenance treatment or, if unable to reach this target dose, to achieve a maximum tolerated dose for maintenance treatment. Subjects will have the opportunity to undergo a single dose (600 mg/day) downward adjustment during the flexible titration period if intolerability at the current dose occurs. Subsequently, if a single dose downward adjustment has occurred, no further dose adjustments in the study (upward or downward) will be permitted.
1,528 studies on the registry are indexed under Migraine Disorders; 299 are open to participants now.
This study's enrollment of 526 is above the median of 80 across 1,175 interventional studies indexed under Migraine Disorders.
Browse Migraine Disorders studies →XenoPort, Inc. is the lead sponsor of 26 studies on the registry; none are open to participants now.
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Exclusion Criteria:
PBO
Drug: Placebo
600 or 1200 mg/day
Drug: GSK1838262
600 or 1200 or 1800 mg/day
Drug: GSK1838262
600 or 1200 or 1800 or 2400 mg/day
Drug: GSK1838262
600 or 1200 or 1800 or 2400 or 3000 mg/day
Drug: GSK1838262
Flexible dosing: 1200 mg/day, 1800 mg/day, 2400 mg/day and 3000 mg/day
Also known as: XP13512
Placebo-control
Adjusted Mean Change From Baseline in the Number of Migraine Headache Days (MHD) During the Last 4 Weeks of Treatment Prior to Taper
A migraine headache day is defined as a calendar day with any occurrence of migraine headache pain of at least 30 minutes in duration. Change from baseline was calculated as the mean number of MHD over the last 4 weeks of treatment prior to taper minus the number at baseline using the Last Observation Carried Forward (LOCF). The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Mean Change From Baseline in the Number of MHD in All Study Phases
A migraine headache day is defined as a calendar day with any occurrence of migraine headache pain of at least 30 minutes in duration. Change from baseline and the last 4 weeks of treatment prior to taper were calculated means of the number of migraine headache days using the Last Observation Carried Forward (LOCF). Change from baseline is calculated as post-baseline minus baseline. The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Adjusted Mean Change From Baseline in the Number of Migraine Attacks
A migraine attack is defined as a migraine headache of at least 30 minutes in duration and may also include recurring non-migraine or migraine headaches . Change from baseline and the last 4 weeks of treatment prior to taper were calculated means of the number of migraine attacks using the Last Observation Carried Forward (LOCF). The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Mean Change From Baseline in the Number of Migraine Headache Periods (MHP)
A migraine headache period is a 24-hour block of time that begins at the onset of a migraine event . The 24-hour period is not linked directly with a calendar day. The change from baseline and the last 4 weeks of treatment prior to taper were calculated means of the number of migraine headache periods using the Last Observation Carried Forward (LOCF). The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Change From Baseline in the Mean Migraine Attack Duration
The total duration of a migraine attack is measured from migraine attack onset until the resolution of the attack measured in hours and may include more than 1 headache event. The duration is assessed using a Daily Migraine Diary. Change from baseline and the last 4 weeks of treatment prior to taper were calculated means of the number of migraine headache days using the Last Observation Carried Forward (LOCF). Change from baseline is calculated as post-baseline minus baseline. The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Change From Baseline in the Mean Peak Migraine Pain Severity
Peak Migraine Pain Severity was measured using a 4-point scale (0=none, 1=mild, 2=moderate, or 3=severe) on a participant self assessed Daily Migraine Diary. The scale measured the maximum pain severity across all headache events considered to be one attack.. Change from baseline and the last 4 weeks of treatment prior to taper were calculated means of the number of migraine headache days using the Last Observation Carried Forward (LOCF). The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Mean Change From Baseline to the Last 4-Week Treatment Phase in the Number of Days of Acute Migraine Medication Use
The Number of Days of Acute Migraine Medication Use was assessed via the participant-assessed Daily Migraine Diary.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Mean Change From Baseline to the Last 4-Week Treatment Phase in the Number of Acute Migraine Medication Doses Administered
The Number of Acute Migraine Medication Doses Administered was captured via the participant-assessed Daily Migraine Diary.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Mean Change From Baseline to the Last 4-Week Treatment Phase in the Number of Acute Migraine Medication Doses Administered by Triptan Use
The Number of Acute Migraine Medication Administered was measured via the participant-assessed Daily Migraine Diary.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Mean Change From Baseline to the Last 4-Week Treatment Phase in the Number of Acute Migraine Medication Doses Administered by Opioid Use
The Number of Acute Migraine Medication Doses Administered by Opioid Use was measured via the participant-assessed Daily Migraine Diary.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Mean Change From Baseline to the Last 4-Week Treatment Phase in the Number of Acute Migraine Medication Doses Administered by Prescription Headache Medication Use
The Number of Acute Migraine Medication Doses Administered by Prescription Headache Medication use was measured via the participant-assessed Daily Migraine Diary.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Mean Change From Baseline in Percentage of Migraine Attacks With Each of the Following Migraine Symptoms: Aura, Nausea, Vomiting, Photophobia, Phonophobia
The endpoint is defined as the percentage of attacks with each symptom (separately) for each study phase. Migraine symptoms aura, nausea, vomiting, photophobia, and phonophobia are defined as the presence of each migraine symptom during any of the headache events within an attack.
Time frame: Baseline and last 4 weeks of treatment prior to taper (up to Week 17)
Percentage of Participants Classified as Responders for Each of the Following Measures: Migraine Headache Days, Migraine Attacks, and Migraine Headache Periods
A responder is defined as a participant who achieved at least a 50% reduction from baseline for the indicated measures.
Time frame: Baseline to the Last 4 weeks of treatment
Number of Participants Who Were "Much Improved" or "Very Much Improved" on the 7-point Likert Patient Global Impression of Change (PGIC) Scale Using LOCF at Week 17
The PGIC is a single question measured on the 7-point Likert Scale (1 = "very much improved"; 2 = "much improved"; 7 = "very much worse"). A responder is defined as being "very much improved" or "much improved."
Time frame: Week 17
Number of Participants Who Were "Much Improved" or "Very Much Improved" (Responders) on the 7-point Likert Clinical Global Impression of Change (CGIC) Scale Using LOCF at Week 17
The CGIC is a single question measured on a 7-point Likert Scale. (1 = "very much improved"; 2= "much improved, and 7 = "very much worse") designed to give an assessment of treatment from a clinician's perspective. A responder is defined as being 'Very much improved' or 'much improved'.
Time frame: Week 17
Mean Change From Baseline in Migraine Specific Quality of Life Questionnaire (MSQ v2.1) Composite Score and Subscales (Role Function Restrictive, Role Function, Preventive, & Emotional Function) at Week 17
The MSQ is a 14-item health-related quality of life (HRQOL) questionnaire. Participants provide responses using a 6-point Likert scale (1=None of the time, 2= A little bit of the time, 3=Some of the time, 4=A good bit of the time, 5=Most of the time, 6=All of the time) that are then recoded with a final item value where 1=6, 2=5, 3=4, 4=3, 5=2, and 6=1. The scale measures 3 independently scored dimensions (Role Function Restrictive, Role Function, Preventive, and Emotional Function) of HRQOL that are affected by migraine. For each dimension, a higher score indicates a better health status.
Time frame: Baseline and Week 17
Mean Change From Baseline in the Headache Impact Test (HIT-6) Total Scores at Week 17
The HIT is a 6-item, self-administered HRQOL questionnaire used to measure six areas that impact headaches have on participants' ability to function on the job, at school, at home, and in social situations. Participants provide responses to questions using a 5-point Likert-type scale. All item values range from 6 to13.The total scores range from 36 to 78, where higher scores indicate greater impact on a participant's life.
Time frame: Week 17
Mean Change From Baseline in Productivity as Measured by Lost Time Equivalents (LTE) - (Work Activities, Non-work Activities, and Combination of Work and Non-work Activities)
Productivity, as measured by LTE, is a metric used to assess productivity loss in migraine. It is a composite measure of presenteeism (continued to work while under the influence of migraine symptoms) and absenteeism (time missed from work due to migraine), and can be applied to productivity for work and non-work activities. Productivity data were collected via an e-diary, and productivity measures were summarized for each study phase by averaging each measure across migraine attacks for each participant.
Time frame: Week 17
Assessment of Treatment Satisfaction Using the Patient Perception of Migraine Questionnaire (PPMQ-R) at Week 17
Three global treatment satisfaction items from the PPMQ included satisfaction or dissatisfaction with Medication Effectiveness, Medication Side Effects, and Overall Medication. Each item on the PPMQ uses a 7-point satisfaction scale (1 = Very Satisfied to 7 = Very Dissatisfied). Satisfied participants include those reporting "Very Satisfied" (scale value = 1) or "Satisfied" (scale value = 2) on the scale.
Time frame: Week 17
| Milestone | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Started | 129 | 67 | 134 | 134 | 62 |
| Completed | 95 | 49 | 88 | 97 | 37 |
| Not completed | 34 | 18 | 46 | 37 | 25 |
| Withdrew: Adverse event | 11 | 4 | 17 | 16 | 13 |
| Withdrew: Participant withdrew consent | 8 | 4 | 14 | 7 | 4 |
| Withdrew: Protocol violation | 6 | 5 | 4 | 5 | 3 |
| Withdrew: Lost to follow-up | 3 | 4 | 5 | 5 | 3 |
| Withdrew: Lack of efficacy | 6 | 1 | 1 | 3 | 1 |
| Withdrew: Investigator discretion | 0 | 0 | 5 | 1 | 1 |
A migraine headache day is defined as a calendar day with any occurrence of migraine headache pain of at least 30 minutes in duration. Change from baseline was calculated as the mean number of MHD over the last 4 weeks of treatment prior to taper minus the number at baseline using the Last Observation Carried Forward (LOCF). The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
| Migraine Headache Days (MHD) | Placebo | Average of GEn 1800/2400 mg | GEn 1800 mg | GEn 2400 mg |
|---|---|---|---|---|
| Adjusted Mean Change From Baseline in the Number of Migraine Headache Days (MHD) During the Last 4 Weeks of Treatment Prior to Taper | -3.8 ± 0.38 | -3.6 ± 0.26 | -3.8 ± 0.37 | -3.3 ± 0.37 |
A migraine headache day is defined as a calendar day with any occurrence of migraine headache pain of at least 30 minutes in duration. Change from baseline and the last 4 weeks of treatment prior to taper were calculated means of the number of migraine headache days using the Last Observation Carried Forward (LOCF). Change from baseline is calculated as post-baseline minus baseline. The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
| Migraine Headache Days (MHD) | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Baseline to Titration(n=124, 59, 119, 124, 59) | -2.434 ± 0.3621 | -1.920 ± 0.5224 | -2.431 ± 0.3375 | -2.573 ± 0.3352 | -2.325 ± 0.5055 |
| Baseline to 2nd 4-Week (n=124, 59, 119, 124, 59) | -3.595 ± 0.3784 | -2.739 ± 0.6897 | -3.953 ± 0.3794 | -3.360 ± 0.4201 | -3.520 ± 0.5669 |
| Baseline to 3rd 4-Week (n=124, 59, 119, 124, 59) | -3.865 ± 0.3992 | -3.171 ± 0.6660 | -3.9888 ± 0.3810 | -3.439 ± 0.4483 | -3.220 ± 0.6594 |
| Baseline to Maint Phase (n=112, 54, 101, 107) | -3.846 ± 0.3589 | -2.854 ± 0.6565 | -4.047 ± 0.3368 | -3.794 ± 0.3761 | -3.723 ± 0.6492 |
| Baseline to Treat Phase (n=118, 56, 113, 118, 56) | -3.396 ± 0.3422 | -2.834 ± 0.5640 | -3.579 ± 0.3140 | -3.393 ± 0.3388 | -3.193 ± 0.5165 |
| Baseline to 1st 4-Week (n=124, 59, 119,124, 59) | -3.147 ± 0.4043 | -2.191 ± 0.6758 | -3.424 ± 0.3204 | -3.419 ± 0.3941 | -2.974 ± 0.5522 |
A migraine attack is defined as a migraine headache of at least 30 minutes in duration and may also include recurring non-migraine or migraine headaches . Change from baseline and the last 4 weeks of treatment prior to taper were calculated means of the number of migraine attacks using the Last Observation Carried Forward (LOCF). The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
| Migraine Attacks | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Adjusted Mean Change From Baseline in the Number of Migraine Attacks | -2.2 ± 0.15 | -2.2 ± 0.22 | -2.3 ± 0.16 | -2.1 ± 0.15 | -2.6 ± 0.22 |
A migraine headache period is a 24-hour block of time that begins at the onset of a migraine event . The 24-hour period is not linked directly with a calendar day. The change from baseline and the last 4 weeks of treatment prior to taper were calculated means of the number of migraine headache periods using the Last Observation Carried Forward (LOCF). The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
| Migraine Headache Periods (MHP) | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Mean Change From Baseline in the Number of Migraine Headache Periods (MHP) | -3.3 ± 0.35 | -3.0 ± 0.50 | -3.6 ± 0.36 | -3.0 ± 0.34 | -3.2 ± 0.50 |
The total duration of a migraine attack is measured from migraine attack onset until the resolution of the attack measured in hours and may include more than 1 headache event. The duration is assessed using a Daily Migraine Diary. Change from baseline and the last 4 weeks of treatment prior to taper were calculated means of the number of migraine headache days using the Last Observation Carried Forward (LOCF). Change from baseline is calculated as post-baseline minus baseline. The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
| Hours | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Change From Baseline in the Mean Migraine Attack Duration | -0.97 ± 3.355 | 3.01 ± 5.720 | -2.93 ± 3.658 | 2.59 ± 5.000 | 9.82 ± 9.975 |
Peak Migraine Pain Severity was measured using a 4-point scale (0=none, 1=mild, 2=moderate, or 3=severe) on a participant self assessed Daily Migraine Diary. The scale measured the maximum pain severity across all headache events considered to be one attack.. Change from baseline and the last 4 weeks of treatment prior to taper were calculated means of the number of migraine headache days using the Last Observation Carried Forward (LOCF). The last 4-week treatment phase is based on the last 4 weeks prior to taper for each participant.
| Scores on a Scale | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Change From Baseline in the Mean Peak Migraine Pain Severity | -0.12 ± 0.058 | -0.13 ± 0.086 | -0.12 ± 0.055 | -0.04 ± 0.050 | -0.09 ± 0.080 |
The Number of Days of Acute Migraine Medication Use was assessed via the participant-assessed Daily Migraine Diary.
| Days | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Mean Change From Baseline to the Last 4-Week Treatment Phase in the Number of Days of Acute Migraine Medication Use | -2.0 ± 0.28 | -2.3 ± 0.39 | -2.7 ± 0.28 | -2.2 ± 0.27 | -2.1 ± 0.40 |
The Number of Acute Migraine Medication Doses Administered was captured via the participant-assessed Daily Migraine Diary.
| Acute Medication Doses Admin. | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Mean Change From Baseline to the Last 4-Week Treatment Phase in the Number of Acute Migraine Medication Doses Administered | -4.5 ± 0.69 | -4.8 ± 0.97 | -5.8 ± 0.70 | -5.1 ± 0.67 | -4.5 ± 0.69 |
The Number of Acute Migraine Medication Administered was measured via the participant-assessed Daily Migraine Diary.
| Acute Migraine Medication Dose | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Triptan Use (n= 72, 30, 65, 63, 32) | -3.3 ± 0.88 | -2.9 ± 1.35 | -4.9 ± 0.91 | -4.3 ± 0.93 | -2.6 ± 1.31 |
| Not a Triptan User (n = 48, 29, 49, 60, 26) | -6.3 ± 1.06 | -6.7 ± 1.36 | -6.9 ± 1.05 | -6.0 ± 0.95 | -6.8 ± 1.44 |
The Number of Acute Migraine Medication Doses Administered by Opioid Use was measured via the participant-assessed Daily Migraine Diary.
| Days | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Opioid Use (n=20, 7, 14, 26, 10) | -1.7 ± 1.66 | 1.4 ± 2.81 | -3.2 ± 1.97 | -6.0 ± 1.45 | -5.1 ± 2.34 |
| Non-Opioid Use (n=100, 52, 100, 97, 48) | -5.1 ± 0.75 | -5.7 ± 0.75 | -6.2 ± 0.74 | -4.9 ± 0.75 | -4.4 ± 1.08 |
The Number of Acute Migraine Medication Doses Administered by Prescription Headache Medication use was measured via the participant-assessed Daily Migraine Diary.
| Acute Migraine Medication Doses | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Uses Prescription HA meds (n=89, 38, 80, 88, 39) | -3.6 ± 0.78 | -3.5 ± 1.19 | -4.9 ± 0.82 | -4.0 ± 0.78 | -3.3 ± 1.18 |
| Uses OTC HA meds only (n=31, 21, 34, 35, 19) | -6.9 ± 1.31 | -7.2 ± 1.59 | -7.8 ± 1.25 | -7.9 ± 1.23 | -6.9 ± 1.68 |
The endpoint is defined as the percentage of attacks with each symptom (separately) for each study phase. Migraine symptoms aura, nausea, vomiting, photophobia, and phonophobia are defined as the presence of each migraine symptom during any of the headache events within an attack.
| Percentage of MA with migraine symptoms | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Aura (n=99, 52, 89, 102, 44) | -7.4 ± 3.640 | -3.37 ± 4.834 | -7.43 ± 3.230 | -0.72 ± 3.044 | 1.21 ± 4.372 |
| Nausea (n=125, 62, 123, 121, 59) | -7.8 ± 2.73 | -3.6 ± 3.92 | -8.4 ± 3.01 | -5.4 ± 2.50 | 1.4 ± 3.31 |
| Vomiting (n=99, 52, 89, 102, 44) | 0 ± 2.60 | -0.9 ± 2.98 | -0.4 ± 3.01 | 3.7 ± 0.4 | 0.4 ± 4.83 |
| Photophobia (n=99, 52, 89, 102, 44) | -1.9 ± 2.82 | -3.5 ± 4.09 | -2.1 ± 2.86 | -5.5 ± 2.64 | 0.1 ± 2.49 |
| Phonophobia (n=99, 52, 89, 102, 44) | -5.4 ± 3.14 | 1.2 ± 3.05 | -0.7 ± 3.42 | -7.4 ± 2.88 | 3.6 ± 1.93 |
A responder is defined as a participant who achieved at least a 50% reduction from baseline for the indicated measures.
| percentage of participants | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Migraine headache days (n=65, 26, 68, 67, 38) | 54 | 44 | 60 | 54 | 66 |
| Migraine attacks (n=64, 31, 67, 67, 39) | 53 | 53 | 59 | 54 | 67 |
| Migraine headache periods (n=65, 27, 70, 69, 40) | 54 | 46 | 61 | 56 | 69 |
The PGIC is a single question measured on the 7-point Likert Scale (1 = "very much improved"; 2 = "much improved"; 7 = "very much worse"). A responder is defined as being "very much improved" or "much improved."
| participants | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Number of Participants Who Were "Much Improved" or "Very Much Improved" on the 7-point Likert Patient Global Impression of Change (PGIC) Scale Using LOCF at Week 17 | 71 | 40 | 84 | 81 | 36 |
The CGIC is a single question measured on a 7-point Likert Scale. (1 = "very much improved"; 2= "much improved, and 7 = "very much worse") designed to give an assessment of treatment from a clinician's perspective. A responder is defined as being 'Very much improved' or 'much improved'.
| Participants | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Number of Participants Who Were "Much Improved" or "Very Much Improved" (Responders) on the 7-point Likert Clinical Global Impression of Change (CGIC) Scale Using LOCF at Week 17 | 75 | 40 | 84 | 85 | 32 |
The MSQ is a 14-item health-related quality of life (HRQOL) questionnaire. Participants provide responses using a 6-point Likert scale (1=None of the time, 2= A little bit of the time, 3=Some of the time, 4=A good bit of the time, 5=Most of the time, 6=All of the time) that are then recoded with a final item value where 1=6, 2=5, 3=4, 4=3, 5=2, and 6=1. The scale measures 3 independently scored dimensions (Role Function Restrictive, Role Function, Preventive, and Emotional Function) of HRQOL that are affected by migraine. For each dimension, a higher score indicates a better health status.
| units on a scale | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Role Function Restrictive | 30.7 ± 2.31 | 38.7 ± 3.12 | 37.1 ± 2.38 | 32.8 ± 2.28 | 30.9 ± 3.73 |
| Role Function Preventive | 22.7 ± 1.98 | 28.6 ± 2.67 | 28.0 ± 2.04 | 23.9 ± 1.96 | 22.4 ± 3.20 |
| Emotional Function | 29.7 ± 2.56 | 37.0 ± 3.46 | 34.8 ± 2.64 | 30.4 ± 2.54 | 25.7 ± 4.14 |
The HIT is a 6-item, self-administered HRQOL questionnaire used to measure six areas that impact headaches have on participants' ability to function on the job, at school, at home, and in social situations. Participants provide responses to questions using a 5-point Likert-type scale. All item values range from 6 to13.The total scores range from 36 to 78, where higher scores indicate greater impact on a participant's life.
| Points on a scale | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Mean Change From Baseline in the Headache Impact Test (HIT-6) Total Scores at Week 17 | -10.0 ± 0.95 | -12.2 ± 1.28 | -11.8 ± 0.98 | -9.8 ± 0.94 | -10.3 ± 1.53 |
Productivity, as measured by LTE, is a metric used to assess productivity loss in migraine. It is a composite measure of presenteeism (continued to work while under the influence of migraine symptoms) and absenteeism (time missed from work due to migraine), and can be applied to productivity for work and non-work activities. Productivity data were collected via an e-diary, and productivity measures were summarized for each study phase by averaging each measure across migraine attacks for each participant.
| Hours | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| Lost Work Time (n=52, 23, 41, 35, 17) | -0.8 ± 0.49 | -0.3 ± 0.73 | -0.9 ± 0.55 | -0.1 ± 0.59 | 0.8 ± 0.85 |
| Lost Activity Time (n=99,52, 89, 102, 44) | 0.1 ± 0.74 | -0.1 ± 1.02 | -1.2 ± 0.78 | -1.0 ± 0.73 | 1.7 ± 1.11 |
| Lost Time Equivalents (n=99, 52, 89, 102, 44) | -0.2 ± 0.83 | -0.5 ± 1.14 | -1.7 ± 0.87 | -1.1 ± 0.082 | 2.1 ± 1.24 |
Three global treatment satisfaction items from the PPMQ included satisfaction or dissatisfaction with Medication Effectiveness, Medication Side Effects, and Overall Medication. Each item on the PPMQ uses a 7-point satisfaction scale (1 = Very Satisfied to 7 = Very Dissatisfied). Satisfied participants include those reporting "Very Satisfied" (scale value = 1) or "Satisfied" (scale value = 2) on the scale.
| Percentage of Patients | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| How Effective Overall | 74 | 39 | 84 | 81 | 36 |
| Side Effects of the Medication | 79 | 32 | 72 | 75 | 28 |
| Overall Satisfaction with Medication | 76 | 39 | 84 | 84 | 34 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | — | 2/128 (1.6%) | 86/128 (67.2%) |
| GEn 1200 mg | — | 0/66 (0%) | 44/66 (66.7%) |
| GEn 1800 mg | — | 2/134 (1.5%) | 99/134 (73.9%) |
| GEn 2400 mg | — | 1/133 (0.8%) | 101/133 (75.9%) |
| GEn 3000 mg | — | 4/62 (6.5%) | 47/62 (75.8%) |
| Event | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| PneumoniaInfections and infestations | 0/128 | 0/66 | 0/134 | 0/133 | 1/62 |
| Metastatic malignant melanomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/128 | 0/66 | 0/134 | 0/133 | 1/62 |
| ConvulsionNervous system disorders | 0/128 | 0/66 | 0/134 | 0/133 | 1/62 |
| Conversion disorderPsychiatric disorders | 0/128 | 0/66 | 0/134 | 0/133 | 1/62 |
| PharyngitisInfections and infestations | 1/128 | 0/66 | 0/134 | 0/133 | 0/62 |
| Muscle SpasmsMusculoskeletal and connective tissue disorders | 1/128 | 0/66 | 0/134 | 0/133 | 0/62 |
| Accidental OverdoseInjury, poisoning and procedural complications | 0/128 | 0/66 | 0/134 | 1/133 | 0/62 |
| AppendicitisInfections and infestations | 0/128 | 0/66 | 1/134 | 0/133 | 0/62 |
| CholecystitisHepatobiliary disorders | 0/128 | 0/66 | 1/134 | 0/133 | 0/62 |
| CholeslithiasisHepatobiliary disorders | 0/128 | 0/66 | 1/134 | 0/133 | 0/62 |
| Event | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg |
|---|---|---|---|---|---|
| DizzinessNervous system disorders | 8/128 | 16/66 | 43/134 | 35/133 | 11/62 |
| FatigueGeneral disorders | 9/128 | 10/66 | 12/134 | 14/133 | 3/62 |
| SomnolenceNervous system disorders | 6/128 | 6/66 | 7/134 | 14/133 | 9/62 |
| NauseaGastrointestinal disorders | 12/128 | 3/66 | 15/134 | 12/133 | 6/62 |
| Upper respiratory track infectionRespiratory, thoracic and mediastinal disorders | 9/128 | 4/66 | 4/134 | 9/133 | 5/62 |
| ConstipationGastrointestinal disorders | 3/128 | 4/66 | 7/134 | 8/133 | 5/62 |
| Weight increasedInvestigations | 7/128 | 4/66 | 8/134 | 9/133 | 4/62 |
| NasopharyngitisInfections and infestations | 8/128 | 3/66 | 4/134 | 4/133 | 2/62 |
| DiarrhoeaGastrointestinal disorders | 8/128 | 1/66 | 1/134 | 7/133 | 1/62 |
| Dry mouthSkin and subcutaneous tissue disorders | 3/128 | 4/66 | 6/134 | 5/133 | 3/62 |
Intent to Treat population
| Age Continuous(years) | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg | Total |
|---|---|---|---|---|---|---|
| Mean | 41.1 ± 11.72 | 39.4 ± 9.74 | 37.7 ± 11.75 | 39.0 ± 12.04 | 39.1 ± 11.78 | 39.2 ± 11.61 |
| Sex: Female, Male(Participants) | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg | Total |
|---|---|---|---|---|---|---|
| Female | 111 | 52 | 115 | 105 | 46 | 429 |
| Male | 17 | 14 | 19 | 28 | 16 | 94 |
| Race/Ethnicity, Customized(participants) | Placebo | GEn 1200 mg | GEn 1800 mg | GEn 2400 mg | GEn 3000 mg | Total |
|---|---|---|---|---|---|---|
| White | 108 | 54 | 107 | 112 | 53 | 434 |
| African American/African Heritage (AA) | 11 | 8 | 15 | 11 | 6 | 51 |
| American Indian (AI) or Alaska Native (AN) | 2 | 1 | 3 | 1 | 0 | 7 |
| Asian | 4 | 3 | 6 | 6 | 3 | 22 |
| Native Hawaiian or other Pacific Islander | 1 | 0 | 0 | 0 | 0 | 1 |
| AA/African Heritage and AI or AN and White | 0 | 0 | 0 | 1 | 0 | 1 |
| AA/African Heritage and White | 0 | 0 | 2 | 1 | 0 | 3 |
| AI or AN and White | 1 | 0 | 1 | 0 | 0 | 2 |
| Asian and White | 1 | 0 | 0 | 1 | 0 | 2 |
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