A Phase 2 interventional study of MK-1602 and Placebo in Migraine, sponsored by Allergan. Completed. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2016-12-09.
Sponsored by Allergan · Phase 2, Interventional, and Treatment
The purpose of this study is to characterize the pharmacokinetics of MK-1602 in the treatment of acute migraine, including the influence of demographic and other variables on MK-1602 pharmacokinetics, and to evaluate the relationship between MK-1602 concentrations and efficacy of the drug.
1,528 studies on the registry are indexed under Migraine Disorders; 299 are open to participants now.
This study's enrollment of 195 is above the median of 80 across 1,175 interventional studies indexed under Migraine Disorders.
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the two months prior to screening
reproductive potential with a screening serum β-human chorionic gonadotropin (β-hCG) level consistent with a not-pregnant state, and who agrees to use acceptable contraception
Exclusion Criteria:
resolve spontaneously in less than two hours
has changed during the 3 months prior to screening and during the study
in response to 3 or more classes of drugs (prescription and over-the-counter)
surgery or banding), or presence of a disease that causes malabsorption
other circumstance that might confound the results of the study, or interfere with subject's participation for the full duration of the study
weeks of study, or intent to donate blood products or receive
blood products within 30 days of screening and throughout study
study
in a study with an investigational compound or device, with the exception of MK-1602 Protocol 006
analgesic for migraine relief
attack within the past 2 months
MK-1602 placebo-matching tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Drug: Placebo · Drug: Rescue medication
MK-1602 1 mg tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Drug: MK-1602 · Drug: Rescue medication
MK-1602 10 mg tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Drug: MK-1602 · Drug: Rescue medication
MK-1602 25 mg tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Drug: MK-1602 · Drug: Rescue medication
MK-1602 50 mg tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Drug: MK-1602 · Drug: Rescue medication
MK-1602 100 mg tablet orally for 3 doses: Dose 1 at the onset of a moderate or severe migraine (Day 1), Dose 2 in the evening of Day 3 and Dose 3 on Day 4. After 2 hours participants were able to take rescue medication if necessary.
Drug: MK-1602 · Drug: Rescue medication
Three administrations of the same dose of MK-1602 on separate days. All 3 doses are either 1, 10, 25, 50 or 100 mg of MK-1602. Dose 1: Taken at onset of migraine of moderate or severe intensity. Dose 2: Taken the evening before Visit 2. Dose 3: Taken at Visit 2, which is Day 4 post migraine treatment (Dose 1). Dosage form is film coated tablet for oral administration.
Three administrations of placebo for MK-1602 on separate days. Dose 1: Taken at onset of migraine of moderate or severe intensity. Dose 2: Taken the evening before Visit 2. Dose 3: Taken at Visit 2, which is Day 4 post migraine treatment (Dose 1). Dosage form is film coated tablet for oral administration.
If moderate or severe migraine headache pain continues 2 hours after dose of study medication or if migraine headache comes back within 48 hours, Participants will be allowed to take their own rescue migraine medication, which may include analgesics (e.g., nonsteroidal anti-inflammatory drugs \[NSAIDs\]), anti-emetics, triptans, opiates or other medication not explicitly excluded.
Dry Blood Spot (DBS) MK-1602 Concentration at 2 Hours Post-Dose on Migraine Treatment Day
The participant collected blood by fingerstick on a card. The card was sent to a laboratory and the concentration of MK-1602 determined using the dried blood spot (DBS) assay.
Time frame: 2 hours post dose 1
Percentage of Participants Reporting Pain Freedom (PF) at 2 Hours Post-Dose on Migraine Treatment Day
PF was defined as a decrease from a moderate or severe migraine headache (Grade 2 or 3) at Baseline to no pain (Grade 0) 2 hours post-dose. Headache severity was reported by the participant using a 4-point scale where: 0=no pain, 1=mild pain, 2=moderate pain and 3=severe pain.
Time frame: 2 hours post dose 1
Percentage of Participants With Pain Relief (PR) at 2 Hours Post-Dose on Migraine Treatment Day
PR was defined as a decrease from a moderate or severe migraine headache (Grade 2 or 3) at Baseline to a mild headache or no headache (Grade 1 or 0) 2 hours post dose. Headache severity was reported by the participant using a 4-point scale where: 0=no pain, 1=mild pain, 2=moderate pain and 3=severe pain.
Time frame: 2 hours post dose 1
Percentage of Participants Reporting Absence of Phonophobia at 2 Hours Post-Dose on Migraine Treatment Day
Phonophobia is sensitivity to sound.
Time frame: 2 hours post dose 1
Percentage of Participants Reporting Absence of Photophobia at 2 Hours Post-Dose on Migraine Treatment Day
Photophobia is sensitivity to light.
Time frame: 2 hours post dose 1
Percentage of Participants Reporting Absence of Nausea at 2 Hours Post-Dose on Migraine Treatment Day
Time frame: 2 hours post dose 1
Percentage of Participants With Sustained Pain Freedom (SPF) From 2-24 Hours Post-Dose on Migraine Treatment Day
SPF was defined as PF at 2 hours post-dose, with no administration of any rescue medication and with no occurrence of a mild/moderate/severe headache during the 2-24 hour period after dosing with study medication.
Time frame: 2-24 hours post dose 1
Percentage of Participants With Sustained Pain Relief (SPR) From 2-24 Hours Post-Dose on Migraine Treatment Day
SPR was defined as PR at 2 hours post-dose, with no administration of any rescue medication and with no occurrence of a moderate/severe headache during the 2-24 hour period after dosing with study medication.
Time frame: 2-24 hours post dose 1
Percentage of Participants With Total Migraine Freedom (TMF) at 2 Hours Post-Dose on Migraine Treatment Day
TMF at 2 hours post-dose was defined as PF with no photophobia, phonophobia, nausea, or vomiting at 2 hours post-dose.
Time frame: 2 hours post dose 1
Percentage of Participants With TMF From 2-24 Hours Post-Dose on Migraine Treatment Day
TMF from 2-24 hours post-dose was defined as SPF with no photophobia, phonophobia, nausea, or vomiting during the 2-24 hour period after dosing with study medication.
Time frame: 2-24 hours post dose 1
Dry Blood Spot (DBS) MK-1602 Concentrations on Migraine Treatment Day
Time frame: Up to 24 hours post dose 1
Dry Blood Spot MK-1602 Concentration at 3.5 Hours Post-Dose at Visit 2 (Day 4)
Time frame: 3.5 hours post dose 3
Plasma MK-1602 Concentrations at Visit 2 (Day 4)
Time frame: Up to 3.5 hours post dose 3
| Milestone | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| Started | 33 | 32 | 32 | 33 | 34 | 31 |
| Completed | 27 | 28 | 25 | 28 | 27 | 27 |
| Not completed | 6 | 4 | 7 | 5 | 7 | 4 |
| Withdrew: Withdrawal by subject | 0 | 0 | 1 | 0 | 0 | 1 |
| Withdrew: Physician decision | 2 | 3 | 1 | 2 | 5 | 0 |
| Withdrew: Lack of qualifying event | 1 | 0 | 3 | 2 | 1 | 2 |
| Withdrew: Adverse event | 0 | 0 | 0 | 0 | 1 | 0 |
| Withdrew: Protocol violation | 1 | 1 | 1 | 1 | 0 | 0 |
| Withdrew: Lost to follow-up | 2 | 0 | 1 | 0 | 0 | 1 |
The participant collected blood by fingerstick on a card. The card was sent to a laboratory and the concentration of MK-1602 determined using the dried blood spot (DBS) assay.
| nanomolar (nM) | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|
| Dry Blood Spot (DBS) MK-1602 Concentration at 2 Hours Post-Dose on Migraine Treatment Day | 1.9 ± 73 | 17.0 ± 74 | 43.8 ± 130 | 52.7 ± 270 | 184.8 ± 170 |
PF was defined as a decrease from a moderate or severe migraine headache (Grade 2 or 3) at Baseline to no pain (Grade 0) 2 hours post-dose. Headache severity was reported by the participant using a 4-point scale where: 0=no pain, 1=mild pain, 2=moderate pain and 3=severe pain.
| percentage of participants | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| Percentage of Participants Reporting Pain Freedom (PF) at 2 Hours Post-Dose on Migraine Treatment Day | 0.0 (0.0 to 12.3) | 0.0 (0.0 to 12.3) | 3.8 (0.1 to 19.6) | 17.9 (6.1 to 36.9) | 28.6 (13.2 to 48.7) | 11.1 (2.4 to 29.2) |
PR was defined as a decrease from a moderate or severe migraine headache (Grade 2 or 3) at Baseline to a mild headache or no headache (Grade 1 or 0) 2 hours post dose. Headache severity was reported by the participant using a 4-point scale where: 0=no pain, 1=mild pain, 2=moderate pain and 3=severe pain.
| percentage of participants | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| Percentage of Participants With Pain Relief (PR) at 2 Hours Post-Dose on Migraine Treatment Day | 42.9 (24.5 to 62.8) | 42.9 (24.5 to 62.8) | 30.8 (14.3 to 51.8) | 46.4 (27.5 to 66.1) | 67.9 (47.6 to 84.1) | 70.4 (49.8 to 86.2) |
Phonophobia is sensitivity to sound.
| percentage of participants | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| Percentage of Participants Reporting Absence of Phonophobia at 2 Hours Post-Dose on Migraine Treatment Day | 28.6 (13.2 to 48.7) | 42.9 (24.5 to 62.8) | 30.8 (14.3 to 51.8) | 42.9 (24.5 to 62.8) | 57.1 (37.2 to 75.5) | 44.4 (25.5 to 64.7) |
Photophobia is sensitivity to light.
| percentage of participants | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| Percentage of Participants Reporting Absence of Photophobia at 2 Hours Post-Dose on Migraine Treatment Day | 25.0 (10.7 to 44.9) | 25.0 (10.7 to 44.9) | 26.9 (11.6 to 47.8) | 28.6 (13.2 to 48.7) | 46.4 (27.5 to 66.1) | 48.1 (28.7 to 68.1) |
| percentage of participants | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| Percentage of Participants Reporting Absence of Nausea at 2 Hours Post-Dose on Migraine Treatment Day | 67.9 (47.6 to 84.1) | 57.1 (37.2 to 75.5) | 69.2 (48.2 to 85.7) | 57.1 (37.2 to 75.5) | 82.1 (63.1 to 93.9) | 74.1 (53.7 to 88.9) |
SPF was defined as PF at 2 hours post-dose, with no administration of any rescue medication and with no occurrence of a mild/moderate/severe headache during the 2-24 hour period after dosing with study medication.
| percentage of participants | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| Percentage of Participants With Sustained Pain Freedom (SPF) From 2-24 Hours Post-Dose on Migraine Treatment Day | 0.0 (0.0 to 12.3) | 0.0 (0.0 to 12.3) | 3.8 (0.1 to 19.6) | 10.7 (2.3 to 28.2) | 14.3 (4.0 to 32.7) | 3.7 (0.1 to 19.0) |
SPR was defined as PR at 2 hours post-dose, with no administration of any rescue medication and with no occurrence of a moderate/severe headache during the 2-24 hour period after dosing with study medication.
| percentage of participants | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| Percentage of Participants With Sustained Pain Relief (SPR) From 2-24 Hours Post-Dose on Migraine Treatment Day | 28.6 (13.2 to 48.7) | 25.0 (10.7 to 44.9) | 15.4 (4.4 to 34.9) | 42.9 (24.5 to 62.8) | 57.1 (37.2 to 75.5) | 48.1 (28.7 to 68.1) |
TMF at 2 hours post-dose was defined as PF with no photophobia, phonophobia, nausea, or vomiting at 2 hours post-dose.
| percentage of participants | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| Percentage of Participants With Total Migraine Freedom (TMF) at 2 Hours Post-Dose on Migraine Treatment Day | 0.0 (0.0 to 12.3) | 0.0 (0.0 to 12.3) | 0.0 (0.0 to 13.2) | 14.3 (4.0 to 32.7) | 28.6 (13.2 to 48.7) | 7.4 (0.9 to 24.3) |
TMF from 2-24 hours post-dose was defined as SPF with no photophobia, phonophobia, nausea, or vomiting during the 2-24 hour period after dosing with study medication.
| percentage of participants | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| Percentage of Participants With TMF From 2-24 Hours Post-Dose on Migraine Treatment Day | 0.0 (0.0 to 12.3) | 0.0 (0.0 to 12.3) | 0.0 (0.0 to 13.2) | 10.7 (2.3 to 28.2) | 14.3 (4.0 to 32.7) | 3.7 (0.1 to 19.0) |
No measurements were reported for this outcome.
No measurements were reported for this outcome.
No measurements were reported for this outcome.
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | — | 0/28 (0%) | 6/28 (21.4%) |
| MK-1602 1 mg | — | 0/28 (0%) | 6/28 (21.4%) |
| MK-1602 10 mg | — | 0/26 (0%) | 2/26 (7.7%) |
| MK-1602 25 mg | — | 0/28 (0%) | 10/28 (35.7%) |
| MK-1602 50 mg | — | 0/28 (0%) | 7/28 (25%) |
| MK-1602 100 mg | — | 0/27 (0%) | 7/27 (25.9%) |
| Event | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg |
|---|---|---|---|---|---|---|
| DizzinessNervous system disorders | 4/28 | 2/28 | 0/26 | 2/28 | 0/28 | 2/27 |
| NauseaGastrointestinal disorders | 1/28 | 0/28 | 1/26 | 2/28 | 3/28 | 1/27 |
| Abdominal pain upperGastrointestinal disorders | 0/28 | 1/28 | 0/26 | 0/28 | 2/28 | 2/27 |
| NasopharyngitisInfections and infestations | 1/28 | 1/28 | 0/26 | 1/28 | 0/28 | 2/27 |
| DiarrhoeaGastrointestinal disorders | 0/28 | 0/28 | 0/26 | 2/28 | 1/28 | 0/27 |
| Dry mouthGastrointestinal disorders | 0/28 | 1/28 | 1/26 | 2/28 | 2/28 | 1/27 |
| FatigueGeneral disorders | 1/28 | 0/28 | 0/26 | 2/28 | 0/28 | 0/27 |
| HeadacheNervous system disorders | 0/28 | 2/28 | 0/26 | 0/28 | 0/28 | 0/27 |
| Oropharyngeal painRespiratory, thoracic and mediastinal disorders | 0/28 | 0/28 | 0/26 | 2/28 | 0/28 | 0/27 |
All Subjects as Treated Population included all randomized participants who received at least 1 dose of study treatment.
| Age, Customized(participants) | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg | Total |
|---|---|---|---|---|---|---|---|
| <20 years | 1 | 1 | 0 | 0 | 0 | 2 | 4 |
| 20 to 29 years | 4 | 8 | 6 | 9 | 11 | 9 | 47 |
| 30 to 39 years | 9 | 7 | 7 | 7 | 6 | 6 | 42 |
| 40 to 49 years | 9 | 9 | 7 | 7 | 6 | 6 | 44 |
| 50 to 59 years | 5 | 3 | 4 | 3 | 4 | 3 | 22 |
| 60 to 64 years | 0 | 0 | 0 | 2 | 0 | 1 | 3 |
| >= 65 years | 0 | 0 | 2 | 0 | 1 | 0 | 3 |
| Sex: Female, Male(Participants) | Placebo | MK-1602 1 mg | MK-1602 10 mg | MK-1602 25 mg | MK-1602 50 mg | MK-1602 100 mg | Total |
|---|---|---|---|---|---|---|---|
| Female | 25 | 26 | 22 | 23 | 26 | 18 | 140 |
| Male | 3 | 2 | 4 | 5 | 2 | 9 | 25 |
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