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CompletedNCT02057315Updated Jul 11, 2017

Study to Determine the Efficacy and Safety of ELS-M11 in Acute Migraine

A Phase 1/2 interventional study of ELS-M11 and Placebo in Migraine Headaches, sponsored by Achelios Therapeutics. Completed at 2 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2017-07-11.

Sponsored by Achelios Therapeutics · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a Phase 1/ Phase 2, 12-week, multi-center, randomized, double-blind, cross-over, placebo-controlled study to evaluate the efficacy and safety of ELS-M11 compared to placebo in 50 male and female subjects, aged 18 to 65 years that suffer recurring moderate-severe migraine headaches (2-8 per month).

This study is designed to describe the efficacy and safety of ELS-M11 as compared to placebo.

Read the detailed description

Achelios is developing ELS-M11 for topical application for the acute treatment of migraine events in patients with a history of migraine with or without aura.

To be eligible for the study, patients must have a one-year documented history of migraine headache (as defined by the International Headache Society IHS), with or without aura, with 2≤8 moderate or severe migraine attacks per month in the 2 months prior to the screening visit.

The total duration of the study is the completion of five migraine headaches per subject over a maximum 12 week period followed by a 3-14 day Follow-Up Period.

02

Conditions studied

  • Migraine Headaches

Keywords

  • Migraine headache
  • Photophobia
  • Phonophobia
  • Aura
  • Topical treatment
03

In context

Migraine Disorders

1,558 studies on the registry are indexed under Migraine Disorders; 301 are open to participants now.

This study's enrollment of 48 is below the median of 80 across 1,197 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

This is the only study on the registry with Achelios Therapeutics as lead sponsor.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Provide written informed consent
  • Males and females aged 18-65 who can read, write and understand English
  • Subject has at least a one year documented history of migraine headache (defined by International headache Society IHS) migraine definitions, with or without aura, with 2≤8 moderate or severe migraine attacks per month in the 2 months prior to the screening visit
  • Is stable on the current standard non-opioid rescue medication for at least 2 months prior to randomization
  • Can distinguish migraine from tension headache (HA), with 24 hours of freedom from HA between migraine events
  • Women of childbearing potential must be currently using or willing to use contraception (30 days prior to start of study medication and for 21 days after taking study medication)
  • Women of non-childbearing potential include females regardless of age, with functioning ovaries and who have a current documented tubal ligation [Hatcher, 2004] bilateral oophorectomy or total hysterectomy, or post-menopausal females
  • The subject is able and willing to perform the assessments and procedures as specified in this protocol, including the ability to learn and follow instructions for ePRO device

Exclusion criteria

Exclusion Criteria:

  • Migraineurs taking opioid-based rescue medications for any indication
  • Subject has history of mild migraine events or migraines that usually resolve spontaneously in less than 2 hours
  • Subject has menstrual migraines
  • Positive Drug Test
  • Subject has basilar or hemiplegic migraines
  • Subject has more than 15 headache-days per month
  • Subjects with a history of facial allodynia
  • Subject has a history of vomiting during more than 30% of migraine episodes
  • Self confinement to bed rest for more than 50% of migraine episodes
  • Subject was greater than 50 years old at age of migraine onset
  • Acute coronary syndrome (i.e., myocardial infarction and unstable angina), stroke or resuscitated cardiac arrest within the past 3 months
  • Severe congestive heart failure
  • Systolic blood pressure (sBP) >160 mmHg or diastolic blood pressure (dBP) >100 mmHg measured in the sitting position at Visit 1
  • Current active renal disease
  • Any history of pyelonephritis
  • Evidence of active liver disease
  • Alanine aminotransferase (ALT), aspartate aminotransferase (AST) or alkaline phosphatase >2 times the upper limit of the reference range (ULRR), or total bilirubin >1.5 times the ULRR at Visit 1
  • Past history of acute pancreatitis with current triglycerides 4.56 mmol/L (400 mg/dL) at Visit 1
  • History of malignancy within the past 3 years, other than non-melanoma skin cancer (i.e., basal or superficial squamous cell carcinoma) and treated cervical cancer in-situ
  • Any planned major surgery to be performed during the study (e.g., coronary artery bypass surgery, abdominal aortic aneurysm repair, etc.)
  • Current life-threatening condition
  • Significant hypersensitivity to NSAIDs (e.g., difficulty swallowing or breathing, tachycardia, anaphylaxis, angioedema or skin reaction)
  • Pregnancy (defined by positive urine pregnancy test) or lactation at Visit 1, or planning to become pregnant prior to completion of the study
  • History or suspicion of alcohol or substance abuse (current or past 6 months).
  • Participation in any clinical trial within 30 days prior to Visit 1
  • Subjects with a history of hypersensitivity to products containing tiaprofenic acid, suprofen, fenofibrate, oxybenzone, or octocrylene (e.g., sunscreen, perfume)
  • Subjects with a history of photosensitivity
  • Any clinically significant abnormality or any reason that the subject may not be able to complete the full study observational period
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    ELS-M11

    Topical 5% ELS-M11 (3 g)

    Drug: ELS-M11 · Drug: Placebo

  • Placebo comparator
    Placebo

    A matching formulation with no active ingredient

    Drug: ELS-M11 · Drug: Placebo

Interventions

  • DrugELS-M11

    One dose of 5% ELS-M11 over 3 bilateral applications.

    Also known as: Topofen (ketoprofen) Gel 5%

  • DrugPlacebo

    One dose of matching placebo over 3 bilateral applications.

06

What researchers measure

Primary outcomes

  1. Percentage of patients who experience pain relief 2 hours following the first application of ELS-M11

    Pain relief (as defined by a one point decrease on a 4 point pain intensity scale) in subjects experiencing a moderate to severe migraine headache, 2 hours after the initial application of ELS-M11.

    Time frame: 2 hours

Secondary outcomes

  1. Percentage of patients who report pain relief at various time points within a 24 hour period, following the first application of ELS-M11

    Pain relief (as defined by a one point decrease on a 0-3 point pain intensity scale) in subjects experiencing a moderate to severe migraine headache over a 24 hour period following the first application of ELS-M11.

    Time frame: 24 hours

  2. Percentage of patients who report complete pain resolution within 24 hours following the first application of ELS-M11.

    Complete resolution (intensity score of 0 on a 0-3 pain scale) of migraine pain within 24 hours, following ELS-M11 application in subjects experiencing a moderate to severe migraine headache.

    Time frame: 24 hours

  3. Percentage of patients who report sustained pain relief after the first application of ELS-M11

    Sustained pain relief defined as pain relief by 2 hours post study medication application with no increase in the pain intensity score up to 24 hours post medication application in moderate and severe headaches, following ELS-M11 application.

    Time frame: 24 hours

  4. Percentage of patients who report sustained complete pain resolution after the first application of ELS-M11.

    Sustained complete pain resolution defined as pain free by 2 hours post study medication application with no change in a pain intensity score of 0 up to 24 hours post medication application in moderate and severe headaches, following ELS-M11 application.

    Time frame: 24 hours

  5. Time to Initial Use of Rescue Medication following the first application of ELS-M11

    Time to Initial Use of Rescue Medication following ELS-M11 application in subjects experiencing moderate to severe headaches within a 24 hour period

    Time frame: 24 hours

  6. Use of Rescue Medication following the first application of ELS-M11 by 24 hours

    Use of Rescue Medication within 24 hours following ELS-M11 application in patients experiencing moderate to severe migraine headaches.

    Time frame: 24 hours

  7. Resolution of migraine-associated symptoms, following the first application of ELS-M11

    Free of migraine-associated symptoms within 24 hours after ELS-M11 application in patients experiencing moderate to severe migraine headaches.

    Time frame: 24 hours

  8. Percentage of patients who can resume or maintain their normal routine, following the first application of ELS-M11.

    Resuming or maintaining normal routine within 24 hours after first study medication application in moderate and severe headaches.

    Time frame: 24 hours

07

Study locations

2 sites
  • Michigan Head Pain and Neurological Institute
    Ann Arbor, Michigan 48104, United States
  • Coastal Carolina Research Center
    Charleston, South Carolina 29464, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 11, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02057315
Lead sponsor
Achelios Therapeutics
Responsible party
Sponsor
First posted
Feb 7, 2014
Start date
Mar 2014
Primary completion
Nov 2014
Completion
Nov 2014
Last update
Jul 11, 2017

Study contacts

Crist J. Frangakis, Ph.D.
study chair · Achelios Therapeutics, Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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