E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Non-chronic migraine with or without aura |
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E.1.1.1 | Medical condition in easily understood language |
All patients must have been diagnosed with migraine (according to the International Headache Society categories 1.1 and 1.2) with ≥ 3 and ≤ 12 migraine attacks/4-weeks. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10027603 |
E.1.2 | Term | Migraine headaches |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the efficacy of BGG492 vs. placebo in terms of 50% responder rate (defined by ≥ 50% reduction in attack frequency during the last 4-weeks of the 12-weeks treatment period compared with the 4-weeks Baseline period). |
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E.2.2 | Secondary objectives of the trial |
To assess the effects of BGG492 vs. placebo during the last 4-weeks treatment by
- the mean change in number of migraine attacks compared to Baseline period.
- number of days with migraine attacks compared to Baseline period
- intensity (on a 0-3 Likert scale) and duration (in hours) of migraine headache compared to Baseline period.
- the number of times acute migraine treatment is taken compared to Baseline period.
To assess safety and tolerability of BGG492 in patients with non-chronic migraine attacks.
To assess the effects of BGG492 on the quality of life using the migraine specific quality of life questionnaire v2.1 (MSQ v2.1).
To assess the effects of BGG492 on the migraine-related disability using the migraine disability assessment questionnaire (MIDAS).
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Male and female *smoking and non-smoking subjects of 18 to 65 years of age (inclusive) , with non-chronic migraine with or without aura of duration of at least 12 months prior to the Screening.
- Age of onset of episodic migraine no later than 50 years.
Note: Other protocol-defined inclusion criteria may apply |
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E.4 | Principal exclusion criteria |
- Diagnosis of basilar, ophthalmoplegic or hemiplegic migraine as shown in the current/past medical history.
- Experience of non-migraine headaches on more than 6 days per 4 weeks in the past 6 months prior to Screening.
- Any psychiatric condition (e.g., schizophrenia, dementia, bipolar disorder) as shown in the past medical history at Screening which may put the patient at risk or interfere with efficacy assessments with exception of general anxiety disorder, major or minor depression, adjustment disorders.
- Pregnant or nursing (lactating) women. All female patients must have negative serum pregnancy test results at Screening and negative urine pregnancy test results at both Baselines (1 and 2).
- History of drug or alcohol abuse within the 12 months prior to dosing, or evidence of such abuse as indicated by the laboratory assays conducted during Screening and both Baselines (1 and 2).
- History or presence of suicidal behaviour or any suicidal ideation of type 4 or 5 on the Columbia Suicide Severity Rating Scale (C-SSRS) in the past six (6) months or history of suicidality as assessed by the Investigator as assessed at Baseline 1.
Note: Other protocol-defined exclusion criteria may apply |
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E.5 End points |
E.5.1 | Primary end point(s) |
Response 12-weeks after treatment initiation, defined as a 50% or greater reduction in attack frequency during the last 4 weeks of treatment compared with the baseline frequency (IHS Trial Guidelines). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
after 12 weeks of treatment |
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E.5.2 | Secondary end point(s) |
Change from Baseline 2 to last dose intake in the number of migraine attacks over 4 weeks. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
after 12 weeks of treatment |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Tolerability
Quality of life |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | Information not present in EudraCT |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 3 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 1 |
E.8.9.1 | In the Member State concerned days | 9 |
E.8.9.2 | In all countries concerned by the trial months | 12 |