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    Summary
    EudraCT Number:2022-001175-14
    Sponsor's Protocol Code Number:BHV3000-406
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2023-01-16
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2022-001175-14
    A.3Full title of the trial
    BHV3000-406: A Phase 4, Randomized, Double-blind Placebo-Controlled, Efficacy and Tolerability Trial of Rimegepant for the Acute Treatment of Migraine in Adults Unsuitable for Triptan Use
    BHV3000-406: Ensayo en fase IV, aleatorizado, doble ciego, controlado con placebo, para evaluar la eficacia y tolerabilidad de rimegepant para el tratamiento agudo de la migraña en adultos no aptos para el uso de triptanes
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A Study to Evaluate the Efficacy and Tolerability of Rimegepant for Acute treatment of Migraine Attacks in Adults for whom Triptans are unsuitable
    Unsayo para evaluar la eficacia y tolerabilidad de rimegepant para el tratamiento agudo de la migraña en adultos no aptos para el uso de triptanes
    A.4.1Sponsor's protocol code numberBHV3000-406
    A.5.4Other Identifiers
    Name:IND NumberNumber:109886
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorBiohaven Pharmaceuticals, Inc.
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportPfizer
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationBiohaven Pharmaceuticals, Inc.
    B.5.2Functional name of contact pointLisa Rana
    B.5.3 Address:
    B.5.3.1Street Address215 Church Street
    B.5.3.2Town/ cityNew Haven
    B.5.3.3Post code06510
    B.5.3.4CountryUnited States
    B.5.4Telephone number0018603912300
    B.5.6E-maillisa.rana@biohavenpharma.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Vydura
    D.2.1.1.2Name of the Marketing Authorisation holderBiohaven Pharmaceutical Ireland DAC
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameRimegepant sulfate
    D.3.2Product code BHV-3000
    D.3.4Pharmaceutical form Orodispersible tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRimegepant
    D.3.9.1CAS number 1374024-48-2
    D.3.9.2Current sponsor codeBHV-3000
    D.3.9.3Other descriptive nameRimegepant sulfate
    D.3.9.4EV Substance CodeSUB215832
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number75
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboOrodispersible tablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    migraine attacks with or without aura
    crisis de migraña con o sin aura
    E.1.1.1Medical condition in easily understood language
    accute migraine attacks with or without aura
    Crisis de migraña agudas con o sin aura
    E.1.1.2Therapeutic area Diseases [C] - Nervous System Diseases [C10]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level PT
    E.1.2Classification code 10027599
    E.1.2Term Migraine
    E.1.2System Organ Class 10029205 - Nervous system disorders
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To compare the efficacy of rimegepant with placebo in the acute treatment of migraine, as measured by migraine headache pain relief at 2 hours postdose during the DBT Phase.
    Comparar la eficacia de rimegepant con la de placebo en el tratamiento agudo de la migraña, medida por el alivio del dolor de la cefalea migrañosa a las 2 horas después de la dosis durante la fase de tratamiento doble ciego
    E.2.2Secondary objectives of the trial
    Key Secondary Objectives are to compare Rimegepant with placebo for:
    1.migraine headache pain freedom at 2 hours postdose during the DBT Phase
    2.rescue medication use within 24 hours postdose during the DBT Phase
    3.return to normal function, as measured by FDS, at 2 hours postdose during the DBT Phase
    4.sustained return to normal function, as measured by FDS, from 2 to 24 hours postdose during the DBT Phase
    5.sustained return to normal function, as measured by FDS, from 2 to 48 hours postdose during the DBT Phase
    6.sustained migraine headache pain relief from 2 to 24 hours postdose during the DBT Phase
    7.sustained migraine headache pain relief from 2 to 48 hours postdose during the DBT Phase
    8.sustained migraine headache pain freedom from 2 to 24 hours postdose during the DBT Phase
    9.sustained migraine headache pain freedom from 2 to 48 hours postdose during the DBT Phase
    10.freedom from the MBS associated with migraine at 2 hours postdose during the DBT Phase
    Los objetivos secundarios clave son comparar Rimegepant con placebo para:
    1. la ausencia de dolor de migraña a las 2 horas después de la dosis durante la fase de TDC
    2. el uso de medicación de rescate en las 24 horas posteriores a la dosis durante la fase de TDC
    3. la recuperación de la función normal, medida por el ECF, a las 2 horas después de la dosis durante la fase de TDC
    4. Retorno sostenido a la función normal, medido por el ECF, de 2 a 24 horas y de 2 a 48 horas después de la dosis durante la fase de TDC
    5. Alivio sostenido del dolor de cabeza por migraña de 2 a 24 horas y de 2 a 48 horas después de la dosis durante la fase de TDC.
    6. ausencia sostenida de dolor de migraña de 2 a 24 horas y de 2 a 48 horas después de la dosis durante la fase de TDC
    7. ausencia de dolor asociado a la migraña a las 2 horas después de la dosis durante la fase de TDC
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Signed Written Informed Consent
    a. Written informed consent must be obtained from the subject in accordance with requirements of the study center’s institutional review board (IRB) or ethics committee, prior to the initiation of any protocol-required procedures
    b. Subjects must be able to read and communicate with site staff

    2. Target Population:
    Minimum 1 year documented history of migraine attacks (with or without aura) consistent with a diagnosis according to the International Classification of Headache Disorders, 3rd Edition
    Per self-report, with confirmation from Investigator / supporting medication record, subjects must have:
    a. Migraine attacks present for more than 1 year with the age of onset prior to 50 years of age
    b. Migraine attacks, on average, lasting about 4 - 72 hours if untreated
    c. 4 to 14 migraine days per month on average across the 3 months prior to the Screening Visit (month is defined as 28 days for the purpose of this protocol)
    d. Subjects must be able to distinguish migraine attacks from tension/cluster headaches
    e. Subjects on prophylactic migraine medication (excluding CGRP antagonists) are permitted to remain on therapy if they have been on a stable dose for at least 3 months (12 weeks) prior to the Screening Visit, and if the dose is not expected to change during the course of the study

    3. Triptan unsuitable

    4. Age and Reproductive Status
    a. Male and Female subjects 18 - 65 years of age
    b. Women of childbearing potential (WOCBP) with non-sterile male partners and non-sterile men with female partners of childbearing potential must use two methods of contraception (with at least 1 highly effective method and 1 additional method) to avoid pregnancy throughout the study in such a manner that the risk of pregnancy is minimized
    c. At the Baseline Visit prior to dispensing investigational study drug, WOCBP must have a negative urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG)
    1. Consentimiento informado por escrito firmado
    a. Debe obtenerse el consentimiento informado por escrito del paciente de acuerdo con los requisitos del Comité de Ética de Investigación Clínica (CEIC) del centro del estudio, antes de iniciar cualquier procedimiento requerido por el protocolo.
    b. Los pacientes deben ser capaces de leer y comunicarse con el personal del centro.
    2. Población objetivo:
    Antec. de crisis de migraña documentados durante un mínimo de 1 año (con o sin aura) consistente a través de un diagnóstico según la Clasificación Internacional de Trastornos de la Cefalea, 3.a edición.3
    Según autoinforme, con confirmación del investigador/registro de medicación de apoyo, los pacientes deben tener:
    a. Crisis de migraña presentes durante más de 1 año con la edad de inicio antes de los 50 años de edad.
    b. Las crisis de migraña, de media, duran entre 4 y 72 horas si no se tratan.
    c. De 4 a 14 días con migraña al mes de media en los 3 meses anteriores a la visita de selección (el mes se define como 28 días para los fines de este protocolo).
    d. Los pacientes deben ser capaces de distinguir los ataques de migraña de las cefaleas en racimo/tensión
    e. Se permite que los pacientes que reciben medicación profiláctica para la migraña (excepto los antagonistas del PRGC) permanezcan en tratamiento si han recibido una dosis estable durante al menos 3 meses (12 sem.) antes de la visita de selección y si no se espera que la dosis cambie durante el transcurso del estudio.
    3. No apto para el uso de triptanes
    4. Edad y estado reproductivo
    a. Pacientes de ambos sexos de 18 a 65 años de edad.
    b. Las mujeres en edad fértil (MEF) con parejas de sexo masculino que no estén esterilizados y los hombres no estériles con parejas de sexo femenino en edad fértil deben utilizar dos métodos anticonceptivos (al menos 1 método altamente eficaz y 1 método adicional) para evitar el embarazo a lo largo del estudio de tal manera que se reduzca al mínimo el riesgo de embarazo. (Consulte la sección 5.6, Mujeres en edad fértil).
    c. En la visita inicial, antes de dispensar el fármaco del estudio en investigación, las MEF deben tener una prueba de embarazo en orina negativa (sensibilidad mínima 25 UI/l o unidades equivalentes de HCG).
    E.4Principal exclusion criteria
    1. Target Disease Exclusion
    a) History of cluster headaches, basilar migraine (with aura), or hemiplegic migraine
    b) Current medication overuse headaches
    c) Headaches occurring 15 or more days per month (migraine or non-migraine) in any of the 3 months prior to Screening Visit (SV)
    2. Medical History and Current Diseases:
    a) History of gastric or small intestinal surgery or disease or conditions that causes malabsorption
    b) History of gallstones or cholecystectomy
    c) History or diagnosis of Gilbert’s Syndrome or any other active hepatic or biliary disorder
    d) History of HIV disease
    e) BMI ≥ 33kg/m2
    f) Hematologic or solid malignancy diagnosis within 5 years prior SV
    g) Alcohol or drug abuse within the past 12 months or subjects with any significant substance use disorder within the 12 months from the SV
    h) Current diagnosis schizophrenia, bipolar, or borderline personality disorder
    i) History or current evidence of other major psychiatric disorder that might interfere with the ability to properly report clinical outcomes
    j) Major depressive (MDD) or any anxiety disorder which requires more than 1 daily medication for each disorder, or major depressive episode within last 12 months
    k) Active chronic pain syndrome
    l) Other pain syndromes, dementia, or significant neurological disorders (other than migraine)
    m) Current diagnosis of MDD requiring treatment with atypical antipsychotics
    n) History with current evidence of uncontrolled, unstable or recently diagnosed cardiovascular disease during 24 weeks prior to SV
    o) Systolic blood pressure >160 mmHg or diastolic blood pressure > 100 mmHg after 10 minutes of rest
    p) History or current evidence of any unstable medical conditions
    q) History of acute hepatitis within 6 months of Screening or chronic hepatitis or positive result in anti-hepatitis A (IgM), B (HbsAg) or C (HCV Ab+ and HCV RNA) at Screening
    r) Positive for drugs of abuse that in the investigator’s judgment is medically significant, in that it would impact the safety of the subject or the interpretation of the study results
    3. Allergies and Adverse Drug Reactions: History of drug or other allergy which, in the opinion of the investigator, makes the subject unsuitable for participation in the study
    4. Sex and Reproductive Status:
    a) WOCBP, and non-sterile males, who are unwilling or unable to use required contraception or abstinence to avoid pregnancy for the entire study period and for 60 days (WOCBP) and 90 days (non-sterile males) after the last dose of study drug
    b) Women who are pregnant, lactating or breastfeeding
    c) Women with a positive pregnancy test at SV or prior to study drug administration
    5. ECG and Laboratory Test Findings - as specified in the protocol

    6. Prohibited Medications and Devices
    a) Non-Narcotic Analgesics taken at least 15 days per month for a non-migraine indication during the 12 weeks prior to SV
    b) Other CGRP antagonists (beyond rimegepant), including:
    i. CGRP antagonist monoclonal antibodies taken within 24 weeks prior SV
    ii. CGRP antagonist small molecules taken within 10 days prior SV
    c) Botox taken within 12 weeks prior SV
    d) Cefaly or any other device for migraine treatment or prevention used within 12 weeks prior SV
    e) Ergotamine taken at least 10 days per month on a regular basis for at least 12 weeks in the year prior SV
    f) Narcotics, such as opioids or barbiturates taken at least 4 days per month during 12 weeks prior SV
    g) Permitted acute migraine medication taken at least 15 days per month for a non-migraine indication during 12 weeks prior SV
    7. Other:
    a) Prisoners or subjects who are involuntarily incarcerated
    b) Subjects who are compulsorily detained for treatment of either a psychiatric or physical illness
    c) Exposure to non-biological investigational agents within 30 days prior SV
    d) Exposure to biological investigational agents within 24 weeks prior SV
    e) Subjects who meet criteria for C-SSRS Suicidal Ideation Items 4 or 5 within the last 12 months OR subjects who endorse any of the 5 C-SSRS Suicidal Behavior Items within the last 10 years, OR subjects who, in the opinion of the Investigator, present a serious risk of suicide
    f) Previous enrollment in any multiple dose BHV3000 study. Subjects may be considered for BHV3000-406 if the subject participated in any of the following single-dose studies: BHV3000-301, BHV3000-302, BHV3000-303, but did not participate in any multiple dose rimegepant study
    g) Participation in any other investigational clinical trial while participating in this clinical trial. Subjects in a COVID-19 mRNA vaccine study (vaccine must be authorized) who are at least 30 days post last dose are permitted to be screened for this study
    h)Past participation in a clinical study within 30 days prior SV
    i) Failure to complete the Baseline Visit within the timeframe specified in the schedule of assessments
    j) Subject considered to be otherwise clinically unsuitable for participation in the study
    1. Exclusión de enfermedades objetivo: a) Antec. de cefaleas en racimo, migraña basilar (con aura) o migraña hemipléjica; b) Cefaleas actuales por uso excesivo de medicamentos; c) Cefaleas de 15 o más días al mes (migraña o no migraña) en cualquiera de los 3 meses anteriores a la Visita de Selección (VC). 2. Historial médico y enfermedades actuales: a) Antec. de cirugía gástrica o del intestino delgado o enfermedad o condiciones que causen malabsorción; b) Antec. de cálculos biliares o colecistectomía; c) Antec. o diagnóstico de síndrome de Gilbert o cualquier otro trastorno hepático o biliar activo; d) Antec. de enfermedad por VIH; e) IMC ≥ 33kg/m2; f) Diagnóstico de neoplasia hematológica o sólida en los 5 años anteriores al VC; g) Abuso de alcohol o drogas en los últimos 12 meses o pacientes con algún trastorno significativo por consumo de sustancias en los 12 meses anteriores al VC; h) Diagnóstico actual de esquizofrenia, trastorno bipolar o trastorno límite de la personalidad; i) Historial o evidencia actual de otro trastorno psiquiátrico importante que pueda interferir con la capacidad de informar adecuadamente sobre los resultados clínicos; j) Trastorno depresivo mayor (TDM) o cualquier trastorno de ansiedad que requiera más de una medicación diaria para cada trastorno, o episodio depresivo mayor en los últimos 12 meses; k) Síndrome de dolor crónico activo; l) Otros síndromes de dolor, demencia o trastornos neurológicos significativos (distintos de la migraña); m) Diagnóstico actual de TDM que requiere tratamiento con antipsicóticos atípicos; n) Antec. con evidencia actual de enfermedad cardiovascular no controlada, inestable o recientemente diagnosticada durante las 24 sem. anteriores a la VC; o) Presión arterial sistólica >160 mmHg o presión arterial diastólica > 100 mmHg tras 10 minutos de reposo; p) Historia o evidencia actual de cualquier condición médica inestable; q) Antec. de hepatitis aguda en los 6 meses anteriores a la selección o hepatitis crónica o resultado positivo en antihepatitis A (IgM), B (HbsAg) o C (VHC Ab+ y ARN del VHC) en la selección; r) Positivo en drogas de abuso que a juicio del investigador sea médicamente significativo, en el sentido de que pueda afectar a la seguridad del paciente o a la interpretación de los resultados del estudio. 3. Alergias y reacciones adversas a medicamentos: Antec. de alergia a medicamentos o de otro tipo que, a juicio del investigador, hagan que el paciente no sea apto para participar en el estudio. 4. Sexo y estado reproductivo: como se especifica en el protocolo. 5. Resultados del ECG y de las pruebas de laboratorio: como se especifica en el protocolo. 6. Medicamentos y dispositivos prohibidos. a) Analgésicos no narcóticos tomados al menos 15 días al mes para una indicación no relacionada con la migraña durante las 12 sem. anteriores al VC; b) Otros antagonistas del CGRP (más allá del rimegepant), incluyendo: i.Anticuerpos monoclonales antagonistas del CGRP tomados en las 24 sem. anteriores a VC; ii.Pequeñas moléculas antagonistas del CGRP tomadas en los 10 días anteriores a VC; c) Botox tomado dentro de las 12 sem. anteriores a VC; d) Cefaly o cualquier otro dispositivo para el tratamiento o la prevención de la migraña utilizado en las 12 sem. anteriores al VC; e) Ergotamina tomada al menos 10 días al mes de forma regular durante al menos 12 sem. en el año anterior a VC; f) Narcóticos, como opioides o barbitúricos, tomados al menos 4 días al mes durante las 12 sem. anteriores al VC; g) Medicación permitida para la migraña aguda tomada al menos 15 días al mes para una indicación no relacionada con la migraña durante las 12 sem. anteriores VC. 7. Otros: a) Presos o pacientes encarcelados involuntariamente; b) Pacientes que estén detenidos obligatoriamente para el tratamiento de una enfermedad psiquiátrica o física; c) Exposición a agentes de investigación no biológicos en los 30 días anteriores al SV; d) Exposición a agentes biológicos en investigación en las 24 sem. anteriores a la SV; e) Pacientes que cumplan los criterios de los ítems 4 o 5 de la C-SSRS sobre ideación suicida en los últimos 12 meses, o pacientes que respalden cualquiera de los 5 ítems de la C-SSRS sobre comportamiento suicida en los últimos 10 años, o pacientes que, en opinión del investigador, presenten un riesgo grave de suicidio; f) Inscripción previa en cualquier estudio de dosis múltiples de BHV3000. Los pacientes pueden ser considerados para BHV3000-406 si el paciente participó en cualquiera de los siguientes estudios de dosis única: BHV3000-301, BHV3000-302, BHV3000-303, pero no participó en ningún estudio de dosis múltiples de rimegepant; siguientes: como se especifica en el Protocolo.
    E.5 End points
    E.5.1Primary end point(s)
    Percentage of subjects with a headache pain intensity of none or mild at 2 hours postdose in the DBT Phase. Migraine headache pain intensity will be measured on a 4-point numeric rating scale (0=none, 1=mild, 2=moderate, 3=severe).
    Porcentaje de pacientes con una intensidad de dolor de cabeza nula o leve a las 2 horas después de la dosis en la fase DBT. La intensidad del dolor de cabeza de la migraña se medirá en una escala de calificación numérica de 4 puntos (0=ninguna, 1=leve, 2=moderada, 3=grave).
    E.5.1.1Timepoint(s) of evaluation of this end point
    DBT (Double Blind Treatment) phase (up to 45 days)
    Fase TDC (tratamiento doble ciego) (hasta 45 días)
    E.5.2Secondary end point(s)
    Key Secondary Endpoints
    1. Percentage of subjects with a headache pain intensity of none at 2 hours postdose in the DBT Phase.
    2. Percentage of subjects who take rescue medication within 24 hours after taking study drug in the DBT Phase.
    3. Percentage of subjects with a functional disability level of normal at 2 hours postdose in the DBT Phase in the subset of subjects with functional disability at the time of dosing. Functional disability level will be measured on a 4-point numeric rating scale (0=normal, 1=mildly impaired, 2=severely impaired, 3=requires bedrest), and functional disability is defined as mildly impaired, severely impaired, or requires bedrest.
    4. Percentage of subjects with functional disability levels of normal at all time points from 2 to 24 hours postdose in the DBT Phase in the subset of subjects with functional disability at the time of dosing.
    5. Percentage of subjects with functional disability levels of normal at all time points from 2 to 48 hours postdose in the DBT Phase in the subset of subjects with functional disability at the time of dosing.
    6. Percentage of subjects with headache pain intensities of none or mild at all time points from 2 to 24 hours postdose in the DBT Phase.
    7. Percentage of subjects with headache pain intensities of none or mild at all time points from 2 to 48 hours postdose in the DBT Phase.
    8. Percentage of subjects with headache pain intensities of none at all time points from 2 to 24 hours postdose in the DBT Phase.
    9. Percentage of subjects with headache pain intensities of none at all time points from 2 to 48 hours postdose in the DBT Phase.
    10. Percentage of subjects with an MBS that is reported on study before dosing and is absent at 2 hours postdose in the DBT Phase. The MBS on study before dosing will be reported as nausea, phonophobia, or photophobia. Symptom status will be reported postdose as present or absent for each symptom (nausea, phonophobia, and photophobia).
    1. Porcentaje de pacientes con una intensidad de dolor de cabeza nula a las 2 horas después de la dosis en la fase TDC.
    2. Porcentaje de pacientes que toman medicación de rescate en las 24 horas siguientes a la toma del fármaco del estudio en la fase TDC.
    3. Porcentaje de pacientes con un nivel de discapacidad funcional normal a las 2 horas después de la dosis en la fase TDC. en el subconjunto de pacientes con discapacidad funcional en el momento de la dosis. El nivel de discapacidad funcional se medirá en una escala de valoración numérica de 4 puntos (0=normal, 1=leve, 2=grave, 3=requiere reposo en cama), y la discapacidad funcional se define como leve, grave o requiere reposo en cama.
    4. Porcentaje de pacientes con niveles de discapacidad funcional normales en todos los puntos temporales de 2 a 24 horas después de la dosis en la fase TDC en el subconjunto de pacientes con discapacidad funcional en el momento de la dosis.
    5. Porcentaje de pacientes con niveles de discapacidad funcional normales en todos los puntos temporales de 2 a 48 horas después de la dosis en la fase TDC en el subconjunto de pacientes con discapacidad funcional en el momento de la dosis.
    6. Porcentaje de pacientes con intensidades de dolor de cabeza nulas o leves en todos los puntos temporales de 2 a 24 horas después de la dosis en la fase TDC.
    7. Porcentaje de pacientes con intensidades de dolor de cabeza nulas o leves en todos los puntos temporales de 2 a 48 horas después de la dosis en la fase TDC.
    8. 8. Porcentaje de pacientes con intensidades de dolor de cabeza nulas en todos los puntos temporales de 2 a 24 horas después de la dosis en la fase TDC.
    9. 9. Porcentaje de pacientes con intensidades de dolor de cabeza nulas en todos los puntos temporales de 2 a 48 horas después de la dosis en la fase TDC.
    10. 10. Porcentaje de pacientes con una cefalea que se reporta en el estudio antes de la dosis y que está ausente a las 2 horas después de la dosis en la fase TDC. El SQM en el estudio antes de la dosis se informará como náuseas, fonofobia o fotofobia. El estado de los síntomas se informará después de la dosis como presente o ausente para cada síntoma (náuseas, fonofobia y fotofobia).
    E.5.2.1Timepoint(s) of evaluation of this end point
    DBT (Double Blind Treatment) phase (up to 45 days)
    Fase TDC (tratamiento doble ciego) (hasta 45 días)
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety No
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    tolerability
    tolerabilidad
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) Yes
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other Yes
    E.8.1.7.1Other trial design description
    El estudio abarca una fase de TDC (hasta 45 días), seguida de una fase extensión (hasta 12 semanas)
    Study covers a DBT phase (up to 45 days), followed by an OLE (up to 12 weeks) phase
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned5
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA55
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Australia
    Canada
    Colombia
    Mexico
    United States
    Austria
    Finland
    France
    Poland
    Sweden
    Spain
    Germany
    Italy
    Belgium
    Denmark
    United Kingdom
    E.8.7Trial 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
    the last visit of the last subject undergoing the trial
    la última visita del último paciente sometido al ensayo
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months8
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months2
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 575
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 55
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state32
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 356
    F.4.2.2In the whole clinical trial 630
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    The study consists of double blind treatment, ope-label extension and follow-up period. At the end of the study the sponsor will not continue to supply study drug to subjects or investigators, given that Vydura is already approved in Europe as of April 2022 and other alternatives are currently available for the treatment of acute migraine. The Investigator should ensure that the subject receives permitted acute migraine standard of care medication to appropriately treat the patient's condition.
    El estudio consiste en un tratamiento a doble ciego, una extensión abierta y periodo de seguimiento. Al final del estudio, el patrocinador no suministrará el fármaco a los pacientes ni a los investigadores, dado que Vydura ya está aprobado en Europa desde abril de 2022 y que actualmente existen otras alternativas para el tratamiento de la migraña aguda. El investigador debe asegurarse de que el paciente reciba la medicación estándar permitida para la migraña aguda.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2023-02-15
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2023-01-17
    P. End of Trial
    P.End of Trial StatusOngoing
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