Ketorolac 30 mg Sublingual tablet in the Acute treatment of Migraine headache.
- Conditions
- Health Condition 1: G891- Acute pain, not elsewhere classified
- Registration Number
- CTRI/2021/04/032664
- Lead Sponsor
- Troikaa Pharmaceuticals Ltd
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 0
Male and female adult patients aged 18 to 65 years and having the diagnosis of migraine with or without aura according to the International Headache Societys criteria for migraine ICHD3 2018
History of diagnosis of migraine before the age of 50 years
Subjects must be compliant with self administration of medication and willing to fillup the migraine diary provided to them as required for the study
At least a 1year history of migraine with or without aura consistent with a diagnosis according to the International Classification of Headache Disorders 3rd edition beta version ICHD3
Migraine episodes that are separated by at least 72 hours of headache pain freedom will be included
History of 2 to 8 migraine attacks per month with moderate to severe headache pain in each of the 3 months prior to Screening
All headache types other than migraine
Has taken medication for acute treatment of headache including acetaminophen nonsteroidal anti inflammatory drugs NSAIDs triptans ergotamine opioids or combination analgesics on 10 or more days per month in the previous 3 months
Required hospital treatment of a migraine attack 3 or more times in the previous 6 months
Has a chronic non headache pain condition requiring daily pain medication
Has a history of malignancy in the prior 5 years except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer
Has a history of any prior gastrointestinal conditions eg diarrhea syndromes inflammatory bowel disease that may affect the absorption or metabolism of the investigational product participants with prior gastric bariatric interventions which have been reversed are not excluded
Patients with active peptic ulcer disease recent gastrointestinal bleeding or perforation
Patients with a history of peptic ulcer disease or gastrointestinal bleeding
Elderly patients at a greater risk for serious gastrointestinal events age more than 65 years
Has a history of hepatitis within the previous 6 months
Pregnancy or breastfeeding
Subjects who within one year had a clinically significant medical history of bleeding problems coagulation abnormalities hemorrhagic disease anemia bone marrow suppression immunosuppression motility dysfunction or any condition that could interfere with the absorption distribution metabolism or excretion of the study medication
Subjects who are diagnosed and or treated for inflammatory bowel disease or pancreatic disease serious cardiovascular disease or history of serious cardiovascular disease or stroke renal hepatic endocrine pulmonary neurologic disease Type I or II diabetes mellitus uncontrolled hypertension or malignancy not in remission
Subjects who are taking drugs like antiplatelet agents and or anticoagulants
Uncontrolled hypertension Systolic greater than 150 and Diastolic greater than 95 mm of Hg
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The proportion of patients achieving Pain Free at 2 hours post dose as compared to placebo <br/ ><br>Pain freedom defined as a reduction in headache severity from moderate severe at baseline to no pain at 2 hours after the initial dose <br/ ><br>The proportion of patients with freedom from the most bothersome symptom MBS from among nausea photophobia and phonophobia at 2 hours after the initial doseTimepoint: Pain intensity difference PID at each evaluation 30 minutes and 1 1 5 2 3 4 6 12 24 48 72 96 120 hours post dose
- Secondary Outcome Measures
Name Time Method Percentage of Participants with Pain Relief at 2 Hours after the Initial Dose Time Frame Baseline Predose to 2 hours after the initial dose <br/ ><br>Percentage of Participants With Sustained Pain Relief From 2 to 24 Hours After Initial Dose Time Frame 2 to 24 hours after initial dose <br/ ><br> <br/ ><br>Timepoint: Pain intensity difference PID at each evaluation 30 minutes and 1 1 5 2 3 4 6 12 24 48 72 96 120 hours post dose