A Randomized, Placebo-Controlled, Double-Blind, Parallel-Group, Phase 2 Study to Evaluate the Safety and Efficacy of R-Verapamil in the Prophylaxis of Episodic Cluster Headache
Overview
- Phase
- Phase 2
- Intervention
- R-verapamil 75 mg tablet
- Conditions
- Episodic Cluster Headache
- Sponsor
- Center Laboratories, Inc.
- Enrollment
- 1
- Locations
- 1
- Primary Endpoint
- Change in the average daily frequency of attacks
- Status
- Terminated
- Last Updated
- 8 years ago
Overview
Brief Summary
This is a double-blinded, randomized, parallel, placebo-controlled phase 2 study to evaluate the safety and efficacy of R-verapamil in the prophylaxis of episodic cluster headache.
Detailed Description
Approximately 30 subjects (about 15 per treatment group),will be enrolled and randomized to receive either R-verapamil or placebo for 2 weeks. The study will consist of a 1-week run-in period and a 2-week treatment period (R-verapamil or placebo). The total duration of the study for each treatment group is 3 weeks.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Healthy man or woman between the ages of 18 and 65
- •In good health as determined by medical history and medical examination
- •Has a diagnosis of episodic cluster headache as defined by the International Classification of Headache Disorders (2nd edition)
- •Has a lifetime prevalence of at least 2 prior cluster bouts - Subjects must experience at least 7 attacks/week during the run-in baseline period
- •Subjects must have a typical cluster period lasting at least 1 month. Subjects must be present in active cluster period and the expected remaining duration of the cluster cycle must be at least 3 weeks from Baseline Day 1 visit
- •Able to differentiate other headache types from cluster headaches
- •Is using or agrees to use a medically acceptable form of contraception(female of child-bearing potential)
- •Negative urine pregnancy test prior to study entry(female of child-bearing potential)
- •Concomitant medication that, in the opinion of the investigator and the patient's general practitioner(GP), do not pose an unacceptable risk based upon the prescribing information for verapamil
- •Able to understand and comply with all study requirements
Exclusion Criteria
- •Women who are pregnant or lactating
- •Subjects who, in the investigators opinion, have a history or have evidence of a medical or psychiatric condition that would expose them to an increased risk of a significant adverse event or would interfere with the assessments of efficacy and tolerability
- •Use of any drug or having any medical condition which might interact adversely with, or interfere with the action of, the study medication
- •The concomitant use of beta blockers
- •The consumption of grapefruit juice
- •Allergic to or has shown hypersensitivity to verapamil or agents similar to verapamil
- •Abuses opioids or has a history of significant drug or alcohol abuse within the past year as determined by investigator
- •Has participated in an investigational drug trial in the 30 days prior to the screening visit
- •Has liver or kidney disease
- •Has a cardiopathology contraindicating verapamil administration
Arms & Interventions
R-verapamil 75 mg tablet
375 mg/day; one in the morning, two in the afternoon and two at bedtime daily
Intervention: R-verapamil 75 mg tablet
Placebo
one in the morning, two in the afternoon and two at bedtime daily
Intervention: Placebo
Outcomes
Primary Outcomes
Change in the average daily frequency of attacks
Time Frame: 2 weeks
Secondary Outcomes
- Change in the average daily frequency of attacks(1 week)
- Patient acceptability of treatment(2 weeks)
- Change in duration of attacks(2 weeks)
- Change in headache severity index(2 weeks)
- Change in Hit-6 disability score(2 weeks)
- R-verapamil and Placebo responders(2 weeks)
- Change in intensity of attacks(2 weeks)
- Change in consumption of abortive agents(2 weeks)