National, Phase III, Multicenter, Randomized, Open, Parallel, to Evaluate the Efficacy, Safety and Superiority of Cefalium® Compared to the Tylenol® in the Treatment of Migraine Attacks
试验速览
- 阶段
- 3 期
- 状态
- 暂停
- 发起方
- 入组人数
- 336
- 试验地点
- 6
- 主要终点
- Pain relief of Cefalium® compared to Tylenol®
研究概览
简要总结
National clinical trials, phase III, randomized, open, parallel, study of superiority, in which three hundred thirty-six (336) participants of both sexes, aged between 18 and 65 years will be randomly allocated to one of two treatment groups. The Group 01 will use Cefalium® and group 02 will use Tylenol®.
详细描述
Cefalium® is a combination of Caffeine + Paracetamol + dihydroergotamine mesylate + metoclopramide hydrochloride. The dihydroergotamine mesylate interacts with the serotonergic, dopaminergic and noradrenergic receptors, but it's mechanism is not totally known. The caffeine presents mechanisms that are not totally clear, but it may relieves the pain by activating of the central noradenosine pathway (pain suppressing system). The Metoclopramide hydrochloride presents an anti-emetic action and prokinetic action in the gastrointestinal tract.One of its properties is the inhibition of nausea and vomiting triggered by drugs such as ergotamine.Paracetamol, also called acetaminophen is an effective agent analgesic and antipyretic with weak anti-inflammatory activity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects of both gender;
- •Age older or equal to 18 and younger than 66 years if they have symptoms of migraine headache before 50 years of age;
- •Presence of migraine headache with or without aura symptoms, at least 03 months prior to the study, the criteria defined by International Classification of Headache Disorders(ICHD)-II, 2004 (IHS International Headache Society) - Annex I;
- •Subjects which are experiencing 2-6 migraine attacks per month with mild to moderate pain intensity in the last 3 months prior to screening visit;
- •Participants which are able to distinguish migraine attacks to any other type of headache;
- •Ability to understand and consent to participate in this clinical research, expressed by signing the Informed Consent Form (ICF).
排除标准
- •Any clinical finding (clinical evaluation / physical) that is interpreted by the Investigator as a risk to the subject in the clinical trial;
- •Subjects which had recent episodes of headache, with frequency equal or higher than 15 daily episodes per month, 3 months prior to the screening visit;
- •Subjects with headache history defined by the ICHD-II criteria, 2004 IHS (International Headache Society) rated as:
- •Typical aura with non-migraine headache;
- •Typical aura without headache;
- •Familial Hemiplegic Migraine (FHM);
- •Sporadic Hemiplegic Migraine;
- •Basilar type Migraine;
- •Any laboratorial finding that the Investigator consider a risk to subject of the study;
- •Hypersensitivity to the drug components used during the study;
- •Women in pregnancy or nursing period;
- •Women in reproductive age who do not agree to use contraception acceptable [oral contraceptives, injectable contraceptives, intrauterine device (IUD), hormonal implants, barrier methods, hormonal patch and tubal ligation]; other than surgically sterile (bilateral oophorectomy or hysterectomy), postmenopausal for at least one (01) years or sexual abstinence;
- •Inability to understand and answer to the functional categorical scale of the study, diary of symptoms, and not having accompanying to assist him/her;
- •History of abuse, according to the principal investigator, of the alcohol, opioids, barbiturates, benzodiazepines and illicit drugs in the last 02 years, or abuse of drugs for headache including ergotamines or narcotics in the last 03 months;
- •Subjects with prolonged hypotension, shock, sepsis, pheochromocytoma, hemorrhage, mechanical obstruction or perforation of the gastrointestinal tract
- •Participants with glucose-6-phosphate dehydrogenase(G6PD) deficiency due to increased risk of hemolysis associated with the use of paracetamol;
- •Subjects with history of epilepsy or presence of psychiatric illness of any kind, in the opinion of the investigator, that may interfere with adherence to treatment;
- •Subjects with a malignant disease less than five years, or for more than five years, but without documentation about the remission/cure. As example: melanoma, leukemia, lymphoma, myeloproliferative diseases and renal cell carcinoma of any length should be excluded. Exceptions: Participants with basal cell skin cancers, squamous cell, and cervical cancer in situ may be eligible;
- •Subjects which uses a preventive treatment and changed the dose in the last 02 weeks before the screening visit (V0);
- •Subjects with hepatic or renal failure;
- •Subjects that has participated in clinical trial protocols in the last twelve (12) months (National Board of Health- Resolution 251 of 07 August 1997, Part III, sub-item J), unless the investigator considers that there may be a direct benefit to it;
- •Subjects who are in prohibited medication as described in item 10.2 of the Protocol.
研究组 & 干预措施
Cefalium®
Acetaminophen+Caffeine+Dihydroergotamine+Metoclopramide.
干预措施: Acetaminophen+Caffeine+Dihydroergotamine+Metoclopramide. (Drug)
Tylenol®
Acetaminophen
干预措施: Acetaminophen (Drug)
结局指标
主要结局
Pain relief of Cefalium® compared to Tylenol®
时间窗: 2 hours
Relief of pain 2 hours after taking medication, being considered to reduce the intensity from strong(3) or moderate(2), at baseline, to mild(1) or absent(0) 2 hours after taking the medication, according to the functional and behavioral debilitating categorical scale without use of rescue medication as annotations the diary of symptoms
次要结局
- Pain decrease after use of investigational product, without a rescue medication(Up to 4 hours)
- Pain decrease after use of the investigational product, without a rescue medication(4 hours)
- Pain relief maintenance during the period 4-24 hours after use of investigational product(Up to 24 hours)
- Nausea/vomiting Symptoms Free(Up to 4 hours)
- Photophobia/Phonophobia Symptoms Free(Up to 4 hours)
- Need of a rescue medication(Up to 24 hours)