Overview

The Preventive Treatment of Migraine With Low-Dose Naltrexone and Acetaminophen Combination

Status:
Completed
Trial end date:
2018-07-28
Target enrollment:
0
Participant gender:
All
Summary
The Preventive Treatment of Migraine with Low-Dose Naltrexone and Acetaminophen Combination: A Small, Randomized, Double-Blind, and Placebo-Controlled Clinical Trial with an Open-Label Extension for None-Responders
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Allodynic Therapeutics, LLC
Treatments:
Acetaminophen
Naltrexone
Criteria
Inclusion Criteria:

1. The patient is a male or a female 18 years of age or older.

2. History of migraine with or without aura according to the International Classification
of Headache Disorders (ICHD)-3rd edition (beta version) for at least one-year with
onset of migraine prior to 50 years of age.

3. Migraine-associated nausea with ≥half of migraine attacks.

4. 5-8 migraine/probable migraine headache days on average per month in the three months
prior to Visit 1 and during the Baseline Period.

5. The patient agrees to refrain from taking opiate medications from Visit 1 to 7 days
after the last dose of the study drug.

6. The patient is able to complete study questionnaires, comply with the study
requirements and restrictions, and willing to provide written informed consent and
authorize HIPAA.

7. The patient has been taking a stable dose of a medication with migraine prevention
potential for at least 3 month prior to the screening visit and agrees to not start,
stop, or change dosage of any medication with migraine prevention potential during the
study period. (E.g., beta-blockers, calcium channel blockers, tricyclic
antidepressants, anticonvulsants, selective serotonin re-uptake inhibitors (SSRIs),
serotonin-norepinephrine re-uptake inhibitors (SNRIs), magnesium or riboflavin
supplements at high doses, herbal preparations (e.g. feverfew or St. john's wort)),
Botulinum toxin must be discontinued one year prior to Visit 1.

8. The patient agrees to forgo any elective surgery for the duration of the study.

9. The female patient who is premenopausal or postmenopausal less than 1 year, or have
not had surgical sterilization (i.e., tubal ligation, partial or complete
hysterectomy) must have a negative urine pregnancy test, be non-lactating, and commit
to using 2 methods of adequate and reliable contraception throughout the study and for
28 days after taking the last dose of the study drug (e.g., barrier with additional
spermicidal, intra-uterine device, hormonal contraception). Male patients must be
surgically sterile or commit to the use of 2 different methods of birth control during
the study and for 28 days after the study.

Exclusion Criteria:

1. Usage of acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs) ≥15
days/month, or ergotamine and triptans >10 days/month, or opioids and barbiturates >2
days/month in the 3 months prior to Visit 1 or during the Baseline Period.

2. Tension-type-like, and/or migraine-like headache on ≥15 days per month in the 3 months
prior to Visit 1 or during the Baseline Period. Diagnosis of chronic migraine, cluster
headache or neurologically complicated migraine (hemiplegic, basilar, retinal,
ophthalmoplegic migraine).

3. Regular use of the following medications for any reason: acetaminophen, non-steroidal
anti-inflammatory drugs (NSAIDs), antipsychotic drugs, monoamine oxidase inhibitors,
benzodiazepines, sleep medications, muscle relaxants, anti-emetic medications, blood
thinning medications (e.g., warfarin or heparin), cannabinoids, or botulinum toxin to
head and neck regions. Low-dose aspirin for cardiovascular disease prophylaxis is
permitted.

4. Confounding painful conditions, (e.g. fibromyalgia, chronic low back pain, complex
regional pain syndrome, etc.).

5. Diagnosis of any concurrent medical or psychiatric condition; this includes, chronic
unstable debilitating diseases such as Parkinson's disease, multiple sclerosis,
cancer, significant renal impairment, significant hepatic impairment, etc.

6. The patient has a history or diagnosis of moderate-to-severe hepatic or renal
impairment (>2 × the upper limit of normal [ULN] for alanine transaminase or aspartate
transaminase. ≥1.5 × ULN for alkaline Phosphatase, bilirubin, BUN, or creatinine).
(Patients with elevated bilirubin level due to Gilbert's syndrome are allowed).

7. The patient has a history within the previous 5 years of abuse of any drug,
prescription, illicit, or alcohol.

8. The Female patient is pregnant, actively trying to become pregnant, or breast-feeding.
The Male patient is not practicing 2 different methods of birth control with their
partner during the study, and for 28 days after the investigational drug last dose or
will not remain abstinent during the study, and for 28 days after the last dose.

9. The patient has known-allergy to any of the components of the investigational drug.

10. Participation in another study with an investigational drug within 30 days before
Visit 1 or during the study.

11. Use of emergency care treatment more than 3 times in the previous 6 months.

12. The patient is in the opinion of the investigator, is unsuitable to participate in
this study for any other reason.