Clinical trial • Phase I/II • Cardiology
CILOSTAZOL for Migraine | Migraine without aura | Episodic migraine without aura
Phase I/II trial of CILOSTAZOL for Migraine | Migraine without aura | Episodic migraine without aura.
Overview
- Trial Therapeutic Area
- Cardiology
- Trial Disease
- Migraine | Migraine without aura | Episodic migraine without aura
- Trial Stage
- Phase I/II
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 29-03-2025
- First CTIS Authorization Date
- 20-06-2025
Trial design
Placebo: "White, round, convex tablets with a diameter of 8 mm containing no active pharmaceutical ingredient. The composition (per 1000 tablets) includes lactose monohydrate (85 g), potato starch (86 g), gelatin A (3 g), purified water (72 g) and magnesium stearate (0.9 g), talc (8.1 g)." (oral).-controlled Phase I/II trial across 1 site in Denmark.
- Comparator
- Placebo: "White, round, convex tablets with a diameter of 8 mm containing no active pharmaceutical ingredient. The composition (per 1000 tablets) includes lactose monohydrate (85 g), potato starch (86 g), gelatin A (3 g), purified water (72 g) and magnesium stearate (0.9 g), talc (8.1 g)." (oral).
- Target Sample Size
- 29
Eligibility
Recruits 29 No vulnerable population selected (isVulnerablePopulationSelected: false). Participants are adults only (Age: 18-65 years). Informed consent documents are provided (documents listed: "L1_ ICF adults", "L2_ Information leaflet women", "L2_ Information leaflet men"). Fluency in Danish or English is required..
- Pregnancy Exclusion
- Positive pregnancy test at the Screening and/or before the start of the experiment
- Vulnerable Population
- No vulnerable population selected (isVulnerablePopulationSelected: false). Participants are adults only (Age: 18-65 years). Informed consent documents are provided (documents listed: "L1_ ICF adults", "L2_ Information leaflet women", "L2_ Information leaflet men"). Fluency in Danish or English is required.
Inclusion criteria
- {"criterion_text":"- Healthy men and women with a diagnosis of episodic migraine without aura according to the International Classification\n- Age: 18-65 years\n- Weight: 50-100 kg\n- Safe contraception (including hormonal therapies, intrauterine devices and/or oral pills) for women during the entire period of the study\n- Fluency in Danish or English"}
Exclusion criteria
- {"criterion_text":"- Any other type of headache (excluding < 3 days of tension-type headache per month), according to the International Classification\n- Concomitant use of anticoagulants, antiaggregants and drugs that inhibit CYP3A4 and CYP2C19 activity\n- Positive pregnancy test at the Screening and/or before the start of the experiment\n- Known allergy to any component of cilostazol “Aliud”\n- Member of investigational site staff or relative of investigators\n- Headache less than 24 hours before the start of the experiment\n- Drinking coffee, cola or alcohol less than 8 hours before the start of the experiment\n- Assumption of analgesic medications in the 24 hours preceding the experimental days\n- Hypertension (> 150/100 mmHg) or hypotension (< 90/50 mmHg) at the Screening Visit\n- History or clinical signs of cardiovascular disease, cardiac arrhythmia, unstable angina pectoris, impaired liver function and/or kidney function\n- Recent history of myocardial infarction or major cardiac surgery\n- Anamnestic or clinical signs of mental illness, abuse or smoking\n- Anamnestic or clinical signs of diseases of any kind considered by the investigating physician relevant for participation in the study\n- Use of concomitant medications that have changed in dosage within 14 days prior to screening or are expected to change during the study period"}
Endpoints
Primary endpoints
- {"endpoint_text":"- The difference in the incidence of migraine-like attacks during the entire observational period (until 12 hours post-administration) between cilostazol- and placebo-treated men with migraine without aura","definition_or_measurement_approach":"Incidence of migraine-like attacks measured during the entire observational period up to 12 hours post-administration; comparison between cilostazol and placebo in men."}
- {"endpoint_text":"- The difference in the incidence of migraine-like attacks during the entire observational period (until 12 hours post-administration) between cilostazol-treated men and women with migraine without aura","definition_or_measurement_approach":"Incidence of migraine-like attacks measured during the entire observational period up to 12 hours post-administration; comparison between cilostazol-treated men and cilostazol-treated women."}
Secondary endpoints
- {"endpoint_text":"- The difference in the incidence of headache during the entire observational period (until 12 hours post-administration) between cilostazol- and placebo-treated men with migraine without aura","definition_or_measurement_approach":"Incidence of headache measured during the observational period up to 12 hours post-administration; comparison between cilostazol and placebo in men."}
- {"endpoint_text":"- Difference in heart rate and mean arterial pressure until 90 minutes post-administration between cilostazol- and placebo-treated men with migraine without aura","definition_or_measurement_approach":"Change/difference in heart rate and mean arterial pressure measured up to 90 minutes after administration; comparison between cilostazol and placebo in men."}
- {"endpoint_text":"- Difference in the incidence of adverse events during the entire observational period (until 12 hours post-administration) between cilostazol- and placebo-treated men with migraine without aura","definition_or_measurement_approach":"Incidence of adverse events recorded during the observational period up to 12 hours post-administration; comparison between cilostazol and placebo in men."}
Recruitment
- Planned Sample Size
- 29
- Recruitment Window Months
- 10
- Consent Approach
- Informed consent obtained from adult participants (Age 18-65). Subject information and informed consent forms available as documents: "L1_ ICF adults" and information leaflets for men and women ("L2_ Information leaflet men", "L2_ Information leaflet women"). Fluency in Danish or English required; consent materials available in Danish/English as indicated by inclusion criteria and document titles.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 29
Denmark
- Earliest CTIS Part Ii Submission Date
- 15-05-2025
- Latest Decision Or Authorization Date
- 20-06-2025
- Processing Time Days
- 36
- Number Of Sites
- 1
- Number Of Participants
- 29
Sites
- Site Name
- Syddansk Universitet (University of Southern Denmark)
- Department Name
- Clinical Pharmacology, Pharmacy and Environmental Medicine
- Principal Investigator Name
- Lanfranco Pellesi
- Principal Investigator Email
- lpellesi@health.sdu.dk
- Contact Person Name
- Lanfranco Pellesi
- Contact Person Email
- lpellesi@health.sdu.dk
- Number Of Participants
- 29
Sponsor
Primary sponsor
- Full Name
- Syddansk Universitet (University of Southern Denmark)
- Organisation Type
- Educational Institution
- Country Of Registered Address
- Denmark
Third parties
- {"country":"Denmark","full_name":"Odense University Hospital","duties_or_roles":"1","organisation_type":"Hospital/Clinic/Other health care facility"}
Investigational products
- Investigational Product Name
- Cilostazol AL 100 mg Tabletten
- Active Substance
- CILOSTAZOL
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- oral
- Authorisation Status
- Authorised (marketing authorisation number: 89798.00.00)
- Starting Dose
- 100 mg
- Dose Levels
- 100 mg
- Investigational Product Name
- White, round, convex tablets with a diameter of 8 mm containing no active pharmaceutical ingredient
- Modality
- Other
- Routes Of Administration
- ORAL
- Route
- oral
- Authorisation Status
- Not applicable
- Investigational Product Name
- Ibuprofen Teva 400 mg, omhulde tabletten
- Active Substance
- IBUPROFEN
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- oral
- Authorisation Status
- Authorised (marketing authorisation number: RVG 09590)
- Starting Dose
- 400 mg
- Dose Levels
- 400 mg
- Investigational Product Name
- Sumatriptan Accord 100 mg, filmomhulde tabletten
- Active Substance
- SUMATRIPTAN SUCCINATE
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- oral
- Authorisation Status
- Authorised (marketing authorisation number: RVG 113184)
- Starting Dose
- 100 mg
- Dose Levels
- 100 mg
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