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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