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Comparing the Safety and Effectiveness of Topiramate With the Safety and Effectiveness of Amitriptyline in Preventing Migraine Headaches
This study has been completed.
Sponsors and Collaborators: Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Ortho-McNeil Neurologics, Inc.
Information provided by: Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
ClinicalTrials.gov Identifier: NCT00210821
  Purpose

The purpose of this study is to compare the effectiveness and safety of two treatment regimens in preventing migraines. The antidepressant amitriptyline has been used successfully to prevent migraine headaches.


Condition Intervention Phase
Headache
Migraine
Drug: topiramate
Phase III

Genetics Home Reference related topics: familial hemiplegic migraine
MedlinePlus related topics: Headache Migraine
Drug Information available for: Topiramate Amitriptyline Amitriptyline hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Prevention, Randomized, Double-Blind, Parallel Assignment, Efficacy Study
Official Title: A Comparison of Topiramate Versus Amitriptyline in Migraine Prophylaxis

Further study details as provided by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.:

Primary Outcome Measures:
  • Change from baseline in the average monthly migraine episode rate.

Secondary Outcome Measures:
  • Change in the average monthly rate of days with migraine headache
  • change in the average monthly rate of headache (migraine & non-migraine) days; change in the average monthly rate of acute abortive medications; weight changes; quality of life assessments

Estimated Enrollment: 330
Study Start Date: February 2004
Study Completion Date: November 2005
Detailed Description:

People who suffer from migraines have many prescription medications to choose from, both to treat the migraine and to prevent it from starting. However, many patients have not had success in finding the drug that helps them best. Amitriptyline, an antidepressant, has been used successfully for many years to prevent migraine headaches. This study will compare the effectiveness of amitriptyline with the effectiveness of topiramate, an anti-seizure drug, in preventing migraines. The safety of both drugs will also be assessed. The objective of the study is to demonstrate that topiramate will be at least as effective as amitriptyline in preventing migraines.

During the first 4 weeks of the study, topiramate or amitripyline will be increased by 25 mg per week up to a total dose of 100 mg per day or up to the maximum tolerated dose, whichever is less. Treatment will continue at 100 mg per day for 22 weeks.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Migraine headache for at least 6 months, with 3 to 12 headaches a month for the previous 3 months
  • No more than 15 headache days in the previous month before study start
  • No heart rhythm problems or neurologic problems
  • Women must not be pregnant and must use birth control

Exclusion Criteria:

  • Cannot have failed at least 2 previous trials of migraine prevention drugs
  • Cannot have failed a previous trial of topiramate or amitriptyline
  • No cluster headaches
  • No migraine with aura without headache
  • No pain that is worse than the migraine pain
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00210821

Sponsors and Collaborators
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Ortho-McNeil Neurologics, Inc.
Investigators
Study Director: Johnson & Johnson Pharmaceutical Research and Development, L.L.C. Clinical Trial Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
  More Information

Comparison of Topiramate Versus Amitriptyline in Migraine Prophylaxis  This link exits the ClinicalTrials.gov site

Study ID Numbers: CR004666
Study First Received: September 13, 2005
Last Updated: March 31, 2008
ClinicalTrials.gov Identifier: NCT00210821  
Health Authority: United States: Food and Drug Administration

Keywords provided by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.:
prevention
headache
analgesics
migraine
prophylaxis

Study placed in the following topic categories:
Signs and Symptoms
Migraine Disorders
Headache
Amitriptyline
Topiramate
Central Nervous System Diseases
Neurologic Manifestations
Headache Disorders, Primary
Pain
Brain Diseases
Headache Disorders

Additional relevant MeSH terms:
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Adrenergic Agents
Adrenergic Uptake Inhibitors
Nervous System Diseases
Physiological Effects of Drugs
Psychotropic Drugs
Protective Agents
Neuroprotective Agents
Pharmacologic Actions
Antidepressive Agents, Tricyclic
Anti-Obesity Agents
Analgesics, Non-Narcotic
Sensory System Agents
Therapeutic Uses
Analgesics
Peripheral Nervous System Agents
Central Nervous System Agents
Anticonvulsants
Antidepressive Agents

ClinicalTrials.gov processed this record on January 16, 2009