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sumatriptan /naproxen

Phase 3

Migraine Disorders | Small molecule | Neurology |GSK plc|Last Updated: Sep 4, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials6
Total Enrollment2,431
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00963937Study to Evaluate the Efficacy and Safety of Oral Sumatriptan for the Acute Treatment of Migraine in Children and AdolescentsPHASE3 COMPLETED 178Sep 28, 2009Dec 3, 2010Aug 6, 201816 Japan
NCT00843024Migraine Study in Adolescent PatientsPHASE3 COMPLETED 589Dec 1, 2008Jun 1, 2010Jan 18, 201779 United States
NCT00356603Study Of Sumatriptan Succinate Injection Kit In Patients With Migraine or Cluster Headache In JapanPHASE3 COMPLETED 75Jun 20, 2006Aug 7, 2006Sep 4, 20184 Japan
NCT00329459Treximet (Sumatriptan/Naproxen Sodium), Formerly Known as TREXIMA, for Menstrual Migraine in Women With DysmenorrheaPHASE3 COMPLETED 320May 1, 2006Nov 1, 2006Oct 24, 201634 United States
NCT00240617Study Of Treximet, Formerly Known as Trexima, In The Acute Treatment Of Multiple Migraine AttacksPHASE3 COMPLETED 623Oct 1, 2005Jun 1, 2006Oct 26, 201652 United States
NCT00240630Treximet (Sumatriptan/Naproxen Sodium), Formerly Known as Trexima, In The Acute Treatment Of Multiple Migraine AttacksPHASE3 COMPLETED 646Oct 1, 2005Jun 1, 2006Apr 16, 201550 United States
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Study Endpoints
Primary Endpoints
Percentage of Participants Who Reported Pain Relief at 120 Minutes Post-Treatment
120 minutes post-treatment (Randomization through Final Visit [Week 6])

Pain relief was defined as at least a 2-grade reduction in pain intensity on a 5-grade scale in participants who had not used headache rescue medication before assessment. A pain intensity score of 5 was assigned for all subsequent assessments if a participant took rescue medication (a single oral dose for the treatment of migraine pain or associated symptoms). The 5-grade scale is a participant's self-rating scale to assess the pain intensity of a migraine with the following scores: 1 = none, 2 = mild, 3 = mild to moderate, 4 = moderate to severe, and 5 = severe.

Number of Participants Who Were Pain Free at 2 Hours Post-dose
2 hours after single dose of double-blind treatment (Randomization through Week 13)

Participants were evaluated (self-assessment) for pain intensity by using a 4-point rating scale: 0=none, 1=mild, 2=moderate, and 3=severe. Participants with pain-free response were considered as those who had a reduction in migraine headache pain from moderate (score=2) or severe (score=3) at baseline to none (score=0) post-treatment, without the use of rescue medication (additional medication taken by participants for the treatment of migraine pain or associated symptoms) prior to or at 2 hours post-dose.

Percentage of Participants With Headache Relief at 60 Minutes Post Dose(Migraine) or 30 Minutes Post Dose(Cluster Headache)
30 minutes or 60 Minutes after each administration

Headache relief rate was the percentage of participants who showed effectiveness 60 minutes post dose (migraine) or 30 minutes post dose (cluster headache). Data for participants with percentage effectiveness along with 95% confidence interval has been presented.

Score on a 4-point migraine pain scale for a single menstrual migraine attack
2 to 48 hours
Score on a 4 pt migraine pain scale for multiple migraine attacks
2 to 24 hours
Score on a migraine pain scale for multiple migraine attacks
2 to 24 hours
Secondary Endpoints
Percentage of Participants Who Reported Pain Relief at 30, 60, 120, and 240 Minutes Post-Treatment
30, 60, 120, and 240 minutes post-treatment (Randomization through Final Visit [Week 6])
Percentage of Participants Who Were Pain Free at 30, 60, 120, and 240 Minutes Post-Treatment
30, 60, 120, and 240 minutes post-treatment (Randomization through Final Visit [Week 6])
Percentage of Participants Who Were Photophobia Free at 30, 60, 120, and 240 Minutes Post-Treatment
30, 60, 120, and 240 minutes post-treatment (Randomization through Final Visit [Week 6])
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Sumatriptan 25 mgACTIVE_COMPARATOR -
Sumatriptan 50 mgACTIVE_COMPARATOR -
PlaceboPLACEBO_COMPARATOR -
Sumatriptan and Naproxen 1EXPERIMENTALSumatriptan succinate and naproxen sodium combination 10mg/60mg
Sumatriptan and Naproxen 2EXPERIMENTALSumatriptan succinate and naproxen sodium combination 30mg/180mg
Sumatriptan and Naproxen 3EXPERIMENTALSumatriptan succinate and naproxen sodium combination 85mg/500mg
SumatriptanEXPERIMENTALSumatriptan
arm 1EXPERIMENTALTreximet (sumatriptan/naproxen sodium)
arm 2PLACEBO_COMPARATORplacebo to match
Interventions
NameTypeDescription
Sumatriptan 25 mgDRUGOne Sumatriptan 25mg tablet and one Matching Placebo tablet should be administered as soon as possible (within 30 minutes) after the development of a migraine associated with 3 or more pain on a 5-grade scale.
Sumatriptan 50 mgDRUGTwo Sumatriptan 25mg tablets should be administered as soon as possible (within 30 minutes) after the development of a migraine associated with 3 or more pain on a 5-grade scale.
PlaceboDRUGTwo Matching Placebo tablets should be administered as soon as possible (within 30 minutes) after the development of a migraine associated with 3 or more pain on a 5-grade scale.
Sumatriptan and Naproxen SodiumDRUGSumatriptan succinate and naproxen sodium
Sumatriptan SuccinateDRUGSumatriptan Succinate
sumatriptan succinate/naproxen sodiumDRUG -
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Eligibility Criteria
Age Range10 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites16

Inclusion Criteria: * Subject is \>10 years of age and \<17 years of age at the informed consent and the Randomization Visit. * Subject has migraine with or without aura (ICHD-II criteria, 1.1 or 1.2.1). A minimum of a six month history of migraine prior to entry into the study is required. * Subje...

Countries:JapanUnited States
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