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sumatriptan/naproxen

Phase 3

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

sumatriptan/naproxen target and mechanism

Molecular targetHTR1B, HTR1D
Target classAgonist
ModalitySmall molecule
ChEMBLCHEMBL128

Also known as Sumatriptan, Sumatriptan Succinate

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials8
Total Enrollment3,461

FDA Designations

No designations recorded

sumatriptan/naproxen clinical trials

sumatriptan/naproxen · 8 trials · 3 indications

Phase 3 8
NCT00963937Study to Evaluate the Efficacy and Safety of Oral Sumatriptan for the Acute Treatment of Migraine in Children and AdolescentsMigraine Disorders
COMPLETED178 Analytics
NCT00843024Migraine Study in Adolescent PatientsMigraine Disorders
COMPLETED589 Analytics
NCT00387881TREXIMET (Formerly Known as TREXIMA) for the Acute Treatment of Probable Migraine (ICHD-II 1.6.1)Migraine, Without Aura
COMPLETED679 Analytics
NCT00356603Study Of Sumatriptan Succinate Injection Kit In Patients With Migraine or Cluster Headache In JapanMigraine Disorders
COMPLETED75 Analytics
NCT00329355Menstrual Migraine Treatment With TREXIMET (Formerly Known as TREXIMA)Migraine
COMPLETED351 Analytics
NCT00329459Treximet (Sumatriptan/Naproxen Sodium), Formerly Known as TREXIMA, for Menstrual Migraine in Women With DysmenorrheaMigraine Disorders
COMPLETED320 Analytics
NCT00240617Study Of Treximet, Formerly Known as Trexima, In The Acute Treatment Of Multiple Migraine AttacksMigraine Disorders
COMPLETED623 Analytics
NCT00240630Treximet (Sumatriptan/Naproxen Sodium), Formerly Known as Trexima, In The Acute Treatment Of Multiple Migraine AttacksMigraine Disorders
COMPLETED646 Analytics
PHASE3COMPLETED
Study to Evaluate the Efficacy and Safety of Oral Sumatriptan for the Acute Treatment of Migraine in Children and Adolescents
Migraine DisordersUnlock trial analytics
PHASE3COMPLETED
Migraine Study in Adolescent Patients
Migraine DisordersUnlock trial analytics
PHASE3COMPLETED
TREXIMET (Formerly Known as TREXIMA) for the Acute Treatment of Probable Migraine (ICHD-II 1.6.1)
Migraine, Without AuraUnlock trial analytics
PHASE3COMPLETED
Study Of Sumatriptan Succinate Injection Kit In Patients With Migraine or Cluster Headache In Japan
Migraine DisordersUnlock trial analytics
PHASE3COMPLETED
Menstrual Migraine Treatment With TREXIMET (Formerly Known as TREXIMA)
MigraineUnlock trial analytics
PHASE3COMPLETED
Treximet (Sumatriptan/Naproxen Sodium), Formerly Known as TREXIMA, for Menstrual Migraine in Women With Dysmenorrhea
Migraine DisordersUnlock trial analytics
PHASE3COMPLETED
Study Of Treximet, Formerly Known as Trexima, In The Acute Treatment Of Multiple Migraine Attacks
Migraine DisordersUnlock trial analytics
PHASE3COMPLETED
Treximet (Sumatriptan/Naproxen Sodium), Formerly Known as Trexima, In The Acute Treatment Of Multiple Migraine Attacks
Migraine DisordersUnlock trial analytics

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.

Pain-Free at 2 Hours Post-dose and Sustained Pain-Free From 2-24 Hours Post-dose.
2 hours through 24 hours after Treatment

Pain-free was defined as a headache severity of no pain (grade 0) at 2 hours post-treatment in subjects who have not used rescue medication prior to or at the time of the assessment. Sustained pain-free response was defined as pain-free at 2 hours post-treatment through 24 hours post-treatment without rescue medicine.

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-pt migraine pain scale for a single menstrual migraine attack
2 to 48 hours
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
TreximetEXPERIMENTAL -
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 succinate / naproxen sodiumDRUGsumatriptan 85mg / naproxen sodium 500mg
Sumatriptan SuccinateDRUGSumatriptan Succinate
sumatriptan succinate/naproxen sodiumDRUG -
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Eligibility Criteria

Age Range10 Years to 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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Competitive Landscape -Migraine 43 trials

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Frequently asked questions about sumatriptan/naproxen

What is sumatriptan/naproxen used for?

Sumatriptan/naproxen is used for the acute treatment of migraine, including migraine without aura, in adults and adolescents. It combines two active ingredients in a single oral dose. It is not intended for migraine prevention. GSK plc developed the combination, which has been studied in Phase 3 trials.

What does sumatriptan/naproxen target?

Sumatriptan/naproxen targets the serotonin receptors HTR1B and HTR1D as an agonist. Sumatriptan binds and activates these receptors, while naproxen is a nonsteroidal anti-inflammatory drug. Together they address migraine through serotonin receptor agonism and anti-inflammatory activity. The drug is a small molecule combination.

Who makes sumatriptan/naproxen?

Sumatriptan/naproxen is developed by GSK plc, which trades under the ticker GSK. GSK conducted the Phase 3 clinical program for the combination. The drug is also known by the brand name Treximet, formerly Trexima.

What phase is sumatriptan/naproxen in?

Sumatriptan/naproxen has completed Phase 3 clinical development. Six Phase 3 trials are registered, all completed, with no active trials. The program enrolled 2,431 participants in randomized, double-blind studies. The trials evaluated acute migraine treatment in adults and adolescents.

What clinical trials is sumatriptan/naproxen in?

Sumatriptan/naproxen has been studied in six completed Phase 3 trials, including NCT00963937 in children and adolescents in Japan, NCT00843024 in adolescents in the United States, NCT00387881 in adults with probable migraine, and NCT00356603 in Japan. All trials are completed and no active trials are ongoing.

Is sumatriptan/naproxen the same as Treximet?

Yes, sumatriptan/naproxen is also known as Treximet, formerly Trexima. Other names include sumatriptan succinate/naproxen sodium, sumatriptan and naproxen sodium, and sumatriptan succinate. These refer to the same fixed-dose combination product developed by GSK for acute migraine treatment.