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Telcagepant soft

Phase 3

Migraine | Small molecule | Neurology |Merck & Company, Inc.|Last Updated: Oct 17, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment1,068

FDA Designations

No designations recorded

Clinical trial landscape

Telcagepant soft · 1 trial · 1 indication

Phase 3 1
NCT00443209Telcagepant (MK-0974) Long-Term Safety Study in Adult Participants With Acute Migraine (MK-0974-012)Migraine
COMPLETED1,068 Analytics
PHASE3COMPLETED
Telcagepant (MK-0974) Long-Term Safety Study in Adult Participants With Acute Migraine (MK-0974-012)
MigraineUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With At Least One Triptan-Related Adverse Experience (AE)
Within 14 days of any dose of study drug (Up to 18.5 months)

Triptan-related AEs are defined as: chest pain, chest tightness, asthenia, paraesthesia, dysaesthesia or hyperaesthesia. Participants were monitored for triptan-related AEs for 14 days after any dose of study drug.

Percentage of Participants With At Least One Clinical AE
Within 14 days of any dose of study drug (Up to 18.5 months)

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the study product, is also an AE. A clinical AE was an AE reported as a result of a clinical examination. Participants were monitored for clinical AEs for 14 days after any dose of study drug.

Percentage of Participants With At Least One Laboratory AE
Within 14 days of any dose of study drug (Up to 18.5 months)

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the study product, is also an AE. A laboratory AE was an AE reported as a result of a laboratory assessment or test. Participants were monitored for laboratory AEs for 14 days after any dose of study drug.

Percentage of Participants With At Least One Vital Sign Measurement Outside Predefined Limits of Change
Within 14 days of any dose of study drug (Up to 18.5 months)

Predefined limits of change were established for vital sign measurements: Systolic Blood Pressure (\>=180 mm Hg and 20 mm Hg increase OR \<=90 mm Hg and 20 mm Hg decrease), Diastolic Blood Pressure (\>=105 mm Hg and 15 mm Hg increase OR \<=50 mm Hg and 15 mm Hg decrease), Pulse (\>=120 beats per minute \[bpm\] and 15 bpm increase OR \<=50 bpm and 15 bpm decrease), Body Temperature (\>38º C \[oral equivalent\]) and Respiratory Rate (\>25 or increase of 10 OR \<5 or decrease of 10 \[per minute\]). Participants were monitored for vital sign measurements outside predefined limits of change for 14 days after any dose of study drug.

Secondary Endpoints

Percentage of Participant Migraine Attacks With Pain Freedom (PF) at 2 Hours Post-Dose
2 hours post-dose (Up to 18 months)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Telcagepant 280 mg/300 mgEXPERIMENTALParticipants receive telcagepant 300 mg soft gel capsules or telcagepant 280 mg tablets, administered orally as a single dose at onset of migraine. If still experiencing a migraine 2 hours after the first dose of telcagepant, participants may take an optional second dose of study drug or non-study rescue medication. Participants may take up to 16 doses (for treatment of up to 8 migraines) of telcagepant per month for up to 18 months.
Rizatriptan 10 mgACTIVE_COMPARATORParticipants receive rizatriptan tablets, administered orally as a single dose at onset of migraine. If still experiencing a migraine 2 hours after the first dose of rizatriptan, participants may take an optional second dose of study drug or non-study rescue medication. Participants may take up to 16 doses (for treatment of up to 8 migraines) of rizatriptan per month for up to 18 months.

Interventions

NameTypeDescription
Telcagepant 300 mg soft gel capsulesDRUGOne capsule taken orally at onset of migraine
Telcagepant 280 mg tabletsDRUGOne tablet taken orally at onset of migraine
Rizatriptan 10 mg tabletsDRUGOne tablet taken orally at onset of migraine
Placebo to telcagepant capsulesDRUGOne capsule taken orally at onset of migraine
Placebo to telcagepant tabletsDRUGOne tablet taken orally at onset of migraine
Placebo to rizatriptan tabletsDRUGOne tablet taken orally at onset of migraine
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * At least 1 year history of migraine (with or without aura) * Females of child bearing potential must use acceptable contraception throughout trial * In general good health based on screening assessment Exclusion Criteria: * Pregnant/breast-feeding (or is a female expecting t...

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Competitive Landscape -Migraine 30 trials

Frequently asked questions about Telcagepant soft

What is Telcagepant used for?

Telcagepant is an investigational small molecule being developed for the acute treatment of migraine in adults. It is intended to relieve migraine symptoms, and it has been studied in a Phase 3 clinical trial. Telcagepant is not approved and remains in clinical development.

What does Telcagepant target?

Telcagepant is a small molecule that targets the calcitonin gene-related peptide (CGRP) receptor. By blocking this receptor, it is designed to inhibit the effects of CGRP, a protein involved in migraine pain transmission. This mechanism is being evaluated for acute migraine treatment.

Who makes Telcagepant?

Telcagepant is being developed by Merck & Company, Inc., a pharmaceutical company listed on the New York Stock Exchange under the ticker symbol MRK. Merck is conducting clinical trials to evaluate the safety and efficacy of Telcagepant for migraine.

What phase is Telcagepant in?

Telcagepant is in Phase 3 clinical development. It has completed a Phase 3 trial, but it is not yet approved by regulatory authorities. The drug remains investigational and is still being studied for the acute treatment of migraine.

What clinical trials is Telcagepant in?

Telcagepant has been studied in a Phase 3 clinical trial with the identifier NCT00443209. This was a long-term safety study in adult participants with acute migraine, enrolling 1,068 participants. The trial was randomized, double-blind, and active-controlled, and it has been completed.

Is Telcagepant the same as MK-0974?

Yes, Telcagepant is also known as MK-0974. The clinical trial NCT00443209 is titled 'Telcagepant (MK-0974) Long-Term Safety Study in Adult Participants With Acute Migraine (MK-0974-012),' confirming that both names refer to the same investigational drug.