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Topical Bimatoprost in the Treatment of Migraine

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Sponsor
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Parole chiave

Astratto

The study is to assess the effectiveness of topically applied bimatoprost in reducing migraine headache frequency, severity, and duration. It will also assess the effect of topical bimatoprost on quality of life.

Descrizione

Hall, et al. have observed retrospectively that treatment with topical prostaglandin F2 alpha analogs (applied either to the eye or fingernail bed) significantly reduced the frequency, severity and duration of headaches in migraine sufferers, as well as their migraine disability assessment score (MIDAS).

This is a double-blind, placebo-controlled prospective clinical study to determine if the effect of FDA-approved bimatoprost, a prostaglandin F2 alpha analogue, has anti-migraine activity when administered topically to people suffering from migraine.

Date

Ultimo verificato: 03/31/2019
Primo inviato: 01/22/2018
Iscrizione stimata inviata: 01/25/2018
Primo pubblicato: 02/04/2018
Ultimo aggiornamento inviato: 04/24/2019
Ultimo aggiornamento pubblicato: 04/25/2019
Data di inizio effettiva dello studio: 01/04/2018
Data di completamento primaria stimata: 04/24/2019
Data stimata di completamento dello studio: 06/29/2019

Condizione o malattia

Migraine Disorders
Headache Disorders

Intervento / trattamento

Drug: Bimatoprost Topical Solution

Drug: Control

Fase

Fase 2

Gruppi di braccia

BraccioIntervento / trattamento
Experimental: Bimatoprost Topical Solution
0.03% bimatoprost topical solution applied daily to the nail bed of fingers on one hand for 12 weeks
Drug: Bimatoprost Topical Solution
One drop of bimatoprost topical solution is applied daily to the lunula region of the fingernail bed
Placebo Comparator: Control
Saline placebo topically applied daily to the nail be of fingers on one hand for 12 weeks
Drug: Control
One drop of saline solution is applied daily to the lunula of the fingernail bed on one hand.

Criteri di idoneità

Età idonea per lo studio 18 Years Per 18 Years
Sessi idonei allo studioAll
Accetta volontari sani
Criteri

Inclusion Criteria:

- Diagnosis of migraines based on International Classification of Headache Disorders (ICHD) II criteria and experiencing headaches for 4 or more days per month.

Exclusion Criteria:

- Significant liver or renal dysfunction,

- On treatment for inflammatory bowel disease, medication over-use for headaches according to the ICHD II criteria,

- Use of antipsychotics in the past month,

- Recent (in the past six months) history of alcohol or drug abuse,

- Allergy to bimatoprost and its compounds,

- Severe comorbid psychiatric illness,

- Severe infection,

- Malignancy,

- Severe cardiovascular disease,

- Neurodegenerative disorders,

- Pregnancy and lactation, and

- Sexually active women of child bearing age who do not use any method of contraception.

Risultato

Misure di esito primarie

1. Reduction in Headache Frequency [12 weeks]

Change from baseline in the average number of headache days per month

Misure di esito secondarie

1. Intensity of Headaches [12 weeks]

Change from baseline in the average intensity of headaches on a scale of 0 (no pain at all) to 10 (life-threatening pain)

2. Duration of Headaches [12 weeks]

Change from baseline in the average duration of headaches

3. Migraine Disability Assessment Scale (MIDAS)--Quality of Life [12 weeks]

Change from baseline in quality of life as measured by the Migraine Disability Assessment Scale (MIDAS). MIDAS is a five-item instrument developed to measure migraine related disability and functional consequences. It is divided into four categories based on the score of: 0-5, minimal disability; 6-10, mild disability; 11-20, moderate disability; greater than 20; severe disability.

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