ASIC Channels and Migraine Disease - Proof-of-Concept Study on the Efficacy of Amiloride in Migraine Aura Prophylaxis

2024-516044-25-00 Protocol 16-API-01 Phase II and Phase III (Integrated) Ongoing, recruiting

Start 13 Feb 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 5 sites · Protocol 16-API-01

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ongoing, recruiting
Participants planned 40
Countries 1
Sites 5

Migraines with aura

To evaluate the efficacy of amiloride (non-specific ASIC-1 channel blocker) in the prophylaxis of migraine aura.

Key facts

Sponsor
Centre Hospitalier Universitaire De Nice
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Not possible to specify
Trial duration
13 Feb 2025 → ongoing
Decision date (initial)
2024-10-17
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-516044-25-00
EudraCT number
2017-001288-18
ClinicalTrials.gov
NCT04063540

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To evaluate the efficacy of amiloride (non-specific ASIC-1 channel blocker) in the prophylaxis of migraine aura.

Secondary objectives 5

  1. To evaluate the efficacy of amiloride (a non-specific ASIC-1 channel blocker) in the migraine headache prophylaxis
  2. Evaluate the efficacy of amiloride (a non-specific ASIC-1 channel blocker) by measuring functional functional impact in the prophylaxis of migraine with aura.
  3. Evaluate the efficacy of amiloride (a non-specific ASIC-1 channel blocker) by measuring functional emotional impact in the prophylaxis of migraine with aura.
  4. To evaluate the efficacy of amiloride (a nonspecific ASIC-1 channel blocker) by the in the prophylaxis of migraine with aura.
  5. To evaluate the safety of amiloride (a non-specific ASIC-1 channel blocker) in the prophylaxis of migraine with aura.

Conditions and MedDRA coding

Migraines with aura

VersionLevelCodeTermSystem organ class
20.0 LLT 10027601 Migraine aura 10029205

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Subjects aged 18 to 80
  2. Male or female
  3. Diagnosis of migraine with aura code 1.2.1 according to ICHD-3 including codes 1.2.1.1 and 1.2.1.2
  4. At least 1 attack with aura per month in the 3 months prior to inclusion
  5. Absence of prophylactic background antimigraine treatment for at least 1 month prior to inclusion
  6. For women of childbearing age, use of a reliable contraceptive method at least at least 3 months before and 1 month after the study
  7. Signature of written informed consent
  8. Patient affiliated to social security

Exclusion criteria 6

  1. Existence of contraindications to the use of amiloride
  2. Cardiovascular and renal history, for subjects over 75 years of age
  3. Athletes likely to be tested in competition and/or training
  4. Patients who, from the investigator's point of view, would not be compliant with the study procedure
  5. Pregnant or breast-feeding patients
  6. Patients under guardianship, curatorship or protected by law

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Number of seizures with aura, with or without headache

Secondary endpoints 6

  1. Number of days with migraine headache, with or without aura
  2. Number of days with any type of headache, with or without aura
  3. Functional impact (impact score on HIT-6 scale)
  4. Emotional impact (anxiety and depression score on the HAD scale)
  5. Health status (EQ-5D scale score)
  6. Occurrence or absence of significant or unknown adverse events

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

MODAMIDE 5 mg, comprimé

PRD9041755 · Product

Active substance
Amiloride Hydrochloride Dihydrate
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
900 mg milligram(s)
Max treatment duration
3 Month(s)
Authorisation status
Authorised
ATC code
C03DB01 — AMILORIDE
Marketing authorisation
34009 315 020 8 1
MA holder
SUBSTIPHARM
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Tablets for oral use

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Universitaire De Nice

Sponsor organisation
Centre Hospitalier Universitaire De Nice
Address
4 Avenue Reine Victoria
City
Nice
Postcode
06000
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire De Nice
Contact name
Dr Michel LANTERI-MINET

Public contact point

Organisation
Centre Hospitalier Universitaire De Nice
Contact name
Maeva GODEMERT

Locations

1 EU/EEA country · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 40 5
Rest of world 0

Investigational sites

France

5 sites · Ongoing, recruiting
Centre Jean Perrin
Neurologie, 58 Rue Montalembert, 63000, Clermont-Ferrand
Hospices Civils De Lyon
Neurologie, 59 Boulevard Pinel, 69500, Bron
Centre Hospitalier Universitaire De Montpellier
Neurologie, 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5
Centre Hospitalier Regional De Marseille
Neurosciences, 144 Rue Saint Pierre, 13005, Marseille
Centre Hospitalier Universitaire De Nice
Evaluation de la douleur, 4 Avenue Reine Victoria, 06000, Nice

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2020-08-11 2024-10-17

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 1 · Art. 38 CTR

Temporary halt TH-54273

Halt date
2024-08-17
Planned restart
2024-12-02
Member states concerned
France
Publication date
2024-10-28
Reason
Medicinal Product related
Explanation
MP supply issues
Follow-up measures
Patients allready included may be followed as per protocol
Benefit-risk balance changed
No
Treatment stopped
No

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 12 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-516044-25-00 5.1
Protocol (for publication) D1_PROTOCOL_2024-516044-25-00_FP 6.0
Protocol (for publication) D1_PROTOCOL_2024-516044-25-00_FP_sma 6.0
Recruitment arrangements (for publication) K1_Recruitment arrangement 1
Recruitment arrangements (for publication) NA_Part II 1
Subject information and informed consent form (for publication) L1_SIS and ICF patient 5.1
Subject information and informed consent form (for publication) Li_SIS and ICF Adults_2024-516044-25-00_FP 6.0
Subject information and informed consent form (for publication) Li_SIS and ICF Adults_2024-516044-25-00_FP_sma 6.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Modamide 1
Synopsis of the protocol (for publication) D1_PROTOCOL SYNOPSIS_2024-516044-25-00_FP 6.0
Synopsis of the protocol (for publication) D1_PROTOCOL SYNOPSIS_2024-516044-25-00_FP_sma 6.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR 2024-516044-25-00 5.1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-10 France Acceptable
2024-10-03
2024-10-17
2 SUBSTANTIAL MODIFICATION SM-1 2025-02-05 France Acceptable
2025-03-17
2025-04-18