Randomized Cross-Over Experimental Trial of Treatment with Sumatriptan vs. Rimegepant During Nitroglycerin (NTG)-Induced Headache in Patients with Episodic Migraine for the Determination of Molecular and Clinical Biomarkers (MAMBO II Study).

2024-519770-38-00 Protocol MAMBO-II Therapeutic use (Phase IV) Ongoing, recruiting

Start 5 Mar 2026 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol MAMBO-II

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 24
Countries 1
Sites 1

Migraine

- Temporal Evolution of Biochemical Marker Levels in Blood and Saliva During NTG-Induced Migraine Attacks and After Treatment with Sumatriptan and Rimegepant - Correlation of Biochemical Marker Profiles with Acute Treatment Response to Sumatriptan and Rimegepant During NTG-Induced Migraine Attacks.

Key facts

Sponsor
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
5 Mar 2026 → ongoing
Decision date (initial)
2025-04-01
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Instituto de Salud Carlos III

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Others

- Temporal Evolution of Biochemical Marker Levels in Blood and Saliva During NTG-Induced Migraine Attacks and After Treatment with Sumatriptan and Rimegepant
- Correlation of Biochemical Marker Profiles with Acute Treatment Response to Sumatriptan and Rimegepant During NTG-Induced Migraine Attacks.

Conditions and MedDRA coding

Migraine

VersionLevelCodeTermSystem organ class
20.0 PT 10027599 Migraine 100000004852

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Adults between 18 and 60 years old.
  2. Diagnosis of migraine, with or without aura, according to the The International Classification of Headache Disorders 3rd edition.
  3. According to the calendar, frequency of cefalea < 10 days/month.
  4. Signature of the Inform Consent Form.

Exclusion criteria 10

  1. Contraindication to nitroglycerin
  2. History of poor tolerance or prior hypersensitivity reaction to triptans or gepants
  3. History of severe or refractory migraine attacks unresponsive to treatment with triptans, gepants, or NSAIDs
  4. Preventive treatment for migraines (includes antidepressants, beta-blockers, lisinopril or candesartan, topiramate, valproic acid, botulinum toxin, or CGRP-targeted therapies).
  5. Tretament with drugs acting on the central nervous system
  6. Relevant medical or psychiatric diseases
  7. History of unstable ischemic heart disease, cerebrovascular disease, peripheral vasculopathy
  8. History of significant hepatic disease
  9. Pregnant women
  10. Child-bearing women that not use one acceptable method of birth contro

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Temporal evolution of GRP, AMY , VIP and PACAP-38 levels in blood and saliva (4 time points: Basal, begging migraine; peak-migraine; 2 hours post migraine treatment)

Investigational products

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

Test 2

Sumatriptan

SCP116462429 · ATC

Active substance
Sumatriptan
Route of administration
ORAL
Max daily dose
100 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N02CC01 — SUMATRIPTAN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rimegepant

SCP56449652 · ATC

Active substance
Rimegepant
Substance synonyms
BMS927711, BHV-3000, BMS-927711, (5S,6S,9R)-5-AMINO-6-(2,3-DIFLUOROPHENYL)-6,7,8,9-TETRAHYDRO-5H-CYCLOHEPTA(B)PYRIDIN-9-YL 4-(2-OXO-2,3-DIHYDRO-1H-IMIDAZO(4,5-B)PYRIDIN-1-YL)PIPERIDINE-1-CARBOXYLATE
Route of administration
ORAL
Max daily dose
75 mg milligram(s)
Max total dose
75 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N02CD06 — RIMEGEPANT
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 1

Isosorbide Dinitrate

SCP1127655 · ATC

Active substance
Isosorbide Dinitrate
Substance synonyms
ISDN
Route of administration
INTRAVENOUS
Max daily dose
0.5 µg/Kg microgram(s)/kilogram
Max total dose
10 µg/Kg microgram(s)/kilogram
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
C01DA02 — GLYCERYL TRINITRATE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca

Sponsor organisation
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Address
Passeig De La Vall D'Hebron 119-129
City
Barcelona
Postcode
08035
Country
Spain

Scientific contact point

Organisation
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Contact name
Marta Torres Ferrús

Public contact point

Organisation
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Contact name
Marta Torres Ferrús

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 24 1
Rest of world 0

Investigational sites

Spain

1 site · Ongoing, recruiting
Hospital Universitari Vall D Hebron
Neurologist, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2026-03-05 2026-04-09

Results and documents

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

Documents 15 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol ESP EU CT 2024-519770-38-00 1
Protocol (for publication) D1_Protocolo_EU CT 2024-519770-38-00_Spanish_cc 1
Protocol (for publication) D1_Protocolo_EU CT 2024-519770-38-00_Spanish_clean 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_ SIS and ICF General_cc 1
Subject information and informed consent form (for publication) L1_ SIS and ICF General_clean 1
Subject information and informed consent form (for publication) L1_SIS and ICF General 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Rimegepant 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Sumatriptan 1
Synopsis of the protocol (for publication) D1_ Protocol Synopsis EU CT 2024-519770-38-00_cc 1
Synopsis of the protocol (for publication) D1_ Protocol Synopsis EU CT 2024-519770-38-00_clean 1
Synopsis of the protocol (for publication) D1_ Protocol Synopsis EU CT 2024-519770-38-00_Spanish_cc 1
Synopsis of the protocol (for publication) D1_ Protocol Synopsis EU CT 2024-519770-38-00_Spanish_clean 1
Synopsis of the protocol (for publication) D1_Protocol synopsis ENG_EU CT 2024-519770-38-00 1
Synopsis of the protocol (for publication) D1_Protocol synopsis ESP_EU CT 2024-519770-38-00 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-21 Spain Acceptable
2025-04-01
2025-04-01