The headache- and migraine-inducing effects of pitolisant in women with migraine without aura

2026-525521-20-00 Phase I and Phase II (Integrated) - Other Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Authorised, recruitment pending
Participants planned 14
Countries 1
Sites 1

Migraine without aura

We will test the ability of a single oral administration of pitolisant (18 mg) to induce migraine in women with a history of migraine without aura.

Key facts

Sponsor
Syddansk Universitet (University of Southern Denmark)
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Decision date (initial)
2026-03-26
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

We will test the ability of a single oral administration of pitolisant (18 mg) to induce migraine in women with a history of migraine without aura.

Conditions and MedDRA coding

Migraine without aura

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Healthy women with a diagnosis of episodic migraine without aura according to the International Classification
  2. Safe contraception (including hormonal therapies, intrauterine devices and/or oral pills) during the entire period of the study
  3. Age: 18-65 years
  4. Weight: 50-90 kg
  5. Fluency in Danish or English

Exclusion criteria 11

  1. Any other type of headache (excluding < 3 days of tension-type headache per month), according to the International Classification
  2. Headache less than 24 hours before the start of the experiment
  3. Drinking coffee, cola or alcohol less than 8 hours before the start of the experiment
  4. Assumption of analgesic medications in the 24 hours preceding the experimental days
  5. History or clinical evidence of severe psychiatric disorders (including anxiety or depression), clinically significant cardiovascular disease, severe epilepsy, and hepatic and/or renal impairment
  6. Concomitant use of antihistamines, antidepressants, strong CYP3A4 inducers, CYP2D6 inhibitors, or drugs that are substrates of the organic cation transporter 1 (OCT1)
  7. Anamnestic or clinical signs of diseases of any kind considered by the investigating physician relevant for participation in the study
  8. Use of concomitant medications that have changed in dosage within 14 days prior to screening or are expected to change during the study period
  9. Positive pregnancy test at the Screening and/or before the start of the experiment
  10. Known allergy to any component of pitolisant “Wakix”
  11. Member of investigational site staff or relative of investigators

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The occurrence of migraine-like attacks in pitolisant- and placebo-treated women with migraine without aura

Secondary endpoints 2

  1. Headache intensity over time, expressed as the area under the curve (AUC), following pitolisant and placebo administration in women with migraine without aura
  2. The occurrence of any headache, irrespective of migraine criteria, following pitolisant and placebo administration

Investigational products

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

Test 1

Wakix 18 mg film-coated tablets

PRD6329129 · Product

Active substance
Pitolisant
Substance synonyms
BF2.649
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Authorisation status
Authorised
ATC code
N07XX11 — -
Marketing authorisation
EU/1/15/1068/004
MA holder
BIOPROJET PHARMA
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Gelatin

SUB12507MIG · Substance

Active substance
Gelatin
Pharmaceutical form
TABLET
Route of administration
ORAL
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 2

Sumatriptan

SUB10770MIG · Substance

Active substance
Sumatriptan
Pharmaceutical form
TABLET
Route of administration
ORAL
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ibuprofen

SUB08098MIG · Substance

Active substance
Ibuprofen
Pharmaceutical form
TABLET
Route of administration
ORAL
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Syddansk Universitet (University of Southern Denmark)

Sponsor organisation
Syddansk Universitet (University of Southern Denmark)
Address
Campusvej 55
City
Odense M
Postcode
5230
Country
Denmark

Scientific contact point

Organisation
Syddansk Universitet (University of Southern Denmark)
Contact name
Lanfranco Pellesi

Public contact point

Organisation
Syddansk Universitet (University of Southern Denmark)
Contact name
Lanfranco Pellesi

Third parties 1

OrganisationCity, countryDuties
Odense University Hospital
ORG-100007716
Odense C, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Authorised, recruitment pending 14 1
Rest of world 0

Investigational sites

Denmark

1 site · Authorised, recruitment pending
Syddansk Universitet (University of Southern Denmark)
Clinical Pharmacology, Pharmacy and Environmental Medicine, Campusvej 55, 5230, Odense M

Results and documents

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

Documents 6 files

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

TypeTitleVersion
Protocol (for publication) D1_ Protocol 2026-525521-20-00_signed 1
Recruitment arrangements (for publication) K1_ Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_ ICF adults 1
Subject information and informed consent form (for publication) L2_ Information leaflet 1
Summary of Product Characteristics (SmPC) (for publication) G2_Pitolisant_SmPC 1
Synopsis of the protocol (for publication) D1_ Protocol synopsis 2026-525521-20-00 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2026-02-28 Denmark Acceptable
2026-03-24
2026-03-26