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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04437199
Registration number
NCT04437199
Ethics application status
Date submitted
11/06/2020
Date registered
18/06/2020
Titles & IDs
Public title
Tricaprilin Phase 2 Pilot Study in Migraine
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Scientific title
A 12-Week, Double-blind, Randomised, Placebo-controlled, Parallel Group Study to Investigate the Efficacy and Safety of Daily Administration of Tricaprilin as AC-SD-03 in Participants With Migraine
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Secondary ID [1]
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AC-20-022
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Migraine
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Condition category
Condition code
Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Tricaprilin
Treatment: Drugs - Placebo
Active comparator: AC-SD-03 - Tricaprilin SD formulation, twice daily. Administered orally
Placebo comparator: AC-SD-03P - Placebo formulation, twice daily. Administered orally
Treatment: Drugs: Tricaprilin
Powder formulation will be mixed with 240 mL water and shaken until fully dispersed.
Each dosing unit of 12.5 g of AC-SD-03 contains 5 g of the active ingredients (tricaprilin)
Treatment: Drugs: Placebo
Powder formulation will be mixed with 240 mL water and shaken until fully dispersed.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change from baseline in the number of migraine headache days during Month 3 (?MDMth3)
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Assessment method [1]
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Number of migraine headache days using headache diary parameters
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Timepoint [1]
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12 weeks
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Secondary outcome [1]
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Change from baseline in the number of migraine headache days during Month 1 (?MDMth1) and Month 2 (?MDMth2) of treatment and overall, from Months 1-3
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Assessment method [1]
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Number of migraine headache days using headache diary parameters
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Timepoint [1]
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4, 8, 12 weeks
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Secondary outcome [2]
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The proportion of participants with a 50% reduction from baseline in number of migraine headache days in treatment months 1, 2, and 3
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Assessment method [2]
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Response rate defined as a reduction in number of migraine headache days
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Timepoint [2]
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4, 8, 12 weeks
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Secondary outcome [3]
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Change from baseline in monthly acute migraine medicine use during treatment months 1, 2 and 3
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Assessment method [3]
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Acute migraine medicine use during treatment
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Timepoint [3]
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4, 8, 12 weeks
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Secondary outcome [4]
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Change from baseline Headache Impact Test (HIT-6) score at the end of Months 1, 2 and 3
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Assessment method [4]
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Headache Impact Test (HIT-6) score. Total score range between 36-78 (higher score indicates a worse impact)
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Timepoint [4]
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4, 8, 12 weeks
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Eligibility
Key inclusion criteria
1. Participant must be 18 to 70 years of age inclusive, at the time of signing the informed consent.
2. Participants who have frequent (episodic or chronic) migraine with or without aura, for at least 1 year, according to the International Classification of Headache Disorders version 3 beta (ICHD 3-beta), age at time of onset must be <50 years.
3. Participants must have a certain number of migraine headaches days per month, as confirmed by the baseline measurement period.
4. Use of one allowed migraine prophylactic is permitted if the participant has been on a stable dose for at least 2 months prior to the screening.
5. Participants must have failed (no therapeutic response) 1-4 migraine prophylactic treatments.
6. The participant is able to tolerate a 12.5g dose of AC-SD-03 (containing 5g of tricaprilin) as per sentinel dose challenge at the Baseline Visit.
7. From Visit 2 to Visit 3 (baseline measurement period), the participant has sufficient compliance (at least 80%) with daily eDiary headache entries.
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. In the opinion of the Investigator, has presence or history of an advanced, severe, progressive, or unstable disease of any type that could interfere with efficacy and safety assessments, or put the participant at risk.
2. Use of barbiturates (and/or butalbital-containing analgesics) or opioids (and/or opioid-containing analgesics) for migraine acute treatment = 4 days per month on average and/or in the last month prior to Screening Visit.
3. Use in the last 3 months prior to Screening Visit of CGRP agents, Botox injections, TENS, cranial nerve blocks, trigger-point injections, acupuncture, CBD-containing products, infusion therapy.
4. Current use, or use within 3 months of Visit 2 (baseline), of Axona® or other MCT-containing products (such as coconut oil). Use of MCT-containing products is not allowed at any time during trial participation.
5. Current use, or use within 3 months prior to Screening, of a ketogenic diet, low-carb diet, intermittent fasting (including the 5:2 diet). Ketogenic diets, low-carb diet, intermittent fasting (including the 5:2 diet) are not allowed during the study.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
17/12/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
7/02/2022
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Sample size
Target
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Accrual to date
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Final
83
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Paratus Clinical Central Coast - Kanwal
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Recruitment hospital [2]
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Holdsworth House - Sydney
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Recruitment hospital [3]
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Calvary Adelaide Hospital - Adelaide
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Recruitment hospital [4]
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Paratus Clinical Research Western Sydney - Blacktown
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Recruitment hospital [5]
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Paratus Clinical Research Brisbane - Brisbane
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Recruitment hospital [6]
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Emeritus Research - Camberwell
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Recruitment hospital [7]
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Paratus Clinical Research Canberra - Canberra
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Recruitment hospital [8]
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Austin Health Hospital - Heidelberg
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Recruitment hospital [9]
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Alfred Health Hospital - Melbourne
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Recruitment hospital [10]
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Gold Coast University Hospital - Southport
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Recruitment postcode(s) [1]
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2259 - Kanwal
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Recruitment postcode(s) [2]
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2010 - Sydney
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Recruitment postcode(s) [3]
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- Adelaide
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Recruitment postcode(s) [4]
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- Blacktown
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Recruitment postcode(s) [5]
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- Brisbane
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Recruitment postcode(s) [6]
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- Camberwell
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Recruitment postcode(s) [7]
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- Canberra
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Recruitment postcode(s) [8]
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- Heidelberg
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Recruitment postcode(s) [9]
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- Melbourne
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Recruitment postcode(s) [10]
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- Southport
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Cerecin
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a randomised, double-blind, placebo-controlled, parallel-group, multi-centre study of tricaprilin as AC-SD-03 compared with placebo for the reduction of migraine in participants with frequent migraine.
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Trial website
https://clinicaltrials.gov/study/NCT04437199
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Study Director
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Address
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Cerecin
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04437199