EMERGE: A Randomized, Double-Blind, Parallel Group, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of Single Doses of STS101 (Dihydroergotamine Nasal Powder) in the Acute Treatment of Migraine

ClinicalTrials.gov processed this data on June 9, 2023. Link to the current ClinicalTrials.gov record.

Recruitment Status

COMPLETED - HAS RESULTS
(See Contacts and Locations)
Verified June 2023 by Satsuma Pharmaceuticals, Inc.

Sponsor

Satsuma Pharmaceuticals, Inc.

Information Provided by (Responsible Party)

Satsuma Pharmaceuticals, Inc.

Clinicaltrials.gov Identifier

NCT03901482
Other Study ID Numbers: STS101-002
First Submitted: April 2, 2019
First Posted: April 3, 2019
Results First Posted: June 29, 2023
Last Update Posted: June 29, 2023
Last Verified: June 2023
History of Changes

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Study Description

The EMERGE trial is a multi-center, single-dose, randomized, double-blind, placebo-controlled, parallel group study in subjects with acute migraine (ages 18 to 65 years).
Condition or Disease Intervention/Treatment
  • Migraine
  • Migraine With Aura
  • Migraine Without Aura
  • Drug: Dihydroergotamine
  • Drug: Placebos

Study Design

Study TypeInterventional
Actual Enrollment1201 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingTriple
Primary PurposeTreatment
Official TitleEMERGE: A Randomized, Double-Blind, Parallel Group, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of Single Doses of STS101 (Dihydroergotamine Nasal Powder) in the Acute Treatment of Migraine
Study Start DateJune 24, 2019
Actual Primary Completion DateJuly 31, 2020
Actual Study Completion DateAugust 13, 2020

Groups and Cohorts

Group/ CohortIntervention/ Treatment
  • STS101 Low Dose
    • STS101 (dihydroergotamine nasal powder), low dose
  • Drug: Dihydroergotamine
    • Dihydroergotamine is a semi-synthetic derivative of ergotamine tartrate.
  • STS101 High Dose
    • STS101 (dihydroergotamine nasal powder), high dose
  • Drug: Dihydroergotamine
    • Dihydroergotamine is a semi-synthetic derivative of ergotamine tartrate.
  • STS101 Placebo
    • STS101 Placebo
  • Drug: Placebos

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Subjects With Freedom From Migraine Headache Pain at 2 Hours Post Dose [2 Hours Post-Dose]
      The subject's rating was documented on a four-point scale from no pain (= 0), mild pain (= 1), moderate pain (= 2) to severe pain (= 3). Pain freedom means the pain went from moderate (2) or severe (3) to no pain (0).
    2. Percentage of Subjects With Freedom From Most-Bothersome Symptom at 2 Hours Post Dose [2 Hours Post-Dose]
      Subjects were prompted to document the presence of 3 symptoms (photophobia, phonophobia, and nausea) immediately before study drug administration and during the treated migraine attack.

    Secondary Outcome Measures

    1. Percentage of Subjects With Relief From Migraine Headache Pain at 2 Hours Post Dose [2 Hours Post Dose]
      The subject's rating was documented on a four-point scale from no pain (= 0), mild pain (= 1), moderate pain (= 2) to severe pain (= 3). Pain relief means the pain went from moderate (2) or severe (3) to mild pain (1) or no pain (0).

    Eligibility Criteria

    Ages Eligible for Study 18 Years to 65 Years (Adult, Older Adult)
    Sexes Eligible for Study All
    Accepts Healthy Volunteers No
    Inclusion Criteria
    • a:
    • Males or females, 18-65 years of age at the time of Screening Visit
    • Subject has at least 1-year history of migraines (with or without aura), according to the International Classification of Headache Disorder, 3rd Edition (ICHD3)
    Exclusion Criteria
    • Pregnant or breast-feeding women
    • Women of child-bearing potential not using or not willing to use highly effective contraception.
    • Diagnosis of headache conditions other than migraine with or without aura, including diagnosis of basilar or hemiplegic migraines or cluster headache.
    • History of coronary artery disease, coronary artery vasospasm (including Printz-metals' angina), clinically significant arrhythmia or, peripheral vascular disease, ischemic disease (e.g. Raynaud's syndrome, ischemic bowel syndrome, angina pectoris, myocardial infarction, or documented silent ischemia); percutaneous coronary intervention, or cardiac surgery.
    • History of cerebrovascular disease, including but not limited to stroke, transient ischemic attack, cerebral hemorrhage, subarachnoid hemorrhage.
    • Diagnosis of major depression with current symptoms, psychosis, alcohol abuse or dependence, drug abuse or dependence, major psychiatric conditions (e.g. schizophrenia, psychosis or Bipolar disorder), dementia. Other significant neurological or psychiatric disorders (including other pain syndromes or risk of suicide) that in the opinion of the investigator might interfere with study participation and assessments or subject safety.
    • Any clinically significant symptoms or conditions, including but not limited to central nervous system (e.g., seizures), cardiac, pulmonary, metabolic, renal, hepatic or gastrointestinal conditions or history of such conditions that, in the opinion of the investigator might interfere with study assessments or safety of participant.

    Contacts and Locations

    Sponsors and Collaborators Satsuma Pharmaceuticals, Inc.
    Locations
    • Accel Clinical - Birmingham | Birmingham, Alabama, United States, 35216
    • Alabama Clinical Therapeutics | Birmingham, Alabama, United States, 35235
    • Alea Research | Phoenix, Arizona, United States, 85012
    • Elite Clinical Studies | Phoenix, Arizona, United States, 85018
    • Arizona Research Center | Phoenix, Arizona, United States, 85053
    • Tucson Neuroscience Research | Tucson, Arizona, United States, 85710
    • The Research Center of Southern California | Carlsbad, California, United States, 92011
    • Med Center Medical Clinic | Carmichael, California, United States, 95608
    • WR-PRI | Encino, California, United States, 91316
    • Marvel Clinical Research | Huntington Beach, California, United States, 92647
    • eStudySite | La Mesa, California, United States, 91942
    • Collaborative Neuroscience | Long Beach, California, United States, 90806
    • WP-PRI | Los Alamitos, California, United States, 90720
    • Downtown LA Research | Los Angeles, California, United States, 90017
    • Cal Neuro Research Group | Los Angeles, California, United States, 90024
    • WR-PRI | Newport Beach, California, United States, 92660
    • Alliance Sites | Oakland, California, United States, 94607
    • Stanford Neuroscience Health Center | Palo Alto, California, United States, 94304
    • National Research Institute | Panorama City, California, United States, 91402
    • Empire Clinical Reserch | Pomona, California, United States, 91767
    • Artemis Institute for Clinical Research- Riverside | Riverside, California, United States, 92503
    • Artemis Institute of Clinical Research - San Diego | San Diego, California, United States, 92103
    • Pacific Research Network | San Diego, California, United States, 92103
    • WR-MCCR | San Diego, California, United States, 92108
    • Optimus Medical Group | San Francisco, California, United States, 94102
    • Artemis Institute for Clinical Research- San Marcos | San Marcos, California, United States, 92103
    • Neurological Research Institute | Santa Monica, California, United States, 90404
    • Schuster Medical Research Institute | Sherman Oaks, California, United States, 91403
    • Southern California Research | Simi Valley, California, United States, 93065
    • Encompass Clinical Research | Spring Valley, California, United States, 91978
    • Hartford Headache Center | East Hartford, Connecticut, United States, 06118
    • CMR of Greater New Haven | Hamden, Connecticut, United States, 06517
    • New England Institute for Neurology and Headache | Stamford, Connecticut, United States, 06905
    • Chase Medical Research | Waterbury, Connecticut, United States, 06708
    • Accel Clinical - DeLand | DeLand, Florida, United States, 32720
    • Gulf Coast Clinical Research | Fort Myers, Florida, United States, 33912
    • MD Clinical | Hallandale Beach, Florida, United States, 33009
    • AGA Clinical Trials | Hialeah, Florida, United States, 33012
    • Galiz Research- Hialeah | Hialeah, Florida, United States, 33016
    • Research Centers of America | Hollywood, Florida, United States, 33024
    • CNS Healthcare | Jacksonville, Florida, United States, 32256
    • Multispecialty Research Associates | Lake City, Florida, United States, 32055
    • ClinCloud | Maitland, Florida, United States, 32751
    • Premier Clinical Reserch Institute, INC | Miami, Florida, United States, 33122
    • QPS MRA | Miami, Florida, United States, 33143
    • Applemed Research Group | Miami, Florida, United States, 33155
    • Biotech Pharmaceuticals Group | Miami, Florida, United States, 33155
    • Behavioral Clinical Research | North Miami, Florida, United States, 33161
    • Sensible Health | Ocoee, Florida, United States, 34761
    • Accel - Orange City | Orange City, Florida, United States, 32763
    • CNS Health Care - Orlando | Orlando, Florida, United States, 32801
    • Neurology Associates of Ormond Beach | Ormond Beach, Florida, United States, 32174
    • Infinity Clinical Research, LLC | Sunrise, Florida, United States, 33351
    • Precision Clinical Research | Sunrise, Florida, United States, 33351
    • Clinical Research CF | Winter Haven, Florida, United States, 33880
    • Conquest Research | Winter Park, Florida, United States, 32789
    • Neuro Studios | Decatur, Georgia, United States, 30033
    • Advanced Clinical Research | Meridian, Idaho, United States, 83642
    • PMG Research of DuPage Medical Group | Downers Grove, Illinois, United States, 60515
    • Healthcare Research Network II, LLC | Flossmoor, Illinois, United States, 60422
    • Phoenix Medical Reserch | Prairie Village, Kansas, United States, 66208
    • Delricht - Baton Rouge | Baton Rouge, Louisiana, United States, 70816
    • Tandem Clinical Research | Marrero, Louisiana, United States, 70072
    • Delricht - NewOrleans | New Orleans, Louisiana, United States, 70124
    • Boston Clinical Trials | Boston, Massachusetts, United States, 02131
    • BTC of New Bedford | New Bedford, Massachusetts, United States, 02740
    • Medvadis Research Group | Watertown, Massachusetts, United States, 02472
    • Michigan Headache and Neurological Institute | Ann Arbor, Michigan, United States, 48104
    • Michigan Pain Consultants | Wyoming, Michigan, United States, 49519
    • Minneapolis Clinic of Neurology | Burnsville, Minnesota, United States, 55337
    • Healthcare Research Network II, LLC | Hazelwood, Missouri, United States, 63042
    • StudyMetrix Research | Saint Peters, Missouri, United States, 63303
    • Clinvest Research | Springfield, Missouri, United States, 65810
    • Montana Medical Research | Missoula, Montana, United States, 59808
    • Quality Clinical Research | Omaha, Nebraska, United States, 68114
    • Altea Research | Las Vegas, Nevada, United States, 89102
    • Wake Research-Clinical Research Center of Nevada | Las Vegas, Nevada, United States, 89118
    • Clinical Research of South Nevada | Las Vegas, Nevada, United States, 89121
    • Dartmouth-Hitchcock Clinical Trials Office | Lebanon, New Hampshire, United States, 03756
    • Hassman Research Institute | Berlin, New Jersey, United States, 08009
    • Albuquerque Clinical Trials | Albuquerque, New Mexico, United States, 87109
    • Albuquerque Neuroscience | Albuquerque, New Mexico, United States, 87109
    • Montefiori Medical Center | Bronx, New York, United States, 10461
    • SPRI Clinical Trials | Brooklyn, New York, United States, 11235
    • Manhattan Behavioral Medicine | New York, New York, United States, 10036
    • Rochester Clinical Research | Rochester, New York, United States, 14609
    • Upstate Clinical Research Associates | Williamsville, New York, United States, 14221
    • Headache Wellness Center - Greensboro | Greensboro, North Carolina, United States, 27405
    • PharmQuest | Greensboro, North Carolina, United States, 27408
    • M3-Wake Research | Raleigh, North Carolina, United States, 27612
    • PMG Research of Wilmington | Wilmington, North Carolina, United States, 28401
    • Lillestol Research | Fargo, North Dakota, United States, 58104
    • CTI Clinical Research Center | Cincinnati, Ohio, United States, 45212
    • Rapid Medical Research Inc. | Cleveland, Ohio, United States, 44122
    • Aventiv Research | Columbus, Ohio, United States, 43213
    • Neurology Diagnosis | Dayton, Ohio, United States, 45459
    • Delynn Institute | Oklahoma City, Oklahoma, United States, 73112
    • Delricht Research | Tulsa, Oklahoma, United States, 74133
    • Thomas Jefferson University/Jefferson Headache Center | Philadelphia, Pennsylvania, United States, 19107
    • CNS Research Inc - Rhode Island | Rumford, Rhode Island, United States, 02916
    • Omega Medical Research | Warwick, Rhode Island, United States, 02886
    • WR-ClinSearch | Chattanooga, Tennessee, United States, 37421
    • CNS Healthcare | Memphis, Tennessee, United States, 38119
    • Clinical Research Associates | Nashville, Tennessee, United States, 37203
    • Nashville Neuroscience Group | Nashville, Tennessee, United States, 37203
    • Wellness Clinical Research | Allen, Texas, United States, 75013
    • FutureSearch Trials of Neurology | Austin, Texas, United States, 78731
    • Future Search Trials | Dallas, Texas, United States, 75231
    • HRMD Research | Dallas, Texas, United States, 75240
    • Texas Center for Drug Development | Houston, Texas, United States, 77081
    • SMS Clinical Research | Mesquite, Texas, United States, 75149
    • DM Clinical Research | Tomball, Texas, United States, 77375
    • ClinPoint Trials | Waxahachie, Texas, United States, 75165
    • Aspen Clinical Research | Orem, Utah, United States, 84058
    • Wasatch Clinical Research | Salt Lake City, Utah, United States, 84107
    • Highland Clinical Research | Salt Lake City, Utah, United States, 84124
    • Charlottesville Medical Research | Charlottesville, Virginia, United States, 22911
    Investigators

      Study Documents (Full Text)

      More Information

      Additional Relevant MeSH Terms

      • Migraine Disorders
      • Migraine without Aura
      • Migraine with Aura
      • Headache Disorders, Primary
      • Headache Disorders
      • Brain Diseases
      • Central Nervous System Diseases
      • Nervous System Diseases