stop_circleTerminated/Withdrawn

Headache

Efficacy of a Single Dose of Aspirin vs. acetaminophen in Tension Type Headache

Trial purpose

The purpose of this trial is to determine if a single, oral dose of a fast release aspirin 1000 mg provides relief compared to acetaminophen 1000 mg and placebo in subjects with tension-type headache pain.

Key Participants Requirements

Sex

Both

Age

18 - 65 Years
  • - Healthy, ambulatory, male and female volunteers ages 18-65 years old
    - History of an onset of tension type headaches before age 50
    - Experiencing over the last year ≥ 4 tension type headaches of at least moderate intensity per month and with the majority of headaches lasting greater than three hours, that meet commonly recognized criteria for diagnosis per the International Headache Society
    - History of response to treatment with over-the-counter (OTC) analgesics
    - Understand the pain rating scales (as judged by the trial coordinator)
    - Present with at least moderate headache pain on a 0-10 point numerical rating scale (a score of at least 4 on an 11 point scale ranging from 0 to 10) at the Treatment Visit
    - Onset of pain within three hours of the Treatment Visit
    - Confirmation by a physician of acute tension type headache symptoms as described by the International Headache Society diagnostic criteria

  • - History of hypersensitivity to aspirin, salicylates, other NSAIDs, acetaminophen, and similar pharmacological agents or components of the investigational products, including the placebo
    - Use of any immediate release analgesic/anti-pyretic within four hours or use of any sustained release or long acting analgesic/anti-pyretic within 12 hours proceeding administration of Investigational Product
    - Presence of symptoms that are consistent with menstrual headache or migraine headache as described by the International Headache Society diagnostic criteria
    - History of migraine headaches more than once per month
    - Relevant concomitant disease such as asthma (exercise induced asthma is permitted), chronic sinusitis or nasal structural abnormalities causing greater than 50 percent obstruction (polyposis nasi, marked septal deviation) that can interfere with the conduct of the trial in the judgment of the Investigator
    - Current or past history of bleeding disorder(s)
    - History of gastrointestinal bleeding or perforation, related to previous Nonsteroidal Anti-inflammatory Drugs (NSAID) therapy. Active, or history of recurrent peptic ulcer/hemorrhage (two or more distinct episodes of proven ulceration or bleeding)
    - Recent head or neck trauma (within 2 weeks)
    - Current use of blood thinning (anticoagulant), low dose aspirin, or steroid drug

Trial summary

Enrollment Goal
9
Trial Dates
March 2012 - June 2012
Phase
Phase 3
Could I Receive a placebo
Yes
Products
Bayer Advanced Aspirin (Acetylsalicylic acid, BAY1019036)
Accepts Healthy Volunteer
Yes

Where to participate

StatusInstitutionLocation
Terminated
Westside Family Medical CenterKalamazoo, 49009, United States

Primary Outcome

  • Time to meaningful pain relief (defined as the time when the subject indicates pain relief that is meaningful to the subject)
    date_rangeTime Frame:
    Up to 2 hours post-dose
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    Safety Issue:
    No

Secondary Outcome

  • Time to first perceptible relief
    Is defined as the time when the subject presses the first stopwatch
    date_rangeTime Frame:
    Up to 2 hours post-dose
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    Safety Issue:
    No
  • Time to first perceptible relief confirmed
    The subjects would meet this outcome if they answer “yes” when asked directly after stopping the first stopwatch, if they marked a “1” on the relief pain scale or if they stopped the 2nd stop watch.
    date_rangeTime Frame:
    Up to 2 hours post-dose
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    Safety Issue:
    No
  • Change from baseline in pain intensity score at different time points (on an 11-point Categorical Pain Intensity Scale, 0 = no pain, 10 = severe pain)
    date_rangeTime Frame:
    At baseline, 30, 60, 90 and 120 minutes post-dose, and immediately prior to the use of any rescue medication
    enhanced_encryption
    Safety Issue:
    No
  • Pain Relief on 5-point Categorical Scale (0 = no relief, 1 = a little relief, 2 = some relief, 3 = a lot of relief, and 4 = complete relief)
    date_rangeTime Frame:
    At 30, 60, 90 and 120 minutes post-dose, and immediately prior to the use of any rescue medication
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    Safety Issue:
    No
  • Summed time weighted of Pain Intensity Differences (PID) scores over first hour (SPID0-1)
    date_rangeTime Frame:
    Up to 1 hour
    enhanced_encryption
    Safety Issue:
    No
  • Summed time weighted of Pain Intensity Differences (PID) scores over 2 hours (SPID0-2)
    date_rangeTime Frame:
    Up to 2 hours
    enhanced_encryption
    Safety Issue:
    No
  • Summed time weighted total pain relief scores over first hour (TOTPAR0-1)
    date_rangeTime Frame:
    Up to 1 hour
    enhanced_encryption
    Safety Issue:
    No
  • Summed time weighted of Total Pain Relief Scores (TOTPAR) scores over 2 hours (TOTPAR0-2)
    date_rangeTime Frame:
    Up to 2 hours
    enhanced_encryption
    Safety Issue:
    No
  • Summed, time weighted of Pain Relief and Pain Intensity Differences (PID) over first hour (SPRID0-1)
    date_rangeTime Frame:
    Up to 1 hour
    enhanced_encryption
    Safety Issue:
    No
  • Summed, time weighted of Pain Relief and Pain Intensity Differences (PID) over 2 hours (SPRID0-2)
    date_rangeTime Frame:
    Up to 2 hours
    enhanced_encryption
    Safety Issue:
    No
  • Time to first intake of rescue medication
    date_rangeTime Frame:
    Up to 2 hours
    enhanced_encryption
    Safety Issue:
    No
  • Cumulative proportion of subjects taking rescue medication by time point
    date_rangeTime Frame:
    Up to 2 hours
    enhanced_encryption
    Safety Issue:
    No
  • Global assessment of the investigational product as a pain reliever: 0 = poor, 1 = fair, 2 = good, 3 = very good or 4 = excellent
    date_rangeTime Frame:
    At 2 hours post-dose or immediately before the first intake of rescue medication, whichever is earlier
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    Safety Issue:
    No
  • Safety variable will be summarized using descriptive statistic based on adverse events collection
    date_rangeTime Frame:
    Up to 5 days post-dose
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    Safety Issue:
    Yes

Trial design

A Double-Blind, Randomized, Parallel, Placebo-Controlled Trial Assessing the Analgesic Efficacy of a Single Dose of Fast Release Aspirin 1000 mg and Acetaminophen 1000 mg in Tension Type Headache Pain
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
Randomized
Blinding
Double Blind
Assignment
Parallel Assignment
Trial Arms
3