Ignite Creation Date:
2024-05-05 @ 11:59 AM
Last Modification Date:
2024-10-26 @ 9:18 AM
Study NCT ID:
NCT00203242
Status:
COMPLETED
Last Update Posted:
2011-07-15
First Post:
2005-09-13
Brief Title:
An Open Label Study Using Consecutive Intravenous Depacon With Oral Depakote ER for the Treatment of Cluster Headaches
Sponsor:
Thomas Jefferson University
Organization:
Thomas Jefferson University
Study Overview
Official Title:
An Open-label Pilot Study to CollectEvaluate Data on the Use of Consecutive Daily Intravenous Doses of Depacon in Combination With Daily Dose of Depakote ER During a Cluster Headache Cycle
Status:
COMPLETED
Status Verified Date:
2011-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to collect and evaluate information on the use of Depakote Extended Release ER and Depacon Intravenous IV in patients with cluster headaches Patients who are currently in a cluster cycle will be treated with 2 consecutive days of IV Depacon followed by oral Depakote ER Patients will receive a total of 1000mg of Depacon and 1000mg of Depakote ER each day Patients may have a 3rd day of IV Depacon followed by oral Depakote ER if the primary investigator believes it to be beneficial The patient is then sent home on oral Depakote ER The dose of Depakote ER can range from 500mg to 2000mg this dose is to be determined by the primary investigator The patient will continue the oral Depakote ER until the end of their cluster cycle or for a maximum of 6 weeks which ever comes first
Detailed Description:
This study will consist of four visits 3 visits if the screening visit and first treatment visit are on the same day
Screening Visit
The screening visit can be performed either before an active cluster period or once the cluster period has already started If the subject agrees to participate the study doctor will determine if they are eligible for this study The subject will be asked about their headache history and medical history including all medications they are currently taking A brief physical examination and neurologic examination will be performed and vital signs pulse and blood pressure will be measured If the subject is a woman who is capable of bearing children they will be asked to provide a urine sample for a routine pregnancy test A blood sample approximately 2 teaspoons will also be obtained Blood samples will be taken for a liver function test LFT complete blood count CBC with differential chemistry profile prothrombin time PT and partial thromboplastin time PTTIf the screening visit is the same day as the first treatment visit this blood work will be sent for immediate analysis The results must be reviewed and approved by the study physician prior to the subject being administered study medication
Treatment Visit One
If the subject does not undergo treatment at the screening visit because they are not in an active cluster period the subject will be asked to contact the site once their next cluster period begins Subjects will be scheduled to come for their first treatment visit as soon as possible
If the screening visit is not the same day as the first treatment visit the study physician and or delegated research staff will re-explain the informed consent ask the subject to re-read the informed consent and verbally re-confirm their agreement to participate in this trial
The research staff will then determine whether the subject continues to qualify for the research trial They will ask the subject about any changes in their medications since their last visit andor any changes in their medical conditions since their last visit Vital signs will be measured and if the subject is a woman of childbearing potential a urine sample will be obtained for routine pregnancy testing A brief physical examination and neurologic examination will be performed by the study physician The subject will be given a diary to take home with instructions on how to complete it The subject will be scheduled to return to the study office the next day
Once all of the above procedures have been completed the research staff will then ask the subject to lie down in an exam room They research nurse or study physician will then administer one of the study medications Depacon through an IV placed in their arm Subjects will receive 1000mg of Depacon IV This medication will be infused administered over a five minute period The subjects vital signs will be measured at 3 minutes 5 minutes and 15 minutes after the medication has been completely administered
The subject will remain in the study office for one hour for observation Subjects will be closely monitored and repeatedly queried for the development of adverse events Appropriate intervention and follow-up will be applied as deemed necessary by the investigator
Prior to leaving the office the research nurse or study physician will give the subject an oral dose of the second study medication 1000mg of Depakote ER
Treatment Visit Two
The subject will return to the study office the next day for their second treatment visit The study staff will review the subjects diary and record their vital signs The subjects take home diary will be re-dispensed The subject will then undergo the same infusion procedure as in their first treatment visit Subjects will again receive a total of 1000mg of Depacon IV Subjects will be closely monitored and repeatedly queried for the development of adverse events Appropriate intervention and follow-up will be applied as deemed necessary by the investigator
Prior to leaving the office the research nurse or study physician will give the subject an oral dose of the second study medication 1000mg of Depakote ER
The subject may or may not be asked to return the next day for a third treatment day depending on the study physicians review of their response to study treatment If it is determined that the subject does not need to return for a third treatment day a blood sample will be obtained from a vein in their arm The subject will also be given a take home supply of the oral study drug Depakote ER with instructions The subject will be scheduled to return to the study office in 6 weeks OR when their current cluster cycle ends whichever comes first
The research staff will contact the subject bi-weekly to see how they are doing and to confirm that they are taking your study drug appropriately The research staff will also ask the subject if they have had any unwanted experiences since their last contact with the site The subject will be instructed to call the study site should they have any questions or have any unwanted experiences
Treatment Visit Three
If the study physician determines that the subject should return for a third treatment day the subject will return to the study office the day after their second treatment visit The same infusion procedures will be performed The study staff will review the subjects diary and record their vital signs A blood sample 2 teaspoons will be obtained from a vein in their arm Prior to leaving the office the research nurse or study physician will give the subject an oral dose of the second study medication Depakote ER
The subject will be given a take home supply of the oral study drug Depakote ER with instructions Subjects will be instructed to take 2000mg of Depakote ER once a day The subject will be scheduled to return to the study office in 6 weeks OR when their current cluster cycle ends whichever comes first The research staff will contact the subject bi-weekly to see how they are doing and to confirm that they are taking your study drug appropriately The research staff will also ask whether or not the subject had any unusual symptoms or out of the ordinary experiences since their last contact with the site The subject will be instructed to call the study site should they have any questions or have any unwanted experiences
Final Visit
The final visit to the study office will occur either 6 weeks after the subjects last treatment visit OR when the subjects current cluster cycle ends whichever comes first At this visit the study staff will collect and review the subjects diary as well as any unused study medication The subject will be asked about any changes in medications and or medical conditions since their last contact with the site The subject will also be asked about any unusual symptoms or out of the ordinary experiences since their last contact with the site The subject will be asked to report how they felt they responded to the study medication The subjects vital signs will be measured and a blood sample 2 teaspoons will be obtained from a vein in their arm
Screening Visit
The screening visit can be performed either before an active cluster period or once the cluster period has already started If the subject agrees to participate the study doctor will determine if they are eligible for this study The subject will be asked about their headache history and medical history including all medications they are currently taking A brief physical examination and neurologic examination will be performed and vital signs pulse and blood pressure will be measured If the subject is a woman who is capable of bearing children they will be asked to provide a urine sample for a routine pregnancy test A blood sample approximately 2 teaspoons will also be obtained Blood samples will be taken for a liver function test LFT complete blood count CBC with differential chemistry profile prothrombin time PT and partial thromboplastin time PTTIf the screening visit is the same day as the first treatment visit this blood work will be sent for immediate analysis The results must be reviewed and approved by the study physician prior to the subject being administered study medication
Treatment Visit One
If the subject does not undergo treatment at the screening visit because they are not in an active cluster period the subject will be asked to contact the site once their next cluster period begins Subjects will be scheduled to come for their first treatment visit as soon as possible
If the screening visit is not the same day as the first treatment visit the study physician and or delegated research staff will re-explain the informed consent ask the subject to re-read the informed consent and verbally re-confirm their agreement to participate in this trial
The research staff will then determine whether the subject continues to qualify for the research trial They will ask the subject about any changes in their medications since their last visit andor any changes in their medical conditions since their last visit Vital signs will be measured and if the subject is a woman of childbearing potential a urine sample will be obtained for routine pregnancy testing A brief physical examination and neurologic examination will be performed by the study physician The subject will be given a diary to take home with instructions on how to complete it The subject will be scheduled to return to the study office the next day
Once all of the above procedures have been completed the research staff will then ask the subject to lie down in an exam room They research nurse or study physician will then administer one of the study medications Depacon through an IV placed in their arm Subjects will receive 1000mg of Depacon IV This medication will be infused administered over a five minute period The subjects vital signs will be measured at 3 minutes 5 minutes and 15 minutes after the medication has been completely administered
The subject will remain in the study office for one hour for observation Subjects will be closely monitored and repeatedly queried for the development of adverse events Appropriate intervention and follow-up will be applied as deemed necessary by the investigator
Prior to leaving the office the research nurse or study physician will give the subject an oral dose of the second study medication 1000mg of Depakote ER
Treatment Visit Two
The subject will return to the study office the next day for their second treatment visit The study staff will review the subjects diary and record their vital signs The subjects take home diary will be re-dispensed The subject will then undergo the same infusion procedure as in their first treatment visit Subjects will again receive a total of 1000mg of Depacon IV Subjects will be closely monitored and repeatedly queried for the development of adverse events Appropriate intervention and follow-up will be applied as deemed necessary by the investigator
Prior to leaving the office the research nurse or study physician will give the subject an oral dose of the second study medication 1000mg of Depakote ER
The subject may or may not be asked to return the next day for a third treatment day depending on the study physicians review of their response to study treatment If it is determined that the subject does not need to return for a third treatment day a blood sample will be obtained from a vein in their arm The subject will also be given a take home supply of the oral study drug Depakote ER with instructions The subject will be scheduled to return to the study office in 6 weeks OR when their current cluster cycle ends whichever comes first
The research staff will contact the subject bi-weekly to see how they are doing and to confirm that they are taking your study drug appropriately The research staff will also ask the subject if they have had any unwanted experiences since their last contact with the site The subject will be instructed to call the study site should they have any questions or have any unwanted experiences
Treatment Visit Three
If the study physician determines that the subject should return for a third treatment day the subject will return to the study office the day after their second treatment visit The same infusion procedures will be performed The study staff will review the subjects diary and record their vital signs A blood sample 2 teaspoons will be obtained from a vein in their arm Prior to leaving the office the research nurse or study physician will give the subject an oral dose of the second study medication Depakote ER
The subject will be given a take home supply of the oral study drug Depakote ER with instructions Subjects will be instructed to take 2000mg of Depakote ER once a day The subject will be scheduled to return to the study office in 6 weeks OR when their current cluster cycle ends whichever comes first The research staff will contact the subject bi-weekly to see how they are doing and to confirm that they are taking your study drug appropriately The research staff will also ask whether or not the subject had any unusual symptoms or out of the ordinary experiences since their last contact with the site The subject will be instructed to call the study site should they have any questions or have any unwanted experiences
Final Visit
The final visit to the study office will occur either 6 weeks after the subjects last treatment visit OR when the subjects current cluster cycle ends whichever comes first At this visit the study staff will collect and review the subjects diary as well as any unused study medication The subject will be asked about any changes in medications and or medical conditions since their last contact with the site The subject will also be asked about any unusual symptoms or out of the ordinary experiences since their last contact with the site The subject will be asked to report how they felt they responded to the study medication The subjects vital signs will be measured and a blood sample 2 teaspoons will be obtained from a vein in their arm
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None