PMID- 23965396 OWN - NLM STAT- MEDLINE DCOM- 20140904 LR - 20220409 IS - 1468-2982 (Electronic) IS - 0333-1024 (Linking) VI - 34 IP - 2 DP - 2014 Feb TI - BMS-927711 for the acute treatment of migraine: a double-blind, randomized, placebo controlled, dose-ranging trial. PG - 114-25 LID - 10.1177/0333102413500727 [doi] AB - BACKGROUND: BMS-927711 is a potent, selective, competitive human calcitonin gene-related peptide (CGRP) receptor antagonist that has shown in vivo efficacy without vasoconstrictor effect. The objective of the current study was to determine an effective and tolerable dose range of BMS-927711 for the acute treatment of migraine. METHODS: In this randomized, double-blind, placebo controlled, dose-ranging study, 885 patients were randomized using an adaptive design to one of the following dose groups: BMS-927711 (10, 25, 75, 150, 300, or 600 mg); sumatriptan 100 mg (active comparator); and placebo. Patients were treated for a single migraine attack. The primary endpoint was pain freedom at two hours post-dose. RESULTS: Of patients who took the study drug, 799 had one post-randomization efficacy evaluation. Significantly more patients in the BMS-927711 75 mg (31.4%, P = 0.002), 150 mg (32.9%, P < 0.001), and 300 mg (29.7%, P = 0.002) groups and the sumatriptan group (35%, P < 0.001) had pain freedom at two hours post-dose versus placebo (15.3%). For the secondary endpoint of sustained pain freedom from two to 24 hours post-dose, BMS-927711 doses (25-600 mg) were also statistically significant compared with placebo. No deaths or treatment-related serious adverse events (AEs) were reported, and no patients discontinued because of AEs. CONCLUSIONS: BMS-927711 is superior to placebo at several different doses (75 mg, 150 mg, and 300 mg) and has an excellent tolerability profile. FAU - Marcus, Ronald AU - Marcus R AD - Bristol-Myers Squibb, Wallingford, CT, USA. FAU - Goadsby, Peter J AU - Goadsby PJ FAU - Dodick, David AU - Dodick D FAU - Stock, David AU - Stock D FAU - Manos, George AU - Manos G FAU - Fischer, Tanya Z AU - Fischer TZ LA - eng SI - ClinicalTrials.gov/NCT01430442 PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20130821 PL - England TA - Cephalalgia JT - Cephalalgia : an international journal of headache JID - 8200710 RN - 0 (Calcitonin Gene-Related Peptide Receptor Antagonists) RN - 0 (Piperidines) RN - 0 (Placebos) RN - 0 (Pyridines) RN - 0 (Serotonin 5-HT1 Receptor Agonists) RN - 1383NM3Q0H (rimegepant sulfate) RN - 8R78F6L9VO (Sumatriptan) RN - JHB2QIZ69Z (Calcitonin Gene-Related Peptide) SB - IM CIN - Cephalalgia. 2014 Oct;34(12):1028-9. PMID: 24615704 CIN - Cephalalgia. 2015 Apr;35(4):366-7. PMID: 25022695 MH - Acute Disease MH - Adolescent MH - Adult MH - Aged MH - Calcitonin Gene-Related Peptide/*physiology MH - *Calcitonin Gene-Related Peptide Receptor Antagonists MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - Middle Aged MH - Migraine Disorders/*drug therapy MH - Piperidines/*administration & dosage/adverse effects MH - Placebos MH - Pyridines/*administration & dosage/adverse effects MH - Serotonin 5-HT1 Receptor Agonists/administration & dosage/adverse effects MH - Sumatriptan/administration & dosage/adverse effects MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - BMS-927711 OT - Calcitonin gene-related peptide OT - double-blind OT - migraine EDAT- 2013/08/24 06:00 MHDA- 2014/09/05 06:00 CRDT- 2013/08/23 06:00 PHST- 2013/08/23 06:00 [entrez] PHST- 2013/08/24 06:00 [pubmed] PHST- 2014/09/05 06:00 [medline] AID - 0333102413500727 [pii] AID - 10.1177/0333102413500727 [doi] PST - ppublish SO - Cephalalgia. 2014 Feb;34(2):114-25. doi: 10.1177/0333102413500727. Epub 2013 Aug 21.