Ibuprofen Versus Ibuprofen Plus Caffeine in the Treatment of Migraine.

Study Overview
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Brief Summary
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Primary Objective: - To compare the treatment groups in the reduction of pain score by at least 30 mm on a visual pain scale (VAS) at 60 minutes after study medication intake, compared to the baseline score (obtained before the study medication intake). Secondary Objectives: To assess the proportion of patients with more than 50% pain relief, according to the VAS score at 45 minutes after study medication intake compared to baseline Determine the following aspects in the timing of study medication intake: Time to the first perception of pain relief Time to onset of meaningful pain relief Reduction of pain at 15, 30, 45, 60, 120 and 240 minutes after study medication intake, to be evaluated as the difference between the scores on VAS in each period and baseline To assess the pain according to the five items of Headache Relief Rating - HRR (0: strong worsening 1: slight worsening 2: no change 3: slight improvement 4: strong improvement) at 15, 30, 45 and 60 minutes after study medication intake, according to the diaries completed by the patients To check the proportion of the patients requiring the third tablet of study medication within 24 hours of starting the study treatment and when it occurred To check the timing and frequency of rescue medication intake, as well as the proportion of patients who used these medications within 24 hours of starting the treatment Safety assessment.

Official Title
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National, Controlled, Randomized, Double-blind, Parallel Study to Investigate the Efficacy of 2 Capsules of Ibuprofen 400mg in Association With Caffeine 100mg in Fixed Dose Combination Compared to Two Capsules of Ibuprofen 400mg in the Treatment of Migraine

Conditions
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Pain

Intervention / Treatment
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* Drug: IBUPROFEN + CAFFEINE
* Drug: IBUPROFEN


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: 18 years old to less ore equal than 65 with migraine defined according to the criteria of the headache Classification Committee (ICHD II) of the International Headache Society (HIS) Migraine first onset before 50 years old Occurrence of at least one episode every two months or up to 8 episodes per month during the previous 3 months, which must not exceed 14 days per month Pain relief with the use of Over The Counter (OTC) medicines by at least 75% of episodes Headache of at least moderate intensity (VAS greater than 30 mm), at least 75% of episodes Absence of caffeine and black tea at least 2 hours before and one hour after drug administration Exclusion criteria: Use of acupuncture, homeopathy and/or phytotherapy Use of Tryptanes in the last 30 hours, no steroidal anti-inflammatory drugs in the last 48 hours and analgesics in the last 15 hours Use of analgesics drug products for more than 10 days per month, consecutive or not, for a period exceeding three months Other types of headache that is not migraine, according to the International Classification of Headache Disorders (ICHD II) Chronic and complicated migraine, according to ICHD II Coexisting disease or significant medical conditions which in the investigators judgment interfere and/or prevent the individuals proper participation in the study Treatment with methotrexate, glucocorticoids, anticoagulants and/or lithium Hypersensibility to study medication (or any component of the formula), to acetyl salicylic, no steroidal anti-inflammatory drugs and/or any other analgesic or antipyretic Nasal polyps, asthma and / or other allergic manifestations Subjects with edema, diarrhea and/or vomiting, who are not eating or drinking fluids properly according to the investigators judgment or experiencing visual disorders Use of antihypertensive medications and/or psychoactive in the last 6 months History of anorexia, bulimia and/or mental disorders History of tachycardia, arrhythmia, congestive heart failure, coronary artery disease and/or coagulopathy History of thyroid disease and/or parathyroid disease, liver disease and/or gastrointestinal History of dyspeptic disorder, including gastritis, peptic ulcer and/or gastrointestinal bleeding Impaired renal function tests and/or history of renal disease, including kidney failure Pregnant (or planning to become pregnant during the course of the study) or who are breast feeding Woman in childbearing age, childbearing potential not protected by an effective contraceptive method of birth control. Status of pregnancy should be checked for pregnancy test serum or urine before exposure to the Investigational product. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Ibuprofen+caffeine<br>2 capsules | Drug: IBUPROFEN + CAFFEINE<br>* Pharmaceutical form: capsule Route of administration: oral<br>|
| Active Comparator: Ibuprofen<br>2 capsules | Drug: IBUPROFEN<br>* Pharmaceutical form: capsule Route of administration: oral<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patients with reduction of at least 30mm in the visual scale (VAS) of pain |  | from baseline to 60 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patients with more than 50% of pain reduction |  | up to 45 minutes | 
| Median time of the first perception of pain relief since study medication intake |  | 4 hours | 
| Median time to onset of significant pain relief compared to the time of study medication intake |  | 4 hours | 
| Headache Relief Rating score (HRR) |  | up to 60 mins | 
| Mean of VAS difference between each time after medication intake and the baseline. |  | 15, 30, 45, 60, 120 and 240 minutes post dose | 
| Number of patients who used the third tablet of study medication |  | up to 24 hours | 
| Number of patients requiring rescue medication |  | up to 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Migraine