FDA Migraine Guidance Offers ‘Alternative’ Trial Design With Patient-Focused Endpoint

Sponsor would need “no pain” result at two hours, but could use patient-identified symptom as co-primary endpoint.

FDA’s draft guidance for development of acute migraine drugs outlines an approach that includes a co-primary endpoint design including a “no pain” result, as opposed to just a reduction of pain, and another measure that would be based on effect on the most “bothersome symptom,” as prospectively identified by the patient.

The draft guidance notes that migraine is complex and that “effect on headache pain alone is not considered...

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