Journal of Neurology

, Volume 251, Issue 8, pp 943– 950

Topiramate in migraine prophylaxis

Results from a placebo–controlled trial with propranolol as an active control
  • Hans-Christoph Diener
  • P. Tfelt-Hansen
  • C. Dahlöf
  • M. J. A. Láinez
  • G. Sandrini
  • Sh.-J. Wang
  • W. Neto
  • U. Vijapurkar
  • A. Doyle
  • D. Jacobs
  • on behalf of the MIGR-003 Study Group
ORIGINAL COMMUNICATION

DOI: 10.1007/s00415-004-0464-6

Cite this article as:
Diener, HC., Tfelt-Hansen, P., Dahlöf, C. et al. J Neurol (2004) 251: 943. doi:10.1007/s00415-004-0464-6

Abstract.

Topiramate (TPM) has shown efficacy in migraine prophylaxis in two large placebo–controlled, dose–ranging trials. We conducted a randomised, doubleblind, multicentre trial to evaluate the efficacy and safety of two doses of topiramate vs placebo for migraine prophylaxis, with propranolol (PROP) as an active control. Subjects with episodic migraine with and without aura were randomised to TPM 100 mg/d, TPM 200 mg/d, PROP 160 mg/d (active control), or placebo. The primary efficacy measure was the change in mean monthly migraine frequency from the baseline phase relative to the double–blind treatment phase. Five hundred and seventy–five subjects were enrolled from 61 centres in 13 countries. TPM 100 mg/d was superior to placebo as measured by reduction in monthly migraine frequency, overall 50% responder rate, reduction in monthly migraine days, and reduction in the rate of daily rescue medication use. The TPM 100 mg/d and PROP groups were similar with respect to reductions in migraine frequency, responder rate, migraine days, and daily rescue medication usage. TPM 100 mg/d was better tolerated than TPM 200 mg/d, and was generally comparable to PROP. No unusual or unexpected safety risks emerged. These findings demonstrate that TPM 100 mg/d is effective in migraine prophylaxis. TPM 100 mg/d and PROP 160 mg/d exhibited similar efficacy profiles.

Key words

placebo–controlled  migraine topiramate prophylaxis propranolol 

Copyright information

© Steinkopff Verlag 2004

Authors and Affiliations

  • Hans-Christoph Diener
    • 1
  • P. Tfelt-Hansen
    • 2
  • C. Dahlöf
    • 3
  • M. J. A. Láinez
    • 4
  • G. Sandrini
    • 5
  • Sh.-J. Wang
    • 6
  • W. Neto
    • 7
  • U. Vijapurkar
    • 7
  • A. Doyle
    • 7
  • D. Jacobs
    • 7
  • on behalf of the MIGR-003 Study Group
  1. 1.Department of NeurologyUniversity EssenEssenGermany
  2. 2.Department of NeurologyUniversity of Copenhagen Glostrup HospitalGlostrupDenmark
  3. 3.Gothenburg Migraine ClinicGothenburgSweden
  4. 4.Department of NeurologyHospital Clinico Universitario University of ValenciaValenciaSpain
  5. 5.Headache Centre IRCC C. Mondino FoundationUniversity of PaviaPaviaItaly
  6. 6.Neurological Institute TaipeiVeterans General Hospital and National Yang-Ming University School of MedicineTaipeiTaiwan
  7. 7.Johnson & JohnsonPharmaceutical Research and DevelopmentLLC RaritanNJ USA

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