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. 2012 Feb 15;2012(2):CD009665. doi: 10.1002/14651858.CD009665
Study ID Treatment > 1 dose of study medication available Any AE Specific AEs Serious AEs AE withdrawal Other withdrawals/exclusions
Akpunonu 1995 (1) Sumatriptan 6 mg, n = 88
(2) Placebo, n = 48
No Within 24 hours:
(1) 46/88
(2) 13/48
No data No data No data No data
Bates 1994 (1) Sumatriptan 6 mg, n = 90 (94 for safety)
(2) Placebo, n = 87 (83 for safety)
Yes Within 24 hours:
(1) 43/94
(2) 21/83
No data No data (1) 1/94
(2) 0/83
4 participants originally randomised to placebo took only the second injection (sumatriptan) and were included in safety analysis for sumatriptan
6 participants were excluded from the efficacy analyses either because they took the treatments in the wrong order or because they had inadequate diary booklet information
Bousser 1993 (1) Sumatriptan 6 mg, n = 49 (92 for safety)
(2) Placebo, n = 47 (89 for efficacy)
Yes Drug‐related, within 24 hours:
(1) 34/92
(2) 2/89
Drug‐related:
Injection‐site reaction:
(1) 12/92; (2) 0/89
Paraesthesiae:
(1) 9/92; (2) 0/89
Flushing:
(1) 7/92; (2) 0/89
Palpitations/sweating:
(1) 6/92; (2) 1/89
Digestive disorders:
(1) 4/92; (2) 1/89
Vertigo/malaise:
(1) 4/92; (2) 0/89
Nervousness, anxiety, drowsiness:
(1) 3/92; (2) 2/89
(1) 0/92
(2) 2/89
(1) 0/92
(2) 2/89
Of the 96 participants treating the first attack, 12 did not treat a second attack and were excluded from the cross‐over efficacy population:
9 did not experience a second attack
3 withdrew after first attack (2 for adverse events, 1 for pretreatment biological abnormality)
Cady 1991 Study 1
(1) Sumatriptan 6 mg, n = 384
(2) Placebo, n = 190
Study 2
(1) Sumatriptan 6 mg, n = 350
(2) Placebo, n = 180
Yes Within 48 hours (pooled results for study 1 and study 2):
(1) 622/734
(2) 197/370
Reported by ≥ 1% of participants after single dose only (pooled results for study 1 and study 2):
Flushing:
(1) 36/547; (2) 9/370
Hypertension:
(1) 4/547; (2) 3/370
Throat symptoms:
(1) 18/547; (2) 2/370
Disease of nasal cavity/sinuses:
(1) 12/547; (2) 0/370
Nausea and/or vomiting:
(1) 68/547; (2) 52/370
Abdominal discomfort:
(1) 7/547; (2) 3/370
Injection‐site reaction:
(1) 321/547; (2) 88/370
Pressure sensation:
(1) 39/547; (2) 6/370
Feeling of heaviness:
(1) 40/547; (2) 4/370
Chest symptoms:
(1) 30/547; (2) 5/370
Disorder of mouth/tongue:
(1) 27/547; (2) 17/370
Weakness:
(1) 27/547; (2) 1/370
Neck pain/stiffness:
(1) 26/547; (2) 2/370
Feeling of tightness:
(1) 28/547; (2) 1/370
Anxiety:
(1) 6/547; (2) 2/370
Drowsiness/sedation:
(1) 15/547; (2) 8/370
Dizziness/vertigo:
(1) 65/547; (2) 16/370
Malaise/fatigue:
(1) 6/547; (2) 3/370
Disturbance of taste:
(1) 15/547; (2) 11/370
Burning sensation:
(1) 41/547; (2) 1/370
Numbness:
(1) 25/547; (2) 8/370
Tingling:
(1) 74/547; (2) 11/370
Warm/hot sensation:
(1) 59/547; (2) 13/370
Sweating:
(1) 7/547; (2) 3/370
No data Pooled results for study 1 and study 2:
(1) 6/734
(2) 1/370
No data
Cady 1993 (1) Sumatriptan 6 mg, n = 166
(2) Placebo, n = 144
No Within 72 hours (data from 4 attacks pooled):
(1) 152/166
(2) 62/144
Data from 4 attacks pooled:
Injection‐site reaction:
(1) 131/166; (2) 34/144
Nausea and/or vomiting:
(1) 38/166; (2) 14/144
Tingling:
(1) 38/166; (2) 2/144
Warm/hot sensation:
(1) 31/166; (2) 1/144
Chest symptoms:
(1) 26/166; (2) 0/144
Flushing:
(1) 25/166; (2) 2/144
Pressure sensation:
(1) 23/166; (2) 3/144
Feeling of tightness:
(1) 22/166; (2) 0/144
Migraine:
(1) 21/166; (2) 4/144
Disorder of mouth/tongue:
(1) 20/166; (2) 3/144
Numbness:
(1) 9/166; (2) 3/144
Disease of nasal cavity/sinuses:
(1) 8/166; (2) 2/144
Hypertension:
(1) 6/166; (2) 2/144
Data from 4 attacks pooled:
(1) 5/166
(2) 3/144
Data from 4 attacks pooled:
(1) 3/166
(2) 0/144
47 participants withdrawn due to failure to treat all 4 attacks in cross‐over study
Cady 1998 (1) Sumatriptan 6 mg, n = 67
(2) Placebo, n = 68
Yes Within 14 days:
(1) 35/67
(2) 14/68
Experienced by > 5% of participants in sumatriptan group
Warm or hot sensation:
(1) 10/67; (2) 1/68
Nausea and vomiting:
(1) 7/67; (2) 2/68
Dizziness:
(1) 5/67; (2) 2/68
Injection‐site reaction:
(1) 5/67; (2) 2/68
Pressure sensation:
(1) 5/67; (2) 0/68
Chest tightness:
(1) 4/67; (2) 0/68
Tingling:
(1) 4/67; (2) 0/68
No data (1) 0/67
(2) 0/68
3 participants randomised to placebo were excluded from the efficacy analyses:
1 failed to return to the clinic
2 did not use treatment in accordance with the study protocol
Dahlof 1992 (1) Sumatriptan 8 mg, n = 27
(2) Placebo, n = 27
No No data No data No data No data No data
Dahlof 1998 (1) Sumatriptan 6 mg, n = 47
(2) Naratriptan 0.5 mg, n = 60
(3) Naratriptan 1 mg, n = 55
(4) Naratriptan 2.5 mg, n = 42
(5) Naratriptan 5 mg, n = 34
(6) Naratriptan 10 mg, n = 34
(7) Placebo, n = 63
No Within 5 days:
(1) 25/47
(2) 20/60
(3) 16/55
(4) 18/42
(5) 20/34
(6) 24/34
(7) 14/63
Occurring in ≥ 7 participants in any naratriptan treatment group:
Malaise/fatigue:
(1) 4/47; (2) 4/60; (3) 2/55; (4) 4/42; (5) 6/34; (6) 12/34; (7) 2/63
Feeling of heaviness:
(1) 8/47; (2) 3/60; (3) 3/55; (4) 4/42; (5) 6/34; (6) 7/34; (7) 3/63
Injection‐site reaction:
(1) 6/47; (2) 2/60; (3) 3/55; (4) 3/42; (5) 4/34; (6) 7/34; (7) 3/63
Warm/hot sensation:
(1) 4/47; (2) 2/60; (3) 1/55; (4) 2/42; (5) 3/34; (6) 9/34; (7) 1/63
Tingling:
(1) 4/47; (2) 2/60; (3) 3/55; (4) 1/42; (5) 2/34; (6) 6/34; (7) 2/63
Dizziness/vertigo:
(1) 2/47; (2) 2/60; (3) 3/55; (4) 0/42; (5) 2/34; (6) 3/34; (7) 1/63
Pressure sensation:
(1) 3/47; (2) 0/60; (3) 1/55; (4) 1/42; (5) 3/34; (6) 4/34; (7) 0/63
Nausea/vomiting:
(1) 1/47; (2) 1/60; (3) 2/55; (4) 2/42; (5) 0/34; (6) 3/34; (7) 5/63
Chest pressure:
(1) 2/47; (2) 1/60; (3) 0/55; (4) 3/42; (5) 0/34; (6) 3/34; (7) 1/63
No data (1) 0/47
(2) 0/60
(3) 0/55
(4) 0/42
(5) 0/34
(6) 0/34
(7) 0/63
No data
Diener 1999 (1) Sumatriptan 6 mg, n = 114 (116 for safety)
(2) Intravenous acetylsalicylic acid lysinate 1.8 g, n = 119
(3) Placebo, n = 42 (43 for safety)
No Within 48 hours:
(1) 38/116
(2) 9/119
(3) 4/43
Only reported as number of events occurring rather than number of participants with specific AEs No data No data 3 participants (2 from sumatriptan group and 1 from placebo group) excluded from efficacy analyses due to violation of exclusion criteria
Diener 2001 (1) Sumatriptan 6 mg, n = 317
(2) Alniditan 1.4 mg, n = 309
(3) Alniditan 1.8 mg, n = 141
(4) Placebo, n = 157
No Within 48 hours:
(1) 210/317
(2) 214/309
(3) 91/141
(4) 62/157
Occurring in > 5% of all participants:
Headache:
(1) 74/317; (2) 60/309; (3) 38/141; (4) 5/157
Paraesthesia:
(1) 40/317; (2) 59/309; (3) 27/141; (4) 9/157
Fatigue:
(1) 46/317; (2) 47/309; (3) 21/141; (4) 10/157
Chest pain:
(1) 28/317; (2) 36/309; (3) 25/141; (4) 2/157
Application site reaction:
(1) 46/317; (2) 22/309; (3) 6/141; (4) 10/157
Change in temperature sensation:
(1) 29/317; (2) 17/309; (3) 11/141; (4) 8/157
Nausea:
(1) 29/317; (2) 19/309; (3) 11/141; (4) 2/157
(1) 0/317
(2) 0/309
(3) 1/141
(4) 1/157
No data 3 participants withdrew before trial completion:
1 subject on alniditan 1.4 mg and 1 on sumatriptan were lost to follow‐up, whilst 1 on placebo was noncompliant
All participants included in both efficacy and safety analyses
Facchinetti 1995 (1) Sumatriptan 6 mg, n = 115
(2) Placebo, n = 111
Yes Within 24 hours:
(1) 54/115
(2) 34/111
Reported most frequently:
Dizziness/vertigo:
(1) 12/115; (2) 5/111
Nausea/vomiting:
(1) 10/115; (2) 3/111
Paraesthesia:
(1) 10/115; (2) 3/111
Tingling:
(1) 8/115; (2) 3/111
Warm/hot sensations:
(1) 8/115; (2) 1/111
Injection‐site reaction:
(1) 7/115; (2) 5/111
Throat symptoms:
(1) 7/115; (2) 1/111
Neck pain/stiffness:
(1) 5/115; (2) 2/111
Sweating:
(1) 5/115; (2) 0/111
Pressure sensation:
(1) 2/115; (2) 5/111
No data (1) 3/115
(2) 2/111
47 participants were excluded from the efficacy analyses due to treating a migraine attack outside of the menstrual window (‐3 to +5 days):
32 from the sumatriptan group and 15 from the placebo group
A further 10 participants were excluded from primary efficacy analyses due to insufficient baseline pain intensity:
6 from the sumatriptan group and 4 from the placebo group
Ferrari 1991 (1) Sumatriptan 6 mg, n = 423
(2) Sumatriptan 8 mg, n = 110
(3) Placebo, n = 106
Yes No data Most frequently reported after a single dose only:
Injection‐site reaction:
(1) 26/203; (2) 6/60; (3) 0/13
Nausea or vomiting:
(1) 12/203; (2) 4/60; (3) 0/13
Flushing:
(1) 10/203; (2) 4/60; (3) 2/13
Warm or hot sensation:
(1) 22/203; (2) 6/60; (3) 0/13
Feeling of heaviness:
(1) 24/203; (2) 10/60; (3) 2/13
Pressure sensation:
(1) 18/203; (2) 4/60; (3) 1/13
Weakness:
(1) 6/203; (2) 4/60; (3) 1/13
Drowsiness/sedation:
(1) 2/203; (2) 0/60; (3) 0/13
Dizziness or vertigo:
(1) 2/203; (2) 3/60; (3) 0/13
Malaise or fatigue:
(1) 8/203; (2) 4/60; (3) 2/13
Paraesthesia
(1) 6/203; (2) 4/60; (3) 0/13
Tingling:
(1) 6/203; (2) 3/60; (3) 1/13
Headache:
(1) 1/203; (2) 2/60; (3) 0/13
No data No data 3 participants were excluded from efficacy analyses due to insufficient baseline pain intensity or taking other medications before or during the study
2 other participants were excluded from efficacy analyses after 1 hour due to erroneous treatment with open‐label sumatriptan at 1 hour
Gross 1994 (1) Sumatriptan 6 mg, n = 60
(2) Placebo, n = 26
Yes Within 24 hours:
(1) 33/60
(2) 4/26
Most commonly reported after a single dose only:
Injection site:
(1) 4/40; (2) 0/2
Nausea and vomiting:
(1) 2/40; (2) 0/2
Headache:
(1) 2/40; (2) 0/2
Flushing:
(1) 3/40; (2) 0/2
Burning sensation:
(1) 1/40; (2) 0/2
Tingling:
(1) 3/40; (2) 0/2
Chest symptoms:
(1) 2/40; (2) 0/2
Numbness:
(1) 3/40; (2) 0/2
Paraesthesia:
(1) 3/40; (2) 0/2
Warm/hot sensation:
(1) 3/40; (2) 0/2
No data 1 participant discontinued (group not reported) 1 participant discontinued treatment because of a dislike of injections
Henry 1993 (1) Sumatriptan 6 mg, n = 37
(2) Placebo, n = 39
Yes Drug‐related, within 24 hours:
(1) 10/37
(2) 1/39
Notified as drug‐related:
Flushing:
(1) 1/37; (2) 0/39
Injection‐site reaction:
(1) 1/37; (2) 1/39
Sickness/vertigo/ hypothymia:
(1) 6/37; (2) 0/39
Paraesthesia:
(1) 0/37; (2) 1/39
Drowsiness:
(1) 1/37; (2) 0/39
Thoracic discomfort/laryngeal oppression:
(1) 4/37; (2) 0/39
Muscular weakness:
(1) 1/37; (2) 0/39
Nausea:
(1) 2/37; (2) 0/39
Headache:
(1) 1/37; (2) 0/39
No data (1) 0/37
(2) 0/39
No data
Jensen 1995 (1) Sumatriptan 6 mg, n = 117 attacks (108 for cross‐over efficacy analysis)
(2) Placebo, n = 109 attacks (108 for cross‐over efficacy analysis)
Yes Within 24 hours:
(1) 36/108
(2) 10/108
Only reported as number of events occurring rather than number of participants with specific AEs No drug‐related serious AEs (1) 6/117
(2) 1/109
10 participants treated only 1 attack and were excluded from the cross‐over efficacy analyses.
Mathew 1992 (1) Sumatriptan 1 mg, n = 30
(2) Sumatriptan 2 mg, n = 30
(3) Sumatriptan 3 mg, n = 30
(4) Sumatriptan 4 mg, n = 30
(5) Sumatriptan 6 mg, n = 30
(6) Sumatriptan 8 mg, n = 30
(7) Placebo, n = 62
No Within 24 hours:
(1) 19/30
(2) 20/30
(3) 24/30
(4) 25/30
(5) 26/30
(6) 29/30
(7) 34/62
Most common events:
Flushing:
(1) 0/30; (2) 1/30; (3) 2/30; (4) 1/30; (5) 7/30; (6) 3/30; (7) 1/62
Throat symptoms:
(1) 0/30; (2) 1/30; (3) 2/30; (4) 1/30; (5) 1/30; (6) 1/30; (7) 0/62
Nausea and/or vomiting:
(1) 3/30; (2) 4/30; (3) 1/30; (4) 6/30; (5) 6/30; (6) 5/30; (7) 10/62
Injection‐site reaction:
(1) 15/30; (2) 17/30; (3) 19/30; (4) 20/30; (5) 18/30; (6) 25/30; (7) 21/62
Pressure sensation:
(1) 0/30; (2) 1/30; (3) 2/30; (4) 3/30; (5) 2/30; (6) 1/30; (7) 0/62
Feeling of heaviness:
(1) 0/30; (2) 0/30; (3) 1/30; (4) 1/30; (5) 1/30; (6) 4/30; (7) 1/62
Chest symptoms:
(1) 2/30; (2) 0/30; (3) 1/30; (4) 1/30; (5) 0/30; (6) 3/30; (7) 1/62
Disorder of mouth/tongue:
(1) 2/30; (2) 1/30; (3) 1/30; (4) 1/30; (5) 2/30; (6) 2/30; (7) 1/62
Weakness:
(1) 0/30; (2) 0/30; (3) 1/30; (4) 0/30; (5) 3/30; (6) 2/30; (7) 0/62
Neck pain/stiffness:
(1) 1/30; (2) 1/30; (3) 2/30; (4) 1/30; (5) 3/30; (6) 1/30; (7) 1/62
Feeling of tightness:
(1) 0/30; (2) 0/30; (3) 1/30; (4) 0/30; (5) 2/30; (6) 3/30; (7) 0/62
Myalgia:
(1) 0/30; (2) 0/30; (3) 0/30; (4) 0/30; (5) 0/30; (6) 3/30; (7) 0/62
Migraine:
(1) 1/30; (2) 1/30; (3) 0/30; (4) 4/30; (5) 2/30; (6) 1/30; (7) 0/62
Drowsiness/sedation:
(1) 2/30; (2) 0/30; (3) 0/30; (4) 2/30; (5) 0/30; (6) 0/30; (7) 0/62
Dizziness/vertigo:
(1) 1/30; (2) 3/30; (3) 2/30; (4) 2/30; (5) 3/30; (6) 2/30; (7) 6/62
Malaise/fatigue:
(1) 0/30; (2) 1/30; (3) 1/30; (4) 2/30; (5) 1/30; (6) 0/30; (7) 1/62
Feeling strange:
(1) 1/30; (2) 1/30; (3) 2/30; (4) 0/30; (5) 0/30; (6) 1/30; (7) 0/62
Burning sensation:
(1) 1/30; (2) 1/30; (3) 2/30; (4) 2/30; (5) 2/30; (6) 2/30; (7) 0/62
Numbness:
(1) 1/30; (2) 1/30; (3) 0/30; (4) 1/30; (5) 3/30; (6) 1/30; (7) 2/62
Tingling:
(1) 1/30; (2) 1/30; (3) 2/30; (4) 3/30; (5) 7/30; (6) 4/30; (7) 3/62
Cold sensation:
(1) 0/30; (2) 0/30; (3) 0/30; (4) 2/30; (5) 1/30; (6) 2/30; (7) 1/62
Warm/hot sensation:
(1) 0/30; (2) 3/30; (3) 2/30; (4) 2/30; (5) 5/30; (6) 3/30; (7) 2/62
Headache:
(1) 0/30; (2) 0/30; (3) 1/30; (4) 0/30; (5) 1/30; (6) 4/30; (7) 0/62
Sweating:
(1) 0/30; (2) 0/30; (3) 1/30; (4) 0/30; (5) 3/30; (6) 1/30; (7) 0/62
No data No data No data
Mushet 1996 Study 1
(1) Sumatriptan 6 mg, n = 40
(2) Placebo, n = 39
Study 2
(1) Sumatriptan 6 mg, n = 40
(2) Placebo, n = 39
No No data Occurring in ≥ 5% of participants in any treatment group within 24 hours (results from study 1 and study 2 pooled):
Injection‐site reaction:
(1) 27/79; (2) 14/79
Nausea/vomiting:
(1) 10/79; (2) 11/79
Migraine:
(1) 10/79; (2) 7/79
Tingling:
(1) 8/79; (2) 4/79
Warm/hot sensation:
(1) 5/79; (2) 3/79
Disease of nasal cavity:
(1) 3/79; (2) 4/79
Disorder of mouth/tongue:
(1) 5/79; (2) 2/79
Flushing:
(1) 4/79; (2) 2/79
Malaise/fatigue:
(1) 3/79; (2) 3/79
Dizziness/vertigo:
(1) 3/79; (2) 2/79
Chest symptoms:
(1) 5/79; (2) 0/79
Feeling of heaviness:
(1) 5/79; (2) 0/79
Headache:
(1) 4/79; (2) 1/79
Joint symptoms:
(1) 3/79; (2) 0/79
Weakness:
(1) 3/79; (2) 0/79
Burning sensation:
(1) 4/79; (2) 0/79
Neck pain/stiffness:
(1) 2/79; (2) 1/79
Muscle cramps:
(1) 1/79; (2) 2/79
Numbness:
(1) 2/79; (2) 0/79
Feeling of tightness:
(1) 2/79; (2) 0/79
(1) 0/79
(2) 0/79
(1) 0/79
(2) 0/79
No participant discontinued the study
Pfaffenrath 1991 (1) Sumatriptan 6 mg, n = 155
(2) Placebo, n = 80
Yes Within 24 hours:
(1) 60/155
(2) 15/80
Most commonly reported after a single dose only:
Flushing:
(1) 7/107; (2) 0/20
Nausea/vomiting:
(1) 7/107; (2) 0/20
Injection‐site reaction:
(1) 11/107; (2) 0/20
Neck pain/stiffness:
(1) 5/107; (2) 0/20
Migraine:
(1) 0/107; (2) 1/20
Dizziness/vertigo:
(1) 7/107; (2) 0/20
Malaise/fatigue:
(1) 4/107; (2) 1/20
Numbness:
(1) 3/107; (2) 0/20
Feeling of heaviness:
(1) 3/107; (2) 1/20
No data (1) 3/155
(2) 0/80
13 participants were excluded from the efficacy analyses (7 from sumatriptan group and 6 from placebo group):
2 did not provide diary card data
11 failed to use the auto‐injector properly
Russell 1994 (1) Sumatriptan 6 mg, n = 209
(2) Placebo, n = 209
Yes Within 24 hours (after 1 dose only):
(1) 35/102
(2) 1/41
Most frequent events after single dose only:
Injection‐site reaction:
(1) 3/102; (2) 0/41
Tachycardia:
(1) 4/102; (2) 0/41
Chest symptoms:
(1) 2/102; (2) 0/41
Dizziness/vertigo:
(1) 7/102; (2) 0/41
Nausea and/or vomiting:
(1) 2/102; (2) 0/41
Headache:
(1) 2/102; (2) 0/41
Paraesthesia:
(1) 7/102; (2) 0/41
Pressure sensation:
(1) 4/102; (2) 0/41
Dyspnoea:
(1) 2/102; (2) 0/41
Discomfort:
(1) 2/102; (2) 0/41
(1) 1/224
(2) 0/220
(1) 3/224
(2) 0/220
21 participants were excluded from the cross‐over efficacy analyses:
16 treated only 1 attack (10 with sumatriptan and 6 with placebo)
5 had missing diary data for 1 or both attacks
S2BL99 (1) Sumatriptan 6 mg, n = 125
(2) Oral ASA 1000 mg + MCP 10 mg, n = 130
Yes Within 24 hours:
(1) 59/125
(2) 27/130
Malaise/fatigue:
(1) 12/125; (2) 4/130
Throat symptoms:
(1) 7/125; (2) 0/130
Tingling:
(1) 7/125; (2) 0/130
Dizziness/vertigo:
(1) 6/125; (2) 1/130
Nausea and/or vomiting:
(1) 6/125; (2) 9/130
Burning sensation:
(1) 5/125; (2) 0/130
Flushing:
(1) 5/125; (2) 0/130
Injection‐site reaction:
(1) 5/125; (2) 1/130
Warm/hot sensation:
(1) 5/125; (2) 0/130
Pruritis:
(1) 4/125; (2) 1/130
Chest symptoms:
(1) 4/125; (2) 0/130
Neck pain/stiffness:
(1) 4/125; (2) 0/130
Paraesthesia:
(1) 4/125; (2) 0/130
Drowsiness/sedation:
(1) 2/125; (2) 6/130
Disease of nasal cavity/sinuses:
(1) 2/125; (2) 1/130
Dyspnoea:
(1) 2/125; (2) 1/130
Abdominal discomfort:
(1) 1/125; (2) 3/130
Diarrhoea:
(1) 1/125; (2) 2/130
Palpitations:
(1) 1/125; (2) 1/130
Gastric symptoms:
(1) 1/125; (2) 1/130
Disorder of mouth/tongue:
(1) 1/125; (2) 1/130
Feeling of heaviness:
(1) 0/125; (2) 1/130
(1) 0/125
(2) 1/130
(1) 6/125
(2) 1/130
Withdrawals due to lack of efficacy:
(1) 2/125*
(2) 0/130
Other withdrawals:
(1) 2/125
(2) 7/130
*One subject withdrew due to both AE and lack of efficacy and is counted in both groups
S2BM03 (1) Sumatriptan 6 mg (+ placebo at 4 h), n = 106 (90 for cross‐over efficacy analysis, of which 87 had moderate or severe baseline pain intensity)
(2) Placebo (+ sumatriptan 6 mg at 4 h), n = 106 (90 for cross‐over efficacy analysis, of which 81 had moderate or severe baseline pain intensity)
Yes No useable data No useable data (1) 0/106
(2) 0/106
(1) 0/106
(2) 0/106
Withdrawn for other reasons after randomisation (some before taking study medication):
(1) 17/106
(2) 19/106
S2BS78 (1) Sumatriptan 6 mg, n = 236
(2) Placebo, n = 117
Yes No useable data No useable data (1) 0/236
(2) 0/117
(1) 15/236
(2) 4/117
Withdrawn for other reasons after randomisation (some before taking study medication):
(1) 28/249
(2) 14/122
Sang 2004 (1) Sumatriptan 6 mg, n = 15
(2) Intravenous LY293558 1.2 mg/kg, n = 13
(3) Placebo, n = 16
No Within 24 hours:
(1) 8/15
(2) 2/13
(3) 5/16
Reported by > 10% of participants:
Chest/throat symptoms:
(1) 2/15; (2) 0/13; (3) 0/16
Disorientation:
(1) 4/15; (2) 1/13; (3) 1/16
Dizziness:
(1) 4/15; (2) 2/13; (3) 2/16
Heaviness/tingling:
(1) 5/15; (2) 0/13; (3) 0/16
Sedation/drowsiness:
(1) 5/15; (2) 2/13; (3) 4/16
Visual symptoms:
(1) 4/15; (2) 1/13; (3) 1/16
Warmth:
(1) 5/15; (2) 1/13; (3) 1/16
No data No data 1 participant randomised to LY293558 withdrew before receiving treatment
Schulman 2000 (1) Sumatriptan 6 mg, n = 79
(2) Placebo, n = 40
No Drug‐related within 24 hours:
(1) 15/79
(2) 3/40
No data (1) 0/79
(2) 0/40
(1) 1/79
(2) 0/40
3 participants were excluded from the efficacy analyses (all in sumatriptan group) due to incomplete diary data
SUM40286 (1) Sumatriptan 6 mg, n = 146 (145 for efficacy)
(2) Placebo, n = 153 (152 for efficacy)
Yes Up to final visit:
(1) 36/146
(2) 21/153
Nausea:
(1) 9/146; (2) 3/153
Other pressure/tightness:
(1) 9/146; (2) 0/153
Injection‐site reaction:
(1) 8/146; (2) 3/153
Dizziness:
(1) 6/146; (2) 0/153
Chest symptoms:
(1) 5/146; (2) 0/153
Temperature sensation:
(1) 5/146; (2) 2/153
Paraesthesia:
(1) 3/146; (2) 2/153
Migraine:
(1) 3/146; (2) 1/153
Burning/stinging sensation:
(1) 2/146; (2) 1/153
Headache:
(1) 2/146; (2) 1/153
Disturbance of sense of taste:
(1) 0/146; (2) 1/153
Malaise and fatigue:
(1) 0/146; (2) 1/153
Nasal inflammation:
(1) 0/146; (2) 1/153
Sinusitis:
(1) 0/146; (2) 1/153
Temperature regulation disturbances:
(1) 0/146; (2) 1/153
Throat and tonsil discomfort and pain:
(1) 0/146; (2) 1/153
(1) 0/146
(2) 0/153
(1) 0/146
(2) 0/153
Withdrawn for other reasons after randomisation (some before taking study medication):
(1) 29/175
(2) 30/182
SUM40287 (1) Sumatriptan 6 mg, n = 149 (148 for efficacy)
(2) Placebo, n = 139
Yes Up to final visit:
(1) 45/149
(2) 13/139
Injection‐site reaction:
(1) 7/149; (2) 2/139
Temperature sensation:
(1) 7/149; (2) 0/139
Nausea:
(1) 6/149; (2) 3/139
Paraesthesia:
(1) 6/149; (2) 1/139
Dizziness:
(1) 5/149; (2) 3/139
Chest symptoms:
(1) 4/149; (2) 2/139
Malaise and fatigue:
(1) 2/149; (2) 0/139
Breathing disorder:
(1) 1/149; (2) 0/139
Headache:
(1) 1/149; (2) 0/139
Nasal signs and symptoms:
(1) 1/149; (2) 0/139
Other pressure/tightness:
(1) 1/149; (2) 0/139
Sweating:
(1) 1/149; (2) 2/139
Tachycardia:
(1) 1/149; (2) 1/139
Temperature regulation disturbances:
(1) 1/149; (2) 0/139
Vomiting:
(1) 1/149; (2) 2/139
Disturbance of sense of taste:
(1) 0/149; (2) 1/139
Drowsiness:
(1) 0/149; (2) 1/139
Somnolence:
(1) 0/149; (2) 1/139
(1) 0/149
(2) 0/139
(1) 0/149
(2) 0/139
Withdrawn for other reasons after randomisation (some before taking study medication):
(1) 28/177
(2) 36/174
Thomson 1993 (1) Sumatriptan 4 mg, n = 28
(2) Placebo, n = 23
No Within 24 hours:
(1) 23/28
(2) 4/23
No data (1) 0/28
(2) 0/23
No data 1 participant was excluded from efficacy analyses because of protocol violation (use of ergotamine within 24 hours)
Touchon 1996 (1) Sumatriptan 6 mg, n = 278
(2) DHE nasal spray 1 mg, n = 277
Yes Within 24 hours:
(1) 120/278
(2) 62/277
No data No data (1) 3/278
(2) 1/277
12 participants withdrawn after treating first attack (including 4 adverse event withdrawals)
11 participants failed to treat a second attack, therefore 266 participants evaluable for cross‐over efficacy analyses.
Visser 1992 (1) Sumatriptan 1 mg, n = 170
(2) Sumatriptan 2 mg, n = 171
(3) Sumatriptan 3 mg, n = 172
(4) Placebo, n = 172
Yes Only pooled results for all 3 doses of sumatriptan versus placebo given Only pooled results for all 3 doses of sumatriptan versus placebo given (1) 0/170
(2) 0/171
(3) 0/172
(4) 0/172
(1) 0/170
(2) 0/171
(3) 0/172
(4) 0/172
No data
Wendt 2006 (1) Sumatriptan 4 mg, n = 384
(2) Placebo, n = 193
No Within 24 hours:
(1) 265/384
(2) 75/193
Occurring in ≥ 1% of participants in either treatment group:
Injection‐site reaction:
(1) 165/384; (2) 28/193
Tingling:
(1) 45/384; (2) 6/193
Dizziness or vertigo:
(1) 40/384; (2) 10/193
Warm or hot sensation:
(1) 30/384; (2) 4/193
Nausea and/or vomiting:
(1) 28/384; (2) 15/193
Pressure sensation:
(1) 22/384; (2) 2/193
Burning sensation:
(1) 20/384; (2) 1/193
Chest symptoms:
(1) 20/384; (2) 2/193
Feeling of heaviness:
(1) 20/384; (2) 1/193
Disorder of mouth or tongue:
(1) 17/384; (2) 2/193
Numbness:
(1) 12/384; (2) 5/193
Drowsiness or sedation:
(1) 11/384; (2) 4/193
Flushing:
(1) 10/384; (2) 7/193
Malaise/fatigue:
(1) 9/384; (2) 3/193
Disturbance of hearing:
(1) 8/384; (2) 0/193
Feeling strange:
(1) 7/384; (2) 3/193
Neck pain or stiffness:
(1) 7/384; (2) 1/193
Cold sensation:
(1) 7/384; (2) 0/193
Sweating:
(1) 6/384; (2) 1/193
Nasal or sinus discomfort:
(1) 5/384; (2) 2/193
Tight feeling in head:
(1) 5/384; (2) 0/193
Weakness:
(1) 5/384; (2) 3/193
Anxiety:
(1) 4/384; (2) 0/193
Throat symptoms:
(1) 4/384; (2) 0/193
(1) 1/384
(2) 5/193
No data No data
Winner 1996 (1) Sumatriptan 6 mg, n = 158
(2) Subcutaneous dihydroergotamine (DHE) mesylate 1 mg, n = 152
Yes Only number of events reported rather than number of participants with event Clinically relevant AEs occurring within 24 hours:
Nausea:
(1) 9/158; (2) 24/152
Vomiting:
(1) 6/158; (2) 10/152
Chest pain:
(1) 9/158; (2) 1/152
(1) 0/158
(2) 0/152
(1) 0/158
(2) 2/152
No data
Winner 2006 Study 1
(1) Sumatriptan 6 mg, n = 146
(2) Placebo, n = 153
Study 2
(1) Sumatriptan 6 mg, n = 149
(2) Placebo, n = 139
Yes Drug‐related (results from study 1 and study 2 pooled):
(1) 71/295
(2) 18/292
Most commonly reported:
Nausea:
Study 1
(1) 9/146; (2) 3/153
Study 2
(1) 6/149; (2) 3/139
Injection‐site reaction:
Study 1
(1) 7/146; (2) 3/153
Study 2
(1) 7/149; (2) 1/139
Study 1
(1) 0/146
(2) 0/153
Study 2
(1) 0/149
(2) 0/139
Study 1
(1) 0/146
(2) 0/153
Study 2
(1) 0/149
(2) 0/139
5 participants excluded from efficacy analysis:
3 did not return evaluable data
2 did not have sufficient baseline pain intensity (1 from sumatriptan and one from placebo group in study 1)