A Study to Measure the Safety and Effectiveness of Zonisamide in Subjects With Migraine Headache
A Study to Measure the Safety and Effectiveness of Zonisamide in Subjects With Migraine Headache
The purpose of this study is to determine if zonisamide is effective as a preventative
 medication for individuals with migraine headache.
The pharmacologic treatment of migraine may be acute (abortive, symptomatic) or preventive
 (prophylactic). Preventive medication is usually given daily for months or years; however,
 treatment may also be given in an intermittent regimen. Most migraine prophylactic
 medications were designed to treat other disorders, and they can be divided into three
 groups:

 1. Serotonergic or monoaminergic agents such as methysergide, which have demonstrated high
 degrees of effectiveness;

 2. Non-serotonergic drugs such as beta-blockers, tricyclic antidepressants, valproate; and

 3. Drugs with lesser demonstrated effectiveness, such as selective serotonin reuptake
 inhibitors, calcium channel antagonists, and non-steroidal anti-inflammatory drugs.

 The choice of treatment must be individualized, and is influenced by contraindications,
 potential side effects, the need to treat associated symptoms like tension-type headache and
 insomnia, and drug cost.

 Anticonvulsants, such as valproate, have shown significant degrees of efficacy in migraine
 prophylaxis when used in low doses. Considering the differences in proposed mechanisms of
 action of these agents, it is likely that a novel anticonvulsant such as zonisamide may also
 be an effective prophylactic treatment for migraine.
INCLUSION:

 Subjects who meet all the following criteria will be eligible to participate in the study:

 -  Are men or women, between the ages of 18 and 65, inclusive.

 -  Satisfy diagnostic criteria for migraine headache, consistent with criteria described
 in Headache Classification Criteria.

 -  Have at least 4 migraine attacks per 28 days [each attack separated by at least 48
 hours] prior to the Screening Visit and experience at least 4 migraine attacks during
 the Screen/Baseline Phase.

 -  Agree to not become pregnant during the study and agree to use an adequate method of
 birth control during the study such as an adequate barrier method, hormonal
 contraceptive, or surgical sterilization. All women of childbearing potential must
 have a negative pregnancy test before entering the study and during the study.

 -  Are able to swallow the capsules whole.

 -  Are willing and able to follow Investigator instructions and study procedures,
 complete the daily diary, and report adverse events.

 EXCLUSION:

 Subjects meeting any of the following criteria will not be eligible to participate in this
 study:

 -  Have required more than 3 different rescue medications for control of a single attack
 anytime within 3 months prior to the Screening Visit.

 -  Have cluster headache or chronic tension type headache and are unable to distinguish
 between their different types of headache.

 -  Have basilar or hemiplegic migraine.

 -  Have used triptans more than 3 times per week within 3 months prior to the Screening
 Visit.

 -  Have received botulinum toxin injection(s) within 3 months prior to the Screening
 Visit.

 -  Have taken any other prophylactic medications for migraine within 5 half-lives prior
 to the Baseline Visit.

 -  Are pregnant or lactating.

 -  Have a history or current diagnosis of psychiatric disorder likely to require
 pharmacological intervention (e.g., antidepressants, MAO inhibitors, antipsychotics,
 mood-stabilizers, anxiolytics) during the study.

 -  Have clinically unstable cardiovascular, hepatic, renal, gastrointestinal, pulmonary,
 metabolic, endocrine or other systemic disease.

 -  Have laboratory test results that, in the opinion of the Investigator, are clinically
 significant abnormalities.

 -  Require treatment with any medication (e.g., daily opioids, daily beta-blockers, daily
 non-steroidal anti-inflammatory drugs, carbonic anhydrase inhibitors, eletriptan) or
 herbal supplements (e.g., St. John's Wort, ginseng, ginkgo biloba, kava kava,
 melatonin, petadolex) that might interact adversely with, or obscure, the action of
 the study medication.

 -  Have received psychoactive medication (e.g., other anticonvulsant drugs,
 antidepressants, antipsychotics, anxiolytics, mood stabilizers) within 5 half-lives
 prior to the Baseline Visit.

 -  Have previously enrolled in this study or previously treated with zonisamide.

 -  Have previously failed an adequate trial of another antiepilepsy drug for the
 treatment of migraine.

 -  Have a history of allergy or hypersensitivity to zonisamide or other sulfonamides.

 -  Have a history of skin rash, without other diagnosis, associated with any medication
 or any medical condition.

 -  Have a history of nephrolithiasis.

 -  Have received an experimental drug or used an experimental device within 30 days of
 the Screening Visit.

 -  Have a history of drug or alcohol abuse within 12 months prior to the Screening Visit.