Efficacy, Safety, Tolerability and Pharmacokinetics of BIBN 4096 BS Versus Placebo in the Treatment of a Single Attack of Acute Migraine Headache
Efficacy, Safety, Tolerability and Pharmacokinetics of BIBN 4096 BS Versus Placebo in the Treatment of a Single Attack of Acute Migraine Headache
Efficacy, Safety, Tolerability and Pharmacokinetics of BIBN 4096 BS in patients with a single
 acute migraine attack with or without aura
Inclusion Criteria:

 -  Man and women with an acute onset of acute migraine headache with or without aura of
 moderate to severe intensity

 -  Established diagnosis of migraine (with or without aura) according to International
 Headache Society (IHS) criteria for >= 1 year; age of onset <= 50 years

 -  Current age is 18-65 years

 -  Study drug treatment to begin in less than 6 hours of the onset of migraine headache
 which is not spontaneously improving. Time of awakening with a migraine headache is
 considered as time of onset provided no headache was present prior to sleep

 -  History of 1 to 6 migraine headaches per month for the preceding 6 months

 -  Ability to give written informed consent in accordance with International Committee on
 Harmonisation - Good Clinical Practice (ICH-GCP) and local legislation

 Exclusion Criteria:

 -  Use of prescription and non-prescription medications for migraine prophylaxis within 2
 weeks prior to treatment including Selective Serotonin Reuptake Inhibitors (SSRIs)
 (except fluoxetine which should have a 6 weeks washout), flunarizine (which should
 have a 4 week washout) and Mono-amino-oxidase-inhibitors drugs (MAOIs)

 -  Use of paracetamol (acetaminophen), aspirin, Non-steroidal anti-inflammatory drugs
 (NSAIDS), barbiturates or anti-emetics within 12 hours of taking study drug or of any
 'triptan', ergotamine preparation or opiate analgesics within 48 hours prior to study
 drug administration or the use of analgesics > 10 days/months

 -  History of significant medical (i.e. coronary artery disease by history, renal
 failure), neurological (including epilepsy and structural brain lesions) or
 psychiatric disorders

 -  History, clinical evidence or screening or baseline electrocardiogram suggestive of
 cardiovascular disease including ischemic heart disease, Prinzmetal angina, coronary
 vasospasm, history of atherosclerotic heart disease of cardiac arrhythmia

 -  History of known hypertension

 -  History of basilar, ophthalmoplegic or hemiplegic migraine headaches or non-migraine
 headaches (e.g. tension-type headaches) occurring on average >= 10 days per month for
 the preceding 6 months

 -  History of treatment resistance migraine attacks defined as a lack of response to a
 range of commonly used acute anti-migraine compounds

 -  Females who are nursing or pregnant (as determined by a serum pregnancy test at
 screening and a urine pregnancy test at baseline) or of childbearing potential (any
 woman who is not at least 1 year post-menopausal or surgically sterile is considered
 to be of childbearing potential) and not using a medically approved method of birth
 control as defined by local country requirements

 -  Baseline systolic BP >= 160 mmHg or diastolic BP >= 100 mmHg

 -  Any daily intake of prescribed medication within 2 weeks prior to randomization for
 diseases in the investigator's judgment that would contraindicate participation in the
 trial

 -  History of Raynauds' disease

 -  A recent history (six months) of current evidence of alcohol or recreational drug
 abuse as defined by Diagnostic and Statistical Manual of Mental Disorders, 4th Edition
 (DSM- IV) (R97-1072)

 -  Post or present medical conditions that would keep administration of study mediation
 from being in the patient's best interest in the judgment of the clinical investigator

 -  Unwillingness or inability to comply with the protocol (e.g. the patient cannot read
 or write and does not have another person to assist in completing the diary; the
 patient cannot be followed for 1 weeks). Patients unable to give informed consent are
 to be excluded from participation in the trial. Patients with legally appointed
 custodian can not be enrolled in the trial. In case of doubt an independent
 psychiatrist should testify that the patient is able to give informed consent

 -  Use of another investigational drug within a time span of at least ten half-lives but
 never less than 1 month. Concurrent participation in another investigational protocol

 -  Prior exposure to BIBN 4096 BS