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Trial · NCT04066023

Double-Blind Comparison of the Efficacy and Safety of C213 to Placebo for the Acute Treatment of Cluster Headaches

NCT04066023, Phase 2, Phase 3, Completed, Zosano Pharma Corporation; results first posted 2022-05-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Double-Blind Comparison of the Efficacy and Safety of C213 to Placebo for the Acute Treatment of Cluster Headaches. Trials, record NCT04066023. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04066023

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Double-Blind Comparison of the Efficacy and Safety of C213 to Placebo for the Acute Treatment of Cluster Headaches
NCT number
NCT04066023
Status
Completed
Phases
Phase 2, Phase 3
Enrollment
42 participants, actual
Lead sponsor
Zosano Pharma Corporation
Conditions
Cluster Headache
Interventions
C213 Microneedle System, Placebo
First posted
2019-08-22
Last updated
2022-06-14
Results first posted
2022-05-02
Limitations and caveats
The COVID-19 pandemic had significant impact: Enrollment was hampered; therefore, Zosano ended the trial with 42 subjects randomized and 23 subjects who treated a Cluster attack. The study was thus underpowered to detect a difference between C213 doses and placebo. The protocol was amended to allow for feasible assessments to be done virtually and permit in home monthly pregnancy testing. The monitoring plan and Zosano Pharma vendor management plan were updated to allow for remote monitoring.

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Subjects Who Achieve Pain Relief15 minutesPain relief is defined by a decrease in pain from severe to mild or none without the use of acute rescue medication.
PrimaryPercentage of Subjects Who Achieve Sustained Pain Relief15 minutes to 60 minutesSustained pain relief requires a pain rating of mild or none at each timepoint from 15 minutes to 60 minutes without the use of acute rescue medication.
SecondaryPercentage of Subjects That Achieve Pain Relief5 minutesPain relief is defined by a decrease in pain from severe to mild or none without the use of acute rescue medication.
SecondaryPercentage of Subjects That Achieve Sustained Pain Relief5 minutes to 60 minutesSustained pain relief requires a pain rating of mild or none at each timepoint within the time frame without the use of acute rescue medication.
SecondaryPercentage of Subjects That Achieve Pain Freedom10 minutesPain freedom is defined by a decrease in pain from severe to none without the use of acute rescue medication.
SecondaryPercentage of Subjects That Achieve Sustained Pain Freedom15 to 60 minutesSustained pain freedom requires a pain rating of none at each timepoint within the time frame without the use of acute rescue medication.
SecondaryPercentage of Subjects Able to Perform Their Usual Daily Activities as Assessed by the Subjectwithin 20 minutes
Whether or not subjects were able to perform their usual daily activities was assessed by subject responses (Yes or No) in the electronic diary (eDiary) to the question, "Do you feel able to perform your usual daily activities?" If a subject responded "Yes" but had used a rescue medication, the subject was considered as not being able to perform the usual daily activities.
SecondaryPercentage of Subjects That Achieve Pain Relief10 minutesPain relief is defined by a decrease in pain from severe to mild or none without the use of acute rescue medication
SecondaryPercentage of Subjects That Achieve Pain Relief20 minutesPain relief is defined by a decrease in pain from severe to mild or none without the use of acute rescue medication.
SecondaryPercentage of Subjects That Achieve Sustained Pain Relief10 minutes to 60 minutesSustained pain relief requires a pain rating of mild or none at each timepoint within the time frame without the use of acute rescue medication.

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Subjects Who Achieve Pain Relief15 minutesModified Intent-to-treat PopulationParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYPercentage of Subjects Who Achieve Sustained Pain Relief15 minutes to 60 minutesModified Intent-to-treat PopulationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Subjects That Achieve Pain Relief5 minutesModified Intent-to-treat PopulationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Subjects That Achieve Sustained Pain Relief5 minutes to 60 minutesModified Intent-to-treat PopulationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Subjects That Achieve Pain Freedom10 minutesModified Intent-to-treat PopulationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Subjects That Achieve Sustained Pain Freedom15 to 60 minutesModified Intent-to-treat PopulationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Subjects Able to Perform Their Usual Daily Activities as Assessed by the Subjectwithin 20 minutesModified Intent-to-treat PopulationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Subjects That Achieve Pain Relief10 minutesParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Subjects That Achieve Pain Relief20 minutesParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Subjects That Achieve Sustained Pain Relief10 minutes to 60 minutesModified Intent-to-treat PopulationParticipantsCOUNT_OF_PARTICIPANTS

Results by group33

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Subjects Who Achieve Pain ReliefPlacebo3Participants
Percentage of Subjects Who Achieve Pain ReliefC213 1.9 mg5Participants
Percentage of Subjects Who Achieve Pain ReliefC213 3.8mg5Participants
Percentage of Subjects Who Achieve Sustained Pain ReliefPlacebo3Participants
Percentage of Subjects Who Achieve Sustained Pain ReliefC213 1.9 mg4Participants
Percentage of Subjects Who Achieve Sustained Pain ReliefC213 3.8mg5Participants
Percentage of Subjects That Achieve Pain ReliefPlacebo0Participants
Percentage of Subjects That Achieve Pain ReliefC213 1.9 mg2Participants
Percentage of Subjects That Achieve Pain ReliefC213 3.8mg1Participants
Percentage of Subjects That Achieve Sustained Pain ReliefPlacebo0Participants

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo12
Overall StudySTARTEDC213 1.9 mg17
Overall StudySTARTEDC213 3.8mg13
Overall StudyCOMPLETEDPlacebo9
Overall StudyCOMPLETEDC213 1.9 mg9
Overall StudyCOMPLETEDC213 3.8mg7
Overall StudyNOT COMPLETEDPlacebo3
Overall StudyNOT COMPLETEDC213 1.9 mg8
Overall StudyNOT COMPLETEDC213 3.8mg6

Adverse events21

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherSunburnInjury, poisoning and procedural complicationsPlacebo191
otherSunburnInjury, poisoning and procedural complicationsC213 1.9 mg090
otherSunburnInjury, poisoning and procedural complicationsC213 3.8mg070
otherApplication site erythemaGeneral disordersPlacebo191
otherApplication site erythemaGeneral disordersC213 1.9 mg292
otherApplication site erythemaGeneral disordersC213 3.8mg070
otherApplication site oedemaGeneral disordersPlacebo191
otherApplication site oedemaGeneral disordersC213 1.9 mg090
otherApplication site oedemaGeneral disordersC213 3.8mg070
otherApplication site bruiseGeneral disordersPlacebo090

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo09
Total, all-cause mortalityC213 1.9 mg09
Total, all-cause mortalityC213 3.8mg07
Total, other adverse eventsPlacebo19
Total, other adverse eventsC213 1.9 mg49
Total, other adverse eventsC213 3.8mg27
Total, serious adverse eventsPlacebo09
Total, serious adverse eventsC213 1.9 mg09
Total, serious adverse eventsC213 3.8mg07

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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The record and each of its lists are JSON, twenty rows a page. No key.

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GET https://conductscience.org/api/trials/v1/NCT04066023/results?page=2