Results from a new pooled data analysis presented at the
European Headache and Migraine Trust International Congress (EHMTIC) 2008
today show that zolmitriptan ('Zomig') nasal spray provided fast and
efficacious relief in the treatment of episodic and chronic cluster
headache. The data shows that zolmitriptan nasal spray provided
significant relief from cluster headache at 30 minutes - this maybe of real
significance for patients whose current treatment options (oxygen inhalation,
self administered sumatriptan injection or a combination of both) are limited
due to inconvenience of use.
Zolmitriptan nasal spray has recently been approved in the
Netherlands, Denmark and Germany by their national licensing authorities for
the acute treatment of cluster headache, but is not yet licensed in the
United Kingdom.
Cluster headache is characterised by recurrent, short-lasting
headache attacks with rapid onset of excruciating pain. It has been reported
to be the most painful type of headache, even compared with migraine and
tension-type headaches. Female sufferers have reported that the pain of
each attack is worse than childbirth.
Data from the meta-analysis of two double-blind, randomised,
cross-over studies involving 121 evaluable adult patients shows that
zolmitriptan nasal spray provided significant cluster headache relief at 30
minutes compared to placebo at both 5 mg and 10 mg doses, meeting the primary
endpoint of the study. The odds ratios (OR) for 5 mg versus placebo is 3.48
(CI: 1.49, 8.10, p=0.004) and for 10 mg versus placebo is 8.68 (CI: 3.35,
22.5, p