This double-blind, placebo-controlled, multicenter, parallel-group stu
dy assessed whether subcutaneous sumatriptan administered during the m
igraine aura would prolong or modify the aura and prevent or delay dev
elopment of the headache. One hundred seventy-one patients (88 receivi
ng 6 mg sumatriptan, 83 receiving placebo) treated a single attack of
migraine with typical aura at home, by self-injection. The median dura
tion of aura following the first injection was 25 minutes for the suma
triptan group and 30 minutes for the placebo group (NS). The aura symp
tom profile was similar for the two treatment groups. The proportion o
f patients who developed a moderate or severe headache within 6 hours
after dose administration was similar in the two groups-68% among thos
e receiving sumatriptan and 75% among those receiving placebo (NS). Su
matriptan given during the aura did not prolong or alter the nature of
the migraine aura and did not prevent or significantly delay headache
development.