A Study to Evaluate the Efficacy and Safety of Erenumab (AMG 334) in Chronic Migraine Prevention

NCT ID: NCT02066415

Last Updated: 2022-10-12

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

667 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-05

Study Completion Date

2016-04-28

Brief Summary

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To evaluate the effect of erenumab compared to placebo on the change from baseline in the number of monthly migraine days in adults with chronic migraine.

Detailed Description

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This study consisted of the following phases: screening, 4-week baseline phase, 12-week double-blind treatment, and 12-week follow-up. Participants may have elected to participate in the optional pharmacokinetic substudy and the optional, novel patient-reported outcome (PRO) assessment substudy.

Participants who completed the 12-week double-blind treatment phase of Study 20120295 were eligible to enroll in an open-label extension study (Study 20130255; NCT02174861).

Conditions

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Treatment for Prevention of Chronic Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Placebo

Participants received placebo on day 1 and at weeks 4 and 8 by subcutaneous injection.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered once a month subcutaneously by authorized investigational site study staff.

Erenumab 70 mg

Participants received 70 mg erenumab on day 1 and at weeks 4 and 8 by subcutaneous injection.

Group Type EXPERIMENTAL

Erenumab

Intervention Type BIOLOGICAL

Administered once a month subcutaneously by authorized investigational site study staff.

Erenumab 140 mg

Participants received 140 mg erenumab on day 1 and at weeks 4 and 8 by subcutaneous injection.

Group Type PLACEBO_COMPARATOR

Erenumab

Intervention Type BIOLOGICAL

Administered once a month subcutaneously by authorized investigational site study staff.

Interventions

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Erenumab

Administered once a month subcutaneously by authorized investigational site study staff.

Intervention Type BIOLOGICAL

Placebo

Administered once a month subcutaneously by authorized investigational site study staff.

Intervention Type DRUG

Other Intervention Names

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AMG 334 Aimovig™

Eligibility Criteria

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Inclusion Criteria

* History of at least 5 attacks of migraine without aura and/or migraine with visual sensory, speech and/or language, retinal or brainstem aura.
* History of ≥ 15 headache days per month of which ≥ 8 headache days were assessed by the subject as migraine day.
* ≥ 4 distinct headache episodes, each lasting ≥ 4 hours OR if shorter, associated with use of a triptan or ergot-derivative on the same calendar day based on the eDiary calculations.
* Demonstrated at least 80% compliance with the eDiary.

Exclusion Criteria

* History of cluster headache or hemiplegic migraine headache
* Unable to differentiate migraine from other headaches
* Failed \> 3 medication categories due to lack of efficacy for prophylactic treatment of migraine .
* Received botulinum toxinin head or neck region within 4 months prior to screening.
* Used a prohibited migraine prophylactic medication, device or procedure within 2 months prior to the start of the baseline phase
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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Research Site

La Jolla, California, United States

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Newport Beach, California, United States

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San Francisco, California, United States

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Santa Monica, California, United States

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Sherman Oaks, California, United States

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Stanford, California, United States

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Stamford, Connecticut, United States

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Jacksonville, Florida, United States

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Orlando, Florida, United States

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Palm Beach Gardens, Florida, United States

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West Palm Beach, Florida, United States

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Atlanta, Georgia, United States

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Decatur, Georgia, United States

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Indianapolis, Indiana, United States

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Pikesville, Maryland, United States

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Watertown, Massachusetts, United States

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Worcester, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Kalamazoo, Michigan, United States

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Springfield, Missouri, United States

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St Louis, Missouri, United States

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Reno, Nevada, United States

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Amherst, New York, United States

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Greensboro, North Carolina, United States

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Cleveland, Ohio, United States

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Philadelphia, Pennsylvania, United States

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Nashville, Tennessee, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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Dallas, Texas, United States

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Temple, Texas, United States

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Virginia Beach, Virginia, United States

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Seattle, Washington, United States

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Milwaukee, Wisconsin, United States

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Calgary, Alberta, Canada

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Montreal, Quebec, Canada

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Brno, , Czechia

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Brno, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Glostrup Municipality, , Denmark

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Helsinki, , Finland

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Jyväskylä, , Finland

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Oulu, , Finland

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Tampere, , Finland

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Turku, , Finland

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Berlin, , Germany

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Berlin, , Germany

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Bochum, , Germany

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Essen, , Germany

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Hamburg, , Germany

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Kiel, , Germany

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Königstein im Taunus, , Germany

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Ålesund, , Norway

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Lillehammar, , Norway

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Sandvika, , Norway

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Stavanger, , Norway

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Krakow, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Świdnik, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Falköping, , Sweden

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Stockholm, , Sweden

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Stockholm, , Sweden

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Stockholm, , Sweden

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Vällingby, , Sweden

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Glasgow, , United Kingdom

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Hull, , United Kingdom

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London, , United Kingdom

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Stoke-on-Trent, , United Kingdom

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Countries

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United States Canada Czechia Denmark Finland Germany Norway Poland Sweden United Kingdom

References

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Tepper S, Ashina M, Reuter U, Brandes JL, Dolezil D, Silberstein S, Winner P, Leonardi D, Mikol D, Lenz R. Safety and efficacy of erenumab for preventive treatment of chronic migraine: a randomised, double-blind, placebo-controlled phase 2 trial. Lancet Neurol. 2017 Jun;16(6):425-434. doi: 10.1016/S1474-4422(17)30083-2. Epub 2017 Apr 28.

Reference Type BACKGROUND
PMID: 28460892 (View on PubMed)

Cheng S, Picard H, Zhang F, Eisele O, Mikol DD. Efficacy and safety of erenumab for migraine prevention: an overview. Japanese Journal of Headache. 2019; 45 : 493-505.

Reference Type BACKGROUND

Zhou Y, Zhang F, Starcevic Manning M, Hu Z, Hsu CP, Chen PW, Peng C, Loop B, Mytych DT, Paiva da Silva Lima G. Immunogenicity of erenumab: A pooled analysis of six placebo-controlled trials with long-term extensions. Cephalalgia. 2022 Jul;42(8):749-760. doi: 10.1177/03331024221075621. Epub 2022 Mar 10.

Reference Type BACKGROUND
PMID: 35272533 (View on PubMed)

Ashina M, Kudrow D, Reuter U, Dolezil D, Silberstein S, Tepper SJ, Xue F, Picard H, Zhang F, Wang A, Zhou Y, Hong F, Klatt J, Mikol DD. Long-term tolerability and nonvascular safety of erenumab, a novel calcitonin gene-related peptide receptor antagonist for prevention of migraine: A pooled analysis of four placebo-controlled trials with long-term extensions. Cephalalgia. 2019 Dec;39(14):1798-1808. doi: 10.1177/0333102419888222. Epub 2019 Nov 10.

Reference Type BACKGROUND
PMID: 31707815 (View on PubMed)

Kudrow D, Pascual J, Winner PK, Dodick DW, Tepper SJ, Reuter U, Hong F, Klatt J, Zhang F, Cheng S, Picard H, Eisele O, Wang J, Latham JN, Mikol DD. Vascular safety of erenumab for migraine prevention. Neurology. 2020 Feb 4;94(5):e497-e510. doi: 10.1212/WNL.0000000000008743. Epub 2019 Dec 18.

Reference Type BACKGROUND
PMID: 31852816 (View on PubMed)

Lipton RB, Burstein R, Buse DC, Dodick DW, Koukakis R, Klatt J, Cheng S, Chou DE. Efficacy of erenumab in chronic migraine patients with and without ictal allodynia. Cephalalgia. 2021 Oct;41(11-12):1152-1160. doi: 10.1177/03331024211010305. Epub 2021 May 13.

Reference Type BACKGROUND
PMID: 33982623 (View on PubMed)

Lipton RB, Dodick DW, Kudrow D, Reuter U, Tenenbaum N, Zhang F, Lima GPDS, Chou DE, Mikol DD. Reduction in migraine pain intensity in patients treated with erenumab: A post hoc analysis of two pivotal randomized studies. Cephalalgia. 2021 Dec;41(14):1458-1466. doi: 10.1177/03331024211028966. Epub 2021 Aug 18.

Reference Type BACKGROUND
PMID: 34407654 (View on PubMed)

Lipton RB, Tepper SJ, Reuter U, Silberstein S, Stewart WF, Nilsen J, Leonardi DK, Desai P, Cheng S, Mikol DD, Lenz R. Erenumab in chronic migraine: Patient-reported outcomes in a randomized double-blind study. Neurology. 2019 May 7;92(19):e2250-e2260. doi: 10.1212/WNL.0000000000007452. Epub 2019 Apr 17.

Reference Type BACKGROUND
PMID: 30996060 (View on PubMed)

Lipton RB, Tepper SJ, Silberstein SD, Kudrow D, Ashina M, Reuter U, Dodick DW, Zhang F, Rippon GA, Cheng S, Mikol DD. Reversion from chronic migraine to episodic migraine following treatment with erenumab: Results of a post-hoc analysis of a randomized, 12-week, double-blind study and a 52-week, open-label extension. Cephalalgia. 2021 Jan;41(1):6-16. doi: 10.1177/0333102420973994. Epub 2020 Dec 3.

Reference Type BACKGROUND
PMID: 33269951 (View on PubMed)

Tepper SJ, Diener HC, Ashina M, Brandes JL, Friedman DI, Reuter U, Cheng S, Nilsen J, Leonardi DK, Lenz RA, Mikol DD. Erenumab in chronic migraine with medication overuse: Subgroup analysis of a randomized trial. Neurology. 2019 May 14;92(20):e2309-e2320. doi: 10.1212/WNL.0000000000007497. Epub 2019 Apr 17.

Reference Type BACKGROUND
PMID: 30996056 (View on PubMed)

Lampl C, Kraus V, Lehner K, Loop B, Chehrenama M, Maczynska Z, Ritter S, Klatt J, Snellman J. Safety and tolerability of erenumab in individuals with episodic or chronic migraine across age groups: a pooled analysis of placebo-controlled trials. J Headache Pain. 2022 Aug 18;23(1):104. doi: 10.1186/s10194-022-01470-4.

Reference Type DERIVED
PMID: 35978286 (View on PubMed)

Ashina M, Goadsby PJ, Dodick DW, Tepper SJ, Xue F, Zhang F, Brennan F, Paiva da Silva Lima G. Assessment of Erenumab Safety and Efficacy in Patients With Migraine With and Without Aura: A Secondary Analysis of Randomized Clinical Trials. JAMA Neurol. 2022 Feb 1;79(2):159-168. doi: 10.1001/jamaneurol.2021.4678.

Reference Type DERIVED
PMID: 34928306 (View on PubMed)

Tepper SJ, Ashina M, Reuter U, Hallstrom Y, Broessner G, Bonner JH, Picard H, Cheng S, Chou DE, Zhang F, Klatt J, Mikol DD. Reduction in acute migraine-specific and non-specific medication use in patients treated with erenumab: post-hoc analyses of episodic and chronic migraine clinical trials. J Headache Pain. 2021 Jul 23;22(1):81. doi: 10.1186/s10194-021-01292-w.

Reference Type DERIVED
PMID: 34301173 (View on PubMed)

Brandes JL, Diener HC, Dolezil D, Freeman MC, McAllister PJ, Winner P, Klatt J, Cheng S, Zhang F, Wen S, Ritter S, Lenz RA, Mikol DD. The spectrum of response to erenumab in patients with chronic migraine and subgroup analysis of patients achieving >/=50%, >/=75%, and 100% response. Cephalalgia. 2020 Jan;40(1):28-38. doi: 10.1177/0333102419894559. Epub 2019 Dec 9.

Reference Type DERIVED
PMID: 31816249 (View on PubMed)

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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2013-001707-36

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

20120295

Identifier Type: -

Identifier Source: org_study_id

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