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

NCT ID: NCT02456740

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

PHASE3

Total Enrollment

955 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-17

Study Completion Date

2017-06-19

Brief Summary

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The primary objective of the study was to evaluate the effect of erenumab compared to placebo on the change from baseline in monthly migraine days.

Detailed Description

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This was a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial. The trial consisted of four phases: screening (≤ 3 weeks of initial screening and a 4-week baseline phase); the double-blind treatment phase (24 weeks) in which participants received placebo or erenumab 70 mg or 140 mg daily; the active-treatment phase, in which participants underwent repeat randomization and were assigned to receive 70 mg or 140 mg of erenumab (28 weeks); and a safety follow-up phase (12 weeks).

Conditions

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Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Participants received placebo once a month (QM) by subcutaneous injection on day 1 and weeks 4, 8, 12, 16, and 20 in the 24-week double-blind treatment phase. At week 24, participants were re-randomized to receive either erenumab 70 mg or erenumab 140 mg, administered QM at weeks 24, 28, 32, 36, 40, 44, and 48, with actual dose blinded.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered by subcutaneous injection once a month

Erenumab 70 mg QM

Participants received erenumab 70 mg QM by subcutaneous injection on day 1 and weeks 4, 8, 12, 16, and 20 in the 24-week double-blind treatment phase. At week 24, participants were re-randomized to receive either erenumab 70 mg or erenumab 140 mg, administered QM at weeks 24, 28, 32, 36, 40, 44, and 48, with actual dose blinded.

Group Type EXPERIMENTAL

Erenumab

Intervention Type DRUG

Administered by subcutaneous injection once a month

Erenumab 140 mg QM

Participants received erenumab 140 mg QM by subcutaneous injection on day 1 and weeks 4, 8, 12, 16, and 20 in the 24-week double-blind treatment phase. At week 24, participants were re-randomized to receive either erenumab 70 mg or erenumab 140 mg, administered QM at weeks 24, 28, 32, 36, 40, 44, and 48, with actual dose blinded.

Group Type EXPERIMENTAL

Erenumab

Intervention Type DRUG

Administered by subcutaneous injection once a month

Interventions

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Erenumab

Administered by subcutaneous injection once a month

Intervention Type DRUG

Placebo

Administered by subcutaneous injection once a month

Intervention Type DRUG

Other Intervention Names

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AMG 334 Aimovig™

Eligibility Criteria

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Inclusion Criteria

* History of migraine (with or without aura) for ≥ 12 months prior to screening according to the International Headache Society (IHS) International Classification of Headache Disorders (ICHD-3) classification
* Migraine frequency: ≥ 4 and \< 15 migraine days per month on average across the 3 months prior to screening and during baseline
* Headache frequency: \< 15 headache days per month on average across the 3 months prior to screening and baseline
* Demonstrated at least 80% compliance with the eDiary.

Exclusion Criteria

* Older than 50 years of age at migraine onset
* History of cluster headache or hemiplegic migraine headache
* Unable to differentiate migraine from other headache
* No therapeutic response with \> 2 medication categories for prophylactic treatment of migraine after an adequate therapeutic trial
* Used a prohibited medication, device, or procedure within 2 months prior to the start of the baseline phase or during the baseline phase
* Concomitant use of 2 or more medications with possible migraine prophylactic effects within 2 months prior to the start of the baseline phase or during the baseline phase. If only 1 prophylactic medication is used, the dose must be stable within 2 months prior to the start of the baseline phase and throughout the study
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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Phoenix, Arizona, United States

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Anaheim, California, United States

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Encino, California, United States

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Irvine, California, United States

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Los Alamitos, California, United States

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Newport Beach, California, United States

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Rancho Mirage, California, United States

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Redlands, California, United States

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Sherman Oaks, California, United States

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Simi Valley, California, United States

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Spring Valley, California, United States

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Boulder, Colorado, United States

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East Hartford, Connecticut, United States

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Stamford, Connecticut, United States

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Waterbury, Connecticut, United States

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Bradenton, Florida, United States

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Jacksonville, Florida, United States

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Leesburg, Florida, United States

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Miami, Florida, United States

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Ocala, Florida, United States

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Orlando, Florida, United States

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Sunrise, 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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Boise, Idaho, United States

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Evansville, Indiana, United States

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Des Moines, Iowa, United States

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Newton, Kansas, United States

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Wichita, Kansas, United States

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Edgewood, Kentucky, United States

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Metairie, Louisiana, United States

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New Orleans, Louisiana, United States

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New Bedford, Massachusetts, United States

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Worcester, Massachusetts, United States

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Plymouth, Minnesota, United States

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Kansas City, Missouri, United States

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Springfield, Missouri, United States

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St Louis, Missouri, United States

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Amherst, New York, United States

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Plainview, New York, United States

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Rochester, New York, United States

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Durham, North Carolina, United States

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Greensboro, North Carolina, United States

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Cleveland, Ohio, United States

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Cleveland, Ohio, United States

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Willoughby Hills, Ohio, United States

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Portland, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Cumberland, Rhode Island, United States

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Port Royal, South Carolina, United States

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Memphis, Tennessee, United States

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Nashville, Tennessee, United States

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Austin, Texas, United States

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Bedford, Texas, United States

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Irving, Texas, United States

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San Antonio, Texas, United States

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Salt Lake City, Utah, United States

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West Jordan, Utah, United States

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Charlottesville, Virginia, United States

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Innsbruck, , Austria

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Linz, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Brussels, , Belgium

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Ghent, , Belgium

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Hasselt, , Belgium

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Liège, , Belgium

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Lodelinsart, , Belgium

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Surrey, British Columbia, Canada

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Hamilton, Ontario, Canada

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Markham, Ontario, Canada

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Ottawa, Ontario, Canada

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Lévis, Quebec, Canada

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Brno, , Czechia

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Hradec Králové, , Czechia

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Olomouc, , Czechia

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Pardubice, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Helsinki, , Finland

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Kuopio, , Finland

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Oulu, , 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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Cologne, , Germany

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Frankfurt am Main, , Germany

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Hamburg, , Germany

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Hamburg, , Germany

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Hellersdorf, , Germany

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Hüttenberg, , Germany

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Kiel, , Germany

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Leipzig, , Germany

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Leipzig, , Germany

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München, , Germany

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Wiesbaden, , Germany

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Würzburg, , Germany

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Leiden, , Netherlands

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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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Bratislava, , Slovakia

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Komárno, , Slovakia

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Lučenec, , Slovakia

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Falköping, , Sweden

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Helsingborg, , Sweden

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Stockholm, , Sweden

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Stockholm, , Sweden

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Uddevalla, , Sweden

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Adana, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Antalya, , Turkey (Türkiye)

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Bursa, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Glasgow, , United Kingdom

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Liverpool, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Northwood, , United Kingdom

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Oxford, , United Kingdom

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Sidcup, , United Kingdom

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Stoke-on-Trent, , United Kingdom

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Countries

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United States Austria Belgium Canada Czechia Finland Germany Netherlands Poland Slovakia Sweden Turkey (Türkiye) United Kingdom

References

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Buse DC, Lipton RB, Hallstrom Y, Reuter U, Tepper SJ, Zhang F, Sapra S, Picard H, Mikol DD, Lenz RA. Migraine-related disability, impact, and health-related quality of life among patients with episodic migraine receiving preventive treatment with erenumab. Cephalalgia. 2018 Sep;38(10):1622-1631. doi: 10.1177/0333102418789072. Epub 2018 Aug 7.

Reference Type BACKGROUND
PMID: 30086681 (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

Goadsby PJ, Reuter U, Hallstrom Y, Broessner G, Bonner JH, Zhang F, Sapra S, Picard H, Mikol DD, Lenz RA. A Controlled Trial of Erenumab for Episodic Migraine. N Engl J Med. 2017 Nov 30;377(22):2123-2132. doi: 10.1056/NEJMoa1705848.

Reference Type BACKGROUND
PMID: 29171821 (View on PubMed)

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)

Kawata AK, Ladd MK, Lipton RB, Buse DC, Bensink M, Shah S, Hareendran A, Mannix S, Mikol D. Reducing the physical, social, and emotional impact of episodic migraine: Results from erenumab STRIVE and ARISE phase III randomized trials. Headache. 2022 Feb;62(2):159-168. doi: 10.1111/head.14258. Epub 2022 Feb 8.

Reference Type BACKGROUND
PMID: 35137394 (View on PubMed)

McAllister PJ, Turner I, Reuter U, Wang A, Scanlon J, Klatt J, Chou DE, Paiva da Silva Lima G. Timing and durability of response to erenumab in patients with episodic migraine. Headache. 2021 Nov;61(10):1553-1561. doi: 10.1111/head.14233. Epub 2021 Nov 28.

Reference Type BACKGROUND
PMID: 34841526 (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, 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)

Yucel A, Thach A, Kumar S, Loden C, Bensink M, Goldfarb N. Estimating the economic burden of migraine on US employers. Am J Manag Care. 2020 Dec 1;26(12):e403-e408. doi: 10.37765/ajmc.2020.88547.

Reference Type BACKGROUND
PMID: 33315334 (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)

Diener HC, Ashina M, Ritter S, Paiva Da Silva Lima G, Rasmussen S, Zielman R, Tfelt-Hansen P. Erenumab prevents the occurrence of migraine attacks and not just migraine days: Post-hoc analyses of a phase III study. Cephalalgia. 2021 Oct;41(11-12):1262-1267. doi: 10.1177/03331024211010308. Epub 2021 May 3.

Reference Type DERIVED
PMID: 33939497 (View on PubMed)

Broessner G, Reuter U, Bonner JH, Dodick DW, Hallstrom Y, Picard H, Zhang F, Lenz RA, Klatt J, Mikol DD. The Spectrum of Response to Erenumab in Patients With Episodic Migraine and Subgroup Analysis of Patients Achieving >/=50%, >/=75%, and 100% Response. Headache. 2020 Oct;60(9):2026-2040. doi: 10.1111/head.13929. Epub 2020 Aug 26.

Reference Type DERIVED
PMID: 32851644 (View on PubMed)

Pavlovic JM, Paemeleire K, Gobel H, Bonner J, Rapoport A, Kagan R, Zhang F, Picard H, Mikol DD. Efficacy and safety of erenumab in women with a history of menstrual migraine. J Headache Pain. 2020 Aug 3;21(1):95. doi: 10.1186/s10194-020-01167-6.

Reference Type DERIVED
PMID: 32746775 (View on PubMed)

Goadsby PJ, Reuter U, Hallstrom Y, Broessner G, Bonner JH, Zhang F, Wright IK, Chou DE, Klatt J, Picard H, Lenz RA, Mikol DD. One-year sustained efficacy of erenumab in episodic migraine: Results of the STRIVE study. Neurology. 2020 Aug 4;95(5):e469-e479. doi: 10.1212/WNL.0000000000010019. Epub 2020 Jul 7.

Reference Type DERIVED
PMID: 32636324 (View on PubMed)

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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2014-004464-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

20120296

Identifier Type: -

Identifier Source: org_study_id

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