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

NCT ID: NCT02483585

Last Updated: 2022-10-12

Study Results

Results available

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

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

577 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-20

Study Completion Date

2017-03-20

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

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

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Adults with a history of migraine with or without aura for ≥ 12 months and who experience ≥ 4 to \< 15 migraine days per month with \< 15 headache days per month will be randomized 1:1 to placebo or erenumab. Double-blind erenumab or placebo will be administered during the 12-week double-blind treatment phase and open-label erenumab will be administered during the 28-week open-label treatment phase.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Migraine

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Placebo

Participants received placebo on day 1 and at weeks 4 and 8 by subcutaneous injection in the double-blind treatment phase. At week 12 participants began treatment with erenumab 70 mg administered by subcutaneous injection at weeks 12, 16, 20, 24, 28, 32, and 36 in the open-label treatment phase.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered once a month by subcutaneous injection

Erenumab

Participants received erenumab 70 mg on day 1 and at weeks 4 and 8 by subcutaneous injection in the double-blind treatment phase. Participants continued to receive erenumab 70 mg administered by subcutaneous injection at weeks 12, 16, 20, 24, 28, 32, and 36 in the open-label treatment phase.

Group Type EXPERIMENTAL

Erenumab

Intervention Type DRUG

Administered once a month by subcutaneous injection

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Erenumab

Administered once a month by subcutaneous injection

Intervention Type DRUG

Placebo

Administered once a month by subcutaneous injection

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

AMG 334 Aimovig™

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* History of migraines (with or without aura) for ≥ 12 months
* Migraine frequency: ≥ 4 and \< 15 migraine days per month on average acrossthe 3 months prior to screening
* Headache (ie, migraine and non-migraine headache) frequency: \< 15 headache days per month on average across the 3 months prior to screening
* Demonstrated 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 headaches
* No therapeutic response with \> 2 categories for prophylactic treatment of migraine after an adequate therapeutic trial.
* 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
* Used a prohibited medication, device, or procedure within 2 months prior to the start of the baseline phase or during the baseline phase.
* Received botulinum toxin
* Anticipated to require any excluded medication, device, or procedure during the study.
* Active chronic pain syndromes (such as fibromyalgia and chronic pelvic pain).
* History of major psychiatric disorder.
* History of seizure disorder or other significant neurological conditions other than migraine.
* Human immunodeficiency virus (HIV) infection by history.
* Myocardial infarction (MI), stroke, transient ischemic attack (TIA), unstable angina, or coronary artery bypass surgery or other revascularization procedure within 12 months prior to screening.
* The subject is at risk of self-harm or harm to others. Previously randomized into an AMG 334 study.
* Unlikely to be able to complete all protocol required study visits or procedures, and/or to comply with all required study procedures.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

MD

Role: STUDY_DIRECTOR

Amgen

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Research Site

Birmingham, Alabama, United States

Site Status

Research Site

Phoenix, Arizona, United States

Site Status

Research Site

Culver City, California, United States

Site Status

Research Site

Long Beach, California, United States

Site Status

Research Site

Sacramento, California, United States

Site Status

Research Site

San Diego, California, United States

Site Status

Research Site

Santa Monica, California, United States

Site Status

Research Site

Walnut Creek, California, United States

Site Status

Research Site

Colorado Springs, Colorado, United States

Site Status

Research Site

Fairfield, Connecticut, United States

Site Status

Research Site

Hollywood, Florida, United States

Site Status

Research Site

Jacksonville, Florida, United States

Site Status

Research Site

Orlando, Florida, United States

Site Status

Research Site

Oviedo, Florida, United States

Site Status

Research Site

Palm Beach Gardens, Florida, United States

Site Status

Research Site

Atlanta, Georgia, United States

Site Status

Research Site

Gurnee, Illinois, United States

Site Status

Research Site

Indianapolis, Indiana, United States

Site Status

Research Site

Lenexa, Kansas, United States

Site Status

Research Site

Lexington, Kentucky, United States

Site Status

Research Site

Baltimore, Maryland, United States

Site Status

Research Site

Boston, Massachusetts, United States

Site Status

Research Site

Ann Arbor, Michigan, United States

Site Status

Research Site

Kalamazoo, Michigan, United States

Site Status

Research Site

Princeton, New Jersey, United States

Site Status

Research Site

Albuquerque, New Mexico, United States

Site Status

Research Site

Williamsville, New York, United States

Site Status

Research Site

Asheville, North Carolina, United States

Site Status

Research Site

Winston-Salem, North Carolina, United States

Site Status

Research Site

Cincinnati, Ohio, United States

Site Status

Research Site

Oklahoma City, Oklahoma, United States

Site Status

Research Site

Philadelphia, Pennsylvania, United States

Site Status

Research Site

Warwick, Rhode Island, United States

Site Status

Research Site

Mt. Pleasant, South Carolina, United States

Site Status

Research Site

Chattanooga, Tennessee, United States

Site Status

Research Site

Austin, Texas, United States

Site Status

Research Site

Dallas, Texas, United States

Site Status

Research Site

Salt Lake City, Utah, United States

Site Status

Research Site

Virginia Beach, Virginia, United States

Site Status

Research Site

Seattle, Washington, United States

Site Status

Research Site

Aalborg, , Denmark

Site Status

Research Site

Ballerup Municipality, , Denmark

Site Status

Research Site

Glostrup Municipality, , Denmark

Site Status

Research Site

Vejle, , Denmark

Site Status

Research Site

Bordeaux, , France

Site Status

Research Site

Nice, , France

Site Status

Research Site

Paris, , France

Site Status

Research Site

Paris, , France

Site Status

Research Site

Pringy, , France

Site Status

Research Site

Athens, , Greece

Site Status

Research Site

Athens, , Greece

Site Status

Research Site

Athens, , Greece

Site Status

Research Site

Thessaloniki, , Greece

Site Status

Research Site

Amadora, , Portugal

Site Status

Research Site

Lisbon, , Portugal

Site Status

Research Site

Lisbon, , Portugal

Site Status

Research Site

Torres Vedras, , Portugal

Site Status

Research Site

Moscow, , Russia

Site Status

Research Site

Moscow, , Russia

Site Status

Research Site

Novosibirsk, , Russia

Site Status

Research Site

Saint Petersburg, , Russia

Site Status

Research Site

Ufa, , Russia

Site Status

Research Site

Zaragoza, Aragon, Spain

Site Status

Research Site

Santander, Cantabria, Spain

Site Status

Research Site

Valladolid, Castille and León, Spain

Site Status

Research Site

Barcelona, Catalonia, Spain

Site Status

Research Site

Santiago de Compostela, Galicia, Spain

Site Status

Research Site

Valencia, Valencia, Spain

Site Status

Research Site

Valencia, Valencia, Spain

Site Status

Research Site

Madrid, , Spain

Site Status

Research Site

Bad Zurzach, , Switzerland

Site Status

Research Site

Biel, , Switzerland

Site Status

Research Site

Geneva, , Switzerland

Site Status

Research Site

Lugano, , Switzerland

Site Status

Research Site

Sankt Gallen, , Switzerland

Site Status

Research Site

Zollikon, , Switzerland

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Denmark France Greece Portugal Russia Spain Switzerland

References

Explore related publications, articles, or registry entries linked to this study.

Dodick DW, Ashina M, Brandes JL, Kudrow D, Lanteri-Minet M, Osipova V, Palmer K, Picard H, Mikol DD, Lenz RA. ARISE: A Phase 3 randomized trial of erenumab for episodic migraine. Cephalalgia. 2018 May;38(6):1026-1037. doi: 10.1177/0333102418759786. Epub 2018 Feb 22.

Reference Type BACKGROUND
PMID: 29471679 (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)

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)

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)

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)

Related Links

Access external resources that provide additional context or updates about the study.

http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2014-004463-20

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

20120297

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.