Evaluation of Galcanezumab in the Prevention of Episodic Migraine- the EVOLVE-1 Study

NCT ID: NCT02614183

Last Updated: 2020-06-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

862 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-30

Study Completion Date

2018-08-09

Brief Summary

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The main purpose of this study is to evaluate the efficacy of the study drug known as galcanezumab in participants with episodic migraine.

Detailed Description

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Conditions

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Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Galcanezumab 120mg

Galcanezumab given by subcutaneous (SC) injection at 120mg dose once a month for 6 months. Participants received a loading dose of 240mg (2 injections of 120mg each) was administered at visit 3 only.

Group Type EXPERIMENTAL

Galcanezumab

Intervention Type DRUG

Administered SC

Galcanezumab 240mg

Galcanezumab 240mg given by SC injection once a month for 6 months.

Group Type EXPERIMENTAL

Galcanezumab

Intervention Type DRUG

Administered SC

Placebo

Placebo given by SC injection once a month for 6 months.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered SC

Interventions

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Galcanezumab

Administered SC

Intervention Type DRUG

Placebo

Administered SC

Intervention Type DRUG

Other Intervention Names

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LY2951742

Eligibility Criteria

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Inclusion Criteria

* Have a diagnosis of episodic migraine as defined by International Headache Society (IHS) International Classification of Headache Disorders (ICHD)-3 beta guidelines (1.1 or 1.2) (ICHD-3 2013), with a history of migraine headaches of at least 1 year prior to screening, migraine onset prior to age 50 and MONTHLY frequency of 4-14 Migraine Headache Days (MHD).

Exclusion Criteria

* Are currently enrolled in or have participated within the last 30 days or within 5 half-lives (whichever is longer) in a clinical trial involving an investigational product.
* Current use or prior exposure to Galcanezumab or another CGRP antibody.
* Known hypersensitivity to multiple drugs, monoclonal antibodies or other therapeutic proteins, or to Galcanezumab.
* History of persistent daily headache, cluster headache or migraine subtypes including hemiplegic (sporadic or familial) migraine, ophthalmoplegic migraine, and migraine with brainstem aura (basilar-type migraine) defined by IHS ICHD-3 beta.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Territory Neurology & Research Institute

Tucson, Arizona, United States

Site Status

Orange Grove Family Practice

Tucson, Arizona, United States

Site Status

Arkansas Clinical Research

Little Rock, Arkansas, United States

Site Status

Advanced Clinical Research

Carmichael, California, United States

Site Status

Pharmacology Research Institute, Newport Beach

Encino, California, United States

Site Status

Tooraj Joseph Raoof M.D., Inc.

Encino, California, United States

Site Status

Fullerton Neurology and Headache Center

Fullerton, California, United States

Site Status

Sun Valley Research Center

Imperial, California, United States

Site Status

Irvine Clinical Research Center

Irvine, California, United States

Site Status

Pharmacology Research Institute, Newport Beach

Los Alamitos, California, United States

Site Status

Pharmacology Research Institute, Newport Beach

Newport Beach, California, United States

Site Status

Desert Valley Research

Rancho Mirage, California, United States

Site Status

Anderson Clinical Research

Redlands, California, United States

Site Status

Artemis Institute for Clinical Research

San Diego, California, United States

Site Status

Medical Center for Clinical Research

San Diego, California, United States

Site Status

Alpine Clinical Research Center

Boulder, Colorado, United States

Site Status

MCB Clinical Research Centers

Colorado Springs, Colorado, United States

Site Status

Mile High Research Center

Denver, Colorado, United States

Site Status

Colorado Neurological Institute

Englewood, Colorado, United States

Site Status

Advanced Neurosciences Research, LLC

Fort Collins, Colorado, United States

Site Status

Chase Medical Research, LLC

Waterbury, Connecticut, United States

Site Status

Meridien Research

Bradenton, Florida, United States

Site Status

Sarkis Clinical Trials

Gainesville, Florida, United States

Site Status

Suncoast Clinical Research

New Port Richey, Florida, United States

Site Status

Renstar Medical Research

Ocala, Florida, United States

Site Status

Sensible Healthcare

Ocoee, Florida, United States

Site Status

Psychiatric Inst of Florida-Clinical Neuroscience Solutions

Orlando, Florida, United States

Site Status

Compass Research

Oviedo, Florida, United States

Site Status

Accord Clinical Research, LLC

Port Orange, Florida, United States

Site Status

Roskamp Institute

Sarasota, Florida, United States

Site Status

Infinity Clinical Reserach . LLC

Sunrise, Florida, United States

Site Status

Premiere Research Institute at Palm Beach Neurology

West Palm Beach, Florida, United States

Site Status

Advanced Clinical Research LLC

Meridian, Idaho, United States

Site Status

Healthcare Research Network - Blue Island

Blue Island, Illinois, United States

Site Status

Community Clinical Research Center

Anderson, Indiana, United States

Site Status

Investigative Clinical Research of Indiana, LLC

Elwood, Indiana, United States

Site Status

Midwest Institute for Clinical Research

Indianapolis, Indiana, United States

Site Status

Deaconess Clinic Inc

Newburgh, Indiana, United States

Site Status

Integrated Clinical Trial Services, Inc.

West Des Moines, Iowa, United States

Site Status

Phoenix Medical Research, Inc

Prairie Village, Kansas, United States

Site Status

Otri-Med Corporation

Edgewood, Kentucky, United States

Site Status

L-Marc Research Center

Louisville, Kentucky, United States

Site Status

PharmaSite Research Inc

Baltimore, Maryland, United States

Site Status

Boston Clinical Trials Inc

Boston, Massachusetts, United States

Site Status

Michigan Head, Pain and Neurological Institute

Ann Arbor, Michigan, United States

Site Status

Clinical Research Institute

Minneapolis, Minnesota, United States

Site Status

ClinVest

Springfield, Missouri, United States

Site Status

Healthy Perspectives Innovative Mental Health Services, PL

Nashua, New Hampshire, United States

Site Status

Albuquerque Clinical Trials

Albuquerque, New Mexico, United States

Site Status

Dent Neurological Institute

Amherst, New York, United States

Site Status

Central New York Clinical Research

Manlius, New York, United States

Site Status

NYU Langone

New York, New York, United States

Site Status

Fieve Clincial Services

New York, New York, United States

Site Status

Rochester Clinical Research, Inc.

Rochester, New York, United States

Site Status

Metrolina Neurological Associates, PA

Charlotte, North Carolina, United States

Site Status

Headache Wellness Center

Greensboro, North Carolina, United States

Site Status

Rapid Medical Research Inc

Cleveland, Ohio, United States

Site Status

Medical College of Ohio at Toledo

Toledo, Ohio, United States

Site Status

Healthcare Research Consultant

Tulsa, Oklahoma, United States

Site Status

Summit Research Network Inc

Portland, Oregon, United States

Site Status

Lehigh Center for Clinical Research

Allentown, Pennsylvania, United States

Site Status

Preferred Primary Care Physicians

Pittsburgh, Pennsylvania, United States

Site Status

Abington Neurological Associates

Willow Grove, Pennsylvania, United States

Site Status

Omega Medical Research

Warwick, Rhode Island, United States

Site Status

Clinical Trials of South Carolina

Charleston, South Carolina, United States

Site Status

8 Medical Park

Columbia, South Carolina, United States

Site Status

ClinSearch

Chattanooga, Tennessee, United States

Site Status

University of Tennessee Medical Center

Knoxville, Tennessee, United States

Site Status

Clinical Research Associates

Nashville, Tennessee, United States

Site Status

FutureSearch Trials

Austin, Texas, United States

Site Status

Protenium Clinical Research

Hurst, Texas, United States

Site Status

Clinical Trials of Texas, Inc.

San Antonio, Texas, United States

Site Status

Radiant Research - San Antonio

San Antonio, Texas, United States

Site Status

Advanced Clinical Research

West Jordan, Utah, United States

Site Status

Charlottesville Medical Research

Charlottesville, Virginia, United States

Site Status

Clinical Research Associates of Tidewater

Norfolk, Virginia, United States

Site Status

National Clinical Research - Richmond

Richmond, Virginia, United States

Site Status

Premier Clinical Research

Spokane, Washington, United States

Site Status

Vancouver Clinic

Vancouver, Washington, United States

Site Status

Clinical Investigation Specialists Inc

Kenosha, Wisconsin, United States

Site Status

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Brampton, , Canada

Site Status

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Kelowna, , Canada

Site Status

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Mississauga, , Canada

Site Status

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Montreal, , Canada

Site Status

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Ottawa, , Canada

Site Status

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Sherbrooke, , Canada

Site Status

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Toronto, , Canada

Site Status

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Vancouver, , Canada

Site Status

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Waterloo, , Canada

Site Status

Office of Dr. Ruddy Guerra

Manatí, , Puerto Rico

Site Status

NuFrontiers Clinical Research LLC

Rio Piedras, , Puerto Rico

Site Status

Clinical Research Puerto Rico, Inc.

San Juan, , Puerto Rico

Site Status

GCM Medical Group PSC

San Juan, , Puerto Rico

Site Status

Instituto de Neurologia Dra. Ivonne Fraga

San Juan, , Puerto Rico

Site Status

Neuro GI Wellness Center

San Juan, , Puerto Rico

Site Status

Countries

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United States Canada Puerto Rico

References

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Ailani J, Kuruppu DK, Rettiganti M, Oakes T, Schroeder K, Wietecha L, Port M, Blumenfeld AM. Does "wearing off" of efficacy occur in galcanezumab-treated patients at the end of the monthly treatment cycle? Post hoc analyses of four phase III randomized trials. Headache. 2022 Feb;62(2):198-207. doi: 10.1111/head.14257. Epub 2022 Jan 25.

Reference Type DERIVED
PMID: 35076090 (View on PubMed)

Citrome L, Sanchez Del Rio M, Dong Y, Nichols RM, Tockhorn-Heidenreich A, Foster SA, Stauffer VL. Benefit-Risk Assessment of Galcanezumab Versus Placebo for the Treatment of Episodic and Chronic Migraine Using the Metrics of Number Needed to Treat and Number Needed to Harm. Adv Ther. 2021 Aug;38(8):4442-4460. doi: 10.1007/s12325-021-01848-x. Epub 2021 Jul 15.

Reference Type DERIVED
PMID: 34264500 (View on PubMed)

Jedynak J, Eross E, Gendolla A, Rettiganti M, Stauffer VL. Shift from high-frequency to low-frequency episodic migraine in patients treated with Galcanezumab: results from two global randomized clinical trials. J Headache Pain. 2021 May 28;22(1):48. doi: 10.1186/s10194-021-01222-w.

Reference Type DERIVED
PMID: 34049484 (View on PubMed)

Pozo-Rosich P, Samaan KH, Schwedt TJ, Nicholson RA, Rettiganti M, Pearlman EM. Galcanezumab Provides Consistent Efficacy Throughout the Dosing Interval Among Patients with Episodic and Chronic Migraine: A Post Hoc Analysis. Adv Ther. 2021 Jun;38(6):3154-3165. doi: 10.1007/s12325-021-01708-8. Epub 2021 May 5.

Reference Type DERIVED
PMID: 33950375 (View on PubMed)

Ament M, Day K, Stauffer VL, Skljarevski V, Rettiganti M, Pearlman E, Aurora SK. Effect of galcanezumab on severity and symptoms of migraine in phase 3 trials in patients with episodic or chronic migraine. J Headache Pain. 2021 Feb 6;22(1):6. doi: 10.1186/s10194-021-01215-9.

Reference Type DERIVED
PMID: 33549036 (View on PubMed)

Kuruppu DK, North JM, Kovacik AJ, Dong Y, Pearlman EM, Hutchinson SL. Onset, Maintenance, and Cessation of Effect of Galcanezumab for Prevention of Migraine: A Narrative Review of Three Randomized Placebo-Controlled Trials. Adv Ther. 2021 Mar;38(3):1614-1626. doi: 10.1007/s12325-021-01632-x. Epub 2021 Feb 5.

Reference Type DERIVED
PMID: 33544305 (View on PubMed)

Dodick DW, Doty EG, Aurora SK, Ruff DD, Stauffer VL, Jedynak J, Dong Y, Pearlman EM. Medication overuse in a subgroup analysis of phase 3 placebo-controlled studies of galcanezumab in the prevention of episodic and chronic migraine. Cephalalgia. 2021 Mar;41(3):340-352. doi: 10.1177/0333102420966658. Epub 2020 Nov 3.

Reference Type DERIVED
PMID: 33143451 (View on PubMed)

Ailani J, Andrews JS, Rettiganti M, Nicholson RA. Impact of galcanezumab on total pain burden: findings from phase 3 randomized, double-blind, placebo-controlled studies in patients with episodic or chronic migraine (EVOLVE-1, EVOLVE-2, and REGAIN trials). J Headache Pain. 2020 Oct 17;21(1):123. doi: 10.1186/s10194-020-01190-7.

Reference Type DERIVED
PMID: 33069214 (View on PubMed)

Stauffer VL, Turner I, Kemmer P, Kielbasa W, Day K, Port M, Quinlan T, Camporeale A. Effect of age on pharmacokinetics, efficacy, and safety of galcanezumab treatment in adult patients with migraine: results from six phase 2 and phase 3 randomized clinical trials. J Headache Pain. 2020 Jun 23;21(1):79. doi: 10.1186/s10194-020-01148-9.

Reference Type DERIVED
PMID: 32576229 (View on PubMed)

Bangs ME, Kudrow D, Wang S, Oakes TM, Terwindt GM, Magis D, Yunes-Medina L, Stauffer VL. Safety and tolerability of monthly galcanezumab injections in patients with migraine: integrated results from migraine clinical studies. BMC Neurol. 2020 Jan 17;20(1):25. doi: 10.1186/s12883-020-1609-7.

Reference Type DERIVED
PMID: 31952501 (View on PubMed)

Kielbasa W, Quinlan T. Population Pharmacokinetics of Galcanezumab, an Anti-CGRP Antibody, Following Subcutaneous Dosing to Healthy Individuals and Patients With Migraine. J Clin Pharmacol. 2020 Feb;60(2):229-239. doi: 10.1002/jcph.1511. Epub 2019 Sep 4.

Reference Type DERIVED
PMID: 31482569 (View on PubMed)

Silberstein SD, Stauffer VL, Day KA, Lipsius S, Wilson MC. Galcanezumab in episodic migraine: subgroup analyses of efficacy by high versus low frequency of migraine headaches in phase 3 studies (EVOLVE-1 & EVOLVE-2). J Headache Pain. 2019 Jun 28;20(1):75. doi: 10.1186/s10194-019-1024-x.

Reference Type DERIVED
PMID: 31253091 (View on PubMed)

Stauffer VL, Wang S, Voulgaropoulos M, Skljarevski V, Kovacik A, Aurora SK. Effect of Galcanezumab Following Treatment Cessation in Patients With Migraine: Results From 2 Randomized Phase 3 Trials. Headache. 2019 Jun;59(6):834-847. doi: 10.1111/head.13508. Epub 2019 Apr 3.

Reference Type DERIVED
PMID: 30942898 (View on PubMed)

Forderreuther S, Zhang Q, Stauffer VL, Aurora SK, Lainez MJA. Preventive effects of galcanezumab in adult patients with episodic or chronic migraine are persistent: data from the phase 3, randomized, double-blind, placebo-controlled EVOLVE-1, EVOLVE-2, and REGAIN studies. J Headache Pain. 2018 Dec 29;19(1):121. doi: 10.1186/s10194-018-0951-2.

Reference Type DERIVED
PMID: 30594122 (View on PubMed)

Nichols R, Doty E, Sacco S, Ruff D, Pearlman E, Aurora SK. Analysis of Initial Nonresponders to Galcanezumab in Patients With Episodic or Chronic Migraine: Results From the EVOLVE-1, EVOLVE-2, and REGAIN Randomized, Double-Blind, Placebo-Controlled Studies. Headache. 2019 Feb;59(2):192-204. doi: 10.1111/head.13443. Epub 2018 Nov 21.

Reference Type DERIVED
PMID: 30462830 (View on PubMed)

Stauffer VL, Dodick DW, Zhang Q, Carter JN, Ailani J, Conley RR. Evaluation of Galcanezumab for the Prevention of Episodic Migraine: The EVOLVE-1 Randomized Clinical Trial. JAMA Neurol. 2018 Sep 1;75(9):1080-1088. doi: 10.1001/jamaneurol.2018.1212.

Reference Type DERIVED
PMID: 29813147 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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

http://www.lillytrialguide.com/EN-us/studies/headache/cgag

Click here for more information about this study: Evaluation of Galcanezumab in the Prevention of Episodic Migraine- the EVOLVE-1 Study

Other Identifiers

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I5Q-MC-CGAG

Identifier Type: OTHER

Identifier Source: secondary_id

15767

Identifier Type: -

Identifier Source: org_study_id

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