A Study Evaluating the Effectiveness of AMG 334 Injection in Preventing Migraines in Adults Having Failed Other Therapies

NCT ID: NCT03096834

Last Updated: 2022-03-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

246 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-20

Study Completion Date

2021-01-28

Brief Summary

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The purpose of this study is to determine if AMG 334 is effective in treating migraines in patients who have failed other preventive migraine treatments.

Detailed Description

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This study was a double blind, placebo-controlled, randomized trial in adult patients with episodic migraine. There was a screening period of 2 weeks to assess initial eligibility, and a 4-week baseline period. After randomization, participants entered the double-blind treatment epoch (DBTE) and had clinic visits for 12 weeks. All participants who completed the DBTE were eligible to enter the Open-Label Treatment Epoch (OLTE) for up to 156 weeks. All participants had a 12 week Follow-Up Epoch and a a Follow-Up visit 16 weeks after the last dose of AMG334 unless the participant continued on commercially available AMG334. Participants who had demonstrated clinical benefit were eligible to enter a Post Trial Access (PTA-Open Label Treatment Epoch) of flexible duration for approximately 6 months.

Conditions

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Episodic Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo DB

Matching placebo subcutaneous injections administered every 4 weeks during Double-Blind Epoch

Group Type PLACEBO_COMPARATOR

Placebo Pre-Filled Syringe (PFS)

Intervention Type BIOLOGICAL

Subcutaneous injection of matching placebo

AMG334 140 mg DB

AMG334 70 mg subcutaneous injections (2) administered every 4 weeks during Double-Blind Epoch

Group Type EXPERIMENTAL

AMG334 (70 mg) Pre-Filled Syringe (PFS)

Intervention Type BIOLOGICAL

Two injections of AMG 334 70 mg (equaling 140 mg total dose) will be administered via subcutaneous injection

AMG334 140 mg DB cont on AMG334 140 mg

AMG334 70 mg subcutaneous injections (2) during DB continued on AMG334 140 mg in Open-Label Epoch

Group Type EXPERIMENTAL

AMG334 (70 mg) Pre-Filled Syringe (PFS)

Intervention Type BIOLOGICAL

Two injections of AMG 334 70 mg (equaling 140 mg total dose) will be administered via subcutaneous injection

Placebo in DB to AMG334 140 mg

Placebo in Double-Blind Epoch (DB) switched to AMG334 140 mg in Open-Label Epoch

Group Type EXPERIMENTAL

AMG334 (70 mg) Pre-Filled Syringe (PFS)

Intervention Type BIOLOGICAL

Two injections of AMG 334 70 mg (equaling 140 mg total dose) will be administered via subcutaneous injection

Interventions

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AMG334 (70 mg) Pre-Filled Syringe (PFS)

Two injections of AMG 334 70 mg (equaling 140 mg total dose) will be administered via subcutaneous injection

Intervention Type BIOLOGICAL

Placebo Pre-Filled Syringe (PFS)

Subcutaneous injection of matching placebo

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Documented history of migraine in the 12 months prior to screen
* 4-14 days per month of migraine symptoms
* \>=80% diary compliance during the Baseline period
* Failure of previous migraine prophylactic treatments

Exclusion Criteria

* \>50 years old at migraine onset
* Pregnant or nursing
* History of cluster or hemiplegic headache
* Evidence of seizure or psychiatric disorder
* Score of over 19 on Beck Depression Inventory-2
* Active chronic pain syndrome
* Cardiac or hepatic disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Heidelberg, , Australia

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Innsbruck, , 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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Leuven, , Belgium

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Prague, CZE, Czechia

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Czech Republic, , Czechia

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Prague, , Czechia

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Glostrup Municipality, , Denmark

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Helsinki, , Finland

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Helsinki, , Finland

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Turku, , Finland

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Lille, , France

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Marseille, , France

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Nice, , France

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Berlin, , Germany

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Berlin, , Germany

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Bielefeld, , Germany

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Bochum, , Germany

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Erlangen, , Germany

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Essen, , Germany

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Hamburg, , Germany

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Kiel, , Germany

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Leipzig, , Germany

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München, , Germany

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Tübingen, , Germany

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Wiesbaden, , Germany

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Athens, GR, Greece

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Glyfada, , Greece

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Marousi, , Greece

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Bologna, BO, Italy

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Florence, FI, Italy

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Roma, RM, Italy

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Milan, , Italy

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Napoli, , Italy

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Palermo, , Italy

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Sittard-Geleen, BG, Netherlands

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Leiden, , Netherlands

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Nijmegen, , Netherlands

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Hamar, , Norway

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Sandvika, , Norway

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Santander, Cantabria, Spain

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Valladolid, Castille and León, Spain

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Barcelona, Catalonia, Spain

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Fuenlabrada, Madrid, Spain

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Pozuelo de Alarcón, Madrid, Spain

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Zaragoza, , Spain

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Lund, , Sweden

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Stockholm, , Sweden

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Uppsala, , Sweden

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Vällingby, , Sweden

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Bad Zurzach, , Switzerland

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Lausanne, , Switzerland

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Zollikon, , Switzerland

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Brighton, East Sussex, United Kingdom

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Stoke-on-Trent, Staffordshire, United Kingdom

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Novartis Investigative Site

London, , United Kingdom

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Countries

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Australia Austria Belgium Czechia Denmark Finland France Germany Greece Italy Netherlands Norway Spain Sweden Switzerland United Kingdom

References

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Reuter U, Goadsby PJ, Ferrari MD, Da Silva Lima GP, Mondal S, Kalim J, Hasan F, Wen S, Arkuszewski M, Pandhi S, Stites T, Lanteri-Minet M. Efficacy and Safety of Erenumab in Participants With Episodic Migraine in Whom 2-4 Prior Preventive Treatments Had Failed: LIBERTY 3-Year Study. Neurology. 2024 May;102(10):e209349. doi: 10.1212/WNL.0000000000209349. Epub 2024 Apr 26.

Reference Type DERIVED
PMID: 38669638 (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)

Ferrari MD, Reuter U, Goadsby PJ, Paiva da Silva Lima G, Mondal S, Wen S, Tenenbaum N, Pandhi S, Lanteri-Minet M, Stites T. Two-year efficacy and safety of erenumab in participants with episodic migraine and 2-4 prior preventive treatment failures: results from the LIBERTY study. J Neurol Neurosurg Psychiatry. 2022 Mar;93(3):254-262. doi: 10.1136/jnnp-2021-327480. Epub 2021 Nov 29.

Reference Type DERIVED
PMID: 34845002 (View on PubMed)

Goadsby PJ, Reuter U, Lanteri-Minet M, Paiva da Silva Lima G, Hours-Zesiger P, Fernandes C, Wen S, Tenenbaum N, Kataria A, Ferrari MD, Klatt J. Long-term Efficacy and Safety of Erenumab: Results From 64 Weeks of the LIBERTY Study. Neurology. 2021 May 31;96(22):e2724-e2735. doi: 10.1212/WNL.0000000000012029.

Reference Type DERIVED
PMID: 33910942 (View on PubMed)

Lanteri-Minet M, Goadsby PJ, Reuter U, Wen S, Hours-Zesiger P, Ferrari MD, Klatt J. Effect of erenumab on functional outcomes in patients with episodic migraine in whom 2-4 preventives were not useful: results from the LIBERTY study. J Neurol Neurosurg Psychiatry. 2021 May;92(5):466-472. doi: 10.1136/jnnp-2020-324396. Epub 2021 Jan 5.

Reference Type DERIVED
PMID: 33402419 (View on PubMed)

Reuter U, Goadsby PJ, Lanteri-Minet M, Wen S, Hours-Zesiger P, Ferrari MD, Klatt J. Efficacy and tolerability of erenumab in patients with episodic migraine in whom two-to-four previous preventive treatments were unsuccessful: a randomised, double-blind, placebo-controlled, phase 3b study. Lancet. 2018 Nov 24;392(10161):2280-2287. doi: 10.1016/S0140-6736(18)32534-0. Epub 2018 Oct 22.

Reference Type DERIVED
PMID: 30360965 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-002211-18

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CAMG334A2301

Identifier Type: -

Identifier Source: org_study_id

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