A Controlled Trial of Erenumab in Migraine Prevention

NCT ID: NCT03812224

Last Updated: 2024-02-21

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

261 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-12

Study Completion Date

2020-11-25

Brief Summary

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The purpose of this study was to assess the efficacy and safety of erenumab for prevention of migraine in Japanese adults with episodic migraine (EM) and chronic migraine (CM).

Detailed Description

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Migraine prevention is an area of a large unmet medical need, with existing therapies often having modest efficacy and poor tolerability. Calcitonin gene-related peptide (CGRP) receptor antagonism is a novel approach to migraine preventive therapy. Erenumab is a human monoclonal antibody against canonical CGRP receptor. The present study is a phase 3 trial intended to assess the efficacy and safety of erenumab for prevention of migraine in Japanese adults with episodic migraine (EM) and chronic migraine (CM).

The study consists of a screening period (up to 7 weeks, including a 4-week baseline period), a 24-week double-blind treatment period (DBTP), a 28-week open-label treatment period (OLTP), and an 8-week safety follow-up period (12 weeks after the last dose of investigational product).

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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Erenumab

Participants were to receive erenumab 70 mg once a month for 24 weeks during the double-blind treatment period followed by erenumab 70 mg once a month for 28 weeks during the open-label treatment period.

Group Type EXPERIMENTAL

Erenumab

Intervention Type DRUG

Administered by subcutaneous injection once a month

Placebo

Participants were to receive placebo to erenumab once a month for 24 weeks during the double-blind treatment period followed by erenumab 70 mg once a month for 28 weeks during the open-label treatment period.

Group Type PLACEBO_COMPARATOR

Erenumab

Intervention Type DRUG

Administered by subcutaneous injection once a month

Placebo

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

* Subject has provided informed consent/assent prior to initiation of any study specific activities/procedures.
* Japanese subjects greater than or equal to 20 to less than or equal to 65 years of age upon entry into screening.
* History of migraine (with or without aura) for greater than or equal to 12 months before screening according to the International Headache Society Classification ICHD-3 (Headache Classification Committee of the International Headache Society, 2018) based on medical records and/or patient self-report
* Migraine frequency: Chronic Migraine (CM) or Episodic Migraine (EM) over the 3 months before screening based on the following criteria:

1. CM is defined as greater than or equal to 15 headache days per month of which greater than or equal to 8 headache days on average across the 3 months meet criteria as migraine days
2. EM is defined as less than 15 headache days per month of which at least 4 or more headache days on average across the 3 months meet criteria as migraine days

Exclusion Criteria

* Subjects greater than 50 years of age at migraine onset.
* History of cluster headache or hemiplegic migraine headache.
* Unable to differentiate migraine from other headaches.
* Migraine with continuous pain, in which the subject does not experience any pain-free periods (of any duration) during the 1 month before the screening period.
* Malignancy, except non-melanoma skin cancers, cervical or breast ductal carcinoma in situ within the last 5 years.
Minimum Eligible Age

20 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

Matsuyama, Ehime, Japan

Site Status

Research Site

Kasuga-shi, Fukuoka, Japan

Site Status

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Kasuga-shi, Fukuoka, Japan

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Hiroshima, Hiroshima, Japan

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Hiroshima, Hiroshima, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Kobe, Hyōgo, Japan

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Kahoku-gun, Ishikawa-ken, Japan

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Morioka, Iwate, Japan

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Takamatsu, Kagawa-ken, Japan

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Kagoshima, Kagoshima-ken, Japan

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Kawasaki-shi, Kanagawa, Japan

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Kawasaki-shi, Kanagawa, Japan

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Kochi, Kochi, Japan

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Kumamoto, Kumamoto, Japan

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Kumamoto, Kumamoto, Japan

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Kyoto, Kyoto, Japan

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Sendai, Miyagi, Japan

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Ōita, Oita Prefecture, Japan

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Osaka, Osaka, Japan

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Toyonaka-shi, Osaka, Japan

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Saga, Saga-ken, Japan

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Iruma-gun, Saitama, Japan

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Saitama-shi, Saitama, Japan

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Tokorozawa-shi, Saitama, Japan

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Shizuoka, Shizuoka, Japan

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Shimotsuga-gun, Tochigi, Japan

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Chofu-shi, Tokyo, Japan

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Hachioji-shi, Tokyo, Japan

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Minato-ku, Tokyo, Japan

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Minato-ku, Tokyo, Japan

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Shibuya-ku, Tokyo, Japan

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Shinjuku-ku, Tokyo, Japan

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Tottori-shi, Tottori, Japan

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Yonago-shi, Tottori, Japan

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Toyama, Toyama, Japan

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Hofu-shi, Yamaguchi, Japan

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Yamaguchi, Yamaguchi, Japan

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Research Site

Kai-shi, Yamanashi, Japan

Site Status

Countries

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Japan

References

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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)

Hirata K, Takeshima T, Sakai F, Imai N, Matsumori Y, Tatsuoka Y, Numachi Y, Yoshida R, Peng C, Mikol DD, Lima GPDS, Cheng S. Early onset of efficacy with erenumab for migraine prevention in Japanese patients: Analysis of two randomized, double-blind, placebo-controlled studies. Brain Behav. 2022 Mar;12(3):e2526. doi: 10.1002/brb3.2526. Epub 2022 Feb 24.

Reference Type BACKGROUND
PMID: 35201674 (View on PubMed)

Hiramatsu K, Onizuka Y, Hasebe M, Yoshida R, Numachi Y. Novel Drug for Migraine Prophylaxis: Mode of Action, Efficacy and Safety of Erenumab. Shinryo to Shinyaku (Med Cons New-Remed) 2021:58(11):797-832

Reference Type BACKGROUND

Hirata K, Sakai F, Takeshima T, Imai N, Matsumori Y, Yoshida R, Numachi Y, Peng C, Mikol DD, Cheng S. Efficacy and safety of erenumab in Japanese migraine patients with prior preventive treatment failure or concomitant preventive treatment: subgroup analyses of a phase 3, randomized trial. J Headache Pain. 2021 Sep 18;22(1):110. doi: 10.1186/s10194-021-01313-8.

Reference Type BACKGROUND
PMID: 34537006 (View on PubMed)

Takeshima T, Sakai F, Hirata K, Imai N, Matsumori Y, Yoshida R, Peng C, Cheng S, Mikol DD. Erenumab treatment for migraine prevention in Japanese patients: Efficacy and safety results from a Phase 3, randomized, double-blind, placebo-controlled study. Headache. 2021 Jun;61(6):927-935. doi: 10.1111/head.14138. Epub 2021 Jun 21.

Reference Type BACKGROUND
PMID: 34153117 (View on PubMed)

Hirata K, Takeshima T, Sakai F, Numachi Y, Yoshida R, Koukakis R, Hasebe M, Yui D, da Silva Lima GP, Cheng S. Long-term efficacy and safety of erenumab in Japanese patients with episodic and chronic migraine: results from a 28-week open-label treatment period of a randomised trial. BMJ Open. 2023 Aug 18;13(8):e068616. doi: 10.1136/bmjopen-2022-068616.

Reference Type BACKGROUND
PMID: 37597868 (View on PubMed)

Kitamura S, Takeshima T, Yui D, da Silva Lima GP, Koukakis R, Peng C, Yoshida R, Numachi Y, Hasebe M. Efficacy of Erenumab for Migraine Prevention in Japanese Patients with Episodic and Chronic Migraine: Results of a Post-Hoc Pooled Analysis. Neurol Ther. 2023 Dec;12(6):1993-2006. doi: 10.1007/s40120-023-00538-w. Epub 2023 Sep 12.

Reference Type BACKGROUND
PMID: 37698837 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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20170609

Identifier Type: -

Identifier Source: org_study_id

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