Efficacy and Safety of Erenumab in Pediatric Subjects With Chronic Migraine

NCT ID: NCT03832998

Last Updated: 2026-01-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

284 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-05

Study Completion Date

2026-01-07

Brief Summary

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This study will evaluate the efficacy and safety of erenumab in migraine prevention in children (6 to \<12 years) and adolescents (12 to \<18 years) with chronic migraine. The study hypothesis is that in pediatric participants with chronic migraine, the combined erenumab dose group has a greater reduction from baseline to week 9 through week 12 (month 3) in monthly migraine days (MMDs) when compared with placebo in the double-blind treatment phase (DBTP).

Detailed Description

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This study is a phase 3, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of erenumab in migraine prevention in children (6 to \<12 years) and adolescents (12 to \<18 years) with chronic migraine. The trial consists of four phases: screening (up to 3 weeks of initial screening and a 4-week prospective baseline phase); the DBTP (24 weeks for Group 1 subjects; 12-weeks for Group 2 subjects) in which participants receive placebo or erenumab dose 1, dose 2 or dose 3 (based on participant's body-weight) via subcutaneous injection once a month; the optional dose level blinded extension phase (40 weeks), in which all participants are assigned to receive dose 1, dose 2 or dose 3 of erenumab; and a 12 weeks safety follow-up phase (16 weeks after the last dose of investigational drug). The study intends to enrol 286 participants (256 adolescents and 30 children).

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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Dose Level 1

Participants will be randomized to one of two doses determined by their body weight at Day 1. Participants who enrolled under the original protocol or protocol amendment 1 will be identified as group 1. Those enrolled under protocol amendment 2 will be identified as group 2.

Group Type EXPERIMENTAL

Erenumab Dose 1

Intervention Type DRUG

Participants in the low body-weight group at day 1 and who are randomized to Dose Level 1 will receive this dose.

Erenumab Dose 2

Intervention Type DRUG

Participants in the low body-weight group at day 1 who are randomized to Dose Level 2 and participants in the high body-weight group at day 1 who are randomized to Dose Level 1 will receive this dose.

Dose Level 2

Participants will be randomized to one of two doses determined by their body-weight at Day 1. Participants who enrolled under the original protocol or protocol amendment 1 will be identified as group 1. Those enrolled under protocol amendment 2 will be identified as group 2.

Group Type EXPERIMENTAL

Erenumab Dose 2

Intervention Type DRUG

Participants in the low body-weight group at day 1 who are randomized to Dose Level 2 and participants in the high body-weight group at day 1 who are randomized to Dose Level 1 will receive this dose.

Erenumab Dose 3

Intervention Type DRUG

Participants in the high body-weight group at day 1 who are randomized to Dose Level 2 will receive this dose.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo matching dose for erenumab dose 1, 2 and 3.

Interventions

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Erenumab Dose 1

Participants in the low body-weight group at day 1 and who are randomized to Dose Level 1 will receive this dose.

Intervention Type DRUG

Erenumab Dose 2

Participants in the low body-weight group at day 1 who are randomized to Dose Level 2 and participants in the high body-weight group at day 1 who are randomized to Dose Level 1 will receive this dose.

Intervention Type DRUG

Erenumab Dose 3

Participants in the high body-weight group at day 1 who are randomized to Dose Level 2 will receive this dose.

Intervention Type DRUG

Placebo

Placebo matching dose for erenumab dose 1, 2 and 3.

Intervention Type OTHER

Other Intervention Names

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AMG 334 Aimovig® AMG 334 Aimovig® AMG 334 Aimovig®

Eligibility Criteria

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Inclusion Criteria

* Children (6 to less than 12 years of age) or adolescent (12 to less than 18 years of age) at the time of signing, if developmentally appropriate, the formal assent to participate to the study.
* Participant's parent or legal representative has provided written informed consent before initiation of any study-specific activities/procedures.
* History of migraine (with or without aura) for ≥ 12 months before screening according to the IHS Classification ICHD-3 (Headache Classification Committee of the International Headache Society, 2013) ICHD-3 specifications for pediatric migraine (participants aged less than 18 years), should be considered for the diagnosis of migraine.
* History of ≥ 15 headache days per month of which ≥ 8 headache days were assessed by the participant as migraine days per month in each of the 3 months prior to screening.
* Migraine frequency: greater than or equal to 8 migraine days based on the eDiary data during the last 28 days of the baseline phase if more than 28 days in duration.
* Headache frequency of greater than or equal to 15 headache days based on the eDiary data during the last 28 days of the baseline phase if more than 28 days in duration.
* Demonstrated at least 80% compliance with the eDiary based on the last 28 days of the baseline period, if more than 28 days in duration (eg, completing eDiary items for at least 23 out of the last 28 days of the baseline phase).

Exclusion Criteria

* History of cluster headache or hemiplegic migraine headache.
* Chronic migraine with continuous pain, in which the participant does not have any pain free periods (of any duration) during the 1 month prior to screening.
* No therapeutic response with greater than 3 medication categories for prophylactic treatment of migraine after an adequate therapeutic trial. No therapeutic response is defined as no reduction in headache frequency, duration, or severity after administration of the medication for at least 6 weeks at the generally-accepted therapeutic dose(s) based on the investigator's assessment.
* History of suicidal behavior or the participant is at risk of self-harm or harm to others.
* History of major psychiatric disorder. Participants with anxiety disorder and/or mild major depressive disorder (Patient Health Questionnaire Modified for Adolescents \[PHQ-A\] score 9 for adolescents or based on medical judgement of the investigator for children) are permitted in the study if they are considered by the investigator to be stable and are taking no more than 1 medication for each disorder. Participants must have been on a stable dose within the 3 months before the start of the baseline phase.
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis

INDUSTRY

Sponsor Role collaborator

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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Paradigm Clinical Research Center Inc

San Diego, California, United States

Site Status

Childrens Hospital Colorado

Aurora, Colorado, United States

Site Status

Colorado Springs Neurological Associates

Colorado Springs, Colorado, United States

Site Status

New England Institute for Clinical Research

Stamford, Connecticut, United States

Site Status

Childrens National Health System

Washington D.C., District of Columbia, United States

Site Status

TrueBlue Clinical Research

Brandon, Florida, United States

Site Status

Northwest Florida Clinical Research Group Limited Liability Company

Gulf Breeze, Florida, United States

Site Status

Nicklaus Childrens Hospital

Miami, Florida, United States

Site Status

Pediatric Epilepsy and Neurology Specialists

Tampa, Florida, United States

Site Status

Premiere Research Institute

West Palm Beach, Florida, United States

Site Status

Rare Disease Research Center Pediatrics

Atlanta, Georgia, United States

Site Status

CenExel iResearch, LLC

Savannah, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Chicago Headache Center and Research Institute

Chicago, Illinois, United States

Site Status

Josephson Wallack Munshower Neurology

Indianapolis, Indiana, United States

Site Status

University of Maryland, Baltimore

Baltimore, Maryland, United States

Site Status

New England Regional Headache Center Inc

Worcester, Massachusetts, United States

Site Status

Michigan Head Pain and Neurological Institute

Ann Arbor, Michigan, United States

Site Status

Clinical Research Institute Inc

Plymouth, Minnesota, United States

Site Status

Childrens Mercy Hospital and Clinics

Kansas City, Missouri, United States

Site Status

Mercy Research

St Louis, Missouri, United States

Site Status

Meridian Clinical Research LLC

Hastings, Nebraska, United States

Site Status

Dent Neurosciences Research Center

Amherst, New York, United States

Site Status

Modern Migraine MD

New York, New York, United States

Site Status

Columbia University Irving Medical Center

New York, New York, United States

Site Status

Cincinnati Childrens Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Nationwide Childrens Hospital

Columbus, Ohio, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Childrens Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Preferred Primary Care Physicians, Inc

Pittsburgh, Pennsylvania, United States

Site Status

Palmetto Gastroenterology Clinical Research, LLC

Summerville, South Carolina, United States

Site Status

Child Neurology Consultants of Austin

Austin, Texas, United States

Site Status

Helios Clinical Research Inc

Burleson, Texas, United States

Site Status

Stryde Consulting LLC

Frisco, Texas, United States

Site Status

Childrens Specialty Group

Norfolk, Virginia, United States

Site Status

Vaught Neurological Services

Crab Orchard, West Virginia, United States

Site Status

Marshfield Clinic

Marshfield, Wisconsin, United States

Site Status

Universitair Ziekenhuis Brussel

Brussels, , Belgium

Site Status

Algemeen Ziekenhuis Sint-Maarten

Mechelen, , Belgium

Site Status

Docteur Simona Sava

Saint-Nicolas, , Belgium

Site Status

Stollery Childrens Hospital

Edmonton, Alberta, Canada

Site Status

London Health Sciences Centre

London, Ontario, Canada

Site Status

Childrens Hospital of Eastern Ontario

Ottawa, Ontario, Canada

Site Status

The Hospital For Sick Children

Toronto, Ontario, Canada

Site Status

Fundacion Centro de Investigacion Clinica

Medellín, Antioquia, Colombia

Site Status

Cafam

Bogota, Cundinamarca, Colombia

Site Status

Fundacion Cardiovascular de Colombia

Bucaramanga, Santander Department, Colombia

Site Status

Terveystalo Pulssi

Turku, , Finland

Site Status

Charite - Universitaetsmedizin Berlin, Campus Virchow

Berlin, , Germany

Site Status

Universitaetsklinikum Essen

Essen, , Germany

Site Status

Schmerzklinik Kiel

Kiel, , Germany

Site Status

Arzneimittelforschung Leipzig GmbH

Leipzig, , Germany

Site Status

Dr Kenessey Albert Korhaz - Rendelointezet

Balassagyarmat, , Hungary

Site Status

Dr Altmann Anna egyeni vallalkozo

Budapest, , Hungary

Site Status

High Tech Medical Kft

Budapest, , Hungary

Site Status

Semmelweis Egyetem

Budapest, , Hungary

Site Status

Debreceni Egyetem Klinikai Kozpont

Debrecen, , Hungary

Site Status

Borsod-Abauj-Zemplen Varmegyei Kozponti Korhaz es Egyetemi Oktatokorhaz

Miskolc, , Hungary

Site Status

Fondazione IRCCS Istituto Neurologico Carlo Besta

Milan, , Italy

Site Status

Azienda di Rilievo Nazionale e Alta Specializzazione Civico Di Cristina Benfratelli

Palermo, , Italy

Site Status

Fondazione Istituto Neurologico Nazionale C Mondino IRCCS

Pavia, , Italy

Site Status

IRCCS Ospedale Pediatrico Bambino Gesu

Roma, , Italy

Site Status

Josai Kids Clinic

Nagoya, Aichi-ken, Japan

Site Status

Medical Corporation Seikokai Takanoko Hospital

Matsuyama, Ehime, Japan

Site Status

Hiroshima City Hiroshima Citizens Hospital

Hiroshima, Hiroshima, Japan

Site Status

Kitami Clinic

Sapporo, Hokkaido, Japan

Site Status

Konan Medical Center

Kobe, Hyōgo, Japan

Site Status

Kumamoto City Hospital

Kumamoto, Kumamoto, Japan

Site Status

Tatsuoka Neurology Clinic

Kyoto, Kyoto, Japan

Site Status

Japanese Red Cross Kyoto Daiichi Hospital

Kyoto, Kyoto, Japan

Site Status

Sendai Headache and Neurology Clinic

Sendai, Miyagi, Japan

Site Status

Tominaga Hospital

Osaka, Osaka, Japan

Site Status

Saitama Neuropsychiatric Institute

Saitama-shi, Saitama, Japan

Site Status

Tokyo Headache Clinic

Shibuya-ku, Tokyo, Japan

Site Status

Tokyo Medical University Hospital

Shinjuku-ku, Tokyo, Japan

Site Status

Keio University Hospital

Shinjuku-ku, Tokyo, Japan

Site Status

Nagamitsu Clinic

Hofu-shi, Yamaguchi, Japan

Site Status

Nagaseki Headache Clinic

Kai-shi, Yamanashi, Japan

Site Status

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status

Instytut Centrum Zdrowia Matki Polki

Lodz, , Poland

Site Status

Centrum Medyczne Luxmed Spzoo

Lublin, , Poland

Site Status

Centrum Medyczne Hope Clinic Sebastian Szklener

Lublin, , Poland

Site Status

Uniwersytecki Szpital Kliniczny w Poznaniu

Poznan, , Poland

Site Status

Clinical Research Center Spzoo Medic-R Spolka Komandytowa

Poznan, , Poland

Site Status

Dr Sekowska Leczenie Bolu

Warsaw, , Poland

Site Status

Next Stage Spzoo

Warsaw, , Poland

Site Status

Migre Polskie Centrum Leczenia Migreny Anna Gryglas-Dworak

Wroclaw, , Poland

Site Status

Puerto Rico Health and Wellness Institute

Dorado, , Puerto Rico

Site Status

FSBI Russian Children Clinical Hospital of the MoH RF

Moscow, , Russia

Site Status

LLC clinic Chaika

Moscow, , Russia

Site Status

LLC Sibneyromed

Novosibirsk, , Russia

Site Status

LLC Medical Technologies

Saint Petersburg, , Russia

Site Status

Noahs Ark Childrens Hospital for Wales

Cardiff, , United Kingdom

Site Status

Royal Hospital for Children

Glasgow, , United Kingdom

Site Status

4 Medical Clinical Solutions London

Ilford, , United Kingdom

Site Status

Alder Hey Childrens Hospital

Liverpool, , United Kingdom

Site Status

Evelina Childrens Hospital

London, , United Kingdom

Site Status

Great Ormond Street Hospital for Children

London, , United Kingdom

Site Status

4 Medical Clinical Solutions Manchester

Manchester, , United Kingdom

Site Status

Oxford Childrens Hospital

Oxford, , United Kingdom

Site Status

Countries

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United States Belgium Canada Colombia Finland Germany Hungary Italy Japan Poland Puerto Rico Russia United Kingdom

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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2023-504928-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

EMEA-001664-PIP02-15

Identifier Type: OTHER

Identifier Source: secondary_id

20160354

Identifier Type: -

Identifier Source: org_study_id

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