Trial Outcomes & Findings for A Study to Evaluate the Efficacy and Safety of Eptinezumab Administered Intravenously in Participants Experiencing Acute Attack of Migraine (NCT NCT04152083)

NCT ID: NCT04152083

Last Updated: 2021-08-17

Results Overview

Time to headache pain freedom defined as the time that the participant reported freedom of pain, meaning their headache pain had gone from moderate to severe at baseline to no pain.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

485 participants

Primary outcome timeframe

Up to 48 hours postdose

Results posted on

2021-08-17

Participant Flow

Participants were randomized to receive either 100 milligrams (mg) eptinezumab or placebo in a 1:1 ratio.

Participant milestones

Participant milestones
Measure
Eptinezumab
Participants received a single dose of eptinezumab 100 mg administered via intravenous (IV) infusion on Day 0.
Placebo
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Overall Study
STARTED
241
244
Overall Study
Received at Least 1 Dose of Study Drug
238
242
Overall Study
COMPLETED
235
241
Overall Study
NOT COMPLETED
6
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Eptinezumab
Participants received a single dose of eptinezumab 100 mg administered via intravenous (IV) infusion on Day 0.
Placebo
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Overall Study
Lost to Follow-up
2
1
Overall Study
Adverse Event
1
0
Overall Study
Randomized but not treated
3
2

Baseline Characteristics

A Study to Evaluate the Efficacy and Safety of Eptinezumab Administered Intravenously in Participants Experiencing Acute Attack of Migraine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Eptinezumab
n=238 Participants
Participants received a single dose of eptinezumab 100 mg administered via IV infusion on Day 0.
Placebo
n=242 Participants
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Total
n=480 Participants
Total of all reporting groups
Age, Continuous
44.9 years
STANDARD_DEVIATION 11.99 • n=5 Participants
44.1 years
STANDARD_DEVIATION 12.12 • n=7 Participants
44.5 years
STANDARD_DEVIATION 12.05 • n=5 Participants
Sex: Female, Male
Female
202 Participants
n=5 Participants
201 Participants
n=7 Participants
403 Participants
n=5 Participants
Sex: Female, Male
Male
36 Participants
n=5 Participants
41 Participants
n=7 Participants
77 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
29 Participants
n=5 Participants
31 Participants
n=7 Participants
60 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
209 Participants
n=5 Participants
211 Participants
n=7 Participants
420 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
200 Participants
n=5 Participants
213 Participants
n=7 Participants
413 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Black or African American
30 Participants
n=5 Participants
19 Participants
n=7 Participants
49 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Asian
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · American Indian or Alaska Native
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Native Hawaiian or other Pacific Islander
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Other
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Multiple
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Number of Migraine Days/Month
7.2 days/month
STANDARD_DEVIATION 2.65 • n=5 Participants
7.2 days/month
STANDARD_DEVIATION 2.56 • n=7 Participants
7.2 days/month
STANDARD_DEVIATION 2.60 • n=5 Participants
Number of Participants With Most Bothersome Symptoms (MBS)
Photophobia
114 participants
n=5 Participants
114 participants
n=7 Participants
228 participants
n=5 Participants
Number of Participants With Most Bothersome Symptoms (MBS)
Nausea
78 participants
n=5 Participants
79 participants
n=7 Participants
157 participants
n=5 Participants
Number of Participants With Most Bothersome Symptoms (MBS)
Phonophobia
46 participants
n=5 Participants
47 participants
n=7 Participants
93 participants
n=5 Participants
Number of Participants With Most Bothersome Symptoms (MBS)
Missing
0 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 48 hours postdose

Population: Full analysis population (FAP) included all randomized participants who received eptinezumab or placebo.

Time to headache pain freedom defined as the time that the participant reported freedom of pain, meaning their headache pain had gone from moderate to severe at baseline to no pain.

Outcome measures

Outcome measures
Measure
Eptinezumab
n=238 Participants
Participants received a single dose of eptinezumab 100 mg administered via IV infusion on Day 0.
Placebo
n=242 Participants
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Time to Headache Pain Freedom
4.0 hours
Interval 2.5 to 12.0
9.0 hours
Interval 3.0 to 48.0

PRIMARY outcome

Timeframe: Up to 48 hours postdose

Population: FAP included all randomized participants who received eptinezumab or placebo. Here, 'Overall number of participants analyzed' signifies participants with both baseline and post-baseline data (the symptom that was most bothersome).

Time to absence of most bothersome symptom defined as the time that the participant reported absence of MBS (of nausea, photophobia, or phonophobia).

Outcome measures

Outcome measures
Measure
Eptinezumab
n=238 Participants
Participants received a single dose of eptinezumab 100 mg administered via IV infusion on Day 0.
Placebo
n=240 Participants
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Time to Absence of Most Bothersome Symptom (MBS)
2.0 hours
Interval 1.0 to 3.5
3.0 hours
Interval 1.5 to 12.0

SECONDARY outcome

Timeframe: 2 hours

Population: FAP included all randomized participants who received eptinezumab or placebo.

Number of participants with freedom from headache pain at 2 hours postdose are reported. Freedom from headache pain meaning that the headache pain that had gone from moderate to severe at baseline to no pain with no administration of rescue medications.

Outcome measures

Outcome measures
Measure
Eptinezumab
n=238 Participants
Participants received a single dose of eptinezumab 100 mg administered via IV infusion on Day 0.
Placebo
n=242 Participants
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Headache Pain Freedom at 2 Hours
56 Participants
29 Participants

SECONDARY outcome

Timeframe: 2 hours

Population: FAP included all randomized participants who received eptinezumab or placebo. Here, 'Overall number of participants analyzed' signifies participants with both baseline and post-baseline data (the symptom that was most bothersome).

Number of participants with absence of MBS (of nausea, photophobia, or phonophobia) at 2 hours postdose are reported.

Outcome measures

Outcome measures
Measure
Eptinezumab
n=238 Participants
Participants received a single dose of eptinezumab 100 mg administered via IV infusion on Day 0.
Placebo
n=240 Participants
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Absence of MBS at 2 Hours
132 Participants
86 Participants

SECONDARY outcome

Timeframe: 4 hours

Population: FAP included all randomized participants who received eptinezumab or placebo.

Number of participants with freedom from headache pain at 4 hours postdose are reported. Freedom from headache pain meaning that the headache pain that had gone from moderate to severe at baseline to no pain with no administration of rescue medications.

Outcome measures

Outcome measures
Measure
Eptinezumab
n=238 Participants
Participants received a single dose of eptinezumab 100 mg administered via IV infusion on Day 0.
Placebo
n=242 Participants
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Headache Pain Freedom at 4 Hours
111 Participants
64 Participants

SECONDARY outcome

Timeframe: 4 hours

Population: FAP included all randomized participants who received eptinezumab or placebo. Here, 'Overall number of participants analyzed' signifies participants with both baseline and post-baseline data (the symptom that was most bothersome).

Number of participants with absence of MBS (of nausea, photophobia, or phonophobia) at 4 hours postdose are reported.

Outcome measures

Outcome measures
Measure
Eptinezumab
n=238 Participants
Participants received a single dose of eptinezumab 100 mg administered via IV infusion on Day 0.
Placebo
n=240 Participants
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Absence of MBS at 4 Hours
155 Participants
90 Participants

SECONDARY outcome

Timeframe: Up to 24 hours postdose

Population: FAP included all randomized participants who received eptinezumab or placebo.

Rescue medication was defined as any medication to treat migraine or migraine-associated symptoms, which could have been provided to the participant any time after 2 hours post-start of infusion. Use of rescue medication was captured in the eDiary. Number of participants who used rescue medication up to 24 hours postdose are reported.

Outcome measures

Outcome measures
Measure
Eptinezumab
n=238 Participants
Participants received a single dose of eptinezumab 100 mg administered via IV infusion on Day 0.
Placebo
n=242 Participants
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Use of Rescue Medication Within the First 24 Hours
75 Participants
145 Participants

Adverse Events

Eptinezumab

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Eptinezumab
n=238 participants at risk
Participants received a single dose of eptinezumab 100 mg administered via IV infusion on Day 0.
Placebo
n=242 participants at risk
Participants received a single dose of placebo matched to eptinezumab administered via IV infusion on Day 0.
Immune system disorders
Hypersensitivity
2.1%
5/238 • Number of events 5 • Start of treatment (Day 0) through end of study (Week 4)
Safety population included all participants who received eptinezumab or placebo.
0.00%
0/242 • Start of treatment (Day 0) through end of study (Week 4)
Safety population included all participants who received eptinezumab or placebo.

Additional Information

Email contact via

H. Lundbeck A/S

Phone: +4536301311

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place