The Effect of Anti-calcitonin Gene-related Peptide (CGRP) Receptor Antibodies on the Headache Inducing Properties of CGRP and Cilostazol in Migraine Patients

NCT ID: NCT04452929

Last Updated: 2020-10-08

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-22

Study Completion Date

2022-07-31

Brief Summary

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A randomized, double-blind, placebo-controlled, parallel study to investigate the effect of erenumab in calcitonin-gene related peptide and cilostazol experimental models of migraine in humans. Followed by a 6-month open-label extension.

Detailed Description

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Conditions

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Migraine Migraine Without Aura Migraine With Aura

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, double-blinded, placebo-controlled, parallel study followed by a 6-month open-label extension.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Randomized treatment phase: Erenumab

Erenumab 140 mg single subcutaneous injection at baseline

Group Type ACTIVE_COMPARATOR

Erenumab

Intervention Type DRUG

Subcutaneous injection of 140 mg erenumab.

Calcitonin gene-related peptide

Intervention Type DRUG

Intravenous infusion of 1.5ug/min calcitonin gene-related peptide over 20 minutes.

Cilostazol

Intervention Type DRUG

Oral intake of 200 mg cilostazol.

Randomized treatment phase: Placebo

Saline placebo single subcutaneous injection at baseline

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Subcutaneous injection of saline placebo.

Calcitonin gene-related peptide

Intervention Type DRUG

Intravenous infusion of 1.5ug/min calcitonin gene-related peptide over 20 minutes.

Cilostazol

Intervention Type DRUG

Oral intake of 200 mg cilostazol.

Open-label extension treatment phase: Erenumab

Erenumab 140 mg monthly subcutaneous injection for six months after completion of the randomized, double-blinded, placebo-controlled study phase during the open-label extension

Group Type OTHER

Erenumab

Intervention Type DRUG

Subcutaneous injection of 140 mg erenumab.

Interventions

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Erenumab

Subcutaneous injection of 140 mg erenumab.

Intervention Type DRUG

Placebo

Subcutaneous injection of saline placebo.

Intervention Type DRUG

Calcitonin gene-related peptide

Intravenous infusion of 1.5ug/min calcitonin gene-related peptide over 20 minutes.

Intervention Type DRUG

Cilostazol

Oral intake of 200 mg cilostazol.

Intervention Type DRUG

Other Intervention Names

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Aimovig® Saline placebo

Eligibility Criteria

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Inclusion Criteria

* Patients with migraine with or without aura according to the International Classification of Headache Disorders with a frequency of ≥4 migraine days per month
* 50-100 kg weight
* Participants of childbearing potential must use safe contraception (birth control) or be sexually abstinent

Exclusion Criteria

* Any other primary headache disorder according to the International Classification of Headache Disorders except for tension-type headache
* Any secondary headache disorder according to the International Classification of Headache Disorders
* Migraine attack during the preceding 48 hours on provocation day
* Headache during the preceding 24 hours on provocation day
* Treatment with monoclonal antibodies or participation in clinical trials with monoclonal antibodies during the preceding year
* Daily consumption of any other drug/medication than oral contraception (birth control)
* Consumption of any other drug/medication later than four times the plasma half-time of the drug on provocation day except for oral contraception
* Pregnant or active breastfeeding participants
* Any cardiovascular diseases including cerebrovascular disorders
* Information in patient history or during physical examination indicating psychiatric disorders or substance abuse
* Information in patient history or during physical examination that the screening physician deems relevant for participation in the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Danish Headache Center

OTHER

Sponsor Role lead

Responsible Party

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Messoud Ashina

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Thien P Do, MD

Role: STUDY_DIRECTOR

Danish Headache Center

Locations

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Danish Headache Center

Glostrup Municipality, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Thien P Do, MD

Role: CONTACT

004541414117

Facility Contacts

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Thien P Do, MD

Role: primary

004541414117

Other Identifiers

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CGRP2020

Identifier Type: -

Identifier Source: org_study_id

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