A Study to Test if Fremanezumab is Effective in Preventing Migraine in Children and Adolescents

NCT ID: NCT04530110

Last Updated: 2026-01-16

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

506 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-16

Study Completion Date

2025-12-22

Brief Summary

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The primary objective of the study is to evaluate the long-term safety and tolerability of subcutaneous fremanezumab in the preventive treatment of migraine in pediatric participants 6 to 17 years of age (inclusive at enrollment in the pivotal study).

Secondary objectives are to evaluate the efficacy of subcutaneous fremanezumab in pediatric participants with migraine and to evaluate the immunogenicity of fremanezumab and the impact of ADAs on clinical outcomes in pediatric participants exposed to fremanezumab.

The total duration of the study is planned to be up to 84 months.

Detailed Description

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The study population will be composed of 3 subgroups of participants as follows:

* Participants rolling over from the pivotal Phase 3 pediatric efficacy studies (Studies TV48125-CNS-30082 and TV48125-CNS-30083)
* Participants rolling over from the Phase 1 pediatric pharmacokinetic study (Study TV48125-CNS-10141)
* Participants rolling over from the pivotal Phase 3 pediatric efficacy studies (Studies TV48125-CNS-30082 and TV48125-CNS-30083) for safety follow-up and antidrug antibody (ADA) evaluation only

Conditions

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Migraine

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Fremanezumab

The dose of Fremanezumab to be administered will be confirmed or adjusted, as appropriate, based on the participant's weight every 3 months.

Group Type EXPERIMENTAL

Fremanezumab

Intervention Type DRUG

Participants weighing ≥ threshold will receive Dose A subcutaneously monthly.

Participants weighing \< threshold will receive Dose B subcutaneously monthly.

Subcutaneously monthly, confirmed or adjusted, as appropriate, based on the participant's weight every 3 months.

Interventions

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Fremanezumab

Participants weighing ≥ threshold will receive Dose A subcutaneously monthly.

Participants weighing \< threshold will receive Dose B subcutaneously monthly.

Subcutaneously monthly, confirmed or adjusted, as appropriate, based on the participant's weight every 3 months.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants have completed the pivotal efficacy study and, in the opinion of the Investigator or the Sponsor, are able to complete the study in a safe and compliant way.
* Participants may continue with a stable dose/regimen of the preventive medication they were taking during the pivotal efficacy studies.
* The participant continues to meet appropriate criteria carried forward from the pivotal efficacy study/
* The participant has received all recommended age-appropriate vaccines according to local standard of care and schedule.
* The participant weighs at least 17.0 kg on the day of study enrollment.

NOTE: Additional criteria apply; please contact the investigator for more information.


* The participant/caregiver has demonstrated compliance with the electronic headache diary during the 28-day baseline period by entry of headache data on a minimum of 21 out of 28 days (approximately 75% diary compliance).
* The participant has received all recommended age-appropriate vaccines according to local standard of care and schedule.
* The participant weighs at least 17.0 kg on the day of study enrollment.
* The participant has a body mass index ranging from the 5th to 120% of the 95th percentile, inclusive, on the day of study enrollment.
* Not using preventive medications or using no more than 2 preventive medications for migraine or other medical condition, as long as the dose and regimen have been stable for at least 2 months prior to screening (visit 1).

NOTE: Additional criteria apply; please contact the investigator for more information.


• Participants may be included in this study if they sign and date the informed consent document or upon consent of a parent or guardian, if the participant is younger than the age of consent, accompanied by assent of the participant.

Exclusion Criteria

* In the judgment of the investigator, the participant has a clinically significant abnormal finding on study entry, including hematology, blood chemistry, coagulation tests, or urinalysis values/findings (abnormal tests may be repeated for confirmation).
* The participant has a current history of a clinically significant psychiatric condition, at the discretion of the investigator. Any prior history of a suicide attempt, or a history of suicidal ideation with a specific plan within the past 2 years, must be excluded.
* The participant has an ongoing infection or a known history of human immunodeficiency virus infection, tuberculosis, Lyme disease, or chronic hepatitis B or C, or a known active infection of coronavirus disease 2019 (COVID-19).
* The participant has a history of hypersensitivity reactions to injected proteins, including mAbs, or a history of Stevens-Johnson Syndrome or toxic epidermal necrolysis syndrome, or the participant is concomitantly using lamotrigine.
* The participant received a live attenuated vaccine (eg, intranasal flu vaccine, and measles, mumps, and rubella vaccine) within the 12-week period prior to screening. Note: If a medical need arises during the study, the participant may receive a live attenuated vaccine.
* The participant is pregnant or nursing.
* In the judgment of the investigator, the participant has an abnormal finding on the baseline 12-lead ECG considered clinically significant.
* The participant has a current or past medical history of hemiplegic migraine.

NOTE: Additional criteria apply; please contact the investigator for more information.


* The participant has any clinically significant cardiovascular (including congenital cardiac anomalies or thromboembolic events), endocrine, gastrointestinal, genitourinary, hematologic, hepatic, immunologic, neurologic, ophthalmic, pulmonary, renal disease, or complications of an infection, at the discretion of the investigator.
* The participant has a current history of a clinically significant psychiatric condition, any prior history of a suicide attempt, or a history of suicidal ideation with a specific plan within the past 2 years, at the discretion of the investigator.
* The participant has an ongoing infection or a known history of human immunodeficiency virus infection, tuberculosis, Lyme disease, or chronic hepatitis B or C, or a known active infection of coronavirus disease 2019 (COVID-19).
* The participant has a history of hypersensitivity reactions to injected proteins, including mAbs, or a history of Stevens-Johnson Syndrome or toxic epidermal necrolysis syndrome, or the participant is concomitantly using lamotrigine.
* The participant received a live attenuated vaccine (eg, intranasal flu vaccine, and measles, mumps, and rubella vaccine) within the 12-week period prior to screening. Note: If a medical need arises during the study, the participant may receive a live attenuated vaccine.
* The participant is pregnant or nursing.
* In the judgment of the investigator, the participant has an abnormal finding on the baseline 12-lead ECG considered clinically significant.
* The participant has a current or past medical history of hemiplegic migraine.

NOTE: Additional criteria apply; please contact the investigator for more information.
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Teva Branded Pharmaceutical Products R&D LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Teva Medical Expert, MD

Role: STUDY_DIRECTOR

Teva Branded Pharmaceutical Products R&D, Inc.

Locations

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Teva Investigational Site 14319

Aurora, Colorado, United States

Site Status

Teva Investigational Site 14368

Colorado Springs, Colorado, United States

Site Status

Teva Investigational Site 14244

Jacksonville, Florida, United States

Site Status

Teva Investigational Site 14325

Miami, Florida, United States

Site Status

Teva Investigational Site 14250

West Palm Beach, Florida, United States

Site Status

Teva Investigational Site 14255

West Palm Beach, Florida, United States

Site Status

Teva Investigational Site 14243

Atlanta, Georgia, United States

Site Status

Teva Investigational Site 14258

Savannah, Georgia, United States

Site Status

Teva Investigational Site 14263

Hoffman Estates, Illinois, United States

Site Status

Teva Investigational Site 14245

Wichita, Kansas, United States

Site Status

Teva Investigational Site 14327

Louisville, Kentucky, United States

Site Status

Teva Investigational Site 14360

Covington, Louisiana, United States

Site Status

Teva Investigational Site 14365

Baltimore, Maryland, United States

Site Status

Teva Investigational Site 14246

Waltham, Massachusetts, United States

Site Status

Teva Investigational Site 14251

Ann Arbor, Michigan, United States

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Teva Investigational Site 14270

Minneapolis, Minnesota, United States

Site Status

Teva Investigational Site 14376

Ridgeland, Mississippi, United States

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Teva Investigational Site 14256

Bridgeton, Missouri, United States

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Teva Investigational Site 14371

New Brunswick, New Jersey, United States

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Teva Investigational Site 14276

Amherst, New York, United States

Site Status

Teva Investigational Site 14377

Durham, North Carolina, United States

Site Status

Teva Investigational Site 14248

Raleigh, North Carolina, United States

Site Status

Teva Investigational Site 14264

Cincinnati, Ohio, United States

Site Status

Teva Investigational Site 14257

Oklahoma City, Oklahoma, United States

Site Status

Teva Investigational Site 14363

Tulsa, Oklahoma, United States

Site Status

Teva Investigational Site 14364

Philadelphia, Pennsylvania, United States

Site Status

Teva Investigational Site 14374

Bristol, Tennessee, United States

Site Status

Teva Investigational Site 14252

Austin, Texas, United States

Site Status

Teva Investigational Site 14273

Austin, Texas, United States

Site Status

Teva Investigational Site 14367

Dallas, Texas, United States

Site Status

Teva Investigational Site 14375

Salt Lake City, Utah, United States

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Teva Investigational Site 14323

Norfolk, Virginia, United States

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Teva Investigational Site 11182

Ottawa, Ontario, Canada

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Teva Investigational Site 11179

Ottawa, Ontario, Canada

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Teva Investigational Site 11181

Montreal, Quebec, Canada

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Teva Investigational Site 40053

Helsinki, , Finland

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Teva Investigational Site 40049

Kuopio, , Finland

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Teva Investigational Site 40054

Oulu, , Finland

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Teva Investigational Site 40052

Tampere, , Finland

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Teva Investigational Site 32728

Bad Homburg, , Germany

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Teva Investigational Site 32729

Berlin, , Germany

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Teva Investigational Site 32726

Leipzig, , Germany

Site Status

Teva Investigational Site 80170

Be’er Ya‘aqov, , Israel

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Teva Investigational Site 80166

Haifa, , Israel

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Teva Investigational Site 80168

Holon, , Israel

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Teva Investigational Site 80169

Jerusalem, , Israel

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Teva Investigational Site 80167

Ramat Gan, , Israel

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Teva Investigational Site 80164

Safed, , Israel

Site Status

Teva Investigational Site 80165

Tel Aviv, , Israel

Site Status

Teva Investigational Site 30230

Florence, , Italy

Site Status

Teva Investigational Site 30239

Milan, , Italy

Site Status

Teva Investigational Site 30228

Milan, , Italy

Site Status

Teva Investigational Site 30226

Milan, , Italy

Site Status

Teva Investigational Site 30238

Padua, , Italy

Site Status

Teva Investigational Site 30227

Pavia, , Italy

Site Status

Teva Investigational Site 30225

Rome, , Italy

Site Status

Teva Investigational Site 38138

Doetinchem, , Netherlands

Site Status

Teva Investigational Site 38135

Nijmegen, , Netherlands

Site Status

Teva Investigational Site 38136

Rotterdam, , Netherlands

Site Status

Teva Investigational Site 53441

Gdansk, , Poland

Site Status

Teva Investigational Site 53437

Kielce, , Poland

Site Status

Teva Investigational Site 53443

Krakow, , Poland

Site Status

Teva Investigational Site 53452

Krakow, , Poland

Site Status

Teva Investigational Site 53440

Lublin, , Poland

Site Status

Teva Investigational Site 53439

Poznan, , Poland

Site Status

Teva Investigational Site 53451

Poznan, , Poland

Site Status

Teva Investigational Site 53442

Szczecin, , Poland

Site Status

Teva Investigational Site 31271

Barcelona, , Spain

Site Status

Teva Investigational Site 31270

Valencia, , Spain

Site Status

Teva Investigational Site 31265

Valladolid, , Spain

Site Status

Countries

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United States Canada Finland Germany Israel Italy Netherlands Poland Spain

Other Identifiers

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TV48125-CNS-30084

Identifier Type: -

Identifier Source: org_study_id

2019-002056-16

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2024-512837-34-00

Identifier Type: CTIS

Identifier Source: secondary_id

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