Treatment of Acute PTH With a CGRP Receptor mAb in Military Service Members and Civilians With mTBI

NCT ID: NCT05049057

Last Updated: 2024-02-22

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

404 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-19

Study Completion Date

2027-05-19

Brief Summary

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This study aims to assess the effect and safety of erenumab compared to placebo for the treatment of acute posttraumatic headache (PTH) in military service members and civilians with mild traumatic brain injury (mTBI).

Detailed Description

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Headache is recognized as one of the most common and disabling symptoms following head trauma. This study is designed to assess a calcitonin gene-related peptide (cGRP) monoclonal antibody (erenumab) for the preventive treatment of PTH based on the rationale that headache posttrauma is similar to migraine and is mediated by the activation of the trigeminal vascular system and subsequent release of cGRP. This study is a randomized, double-blind, placebo-controlled study to assess the safety, tolerability, and efficacy of erenumab 140 mg for the treatment of PTH in military service members and civilians with mTBI at military treatment facilities across the United States.

Conditions

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Posttraumatic Headache Mild Traumatic Brain Injury

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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Active Drug

Erenumab administered once monthly via two 70-mg subcutaneous injections at 3 time points over a 12-week period.

Group Type EXPERIMENTAL

Erenumab 140 Mg/mL Subcutaneous Solution

Intervention Type DRUG

Active erenumab delivered via subcutaneous injection.

Placebo

Placebo administered once monthly via two subcutaneous injections at 3 time points over a 12-week period.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo delivered via subcutaneous injection.

Interventions

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Erenumab 140 Mg/mL Subcutaneous Solution

Active erenumab delivered via subcutaneous injection.

Intervention Type DRUG

Placebo

Placebo delivered via subcutaneous injection.

Intervention Type DRUG

Other Intervention Names

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Aimovig

Eligibility Criteria

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Inclusion Criteria

* Male or female ≥18 and ≤50 years of age
* mTBI from any cause including impact, rotational acceleration, blast, or a combination, has occurred within the prior 7 days
* PTH has occurred within the prior 7 days
* Able to provide informed consent
* Likely to stay in the same geographical area for the duration of study
* Has a personal health care provider for standard of care PTH and TBI, including education, diagnostic procedures including neuroimaging and treatment, as deemed clinically indicated by the health care provider

Exclusion Criteria

* Sustained a moderate or severe TBI, rather than mTBI, indicated with at least 1 of the following associated with head injury:

1. abnormal structural imaging
2. loss of consciousness for \>30 minutes
3. alteration of consciousness/mental state for \>24 hours 3. post-traumatic amnesia for \>1 day
* Participants with ongoing chronic migraine or other chronic daily headache disorders at the time of injury
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Henry M. Jackson Foundation for the Advancement of Military Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David L Brody, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Uniformed Services University of the Health Sciences

Locations

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Womack Army Medical Center - Fort Liberty

Fort Bragg, North Carolina, United States

Site Status RECRUITING

University of Pittsburgh Concussion Research Laboratory

Pittsburgh, Pennsylvania, United States

Site Status NOT_YET_RECRUITING

William Beaumont Army Medical Center

El Paso, Texas, United States

Site Status RECRUITING

Madigan Army Medical Center

Tacoma, Washington, United States

Site Status NOT_YET_RECRUITING

Countries

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United States

Central Contacts

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Amy Guthrie, RN

Role: CONTACT

202-924-2729

Facility Contacts

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Jennifer Robles, RN

Role: primary

240-749-1042

Alexandra Fraiser

Role: backup

240-749-4550

Courtney Perry

Role: primary

412-904-1298

Cecilia Valdovinos, NP

Role: primary

Janel Cuevas

Role: primary

240-890-6518

Other Identifiers

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CNRM-CGRP-2020

Identifier Type: -

Identifier Source: org_study_id

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