Phase 2
Completed N=475
A Safety and Efficacy Study to Evaluate AMG 334 in Migraine Prevention
Source: ClinicalTrials.gov NCT02630459 ↗Enrolled (actual)
475
Serious AEs
3.9%
Results posted
Mar 2019
Primary outcomePrimary: Change From Baseline in Mean Monthly Migraine Days at Months 4, 5 and 6 — 0.06; -1.19; -2.25; -1.83 Days — p=<0.001
Summary
Randomized, double-blind, placebo-controlled, parallel-group, multicenter study followed by an open-label treatment phase (OLTP). To evaluate the effect of erenumab (AMG 334) compared to placebo on the change from baseline in monthly migraine days.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Mean Monthly Migraine Days at Months 4, 5 and 6 |
0.06; -1.19; -2.25; -1.83 | <0.001 sig |
| PRIMARY CHU Sub-Study: Participant-Reported Outcome of Attempted Full-Dose Administration at Day 29 (Week 4) and Day 57 (Week 8) |
100.0; 100.0; 0.0; 0.0; 0.0; 0.0 | — |
| SECONDARY Percentage of Participants With at Least a 50% Reduction From Baseline in Mean Monthly Migraine Days at Months 4, 5 and 6 |
7.4; 19.7; 28.9; 27.2 | <0.001 sig |
| SECONDARY Change From Baseline in Mean Monthly Acute Migraine-Specific Medication Treatment Days at Months 4, 5 and 6 |
0.88; -0.19; -1.19; -1.16 | <0.001 sig |
| SECONDARY Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Discontinuations Due to TEAEs, and Fatal TEAEs During the DBTP |
92; 40; 95; 95; 60; 33 | — |
| SECONDARY Number of Participants With TEAEs, Serious TEAEs, Discontinuations Due to TEAEs, and Fatal TEAEs During the OLTP |
292; 173; 422; 238; 147; 358 | — |
| SECONDARY Number of Participants With TEAEs, Serious TEAEs, Discotninuations Due to TEAEs, Fatal TEAEs, and Adverse Device Effects During the CHU Sub-Study |
11; 14; 9; 9; 0; 0 | — |
| SECONDARY Number of Participants With Post-Baseline Liver Function Test Abnormalities During the DBTP |
0; 0; 3; 1; 0; 0 | — |
| SECONDARY Number of Participants With Post-Baseline Liver Function Test Abnormalities During the OLTP |
4; 2; 0; 6; 0; 0 | — |
| SECONDARY Number of Participants With Blood Pressure Changes From Baseline in Categories at Week 24 During the DBTP |
3; 2; 1; 3; 14; 6 | — |
| SECONDARY Number of Participants With Blood Pressure Changes From Pre-OLTP Baseline in Categories at Week 100 During the OLTP |
8; 0; 2; 10; 25; 10 | — |
| SECONDARY Number of Participants With Anti-Erenumab Antibodies During the Entire Study for Participants Who Received ≥ 1 Dose of Erenumab |
0; 0; 0; 0; 0; 0 | — |
Eligibility Criteria
Inclusion Criteria to be assessed prior to entering the subject into the initial screening and/or baseline phase:
- Provided informed consent prior to initiation of any study-specific activities/procedures
- History of migraine (with or without aura) for ≥ 12 months prior to screening according to the International Headache Society (IHS) Classification The International Classification of Headache Disorders (ICHD)-3 (Headache Classification Committee of the IHS, 2013),
- Migraine frequency: ≥ 4 and 2 of the following 7 medication categories for prophylactic treatment of migraine after an adequate therapeutic trial: Category 1: Divalproex sodium, sodium valproate, Category 2: Topiramate, Category 3: Beta blockers (for example: atenolol, bisoprolol, metoprolol, nadolol, nebivolol, pindolol, propranolol, timolol), Category 4: Tricyclic antidepressants (for example: amitriptyline, nortriptyline, protriptyline),Category 5: Serotonin-norepinephrine reuptake inhibitors (for example: venlafaxine, desvenlafaxine, duloxetine, milnacipran), Category 6: Flunarizine, verapamil, lomerizine, Category 7: Lisinopril, candesartan,
- Used a prohibited medication, device or procedure within 2 months prior to the start of the baseline phase or during the baseline phase,
- Received botulinum toxin in the head and/or neck region within 4 months prior to the start of the baseline phase or during the baseline phase,
- Taken the following for any indication in any month during the 2 months prior to the start of the baseline phase: Ergotamines or triptans on ≥ 10 days per month, or Simple analgesics (nonsteroidal anti-inflammatory drugs [NSAIDs], acetaminophen) on ≥ 15 days per month, or Opioid- or butalbital-containing analgesics on ≥ 4 days per month,
- Anticipated to require any excluded medication, device or procedure during the study,
- Active chronic pain syndromes (such as fibromyalgia and chronic pelvic pain),
- History of major psychiatric disorder (such as schizophrenia and bipolar disorder), or current evidence of depression based on a Beck Depression Inventory (BDI)-II total score > 19 at screening. Subjects with anxiety disorder and/or major depressive disorder 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. Subjects must have been on a stable dose within the 3 months prior to the start of the baseline phase,
- History of seizure disorder or other significant neurological conditions other than migraine. Note: A single childhood febrile seizure is not exclusionary,
- Malignancy within the 5 years prior to screening, except non melanoma skin cancers, cervical or breast ductal carcinoma in situ,
- Human immunodeficiency virus (HIV) infection by history,
- Hepatic disease by history, or total bilirubin (TBL) ≥ 2.0 x upper limit of normal (ULN) or alanine transaminase (ALT) or aspartate aminotransferase (AST) ≥ 3.0 x ULN, as assessed by the central laboratory at initial screening, or evidence of acute or chronic hepatitis B or hepatitis C virus. Hepatitis status will be evaluated by testing for hepatitis B surface antigen (HepBsAg), total hepatitis B core antibody (HepBcAb) and hepatitis C antibody by the central laboratory at initial screening. Polymerase chain reaction (PCR) should be performed to confirm active disease only if total HepBcAb is positive and HepBsAg is negative or if C antibody is positive,
- Myocardial infarction, stroke, transient ischemic attack (TIA), unstable angina, or coronary artery bypass surgery or other revascularization procedure within 12 months prior to screening,
- History or evidence of any other unstable or clinically significant medical condition that, in the opinion of the investigator, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion,
- Subject has any clinically significant vital sign, laboratory, or electrocardiogram (ECG) abnormality during screening that, in t
Data sourced from ClinicalTrials.gov (NCT02630459). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.