Phase 3
N=838
An Efficacy and Safety Study of Fremanezumab in Adults With Migraine
Migraine Prophylaxis
Bottom Line
View on ClinicalTrials.gov: NCT03308968 ↗Enrolled (actual)
838
Serious AEs
4.1%
Results posted
Oct 2019
Primary outcome: Primary: DB Period: Change From Baseline in Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Fremanezumab — -0.6; -3.7; -4.1 days/month — p=<0.0001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Fremanezumab (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.
- Primary completion
- Oct 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY DB Period: Change From Baseline in Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Fremanezumab |
-0.6; -3.7; -4.1 | <0.0001 sig |
| SECONDARY DB Period: Percentage of Participants Reaching at Least 50 Percent (%) Reduction From Baseline in Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Fremanezumab |
9; 34; 34 | — |
| SECONDARY DB Period: Change From Baseline in Monthly Average Number of Headache Days of at Least Moderate Severity During the 12-Week Period After the First Dose of Fremanezumab |
-0.6; -3.9; -4.2 | — |
| SECONDARY DB Period: Change From Baseline in Monthly Average Number of Migraine Days During the 4-Week Period After the First Dose of Fremanezumab |
-0.6; -4.1; -4.1 | — |
| SECONDARY DB Period: Percentage of Participants Reaching at Least 50% Reduction From Baseline in Monthly Average Number of Migraine Days During the 4-Week Period After the First Dose of Fremanezumab |
10; 38; 36 | — |
| SECONDARY DB Period: Change From Baseline in Monthly Average Number of Days of Use of Any Acute Headache Medications During the 12-Week Period After the First Dose of Fremanezumab |
-0.6; -3.7; -3.9 | — |
| SECONDARY DB Period: Change From Baseline in Monthly Average Number of Headache Days of at Least Moderate Severity During the 4-Week Period After the First Dose of Fremanezumab |
-0.5; -4.2; -4.5 | — |
| SECONDARY DB Period: Number of Participants With Adverse Events (AEs) and Who Did Not Complete the Study Due to AEs |
134; 151; 129; 3; 1; 4 | — |
| SECONDARY OL Period: Number of Participants With AEs and Who Did Not Complete the Study Due to AEs |
137; 149; 155; 4; 1; 2 | — |
| SECONDARY DB Period: Number of Participants With Potentially Clinically Significant Abnormal Serum Chemistry Results |
1; 3; 4 | — |
| SECONDARY OL Period: Number of Participants With Potentially Clinically Significant Abnormal Serum Chemistry Results |
2; 3; 2 | — |
| SECONDARY DB Period: Number of Participants With Potentially Clinically Significant Abnormal Hematology Results |
11; 12; 3 | — |
| SECONDARY OL Period: Number of Participants With Potentially Clinically Significant Abnormal Hematology Results |
9; 11; 5 | — |
| SECONDARY DB Period: Number of Participants With Potentially Clinically Significant Abnormal Coagulation Laboratory Test Results |
2; 4; 4 | — |
| SECONDARY OL Period: Number of Participants With Potentially Clinically Significant Abnormal Coagulation Laboratory Test Results |
3; 1; 3 | — |
| SECONDARY DB Period: Number of Participants With Potentially Clinically Significant Abnormal Urinalysis Laboratory Tests Results |
0; 0; 0 | — |
| SECONDARY OL Period: Number of Participants With Potentially Clinically Significant Abnormal Urinalysis Laboratory Tests Results |
0; 0; 0 | — |
| SECONDARY DB Period: Number of Participants With Potentially Clinically Significant Abnormal Vital Signs Values |
9; 8; 8 | — |
| SECONDARY OL Period: Number of Participants With Potentially Clinically Significant Abnormal Vital Signs Values |
10; 14; 8 | — |
| SECONDARY DB Period: Number of Participants With Shift From Baseline to Week 12 in Electrocardiogram (ECG) Parameters |
199; 218; 212; 21; 14; 15 | — |
| SECONDARY OL Period: Number of Participants With Shift From Baseline to Week 24 in ECG Parameters |
194; 215; 204; 15; 5; 15 | — |
| SECONDARY DB Period: Number of Participants Who Received Concomitant Medications for Adverse Events |
274; 269; 280 | — |
| SECONDARY OL Period: Number of Participants Who Received Concomitant Medications for Adverse Events |
262; 266; 270 | — |
Summary
The purpose of this study is to evaluate the efficacy, safety, and tolerability of monthly and quarterly subcutaneous (sc) injections of fremanezumab compared with sc injections of placebo in participants with chronic migraine (CM) or episodic migraine (EM) who have responded inadequately to 2 to 4 classes of prior preventive treatments.
Approximately equal numbers of participants from each subgroup (CM and EM) are randomized in blinded-fashion 1:1:1 into one of 3 treatments for the subgroup - 2 active treatments and 1 placebo treatment- consisting of monthly injections for 3 months (up to Week 12). Then all participants continue into an open-label extension of 3 months (up to Week 24) during which everyone is administered sc injections of fremanezumab.
Eligibility Criteria
Inclusion Criteria
- The participant has a diagnosis of migraine with onset at ≤50 years of age.
- Body weight ≥45 kilograms.
- The participant has a history of migraine for ≥12 months prior to screening.
- Women of childbearing potential (WOCBP) whose male partners are potentially fertile (that is; no vasectomy) must use highly effective birth control methods for the duration of the study and the follow-up period and for 6.0 months after discontinuation of investigational medicinal product (IMP)
- Men must be sterile, or if they are potentially fertile/reproductively competent (not surgically [that is; vasectomy] or congenitally sterile) and their female partners are of childbearing potential, must use, together with their female partners, acceptable birth control methods for the duration of the study and for 6.0 months after discontinuation of the investigational medicinal product (IMP).
- Additional criteria apply, please contact the investigator for more information.
Exclusion Criteria
- At the time of screening visit, participant is receiving any preventive migraine medications, regardless of the medical indication for more than 5 days and expects to continue with these medications.
- Participant has received onabotulinumtoxinA for migraine or for any medical or cosmetic reasons requiring injections in the head, face, or neck during the 3 months before screening visit.
- The participant has used an intervention/device (for example; scheduled nerve blocks and transcranial magnetic stimulation) for migraine during the 2 months prior to screening.
- The participant uses triptans/ergots as preventive therapies for migraine.
- Participant uses non-steroidal anti-inflammatory drugs (NSAIDs) as preventive therapy for migraine on nearly daily basis for other indications. Note: Low dose aspirin (for example; 81 mg) used for cardiovascular disease prevention is allowed.
- Additional criteria apply, please contact the investigator for more information.
Data sourced from ClinicalTrials.gov (NCT03308968). 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.