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Phase 3 Completed N=485 Randomized Quadruple-blind Treatment

A Study to Evaluate the Efficacy and Safety of Eptinezumab Administered Intravenously in Participants Experiencing Acute Attack of Migraine

Source: ClinicalTrials.gov NCT04152083 ↗
Enrolled (actual)
485
Serious AEs
0.0%
Results posted
Aug 2021
Primary outcomePrimary: Time to Headache Pain Freedom — 4.0; 9.0 hours — p=0.0006
◆ Published Evidence
Highly cited
102citations · ~20 / year
Effects of Intravenous Eptinezumab vs Placebo on Headache Pain and Most Bothersome Symptom When Initiated During a Migraine Attack: A Randomized Clinical Trial.
JAMA · 2021 · Open access · Likely link

Summary

The purpose of this study is to evaluate the efficacy and safety of eptinezumab administered intravenously in participants experiencing an acute attack of migraine.

Linked Publications (4)

  • Effects of Intravenous Eptinezumab vs Placebo on Headache Pain and Most Bothersome Symptom When Initiated During a Migraine Attack: A Randomized Clinical Trial.
    JAMA · 2021 · 102 citations · Open access · Likely link
  • Rapid resolution of migraine symptoms after initiating the preventive treatment eptinezumab during a migraine attack: results from the randomized RELIEF trial.
    BMC neurology · 2022 · 22 citations · Open access · Likely link
  • Eptinezumab treatment initiated during a migraine attack is associated with meaningful improvement in patient-reported outcome measures: secondary results from the randomized controlled RELIEF study.
    The journal of headache and pain · 2022 · 13 citations · Open access · Likely link
  • Optimization of acute medication use following eptinezumab initiation during a migraine attack: post hoc analysis of the RELIEF study.
    The journal of headache and pain · 2022 · 8 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Time to Headache Pain Freedom
4.0; 9.0 0.0006 sig
PRIMARY
Time to Absence of Most Bothersome Symptom (MBS)
2.0; 3.0 <0.0001 sig
SECONDARY
Headache Pain Freedom at 2 Hours
56; 29 0.0009 sig
SECONDARY
Absence of MBS at 2 Hours
132; 86 <0.0001 sig
SECONDARY
Headache Pain Freedom at 4 Hours
111; 64
SECONDARY
Absence of MBS at 4 Hours
155; 90
SECONDARY
Use of Rescue Medication Within the First 24 Hours
75; 145

Eligibility Criteria

Inclusion Criteria

  • Greater than 1-year history of migraine, with or without aura, with onset of first migraine before age 50.
  • Migraine on 4 to 15 days per month in the 3 months prior to screening.
  • Headache free for at least 24 hours prior to onset of a qualifying migraine.

Exclusion Criteria

  • Unable to differentiate migraine from other headache or pain disorders.
  • Use of the following medication, for any indication, within the 24-hour period prior to dosing with study drug:
  • triptans, ergotamines and ergot-derivatives
  • analgesics (including but not limited to acetaminophen, tramadol, nonsteroidal anti-inflammatory drugs [NSAIDs], combination analgesics, caffeine-containing analgesics, and opioids/narcotics) and other acute migraine medication(s)
  • antiemetic medications (including but not limited to prochlorperazine, promethazine, droperidol, chlorpromazine, metoclopramide)
  • antihistamines
  • devices, neuromodulation, neurostimulation, or injectable therapy (trigger point injections, extracranial nerve blocks, facet joint injections, spinal manipulation)
  • Use of the following medication, for any indication, in each of the 3 months prior to screening:
  • opioids/narcotics or butalbital containing products (including combinations) on more than 4 days per month;
  • triptans, ergotamines, or combination analgesics for 10 or more days per month;
  • acetaminophen, aspirin or NSAIDs for 15 or more days per month (except if participant is taking 81 mg dose of aspirin for cardiac prophylaxis)
  • History or diagnosis of chronic tension-type headache, hypnic headache, cluster headache, hemicrania continua, new daily persistent headache, or unusual migraine subtypes such as hemiplegic migraine (sporadic and familial), ophthalmoplegic migraine and migraine with neurological accompaniments that are not typical of migraine aura (for example, diplopia, altered consciousness, or long duration).
  • Any changes to preventive migraine treatment(s) within 1 month prior to screening and up to treatment with the study drug (Day 0).
  • Any use of approved devices, neuromodulation, neurostimulation, or injectable therapy (trigger point injections, extracranial nerve blocks, facet joint injections) within the 24-hour period prior to treatment with study drug (Day 0).
  • Any use of botulinum toxin for migraine or for any other medical/cosmetic reasons requiring injections within 7 days prior to treatment with study drug (Day 0).
  • Any use of systemic corticosteroid for migraine or any other reason within 3 months prior to treatment with study drug (Day 0).
  • Evidence or medical history of clinically significant psychiatric diseases that are uncontrolled and/or untreated.
  • Receipt of any monoclonal antibody treatment, for migraine or any other indication, (within or outside a clinical study) within 6 months prior to screening.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04152083) and the linked publication. 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.

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