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Treatment for Prevention of Chronic MigrainePhase 2NCT02174861

A Study to Assess the Long-term Safety and Efficacy of Erenumab (AMG 334) in Chronic Migraine Prevention.

A Phase 2 study testing Erenumab in people with Treatment for Prevention of Chronic Migraine, run by Amgen at 65 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

To assess the long-term safety and efficacy of erenumab. Read more about this study

Who is it for?
Ages 18 to 66 years
What is being tested?
Erenumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
609 participants
Where
65 sitesin 10 countries
Study dates
30 Jun 2014to 26 May 2017
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 66 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has provided informed consent prior to initiation of any study-specific activities/procedures
  • Completed the 12-week study visit and did not end IP early during the double-blind treatment period of the AMG 334 20120295 (NCT02066415) parent study, and is appropriate for continued treatment.

Who cannot join

  • Development of any unstable or clinically significant medical condition, laboratory or electrocardiogram (ECG) abnormality following randomization into the parent study, that in the opinion of the investigator, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion.
  • Systolic blood pressure (BP) 160 mm Hg and/or diastolic BP 100 mm Hg or greater at screening/Day 1.
  • Subject who used excluded concomitant medications between week 8 and week 12 of the parent study

Trial locations and contacts

65 sites in 10 countries.

65 sites in 10 countries

United States29 sites
  • Research Site

    Amherst, New York, 14226

  • Research Site

    Ann Arbor, Michigan, 48104

  • Research Site

    Atlanta, Georgia, 30342

  • Research Site

    Austin, Texas, 78731

  • Research Site

    Cleveland, Ohio, 44195

  • Research Site

    Dallas, Texas, 75214

  • Research Site

    Dallas, Texas, 75231

  • Research Site

    Decatur, Georgia, 30033

  • Research Site

    Greensboro, North Carolina, 27405

  • Research Site

    Indianapolis, Indiana, 46256

  • Research Site

    Jacksonville, Florida, 32256

  • Research Site

    Nashville, Tennessee, 37203

  • Research Site

    Newport Beach, California, 92663

  • Research Site

    Orlando, Florida, 32801

  • Research Site

    Palm Beach Gardens, Florida, 33410

  • Research Site

    Palo Alto, California, 94304

  • Research Site

    Philadelphia, Pennsylvania, 19107

  • Research Site

    Pikesville, Maryland, 21208

  • Research Site

    Reno, Nevada, 89502

  • Research Site

    Santa Monica, California, 90404

  • Research Site

    Seattle, Washington, 98195

  • Research Site

    Sherman Oaks, California, 91403

  • Research Site

    Springfield, Missouri, 65807

  • Research Site

    St Louis, Missouri, 63141

  • Research Site

    Stamford, Connecticut, 06905

  • Research Site

    Virginia Beach, Virginia, 23454

  • Research Site

    Watertown, Massachusetts, 02472

  • Research Site

    West Palm Beach, Florida, 33407

  • Research Site

    Worcester, Massachusetts, 01605

Other trials in United States

Germany6 sites
  • Research Site

    Berlin, 10117

  • Research Site

    Berlin, 10435

  • Research Site

    Bochum, 44787

  • Research Site

    Essen, 45147

  • Research Site

    Hamburg, 20251

  • Research Site

    Kiel, 24149

Other trials in Germany

Poland6 sites
  • Research Site

    Krakow, 31-209

  • Research Site

    Lodz, 90-338

  • Research Site

    Lublin, 20-016

  • Research Site

    Poznan, 60-355

  • Research Site

    Świdnik, 21-040

  • Research Site

    Warsaw, 00-669

Other trials in Poland

Sweden5 sites
  • Research Site

    Falköping, 521 37

  • Research Site

    Stockholm, 112 45

  • Research Site

    Stockholm, 114 33

  • Research Site

    Stockholm, 141 86

  • Research Site

    Vällingby, 162 68

Other trials in Sweden

Czechia4 sites
  • Research Site

    Brno, 611 00

  • Research Site

    Brno, 656 91

  • Research Site

    Prague, 120 00

  • Research Site

    Prague, 140 59

Other trials in Czechia

Finland4 sites
  • Research Site

    Helsinki, 00100

  • Research Site

    Oulu, 90101

  • Research Site

    Tampere, 33100

  • Research Site

    Turku, 20100

Other trials in Finland

Norway4 sites
  • Research Site

    Ålesund, 6003

  • Research Site

    Lillehammer, 2629

  • Research Site

    Sandvika, 1337

  • Research Site

    Stavanger, 4005

Other trials in Norway

United Kingdom4 sites
  • Research Site

    Glasgow, G51 4TF

  • Research Site

    Hull, HU3 2JZ

  • Research Site

    London, SE5 9RS

  • Research Site

    Stoke-on-Trent, ST4 6QG

Other trials in United Kingdom

Canada2 sites
  • Research Site

    Calgary, Alberta, T3M 1M4

  • Research Site

    Montreal, Quebec, H2L 4M1

Other trials in Canada

Denmark1 site
  • Research Site

    Glostrup Municipality, 2600

Other trials in Denmark

About this study

Official title: An Open-label Extension (OLE) Study to Assess the Long-term Safety and Efficacy of AMG 334

To assess the long-term safety and efficacy of erenumab.

Read the detailed description

This was a multicenter, 52-week, open-label study designed to assess the long-term safety and efficacy of erenumab in adults with chronic migraine. Participants who completed the 12-week double-blind treatment of the parent Study 20120295 (NCT02066415) and met all Study 20130255 eligibility criteria were eligible for enrollment into this study. Enrollment occurred within 14 days after the parent study's week 12 visit.

The initial dose used in the study was erenumab 70 mg every month (QM). The protocol was subsequently amended to increase the dose to erenumab 140 mg QM (Protocol Amendment 2). Participants who had already completed the week 28 visit (ie, midpoint of the study) at the time of Protocol Amendment 2 continued to receive open-label erenumab 70 mg QM for the remainder of the study. Participants who enrolled but had not completed the week 28 visit at the time of Protocol Amendment 2 increased the open-label erenumab dose from 70 mg QM to 140 mg QM at the next visit. All participants who enrolled after Protocol Amendment 2 received open-label erenumab 140 mg QM throughout the study.

Participants may elect to participate in a separate clinical home use (CHU) substudy to assess subjects' ability to self-administer 140 mg of erenumab for in-home use using either two prefilled syringes (PFS) or two prefilled autoinjector/pens (AI/pens). Enrollment in the 12-week substudy occurred at either week 12 or week 40 of study 20130255. Participants were randomized to self-administer erenumab using either the PFS or AI/pen on CHU days 29 and 57 at home.

Being tested
Erenumab
Keywords
Chronic Migraine

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ErenumabDrug

    Also called AMG 334, Aimovig™

    Administered by subcutaneous injection once a month

Study groups in NCT02174861
Study groupRoleWhat they receive
ErenumabExperimentalParticipants received erenumab 70 mg once a month (QM) or 140 mg QM by subcutaneous injection for up to 52 weeks.
Receives: Drug: Erenumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Adverse Events

    Adverse events (AEs) were graded for severity using the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03, where Grade 1 = mild AE, asymptomatic or mild symptoms; Grade 2 = Moderate AE; Grade 3 = Severe or medically significant but not immediately life-threatening; Grade 4 = Life-threatening consequences; urgent intervention indicated; Grade 5 = Death related to AE.

    Measured: From first dose of erenumab in extension study 20130255 to the end of the 12-week safety follow-up period (up to 64 weeks).

  2. CHU Substudy: Number of Participants Able to Administer a Full Dose of Erenumab in Home-use

    At the CHU substudy day 28 and day 56 visits, the site provided erenumab 140 mg to participants to self-administer at home on the following day. Study site staff then called the participants and asked if they administered a full, partial, or no dose of erenumab. A full dose was defined when the entire volume of both prefilled syringes or autoinjector/pens were injected.

    Measured: Day 29 (week 4) and day 57 (week 8) of the substudy

Secondary outcomes (5)
  1. Change From Study 20120295 Baseline in Monthly Migraine Days

    A migraine day was any calendar day in which the participant experienced a qualified migraine headache (onset, continuation, or recurrence of the migraine headache). A qualified migraine headache was defined either as a migraine with or without aura.

    The change from baseline in monthly migraine days was calculated as the number of migraine days during the 4 weeks prior to each study visit - the number of migraine days during the 4-week baseline phase.

    Measured: 4-week baseline phase of Study 20120295 and the 4 weeks prior to the week 4, 8, 12, 24, 40, and 52 visits of Study 20130255

  2. Percentage of Participants With at Least a 50% Reduction in Monthly Migraine Days From Study 20120295 Baseline

    A migraine day was any calendar day in which the participant experienced a qualified migraine headache (onset, continuation, or recurrence of the migraine headache). A qualified migraine headache was defined either as a migraine without aura or a migraine with aura. Monthly migraine days were calculated as the number of migraine days in the 4-week baseline phase and during the 4 weeks prior to each study visit.

    At least a 50% reduction from baseline (of study 20120295) in monthly migraine days was determined if the change in monthly migraine days from the 4-week baseline phase to the 4 weeks prior to each study visit * 100 / baseline monthly migraine days was less than or equal to -50%.

    Measured: 4-week baseline phase of Study 20120295 and the 4 weeks prior to the week 4, 8, 12, 24, 40 and 52 visits of Study 20130255

  3. Change From Study 20120295 Baseline in Monthly Acute Migraine-Specific Medication Treatment Days

    Monthly acute migraine-specific medication treatment days is the number of days on which migraine specific medications were used between monthly doses of study drug. Migraine-specific medications includes two categories of medications: triptan-based migraine medications and ergotamine-based migraine medications.

    Measured: 4-week baseline phase of Study 20120295 and the 4 weeks prior to the week 4, 8, 12, 24, 40 and 52 visits of Study 20130255

  4. Change From Study 20120295 Baseline in Cumulative Monthly Headache Hours

    The cumulative duration of any qualified headache between monthly doses of study drug regardless of acute treatment use.

    A qualified headache was defined as follows:

    • a qualified migraine headache (including an aura-only event that is treated with acute migraine-specific medication), or
    • a qualified non-migraine headache, which is a headache that lasted continuously for ≥ 4 hours and was not a qualified migraine headache, or
    • a headache of any duration for which acute headache treatment was administered.

    Measured: 4-week baseline phase of Study 20120295 and the 4 weeks prior to the week 4, 8, 12, 24, 40, and 52 visits of Study 20130255

  5. CHU Substudy: Number of Participants With Adverse Events

    Adverse events were graded for severity using the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.

    Injection site reactions were derived from a Medical Dictionary for Regulatory Activities (MedDRA) query using a list of pre-specified preferred terms.

    An adverse device effect (ADE) is any adverse event related to the use of a medical device.

    Measured: From first dose of erenumab in the CHU substudy to 28 days after last dose of erenumab in the CHU substudy; up to 12 weeks.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jun 2014 (estimated)
  2. Study start30 Jun 2014
  3. Primary completion26 May 2017
  4. Study completion26 May 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
609 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02174861
Sponsor's protocol ID
20130255
Other IDs
2013-005311-27
Status last verified
Oct 2022
First submitted
28 May 2014
Last updated
12 Oct 2022
Data monitoring committee
No

Publications

  • Zhou Y, Zhang F, Starcevic Manning M, Hu Z, Hsu CP, Chen PW, Peng C, Loop B, Mytych DT, Paiva da Silva Lima G. Immunogenicity of erenumab: A pooled analysis of six placebo-controlled trials with long-term extensions. Cephalalgia. 2022 Jul;42(8):749-760. doi: 10.1177/03331024221075621. Epub 2022 Mar 10.

    PubMed 35272533
  • Ashina M, Kudrow D, Reuter U, Dolezil D, Silberstein S, Tepper SJ, Xue F, Picard H, Zhang F, Wang A, Zhou Y, Hong F, Klatt J, Mikol DD. Long-term tolerability and nonvascular safety of erenumab, a novel calcitonin gene-related peptide receptor antagonist for prevention of migraine: A pooled analysis of four placebo-controlled trials with long-term extensions. Cephalalgia. 2019 Dec;39(14):1798-1808. doi: 10.1177/0333102419888222. Epub 2019 Nov 10.

    PubMed 31707815
  • Ashina M, Goadsby PJ, Dodick DW, Tepper SJ, Xue F, Zhang F, Brennan F, Paiva da Silva Lima G. Assessment of Erenumab Safety and Efficacy in Patients With Migraine With and Without Aura: A Secondary Analysis of Randomized Clinical Trials. JAMA Neurol. 2022 Feb 1;79(2):159-168. doi: 10.1001/jamaneurol.2021.4678.

    PubMed 34928306
  • Tepper SJ, Ashina M, Reuter U, Hallstrom Y, Broessner G, Bonner JH, Picard H, Cheng S, Chou DE, Zhang F, Klatt J, Mikol DD. Reduction in acute migraine-specific and non-specific medication use in patients treated with erenumab: post-hoc analyses of episodic and chronic migraine clinical trials. J Headache Pain. 2021 Jul 23;22(1):81. doi: 10.1186/s10194-021-01292-w.

    PubMed 34301173
  • Tepper SJ, Ashina M, Reuter U, Brandes JL, Dolezil D, Silberstein SD, Winner P, Zhang F, Cheng S, Mikol DD. Long-term safety and efficacy of erenumab in patients with chronic migraine: Results from a 52-week, open-label extension study. Cephalalgia. 2020 May;40(6):543-553. doi: 10.1177/0333102420912726. Epub 2020 Mar 26.

    PubMed 32216456
  • Kudrow D, Pascual J, Winner PK, Dodick DW, Tepper SJ, Reuter U, Hong F, Klatt J, Zhang F, Cheng S, Picard H, Eisele O, Wang J, Latham JN, Mikol DD. Vascular safety of erenumab for migraine prevention. Neurology. 2020 Feb 4;94(5):e497-e510. doi: 10.1212/WNL.0000000000008743. Epub 2019 Dec 18.

    PubMed 31852816

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Erenumab in people with Treatment for Prevention of Chronic Migraine, run by Amgen at 65 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 65 sites in United States, Germany, Poland, Sweden, Czechia and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Jun 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Adverse Events (time frame: From first dose of erenumab in extension study 20130255 to the end of the 12-week safety follow-up period (up to 64 weeks).). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02174861, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Oct 2022.

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