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MigrainePhase 3ARISENCT02483585

Study to Evaluate the Efficacy and Safety of Erenumab (AMG 334) Compared to Placebo in Migraine Prevention

A Phase 3 study testing Erenumab in people with Migraine, run by Amgen at 76 sites in 8 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 evaluate the effect of erenumab compared to placebo on the change from baseline in monthly migraine days, in adults with episodic migraine. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Migraine
What is being tested?
Erenumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
577 participants
Where
76 sitesin 8 countries
Study dates
20 Jul 2015to 20 Mar 2017
Phase
Phase 3
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • History of migraines (with or without aura) for ≥ 12 months
  • Migraine frequency: ≥ 4 and < 15 migraine days per month on average acrossthe 3 months prior to screening
  • Headache (ie, migraine and non-migraine headache) frequency: < 15 headache days per month on average across the 3 months prior to screening
  • Demonstrated compliance with the eDiary

Who cannot join

  • Older than 50 years of age at migraine onset.
  • History of cluster headache or hemiplegic migraine headache.
  • Unable to differentiate migraine from other headaches
  • No therapeutic response with > 2 categories for prophylactic treatment of migraine after an adequate therapeutic trial.
  • Concomitant use of 2 or more medications with possible migraine prophylactic effects within 2 months prior to the start of the baseline phase or during the baseline phase. If only 1 prophylactic medication is used, the dose must be stable within 2 months prior to the start of the baseline phase and throughout the study
  • Used a prohibited medication, device, or procedure within 2 months prior to the start of the baseline phase or during the baseline phase.
Show all 15Show fewer
  • Received botulinum toxin
  • 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.
  • History of seizure disorder or other significant neurological conditions other than migraine.
  • Human immunodeficiency virus (HIV) infection by history.
  • Myocardial infarction (MI), stroke, transient ischemic attack (TIA), unstable angina, or coronary artery bypass surgery or other revascularization procedure within 12 months prior to screening.
  • The subject is at risk of self-harm or harm to others. Previously randomized into an AMG 334 study.
  • Unlikely to be able to complete all protocol required study visits or procedures, and/or to comply with all required study procedures.

Trial locations and contacts

76 sites in 8 countries.

76 sites in 8 countries

United States40 sites
  • Research Site

    Albuquerque, New Mexico, 87102

  • Research Site

    Ann Arbor, Michigan, 48104

  • Research Site

    Asheville, North Carolina, 28806

  • Research Site

    Atlanta, Georgia, 30342

  • Research Site

    Austin, Texas, 78759

  • Research Site

    Baltimore, Maryland, 21208

  • Research Site

    Birmingham, Alabama, 35216

  • Research Site

    Boston, Massachusetts, 02131

  • Research Site

    Chattanooga, Tennessee, 37421

  • Research Site

    Cincinnati, Ohio, 45245

  • Research Site

    Colorado Springs, Colorado, 80907

  • Research Site

    Culver City, California, 90230

  • Research Site

    Dallas, Texas, 75214

  • Research Site

    Fairfield, Connecticut, 06824

  • Research Site

    Gurnee, Illinois, 60031

  • Research Site

    Hollywood, Florida, 33021

  • Research Site

    Indianapolis, Indiana, 46256

  • Research Site

    Jacksonville, Florida, 32216

  • Research Site

    Kalamazoo, Michigan, 49009

  • Research Site

    Lenexa, Kansas, 66214

  • Research Site

    Lexington, Kentucky, 40513

  • Research Site

    Long Beach, California, 90806

  • Research Site

    Mt. Pleasant, South Carolina, 29464

  • Research Site

    Oklahoma City, Oklahoma, 73112

  • Research Site

    Orlando, Florida, 32806

  • Research Site

    Oviedo, Florida, 32765

  • Research Site

    Palm Beach Gardens, Florida, 33410

  • Research Site

    Philadelphia, Pennsylvania, 19114

  • Research Site

    Phoenix, Arizona, 85018

  • Research Site

    Princeton, New Jersey, 08540

  • Research Site

    Sacramento, California, 95821

  • Research Site

    Salt Lake City, Utah, 84121

  • Research Site

    San Diego, California, 92103

  • Research Site

    Santa Monica, California, 90404

  • Research Site

    Seattle, Washington, 98105

  • Research Site

    Virginia Beach, Virginia, 23454

  • Research Site

    Walnut Creek, California, 94598

  • Research Site

    Warwick, Rhode Island, 02886

  • Research Site

    Williamsville, New York, 14221

  • Research Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

Spain8 sites
  • Research Site

    Barcelona, Catalonia, 08035

  • Research Site

    Madrid, 28040

  • Research Site

    Santander, Cantabria, 39008

  • Research Site

    Santiago de Compostela, Galicia, 15706

  • Research Site

    Valencia, Valencia, 46010

  • Research Site

    Valencia, Valencia, 46026

  • Research Site

    Valladolid, Castille and León, 47005

  • Research Site

    Zaragoza, Aragon, 50009

Other trials in Spain

Switzerland6 sites
  • Research Site

    Bad Zurzach, 5330

  • Research Site

    Biel, 2502

  • Research Site

    Geneva, 1205

  • Research Site

    Lugano, 6903

  • Research Site

    Sankt Gallen, 9007

  • Research Site

    Zollikon, 8702

Other trials in Switzerland

France5 sites
  • Research Site

    Bordeaux, 33076

  • Research Site

    Nice, 06003

  • Research Site

    Paris, 75010

  • Research Site

    Paris, 75014

  • Research Site

    Pringy, 74374

Other trials in France

Russia5 sites
  • Research Site

    Moscow, 119435

  • Research Site

    Moscow, 121467

  • Research Site

    Novosibirsk, 630091

  • Research Site

    Saint Petersburg, 197022

  • Research Site

    Ufa, 450083

Other trials in Russia

Denmark4 sites
  • Research Site

    Aalborg, 9000

  • Research Site

    Ballerup Municipality, 2750

  • Research Site

    Glostrup Municipality, 2600

  • Research Site

    Vejle, 7100

Other trials in Denmark

Greece4 sites
  • Research Site

    Athens, 11521

  • Research Site

    Athens, 11525

  • Research Site

    Athens, 16675

  • Research Site

    Thessaloniki, 54645

Other trials in Greece

Portugal4 sites
  • Research Site

    Amadora, 2720-276

  • Research Site

    Lisbon, 1500-650

  • Research Site

    Lisbon, 1649-035

  • Research Site

    Torres Vedras, 2560-280

Other trials in Portugal

About this study

Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of AMG 334 in Migraine Prevention

To evaluate the effect of erenumab compared to placebo on the change from baseline in monthly migraine days, in adults with episodic migraine.

Read the detailed description

Adults with a history of migraine with or without aura for ≥ 12 months and who experience ≥ 4 to < 15 migraine days per month with < 15 headache days per month will be randomized 1:1 to placebo or erenumab. Double-blind erenumab or placebo will be administered during the 12-week double-blind treatment phase and open-label erenumab will be administered during the 28-week open-label treatment phase.

Conditions
Migraine
Being tested
Erenumab, Placebo
Keywords
Migraine, Headache, Episodic, Prevention, Prophylaxis
Medical subject headings
Migraine Disorders, Headache, Recurrence

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 once a month by subcutaneous injection

  • PlaceboDrug

    Administered once a month by subcutaneous injection

Study groups in NCT02483585
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received placebo on day 1 and at weeks 4 and 8 by subcutaneous injection in the double-blind treatment phase. At week 12 participants began treatment with erenumab 70 mg administered by subcutaneous injection at weeks 12, 16, 20, 24, 28, 32, and 36 in the open-label treatment phase.
Receives: Drug: Placebo
ErenumabExperimentalParticipants received erenumab 70 mg on day 1 and at weeks 4 and 8 by subcutaneous injection in the double-blind treatment phase. Participants continued to receive erenumab 70 mg administered by subcutaneous injection at weeks 12, 16, 20, 24, 28, 32, and 36 in the open-label treatment phase.
Receives: Drug: Erenumab

What is being measured

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

  1. Change From Baseline in Monthly Migraine Days at Week 12

    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 last 4 weeks of the 12-week double-blind treatment phase - the number of migraine days during the 4-week baseline phase.

    Measured: 4-week baseline phase and the last 4 weeks of the 12-week double-blind treatment phase

Secondary outcomes (6)
  1. Percentage of Participants With at Least a 50% Reduction From Baseline in Monthly Migraine Days at Week 12

    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 last 4 weeks of double-blind treatment.

    At least a 50% reduction from baseline in monthly migraine days was determined if the change in monthly migraine days from the 4-week baseline phase to the last 4 weeks of the 12-week double-blind treatment phase * 100 / baseline monthly migraine days was less than or equal to -50%.

    Measured: 4-week baseline phase and the last 4 weeks of the 12-week double-blind treatment phase

  2. Change From Baseline in Monthly Acute Migraine-specific Medication Treatment Days at Week 12

    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.

    The change from baseline in monthly acute migraine-specific treatment days was calculated as the number of migraine-specific treatment days during the last 4 weeks of the 12-week double-blind treatment phase - the number of migraine-specific treatment days during the 4-week baseline phase.

    Measured: 4-week baseline phase and the last 4 weeks of the 12-week double-blind treatment phase

  3. Percentage of Participants With at Least a 5-point Reduction From Baseline in Average Impact on Everyday Activities Domain Score Measured by MPFID at Week 12

    The Migraine Physical Function Impact Diary (MPFID) is a self-administered 13-item instrument measuring physical functioning. It has two domains, Impact on Everyday Activities (7 items) and Physical Impairment (5 items), and one stand-alone global question. Participants completed the MPFID daily in an electronic diary based on the past 24 hours. Participants responded to each item on a 5-point scale, with difficulty items ranging from "Without any difficulty" (1) to "Unable to do" (5) and frequency items ranging from "None of the time" (1) to "All of the time" (5). For each domain, the scores were calculated as the sum of the responses and rescaled to 0 - 100, with higher scores representing greater impact of migraine.

    Achievement of at least a 5 point reduction from baseline in the monthly average domain score was calculated as (monthly average domain score during the last 4 weeks of the 12-week double-blind treatment phase - baseline monthly average domain score) was ≤ -5.

    Measured: 4-week baseline phase and the last 4 weeks of the 12-week double-blind treatment phase

  4. Percentage of Participants With at Least a 5-Point Reduction From Baseline in Average Impact on Physical Impairment Domain Score Measured by MPFID at Week 12

    The Migraine Physical Function Impact Diary (MPFID) is a self-administered 13-item instrument measuring physical functioning. It has two domains, Impact on Everyday Activities (7 items) and Physical Impairment (5 items), and one stand-alone global question. Participants completed the MPFID daily in an electronic diary based on the past 24 hours. Participants responded to each item on a 5-point scale, with difficulty items ranging from "Without any difficulty" (1) to "Unable to do" (5) and frequency items ranging from "None of the time" (1) to "All of the time" (5). For each domain, the scores were calculated as the sum of the responses and rescaled to 0 - 100, with higher scores representing greater impact of migraine.

    Achievement of at least a 5 point reduction from baseline in the monthly average domain score was calculated as (monthly average domain score during the last 4 weeks of the 12-week double-blind treatment phase - baseline monthly average domain score) was ≤ -5.

    Measured: 4-week baseline phase and the last 4 weeks of the 12-week double-blind treatment phase

  5. Number of Participants With Adverse Events

    Adverse events (AEs) were graded according to the Common Terminology Criteria for Adverse Events (CTCAE), version 4, where:

    Grade 1 = Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated; Grade 2 = Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL); Grade 3 = Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL; Grade 4 = Life-threatening consequences; urgent intervention indicated Grade 5 = Death related to AE.

    Measured: From first dose of study drug up to 12 weeks after the last dose. The double-blind treatment phase was 12 weeks and the open-label treatment phase was 28 weeks.

  6. Number of Participants Who Developed Antibodies to Erenumab

    Blood samples were first tested in an electrochemiluminescence (ECL)-based bridging immunoassay to detect anti-drug antibodies (ADA) against erenumab. Samples confirmed to be positive for binding antibodies were subsequently tested in a cell-based bioassay to determine neutralizing activity against erenumab (Neutralizing Antibody Assay).

    Developing antibody incidence indicates participants with a negative or no result at baseline and a positive result at any time post-baseline.

    If a sample was positive for binding antibodies and demonstrated neutralizing activity at the same time point, the sample was defined as positive for neutralizing antibodies.

    Transient indicates a negative result at the participant's last time point tested, for those participants with a positive binding/neutralizing result post-baseline.

    Measured: Baseline (the period prior to the first dose erenumab 70 mg) and post-baseline (the period after the first dose of erenumab 70 mg until 12 weeks after last dose, up to 48 weeks total)

Timeline

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

  1. First posted29 Jun 2015 (estimated)
  2. Study start20 Jul 2015
  3. Primary completion11 Jul 2016
  4. Study completion20 Mar 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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
577 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02483585
Sponsor's protocol ID
20120297
Other IDs
2014-004463-20, 2014
Acronym
ARISE
Status last verified
Oct 2022
First submitted
12 Jun 2015
Last updated
12 Oct 2022
Data monitoring committee
Yes

Publications

  • Dodick DW, Ashina M, Brandes JL, Kudrow D, Lanteri-Minet M, Osipova V, Palmer K, Picard H, Mikol DD, Lenz RA. ARISE: A Phase 3 randomized trial of erenumab for episodic migraine. Cephalalgia. 2018 May;38(6):1026-1037. doi: 10.1177/0333102418759786. Epub 2018 Feb 22.

    PubMed 29471679
  • Cheng S, Picard H, Zhang F, Eisele O, Mikol DD. Efficacy and safety of erenumab for migraine prevention: an overview. Japanese Journal of Headache. 2019; 45 : 493-505.

  • 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
  • Kawata AK, Ladd MK, Lipton RB, Buse DC, Bensink M, Shah S, Hareendran A, Mannix S, Mikol D. Reducing the physical, social, and emotional impact of episodic migraine: Results from erenumab STRIVE and ARISE phase III randomized trials. Headache. 2022 Feb;62(2):159-168. doi: 10.1111/head.14258. Epub 2022 Feb 8.

    PubMed 35137394
  • 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
  • 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
  • Lampl C, Kraus V, Lehner K, Loop B, Chehrenama M, Maczynska Z, Ritter S, Klatt J, Snellman J. Safety and tolerability of erenumab in individuals with episodic or chronic migraine across age groups: a pooled analysis of placebo-controlled trials. J Headache Pain. 2022 Aug 18;23(1):104. doi: 10.1186/s10194-022-01470-4.

    PubMed 35978286
  • 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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Erenumab in people with Migraine, run by Amgen at 76 sites in 8 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 4 inclusion and 15 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 76 sites in United States, Spain, Switzerland, France, Russia and 3 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 25 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?

Change From Baseline in Monthly Migraine Days at Week 12 (time frame: 4-week baseline phase and the last 4 weeks of the 12-week double-blind treatment phase). 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 NCT02483585, which also lists 8 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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