MigrainePhase 3NCT02629861
Efficacy and Safety of 2 Dose Regimens of TEV-48125 Versus Placebo for the Preventive Treatment of Episodic Migraine
A Phase 3 study testing Fremanezumab in people with Migraine, run by Teva Branded Pharmaceutical Products R&D, Inc. at 275 sites in 9 countries.
Trial summary
The study is being conducted to evaluate two doses of TEV-48125 in adult patients with episodic migraine Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Migraine
- What is being tested?
- Fremanezumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 875 participants
- Where
- 275 sitesin 9 countries
- Study dates
- 23 Mar 2016to 10 Apr 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 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males or females aged 18 to 70 years, inclusive, with migraine onset at ≤50 years of age
- Patient signs and dates the informed consent document
- Patient has history of migraine according to International Classification of Headache Disorders, or clinical judgment suggests a migraine diagnosis
- 85% e-diary compliance
- Total body weight between 99 and 265 lbs, inclusive
- Additional criteria apply, please contact the investigator for more information
Who cannot join
- Clinically significant hematological, cardiac, renal, endocrine, pulmonary, gastrointestinal, genitourinary, neurologic, hepatic, or ocular disease, at the discretion of the investigator
- Evidence or medical history of clinically significant psychiatric issues, including any suicide attempt in the past, or suicidal ideation with a specific plan in the past 2 years
- History of clinically significant cardiovascular disease or vascular ischemia (such as myocardial, neurological [eg, cerebral ischemia], peripheral extremity ischemia, or other ischemic event) or thromboembolic events (arterial or venous thrombotic or embolic events), such as cerebrovascular accident (including transient ischemic attacks), deep vein thrombosis, or pulmonary embolism
- Known infection or history of human immunodeficiency virus, tuberculosis, or chronic hepatitis B or C infection
- Past or current history of cancer in the last 5 years, except for appropriately treated nonmelanoma skin carcinoma
- Pregnant or nursing females
Show all 9Show fewer
- History of hypersensitivity reactions to injected proteins, including monoclonal antibodies
- Participation in a clinical study of a new chemical entity or a prescription medicine within 2 months or 5 half-lives, whichever is longer
- Additional criteria apply, please contact the investigator for more information
Trial locations and contacts
275 sites in 9 countries.
275 sites in 9 countries
United States178 sites
Teva Investigational Site 13609
Akron, Ohio, 44311
Teva Investigational Site 13634
Akron, Ohio, 44311
Teva Investigational Site 13609
Akron, Ohio
Teva Investigational Site 13634
Akron, Ohio
Teva Investigational Site 13588
Albuquerque, New Mexico, 87102
Teva Investigational Site 13588
Albuquerque, New Mexico
Teva Investigational Site 13576
Amherst, New York, 14226
Teva Investigational Site 13576
Amherst, New York
Teva Investigational Site 13539
Ann Arbor, Michigan, 48104
Teva Investigational Site 13539
Ann Arbor, Michigan
Teva Investigational Site 13620
Atlanta, Georgia, 30312
Teva Investigational Site 13537
Atlanta, Georgia, 30342
Teva Investigational Site 13537
Atlanta, Georgia
Teva Investigational Site 13620
Atlanta, Georgia
Teva Investigational Site 13629
Aurora, Colorado, 80014
Teva Investigational Site 13629
Aurora, Colorado
Teva Investigational Site 13541
Austin, Texas, 78731
Teva Investigational Site 13541
Austin, Texas
Teva Investigational Site 13582
Baltimore, Maryland
Teva Investigational Site 13628
Birmingham, Alabama, 35211
Teva Investigational Site 13577
Birmingham, Alabama, 35216
Teva Investigational Site 13577
Birmingham, Alabama
Teva Investigational Site 13628
Birmingham, Alabama
Teva Investigational Site 13604
Boise, Idaho, 83642
Teva Investigational Site 13590
Boston, Massachusetts, 02131
Teva Investigational Site 13590
Boston, Massachusetts
Teva Investigational Site 13557
Boulder, Colorado, 80301
Teva Investigational Site 13557
Boulder, Colorado
Teva Investigational Site 13635
Bradenton, Florida, 34201
Teva Investigational Site 13635
Bradenton, Florida
Teva Investigational Site 13560
Bristol, Tennessee, 37620
Teva Investigational Site 13560
Bristol, Tennessee
Teva Investigational Site 13585
Chicago, Illinois, 60607
Teva Investigational Site 13621
Chicago, Illinois, 60654
Teva Investigational Site 13585
Chicago, Illinois
Teva Investigational Site 13621
Chicago, Illinois
Teva Investigational Site 13533
Cincinnati, Ohio, 45227
Teva Investigational Site 13624
Cincinnati, Ohio, 45249
Teva Investigational Site 13533
Cincinnati, Ohio
Teva Investigational Site 13624
Cincinnati, Ohio
Teva Investigational Site 13569
Cleveland, Ohio, 44195
Teva Investigational Site 13569
Cleveland, Ohio
Teva Investigational Site 13593
Colorado Springs, Colorado, 80918
Teva Investigational Site 13593
Colorado Springs, Colorado
Teva Investigational Site 13626
Columbus, Ohio, 43212
Teva Investigational Site 13626
Columbus, Ohio
Teva Investigational Site 13623
Dallas, Texas, 75214
Teva Investigational Site 13623
Dallas, Texas
Teva Investigational Site 13633
Denver, Colorado, 80210
Teva Investigational Site 13612
Denver, Colorado, 80239
Teva Investigational Site 13612
Denver, Colorado
Teva Investigational Site 13633
Denver, Colorado
Teva Investigational Site 13563
East Hartford, Connecticut, 06118
Teva Investigational Site 13563
East Hartford, Connecticut
Teva Investigational Site 13568
Encino, California, 91316
Teva Investigational Site 13568
Encino, California
Teva Investigational Site 13631
Englewood, Colorado, 80113
Teva Investigational Site 13631
Englewood, Colorado
Teva Investigational Site 13601
Eugene, Oregon, 97401
Teva Investigational Site 13601
Eugene, Oregon
Teva Investigational Site 13627
Evanston, Illinois, 60201
Teva Investigational Site 13627
Evanston, Illinois
Teva Investigational Site 13618
Fremont, Nebraska, 68025
Teva Investigational Site 13618
Fremont, Nebraska
Teva Investigational Site 13546
Fullerton, California, 92835
Teva Investigational Site 13546
Fullerton, California
Teva Investigational Site 13597
Gainesville, Florida, 32607
Teva Investigational Site 13597
Gainesville, Florida
Teva Investigational Site 13542
Golden Valley, Minnesota, 55422
Teva Investigational Site 13542
Golden Valley, Minnesota
Teva Investigational Site 13544
Greensboro, North Carolina, 27401
Teva Investigational Site 13574
Greensboro, North Carolina, 27408
Teva Investigational Site 13544
Greensboro, North Carolina
Teva Investigational Site 13574
Greensboro, North Carolina
Teva Investigational Site 13615
Greer, South Carolina, 29650
Teva Investigational Site 13615
Greer, South Carolina
Teva Investigational Site 13607
Hialeah, Florida, 33012
Teva Investigational Site 13607
Hialeah, Florida
Teva Investigational Site 13596
Indianapolis, Indiana, 46254
Teva Investigational Site 13596
Indianapolis, Indiana
Teva Investigational Site 13559
Jacksonville, Florida, 32205
Teva Investigational Site 13559
Jacksonville, Florida
Teva Investigational Site 13591
Jenkintown, Pennsylvania, 19046
Teva Investigational Site 13591
Jenkintown, Pennsylvania
Teva Investigational Site 13534
Kansas City, Missouri, 64114
Teva Investigational Site 13534
Kansas City, Missouri
Teva Investigational Site 13605
Las Vegas, Nevada, 89106
Teva Investigational Site 13605
Las Vegas, Nevada
Teva Investigational Site 13578
Lebanon, New Hampshire, 03756
Teva Investigational Site 13578
Lebanon, New Hampshire
Teva Investigational Site 13602
Little Rock, Arkansas, 72205
Teva Investigational Site 13602
Little Rock, Arkansas
Teva Investigational Site 13540
Long Beach, California, 90806
Teva Investigational Site 13540
Long Beach, California
Teva Investigational Site 13566
Louisville, Kentucky, 40207
Teva Investigational Site 13566
Louisville, Kentucky
Teva Investigational Site 13575
Martinsville, New Jersey
Teva Investigational Site 13604
Meridian, Idaho
Teva Investigational Site 13603
Metairie, Louisiana, 70006
Teva Investigational Site 13603
Metairie, Louisiana
Teva Investigational Site 13625
Mogadore, Ohio, 44260
Teva Investigational Site 13625
Mogadore, Ohio
Teva Investigational Site 13600
Morgantown, West Virginia, 26506
Teva Investigational Site 13600
Morgantown, West Virginia
Teva Investigational Site 13556
Mt. Pleasant, South Carolina, 29464
Teva Investigational Site 13556
Mt. Pleasant, South Carolina
Teva Investigational Site 13614
Murray, Utah, 84107
Teva Investigational Site 13614
Murray, Utah
Teva Investigational Site 13532
Nashville, Tennessee, 37203
Teva Investigational Site 13552
Nashville, Tennessee, 37203
Teva Investigational Site 13532
Nashville, Tennessee
Teva Investigational Site 13552
Nashville, Tennessee
Teva Investigational Site 13589
New Bedford, Massachusetts, 02301
Teva Investigational Site 13589
New Bedford, Massachusetts
Teva Investigational Site 13584
Ocala, Florida, 34471
Teva Investigational Site 13584
Ocala, Florida
Teva Investigational Site 13561
Oklahoma City, Oklahoma, 73112
Teva Investigational Site 13561
Oklahoma City, Oklahoma
Teva Investigational Site 13587
Orlando, Florida, 32806
Teva Investigational Site 13551
Orlando, Florida
Teva Investigational Site 13555
Orlando, Florida
Teva Investigational Site 13587
Orlando, Florida
Teva Investigational Site 13599
Orlando, Florida
Teva Investigational Site 13553
Pembroke Pines, Florida, 33026
Teva Investigational Site 13553
Pembroke Pines, Florida
Teva Investigational Site 13554
Philadelphia, Pennsylvania, 19107
Teva Investigational Site 13554
Philadelphia, Pennsylvania
Teva Investigational Site 13606
Phoenix, Arizona, 85018
Teva Investigational Site 13579
Phoenix, Arizona, 85023
Teva Investigational Site 13579
Phoenix, Arizona
Teva Investigational Site 13606
Phoenix, Arizona
Teva Investigational Site 13582
Pikesville, Maryland, 21208
Teva Investigational Site 13616
Pinellas Park, Florida, 33781
Teva Investigational Site 13616
Pinellas Park, Florida
Teva Investigational Site 13565
Plainview, New York, 11803
Teva Investigational Site 13565
Plainview, New York
Teva Investigational Site 13611
Plano, Texas, 75024
Teva Investigational Site 13611
Plano, Texas
Teva Investigational Site 13545
Raleigh, North Carolina, 27607
Teva Investigational Site 13545
Raleigh, North Carolina
Teva Investigational Site 13575
Raritan, New Jersey, 08869
Teva Investigational Site 13632
Redlands, California, 92374
Teva Investigational Site 13632
Redlands, California
Teva Investigational Site 13571
Redondo Beach, California, 90277
Teva Investigational Site 13571
Redondo Beach, California
Teva Investigational Site 13572
San Antonio, Texas, 78229
Teva Investigational Site 13572
San Antonio, Texas
Teva Investigational Site 13573
San Diego, California, 92103
Teva Investigational Site 13573
San Diego, California
Teva Investigational Site 13538
Santa Monica, California, 90404
Teva Investigational Site 13538
Santa Monica, California
Teva Investigational Site 13594
Santa Rosa, California, 95405
Teva Investigational Site 13594
Santa Rosa, California
Teva Investigational Site 13564
Seattle, Washington, 98105
Teva Investigational Site 13586
Seattle, Washington, 98105
Teva Investigational Site 13564
Seattle, Washington
Teva Investigational Site 13586
Seattle, Washington
Teva Investigational Site 13536
Springfield, Missouri
Teva Investigational Site 13619
St Louis, Missouri, 63141
Teva Investigational Site 13619
St Louis, Missouri
Teva Investigational Site 13550
Stamford, Connecticut, 06905
Teva Investigational Site 13550
Stamford, Connecticut
Teva Investigational Site 13608
Uniontown, Pennsylvania, 15401
Teva Investigational Site 13608
Uniontown, Pennsylvania
Teva Investigational Site 13630
Virginia Beach, Virginia, 23454
Teva Investigational Site 13630
Virginia Beach, Virginia
Teva Investigational Site 13595
Walnut Creek, California, 94598
Teva Investigational Site 13595
Walnut Creek, California
Teva Investigational Site 13543
Wellesley Hills, Massachusetts, 02481
Teva Investigational Site 13543
Wellesley Hills, Massachusetts
Teva Investigational Site 13581
West Jordan, Utah, 84088
Teva Investigational Site 13581
West Jordan, Utah
Teva Investigational Site 13567
West Palm Beach, Florida, 33407
Teva Investigational Site 13567
West Palm Beach, Florida
Teva Investigational Site 13617
Wichita, Kansas, 67207
Teva Investigational Site 13598
Wichita, Kansas, 67211
Teva Investigational Site 13598
Wichita, Kansas
Teva Investigational Site 13617
Wichita, Kansas
Japan25 sites
Teva Investigational Site 84072
Chofu-shi, 182-0006
Teva Investigational Site 84064
Chofu-shi
Teva Investigational Site 84072
Chofu-shi
Teva Investigational Site 84066
Kagoshima, 892-0844
Teva Investigational Site 84066
Kagoshima
Teva Investigational Site 84069
Kai, 400-0124
Teva Investigational Site 84069
Kaisho
Teva Investigational Site 84073
Kawasaki, 211-8588
Teva Investigational Site 84073
Kawasaki-shi
Teva Investigational Site 84067
Kyoto, 600-8811
Teva Investigational Site 84067
Kyoto
Teva Investigational Site 84062
Osaka, 556-0015
Teva Investigational Site 84062
Osaka
Teva Investigational Site 84070
Saitama, 338-8577
Teva Investigational Site 84070
Saitama-shi
Teva Investigational Site 84061
Sendai, 982-0014
Teva Investigational Site 84061
Sendai
Teva Investigational Site 84065
Shimotsuma
Teva Investigational Site 84063
Shinjuku-ku, 160-8582
Teva Investigational Site 84068
Shizuoka, 4200-853
Teva Investigational Site 84068
Shizuoka
Teva Investigational Site 84065
Tochigi, 321-0293
Teva Investigational Site 84064
Tokyo, 182-0006
Teva Investigational Site 84071
Toyonaka
Teva Investigational Site 84071
Toyonaka-shi
Russia14 sites
Teva Investigational Site 50399
Kazan', 420012
Teva Investigational Site 50395
Kazan', 420021
Teva Investigational Site 50395
Kazan'
Teva Investigational Site 50399
Kazan'
Teva Investigational Site 50394
Moscow, 121467
Teva Investigational Site 50400
Moscow, 129128
Teva Investigational Site 50394
Moscow
Teva Investigational Site 50400
Moscow
Teva Investigational Site 50398
Nizhny Novgorod, 603126
Teva Investigational Site 50396
Nizhny Novgorod, 603137
Teva Investigational Site 50396
Nizhny Novgorod
Teva Investigational Site 50398
Nizhny Novgorod
Teva Investigational Site 50397
Ufa, 450007
Teva Investigational Site 50397
Ufa
Czechia12 sites
Teva Investigational Site 54144
Brno, 602 00
Teva Investigational Site 54144
Brno
Teva Investigational Site 54141
Kunratice, 14800
Teva Investigational Site 54141
Kunratice
Teva Investigational Site 54145
Pardubice, 53002
Teva Investigational Site 54145
Pardubice
Teva Investigational Site 54143
Prague, 100 00
Teva Investigational Site 54146
Prague, 130 00
Teva Investigational Site 54142
Prague, 140 59
Teva Investigational Site 54143
Prague
Teva Investigational Site 54146
Prague
Teva Investigational Site 54142
Prague-4-Krc
Israel12 sites
Teva Investigational Site 80096
Holon, 58100
Teva Investigational Site 80096
Holon
Teva Investigational Site 80099
Jerusalem, 9112001
Teva Investigational Site 80099
Jerusalem
Teva Investigational Site 80098
Nahariya, 221001
Teva Investigational Site 80098
Nahariya
Teva Investigational Site 80097
Netanya, 4244916
Teva Investigational Site 80097
Netanya
Teva Investigational Site 80100
Ramat Gan, 5262160
Teva Investigational Site 80100
Ramat Gan
Teva Investigational Site 80095
Tel Aviv, 64239
Teva Investigational Site 80095
Tel Aviv
Canada10 sites
Teva Investigational Site 11120
Calgary, T3M 1M4
Teva Investigational Site 11120
Calgary
Teva Investigational Site 11124
Hamilton, Ontario, L8N 1Y2
Teva Investigational Site 11124
Hamilton, Ontario
Teva Investigational Site 11121
Montreal, H2W 1V1
Teva Investigational Site 11121
Montreal
Teva Investigational Site 11122
Newmarket, L3Y5G8
Teva Investigational Site 11122
Newmarket
Teva Investigational Site 11123
Sarnia, N7T 4X3
Teva Investigational Site 11123
Sarnia
Poland10 sites
Teva Investigational Site 53364
Krakow, 31-523
Teva Investigational Site 53363
Krakow, 33-332
Teva Investigational Site 53363
Krakow
Teva Investigational Site 53364
Krakow
Teva Investigational Site 53366
Lublin, 20-022
Teva Investigational Site 53366
Lublin
Teva Investigational Site 53365
Poznan, 60-529
Teva Investigational Site 53365
Poznan
Teva Investigational Site 53367
Warsaw, 04-730
Teva Investigational Site 53367
Warsaw
Spain8 sites
Teva Investigational Site 31207
Madrid, 28046
Teva Investigational Site 31207
Madrid
Teva Investigational Site 31208
Pamplona, 31008
Teva Investigational Site 31208
Pamplona
Teva Investigational Site 31205
Valladolid, 47003
Teva Investigational Site 31205
Valladolid
Teva Investigational Site 31206
Zaragoza, 50009
Teva Investigational Site 31206
Zaragoza
Finland6 sites
Teva Investigational Site 40018
Helsinki, 00100
Teva Investigational Site 40017
Helsinki, 00930
Teva Investigational Site 40017
Helsinki
Teva Investigational Site 40018
Helsinki
Teva Investigational Site 40016
Turku, 20100
Teva Investigational Site 40016
Turku
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study Comparing the Efficacy and Safety of 2 Dose Regimens of Subcutaneous Administration of Fremanezumab (TEV-48125) vs Placebo for the Preventive Treatment of Episodic Migraine
The study is being conducted to evaluate two doses of TEV-48125 in adult patients with episodic migraine
- Conditions
- Migraine
- Being tested
- Fremanezumab, Placebo
- Medical subject headings
- Migraine Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FremanezumabDrug
Also called TEV-48125, anti-calcitonin gene-related peptide (anti-CGRP)
Fremanezumab was provided as a sterile, unpreserved, aqueous solution for injection, 225 mg/1.5 mL pre-filled syringe for single-use administration.
The 675 mg dose was given as 3 injections; doses of 225 mg were given as a single injection. Study drug was administered at the clinical site.
PlaceboDrug
Placebo 1.5 mL pre-filled syringes identical in appearance to active intervention. Study drug was administered at the clinical site.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Matching Placebo Receives: Drug: Placebo |
| Fremanezumab 675 mg/placebo/placebo | Experimental | Participants randomized to receive fremanezumab 675 mg/placebo/placebo received 675 mg of fremanezumab as 3 injections (225 mg/1.5 mL) on Day 0, and placebo as a single 1.5-mL injection on Days 28 and 56. Receives: Drug: Fremanezumab; Drug: Placebo |
| Fremanezumab 225/225/225 mg | Experimental | Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. Receives: Drug: Fremanezumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in the Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Study Drug
A migraine day was defined as when at least 1 of the following situations occurred: - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for migraine with or without aura - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for probable migraine, a migraine subtype where only 1 migraine criterion is missing - a calendar day (0:00 to 23:59) demonstrating a headache of any duration that was treated with migraine-specific medications (triptans and ergot compounds) Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value.
Measured: Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12)
Participants With Adverse Events
An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents usual activities. Relationship of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
Measured: Day 1 to Week 12
Secondary outcomes (12)
Percentage of Participants With At Least 50% Reduction In Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Study Drug
Responder rates were defined as the percentage of total subjects who reached at least a 50% reduction in the monthly average of headache days (as subjectively reported by participants in the study diary) of at least moderate severity relative to the baseline period. For the overall analysis (Month 1-3), patients who discontinued early were considered nonresponders. Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The percentage reduction in monthly average is calculated as: ((baseline value - postbaseline value) / baseline value) * 100
Measured: Baseline (Days -28 to Day -1), Treatment Month 1, Month 2, Month 3, Month 1-3 (Days 1 - Week 12)
Change From Baseline in the Monthly Average Number of Days of Use of Any Acute Headache Medicine During the 12 Week Period After the First Dose of Study Drug
Patients recorded any migraine medications (name of drug, number of tablets/capsules, and the dose in milligrams per tablet/capsule) taken on each day in their electronic headache diary device. Acute migraine-specific medication included triptans or ergots. Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value.
Measured: Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12)
Change From Baseline in the Number of Migraine Days During the 4 Week Period After the First Dose of Study Drug
A migraine day was defined as when at least 1 of the following situations occurred: - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for migraine with or without aura - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for probable migraine, a migraine subtype where only 1 migraine criterion is missing - a calendar day (0:00 to 23:59) demonstrating a headache of any duration that was treated with migraine-specific medications (triptans and ergot compounds) Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value.
Measured: Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 4)
Change From Baseline in the Monthly Average Number of Migraine Days During the 12 Week Period After the First Dose of Study Medication in Patients Not Receiving Concomitant Preventive Migraine Medications
A subset of patients (specified in the protocol not to exceed 30%) were allowed to use 1 concomitant migraine preventive medication. This outcome only includes those participants who did not take concomitant preventive migraine medication during this study. A migraine day has been previously defined. Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value.
Measured: Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12)
Change From Baseline in Migraine-Related Disability Score (MIDAS), As Measured by the Migraine Disability Assessment At 4 Weeks After the Last (3rd) Dose of Study Drug
The MIDAS questionnaire is a 5-item instrument developed to assess headache-related disability based on lost days of activity in 3 domains (work, household work, and nonwork) over the previous 3 months. The total score, ie, the sum of the # lost days answered for the first 5 questions, is used for grading of disability, with scores of 0-5 lost days = grade 1 (little or no disability), 6-10 lost days =grade 2 (mild disability), 11-20 lost days = grade 3 (moderate disability), and ≥21 lost days interpreted as grade 4 (severe disability). Negative change from baseline scores indicate a reduction (improvement) in headache-related disability.
Measured: Baseline (Day 0), Treatment Week 12 (4 weeks after the 3rd dose)
Electrocardiogram Finding Shifts From Baseline to Overall
12-lead ECGs were performed before other assessments (eg, blood draws and administration of questionnaires) and performed in triplicate. The worst post-baseline finding for the patient is summarized. Only patients with both baseline and post-baseline ECGs are included. The ECG was evaluated by the investigator at the time of recording (signed and dated), and the printout was kept in the source documentation file. When potentially clinically significant findings were detected by the investigator, a cardiologist at a central diagnostic center was consulted for a definitive interpretation. Any ECG finding that was judged by the investigator as a potentially clinically significant change (worsening) compared with a baseline value was considered an adverse event. - NCS = abnormal, not clinically significant - CS = abnormal, clinically significant Shift format is: baseline finding / worst post-baseline finding
Measured: Baseline (Day 0), Treatment Week 12 (or early withdrawal)
Participants With Vital Signs Potentially Clinically Significant Abnormal Values
Vital signs were performed before other assessments (eg, blood draws and administration of questionnaires). Vital signs with at least one participant showing potentially clinically significant abnormal findings included: - Pulse Rate Low: <=50 and decrease of >=15 beats per minute - Systolic Blood Pressure Low: <=90 mmHg and decrease of >=20 mmHg - Diastolic Blood Pressure High: >=105 mmHg and increase of >=15 mmHg - Diastolic Blood Pressure Low: <=50 mmHg and decrease of >=15 mmHg - Respiratory Rate Low: <10 breaths / minute
Measured: Treatment Days 28, 56 and 84. Changes from previous reading may reflect the baseline reading performed on Day 0.
Participants With Serum Chemistry and Hematology Potentially Clinically Significant Abnormal Results
Serum chemistry and hematology laboratory tests with potentially clinically significant abnormal findings included: - Blood Urea Nitrogen (BUN) High: >=10.71 mmol/L - Bilirubin High: >=34.2 umol/L - Alanine Aminotransferase (ALT): >=3*upper limit of normal (ULN) - Aspartate Aminotransferase (AST): >=3*upper limit of normal (ULN) - Gamma Glutamyl Transferase (GGT): >=3*upper limit of normal (ULN) - Hemoglobin: Male: <115 g/L or Female: <=95 g/L - Hematocrit: Male: <0.37 L/L or Female: <0.32 L/L - Leukocytes: >=20*10^9/L or <=3*10^9/L - Eosinophils/Leukocytes: >=10% - Platelets: >=700*10^9/L or <=75*10^9/L
Measured: Treatment Days 28, 56 and 84 (or early withdrawal)
Participants With Urinalysis Laboratory Tests Potentially Clinically Significant Abnormal Results
Urinalysis with potentially clinically significant abnormal findings included: - Blood: >=2 unit increase from baseline - Urine Glucose (mg/dL): >=2 unit increase from baseline - Ketones (mg/dL): >=2 unit increase from baseline - Urine Protein (mg/dL): >=2 unit increase from baseline
Measured: Treatment Days 28, 56 and 84. Changes from previous reading reflect the baseline reading performed on Day 0.
Prothrombin Time Shifts From Baseline to Endpoint
Shifts in prothrombin time from baseline to endpoint were summarized using patient counts grouped into three categories: - Low (below normal range) - Normal (within the normal range of 9.4 to 12.5 seconds) - High (above normal range) Shift format is: baseline finding / endpoint finding
Measured: Baseline (Day 0), Treatment Endpoint (Week 12)
Injection Site Reaction Adverse Events
Counts of participants who reported treatment-emergent injection site reactions as AEs are summarized. Preferred terms from MedDRA version 18.1 are offered without a threshold applied.
Measured: Day 1 to Week 12
Participants With Positive Electronic Columbia Suicide Severity Rating Scale Results After the First Dose of Study Drug
The electronic Columbia-Suicide Severity Rating Scale (eC-SSRS) was used to assess the patient's suicidal ideation (severity and intensity) and behavior (Posner et al 2011). The eC-SSRS Baseline/Screening version was completed by the patient at visit 2, and the eC-SSRS Since Last Visit version was completed by the patient at all other time points. Any positive findings on the eC-SSRS Since Last Visit version required evaluation by a physician or doctoral-level psychologist. Findings after the first dose of study drug using the eC-SSRS Since Last Visit version are summarized.
Measured: Day 1 to Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Dec 2015 (estimated)
- Study start23 Mar 2016
- Primary completion10 Apr 2017
- Study completion10 Apr 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for MigraineStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 875 participants (actual)
Sponsor and investigators
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Teva Medical Expert, MD, Study director, Teva Branded Pharmaceutical Products R&D, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02629861
- Sponsor's protocol ID
- TV48125-CNS-30050
- Other IDs
- 2015-004598-34, 2015
- Status last verified
- Nov 2021
- First submitted
- 10 Dec 2015
- Last updated
- 9 Nov 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Tatsumoto M, Ishida M, Iba K, Kim BK, Ning X, Osawa C, Nakai M, Kurita Y. Effects of fremanezumab on migraine-associated symptoms and medication use in Japanese and Korean patients with episodic migraine: Exploratory endpoint analysis of a multicenter, randomized, double-blind, placebo-controlled trial. Headache. 2025 Mar;65(3):399-406. doi: 10.1111/head.14810. Epub 2024 Sep 2.
PubMed 39221611McAllister P, Cohen JM, Campos VR, Ning X, Janka L, Barash S. Impact of fremanezumab on disability outcomes in patients with episodic and chronic migraine: a pooled analysis of phase 3 studies. J Headache Pain. 2022 Aug 29;23(1):112. doi: 10.1186/s10194-022-01438-4.
PubMed 36038833Diener HC, McAllister P, Jurgens TP, Kessler Y, Ning X, Cohen JM, Campos VR, Barash S, Silberstein SD. Safety and tolerability of fremanezumab in patients with episodic and chronic migraine: a pooled analysis of phase 3 studies. Cephalalgia. 2022 Jul;42(8):769-780. doi: 10.1177/03331024221076485. Epub 2022 Mar 25.
PubMed 35331009Nahas SJ, Naegel S, Cohen JM, Ning X, Janka L, Campos VR, Krasenbaum LJ, Holle-Lee D, Kudrow D, Lampl C. Efficacy and safety of fremanezumab in clinical trial participants aged >/=60 years with episodic or chronic migraine: pooled results from 3 randomized, double-blind, placebo-controlled phase 3 studies. J Headache Pain. 2021 Nov 24;22(1):141. doi: 10.1186/s10194-021-01351-2.
PubMed 34819017Silberstein SD, Cohen JM, Yang R, Gandhi SK, Du E, Jann AE, Marmura MJ. Treatment benefit among migraine patients taking fremanezumab: results from a post hoc responder analysis of two placebo-controlled trials. J Headache Pain. 2021 Jan 7;22(1):2. doi: 10.1186/s10194-020-01212-4.
PubMed 33413075Brandes JL, Kudrow D, Yeung PP, Sakai F, Aycardi E, Blankenbiller T, Grozinski-Wolff M, Yang R, Ma Y. Effects of fremanezumab on the use of acute headache medication and associated symptoms of migraine in patients with episodic migraine. Cephalalgia. 2020 Apr;40(5):470-477. doi: 10.1177/0333102419885905. Epub 2019 Nov 21.
PubMed 31752521Dodick DW, Silberstein SD, Bigal ME, Yeung PP, Goadsby PJ, Blankenbiller T, Grozinski-Wolff M, Yang R, Ma Y, Aycardi E. Effect of Fremanezumab Compared With Placebo for Prevention of Episodic Migraine: A Randomized Clinical Trial. JAMA. 2018 May 15;319(19):1999-2008. doi: 10.1001/jama.2018.4853.
PubMed 29800211
Study at a glance
From the registry record, last updated by the sponsor on 9 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study Comparing the Efficacy and Safety of 2 Dose Regimens of Subcutaneous Administration of Fremanezumab (TEV-48125) vs Placebo for the Preventive Treatment of Episodic Migraine
- ClinicalTrials.gov ID
- NCT02629861
- Acronym / sponsor ID
- TV48125-CNS-30050
- Conditions
- Migraine
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 875 participants (actual)
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.Industry (pharma, biotech, devices)
- Study start
- 23 Mar 2016 (actual)
- Primary completion
- 10 Apr 2017 (actual)
- Study completion
- 10 Apr 2017 (actual)
- First posted
- 14 Dec 2015 (estimated)
- Results
- Posted 8 Nov 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is being conducted to evaluate two doses of TEV-48125 in adult patients with episodic migraine
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboMatching Placebo |
| Fremanezumab 675 mg/placebo/placebo | Experimental | Drug: Fremanezumab, Drug: PlaceboParticipants randomized to receive fremanezumab 675 mg/placebo/placebo received 675 mg of fremanezumab as 3 injections (225 mg/1.5 mL) on Day 0, and placebo as a single 1.5-mL injection on Days 28 and 56. |
| Fremanezumab 225/225/225 mg | Experimental | Drug: FremanezumabParticipants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Males or females aged 18 to 70 years, inclusive, with migraine onset at ≤50 years of age
- Patient signs and dates the informed consent document
- Patient has history of migraine according to International Classification of Headache Disorders, or clinical judgment suggests a migraine diagnosis
- 85% e-diary compliance
- Total body weight between 99 and 265 lbs, inclusive
Key exclusion criteria (9 listed)
- Clinically significant hematological, cardiac, renal, endocrine, pulmonary, gastrointestinal, genitourinary, neurologic, hepatic, or ocular disease, at the discretion of the investigator
- Evidence or medical history of clinically significant psychiatric issues, including any suicide attempt in the past, or suicidal ideation with a specific plan in the past 2 years
- History of clinically significant cardiovascular disease or vascular ischemia (such as myocardial, neurological [eg, cerebral ischemia], peripheral extremity ischemia, or other ischemic event) or thromboembolic events (arterial or venous thrombotic or embolic events), such as cerebrovascular accident (including transient ischemic attacks), deep vein thrombosis, or pulmonary embolism
- Known infection or history of human immunodeficiency virus, tuberculosis, or chronic hepatitis B or C infection
- Past or current history of cancer in the last 5 years, except for appropriately treated nonmelanoma skin carcinoma
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FremanezumabAlso: TEV-48125, anti-calcitonin gene-related peptide (anti-CGRP)Fremanezumab was provided as a sterile, unpreserved, aqueous solution for injection, 225 mg/1.5 mL pre-filled syringe for single-use administration. The 675 mg dose was given as 3 injections; doses of 225 mg were given as a single injection. Study drug was administered at the clinical site. | Drug | Fremanezumab 225/225/225 mg, Fremanezumab 675 mg/placebo/placebo |
| PlaceboPlacebo 1.5 mL pre-filled syringes identical in appearance to active intervention. Study drug was administered at the clinical site. | Drug | Fremanezumab 675 mg/placebo/placebo, Placebo |
Primary outcome
Change From Baseline in the Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Study Drug
Time frame: Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12)
A migraine day was defined as when at least 1 of the following situations occurred: - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for migraine with or without aura - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for probable migraine, a migraine subtype where only 1 migraine criterion is missing - a calendar day (0:00 to 23:59) demonstrating a headache of any duration that was treated with migraine-specific medications (triptans and ergot compounds) Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value.
Participants With Adverse Events
Time frame: Day 1 to Week 12
An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents usual activities. Relationship of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
12 secondary outcomes
Percentage of Participants With At Least 50% Reduction In Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Study Drug
Time frame: Baseline (Days -28 to Day -1), Treatment Month 1, Month 2, Month 3, Month 1-3 (Days 1 - Week 12)
Change From Baseline in the Monthly Average Number of Days of Use of Any Acute Headache Medicine During the 12 Week Period After the First Dose of Study Drug
Time frame: Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12)
Change From Baseline in the Number of Migraine Days During the 4 Week Period After the First Dose of Study Drug
Time frame: Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 4)
Change From Baseline in the Monthly Average Number of Migraine Days During the 12 Week Period After the First Dose of Study Medication in Patients Not Receiving Concomitant Preventive Migraine Medications
Time frame: Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12)
Change From Baseline in Migraine-Related Disability Score (MIDAS), As Measured by the Migraine Disability Assessment At 4 Weeks After the Last (3rd) Dose of Study Drug
Time frame: Baseline (Day 0), Treatment Week 12 (4 weeks after the 3rd dose)
Electrocardiogram Finding Shifts From Baseline to Overall
Time frame: Baseline (Day 0), Treatment Week 12 (or early withdrawal)
Participants With Vital Signs Potentially Clinically Significant Abnormal Values
Time frame: Treatment Days 28, 56 and 84. Changes from previous reading may reflect the baseline reading performed on Day 0.
Participants With Serum Chemistry and Hematology Potentially Clinically Significant Abnormal Results
Time frame: Treatment Days 28, 56 and 84 (or early withdrawal)
Participants With Urinalysis Laboratory Tests Potentially Clinically Significant Abnormal Results
Time frame: Treatment Days 28, 56 and 84. Changes from previous reading reflect the baseline reading performed on Day 0.
Prothrombin Time Shifts From Baseline to Endpoint
Time frame: Baseline (Day 0), Treatment Endpoint (Week 12)
Injection Site Reaction Adverse Events
Time frame: Day 1 to Week 12
Participants With Positive Electronic Columbia Suicide Severity Rating Scale Results After the First Dose of Study Drug
Time frame: Day 1 to Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Nov 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39221611Tatsumoto M, Ishida M, Iba K, Kim BK, Ning X, Osawa C, Nakai M, Kurita Y. Effects of fremanezumab on migraine-associated symptoms and medication use in Japanese and Korean patients with episodic migraine: Exploratory endpoint analysis of a multicenter, randomized, double-blind, placebo-controlled trial. Headache. 2025 Mar;65(3):399-406. doi: 10.1111/head.14810. Epub 2024 Sep 2.
- Derived from this study: PubMed 36038833McAllister P, Cohen JM, Campos VR, Ning X, Janka L, Barash S. Impact of fremanezumab on disability outcomes in patients with episodic and chronic migraine: a pooled analysis of phase 3 studies. J Headache Pain. 2022 Aug 29;23(1):112. doi: 10.1186/s10194-022-01438-4.
- Derived from this study: PubMed 35331009Diener HC, McAllister P, Jurgens TP, Kessler Y, Ning X, Cohen JM, Campos VR, Barash S, Silberstein SD. Safety and tolerability of fremanezumab in patients with episodic and chronic migraine: a pooled analysis of phase 3 studies. Cephalalgia. 2022 Jul;42(8):769-780. doi: 10.1177/03331024221076485. Epub 2022 Mar 25.
- Derived from this study: PubMed 34819017Nahas SJ, Naegel S, Cohen JM, Ning X, Janka L, Campos VR, Krasenbaum LJ, Holle-Lee D, Kudrow D, Lampl C. Efficacy and safety of fremanezumab in clinical trial participants aged >/=60 years with episodic or chronic migraine: pooled results from 3 randomized, double-blind, placebo-controlled phase 3 studies. J Headache Pain. 2021 Nov 24;22(1):141. doi: 10.1186/s10194-021-01351-2.
- Derived from this study: PubMed 33413075Silberstein SD, Cohen JM, Yang R, Gandhi SK, Du E, Jann AE, Marmura MJ. Treatment benefit among migraine patients taking fremanezumab: results from a post hoc responder analysis of two placebo-controlled trials. J Headache Pain. 2021 Jan 7;22(1):2. doi: 10.1186/s10194-020-01212-4.
- Derived from this study: PubMed 31752521Brandes JL, Kudrow D, Yeung PP, Sakai F, Aycardi E, Blankenbiller T, Grozinski-Wolff M, Yang R, Ma Y. Effects of fremanezumab on the use of acute headache medication and associated symptoms of migraine in patients with episodic migraine. Cephalalgia. 2020 Apr;40(5):470-477. doi: 10.1177/0333102419885905. Epub 2019 Nov 21.
- Derived from this study: PubMed 29800211Dodick DW, Silberstein SD, Bigal ME, Yeung PP, Goadsby PJ, Blankenbiller T, Grozinski-Wolff M, Yang R, Ma Y, Aycardi E. Effect of Fremanezumab Compared With Placebo for Prevention of Episodic Migraine: A Randomized Clinical Trial. JAMA. 2018 May 15;319(19):1999-2008. doi: 10.1001/jama.2018.4853.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Teva Medical Expert, MD study director
Teva Branded Pharmaceutical Products R&D, Inc.
275 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Fremanezumab in people with Migraine, run by Teva Branded Pharmaceutical Products R&D, Inc. at 275 sites in 9 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 6 inclusion and 9 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 9 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 275 sites in United States, Japan, Russia, Czechia, Israel and 4 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 8 Nov 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 the Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Study Drug (time frame: Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12)). 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 NCT02629861, which also lists 7 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 9 Nov 2021.