AzTrials
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Episodic MigrainePhase 3NCT03096834

A Study Evaluating the Effectiveness of AMG 334 Injection in Preventing Migraines in Adults Having Failed Other Therapies

A Phase 3 study testing AMG334 (70 mg) Pre-Filled Syringe (PFS) in people with Episodic Migraine, run by Novartis Pharmaceuticals at 59 sites in 16 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

The purpose of this study is to determine if AMG 334 is effective in treating migraines in patients who have failed other preventive migraine treatments. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Episodic Migraine
What is being tested?
AMG334 (70 mg) Pre-Filled Syringe (PFS)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
246 participants
Where
59 sitesin 16 countries
Study dates
20 Mar 2017to 28 Jan 2021
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

  • Documented history of migraine in the 12 months prior to screen
  • 4-14 days per month of migraine symptoms
  • >=80% diary compliance during the Baseline period
  • Failure of previous migraine prophylactic treatments

Who cannot join

  • >50 years old at migraine onset
  • Pregnant or nursing
  • History of cluster or hemiplegic headache
  • Evidence of seizure or psychiatric disorder
  • Score of over 19 on Beck Depression Inventory-2
  • Active chronic pain syndrome
  • Cardiac or hepatic disease

Trial locations and contacts

59 sites in 16 countries.

59 sites in 16 countries

Germany12 sites
  • Novartis Investigative Site

    Berlin, 10435

  • Novartis Investigative Site

    Berlin, 13353

  • Novartis Investigative Site

    Bielefeld, D 33647

  • Novartis Investigative Site

    Bochum, 44787

  • Novartis Investigative Site

    Erlangen, 91054

  • Novartis Investigative Site

    Essen, 45147

  • Novartis Investigative Site

    Hamburg, 20251

  • Novartis Investigative Site

    Kiel, 24149

  • Novartis Investigative Site

    Leipzig, 04107

  • Novartis Investigative Site

    München, 81377

  • Novartis Investigative Site

    Tübingen, 72076

  • Novartis Investigative Site

    Wiesbaden, 65191

Other trials in Germany

Italy6 sites
  • Novartis Investigative Site

    Bologna, BO, 40139

  • Novartis Investigative Site

    Florence, FI, 50139

  • Novartis Investigative Site

    Milan, 20133

  • Novartis Investigative Site

    Naples, 80138

  • Novartis Investigative Site

    Palermo, 90127

  • Novartis Investigative Site

    Roma, RM, 00189

Other trials in Italy

Spain6 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

  • Novartis Investigative Site

    Fuenlabrada, Madrid, 28942

  • Novartis Investigative Site

    Pozuelo de Alarcón, Madrid, 28223

  • Novartis Investigative Site

    Santander, Cantabria, 39008

  • Novartis Investigative Site

    Valladolid, Castille and León, 47011

  • Novartis Investigative Site

    Zaragoza, 50009

Other trials in Spain

Belgium4 sites
  • Novartis Investigative Site

    Brussels, 1090

  • Novartis Investigative Site

    Ghent, 9000

  • Novartis Investigative Site

    Hasselt, 3500

  • Novartis Investigative Site

    Leuven, 3000

Other trials in Belgium

Sweden4 sites
  • Novartis Investigative Site

    Lund, 222 22

  • Novartis Investigative Site

    Stockholm, 114 33

  • Novartis Investigative Site

    Uppsala, SE-751 85

  • Novartis Investigative Site

    Vällingby, 162 68

Other trials in Sweden

Czechia3 sites
  • Novartis Investigative Site

    Czech Republic, 18600

  • Novartis Investigative Site

    Prague, CZE, 120 00

  • Novartis Investigative Site

    Prague, 140 59

Other trials in Czechia

Finland3 sites
  • Novartis Investigative Site

    Helsinki, 00180

  • Novartis Investigative Site

    Helsinki, 00930

  • Novartis Investigative Site

    Turku, 20100

Other trials in Finland

France3 sites
  • Novartis Investigative Site

    Lille, 59037

  • Novartis Investigative Site

    Marseille, 13885

  • Novartis Investigative Site

    Nice, 06003

Other trials in France

Greece3 sites
  • Novartis Investigative Site

    Athens, GR, 115 25

  • Novartis Investigative Site

    Glyfada, 16675

  • Novartis Investigative Site

    Marousi, 15125

Other trials in Greece

Netherlands3 sites
  • Novartis Investigative Site

    Leiden, 2333 ZA

  • Novartis Investigative Site

    Nijmegen, 6532 SZ

  • Novartis Investigative Site

    Sittard-Geleen, BG, 6162 BG

Other trials in Netherlands

Switzerland3 sites
  • Novartis Investigative Site

    Bad Zurzach, 5330

  • Novartis Investigative Site

    Lausanne, 1011

  • Novartis Investigative Site

    Zollikon, 8702

Other trials in Switzerland

United Kingdom3 sites
  • Novartis Investigative Site

    Brighton, East Sussex, BN2 5BE

  • Novartis Investigative Site

    London, SE5 9RS

  • Novartis Investigative Site

    Stoke-on-Trent, Staffordshire, ST46QG

Other trials in United Kingdom

Austria2 sites
  • Novartis Investigative Site

    Innsbruck, A 6020

  • Novartis Investigative Site

    Vienna, 1090

Other trials in Austria

Norway2 sites
  • Novartis Investigative Site

    Hamar, 2317

  • Novartis Investigative Site

    Sandvika, 1337

Other trials in Norway

Australia1 site
  • Novartis Investigative Site

    Heidelberg, 3084

Other trials in Australia

Denmark1 site
  • Novartis Investigative Site

    Glostrup Municipality, 2600

Other trials in Denmark

About this study

Official title: A 12-week Double-blind, Randomized, Multicenter Study Comparing the Efficacy and Safety of Once Monthly Subcutaneous 140 mg AMG 334 Against Placebo in Adult Episodic Migraine Patients Who Have Failed 2-4 Prophylactic Treatments (LIBERTY)

The purpose of this study is to determine if AMG 334 is effective in treating migraines in patients who have failed other preventive migraine treatments.

Read the detailed description

This study was a double blind, placebo-controlled, randomized trial in adult patients with episodic migraine. There was a screening period of 2 weeks to assess initial eligibility, and a 4-week baseline period. After randomization, participants entered the double-blind treatment epoch (DBTE) and had clinic visits for 12 weeks. All participants who completed the DBTE were eligible to enter the Open-Label Treatment Epoch (OLTE) for up to 156 weeks. All participants had a 12 week Follow-Up Epoch and a a Follow-Up visit 16 weeks after the last dose of AMG334 unless the participant continued on commercially available AMG334. Participants who had demonstrated clinical benefit were eligible to enter a Post Trial Access (PTA-Open Label Treatment Epoch) of flexible duration for approximately 6 months.

Being tested
AMG334 (70 mg) Pre-Filled Syringe (PFS), Placebo Pre-Filled Syringe (PFS)
Keywords
Migraine, attack, headache, episodic, aura, AMG 334, CGRP receptor agonist, erenumab, adult
Medical subject headings
Migraine Disorders, Headache, Recurrence, Epilepsy

What participants receive

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

  • AMG334 (70 mg) Pre-Filled Syringe (PFS)Biological

    Two injections of AMG 334 70 mg (equaling 140 mg total dose) will be administered via subcutaneous injection

  • Placebo Pre-Filled Syringe (PFS)Biological

    Subcutaneous injection of matching placebo

Study groups in NCT03096834
Study groupRoleWhat they receive
Placebo DBPlacebo comparatorMatching placebo subcutaneous injections administered every 4 weeks during Double-Blind Epoch
Receives: Biological: Placebo Pre-Filled Syringe (PFS)
AMG334 140 mg DBExperimentalAMG334 70 mg subcutaneous injections (2) administered every 4 weeks during Double-Blind Epoch
Receives: Biological: AMG334 (70 mg) Pre-Filled Syringe (PFS)
AMG334 140 mg DB cont on AMG334 140 mgExperimentalAMG334 70 mg subcutaneous injections (2) during DB continued on AMG334 140 mg in Open-Label Epoch
Receives: Biological: AMG334 (70 mg) Pre-Filled Syringe (PFS)
Placebo in DB to AMG334 140 mgExperimentalPlacebo in Double-Blind Epoch (DB) switched to AMG334 140 mg in Open-Label Epoch
Receives: Biological: AMG334 (70 mg) Pre-Filled Syringe (PFS)

What is being measured

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

  1. Percentage of Participants With at Least 50% Reduction From Baseline of Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment)

    A migraine day was defined as any calendar day in which the subject experienced a qualified migraine headache defined as: with/without aura, lasting ≥ 30 minutes with at least 1 criteria: 1. ≥ 2 of following pain features: unilateral, throbbing, moderate to severe or exacerbated with exercise/physical activity, 2. ≥ 1 of the following symptoms: nausea and/or vomiting, photophobia and phonophobia. If a migraine-specific medication (ie, triptan or ergotamine) was taken during aura, or a headache, it was counted as a migraine day regardless of duration and pain features/associated symptoms.

    Measured: Baseline, Month 3 (last 4 weeks of treatment)

Secondary outcomes (6)
  1. Change From Baseline in Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment)

    A migraine day was defined as any calendar day in which the subject experienced a qualified migraine headache defined as: with/without aura, lasting ≥ 30 minutes with at least 1 criteria: 1. ≥ 2 of following pain features: unilateral, throbbing, moderate to severe or exacerbated with exercise/physical activity, 2. ≥ 1 of the following symptoms: nausea and/or vomiting, photophobia and phonophobia. If a migraine-specific medication (ie, triptan or ergotamine) was taken during aura, or a headache, it was counted as a migraine day regardless of duration and pain features/associated symptoms.

    Measured: Baseline, Month 3 (last 4 weeks of treatment)

  2. Change From Baseline in Physical Impairment and Everyday Activities as Measured by the Migraine Physical Function Impact Diary (MPFID) at Month 3

    MPFID has 2 domains: Everyday Activities, which consisted of 7 items and Physical Impairment with 5 items using a 5-point scale. Scores were summed across each domain and were then transformed and used for analyses. Transforming MPFID domain scores ranged from 0-100, where higher scores were indicative of greater migraine impact (ie, higher burden)

    Measured: Baseline, Month 3 (last 4 weeks of treatment)

  3. Change in the Number of Monthly Acute Migraine-specific Medication Treatment Days at Month 3

    Number of days on which acute migraine-specific medications were used were recorded in eDiary between each monthly IP dose. Migraine-Specific medications included two categories of medications: triptan-based migraine medications and ergotamine-based migraine medications. Monthly migraine-specific medication use at baseline was the number of migraine-specific medication treatment days in the baseline period.

    Measured: Baseline, Month 3 (last 4 weeks of treatment)

  4. Percentage of Participants With a 75% Reduction From Baseline of Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment)

    A migraine day was defined as any calendar day in which the subject experienced a qualified migraine headache defined as: with/without aura, lasting ≥ 30 minutes with at least 1 criteria: 1. ≥ 2 of following pain features: unilateral, throbbing, moderate to severe or exacerbated with exercise/physical activity, 2. ≥ 1 of the following symptoms: nausea and/or vomiting, photophobia and phonophobia. If a migraine-specific medication (ie, triptan or ergotamine) was taken during aura, or a headache, it was counted as a migraine day regardless of duration and pain features/associated symptoms.

    Measured: Baseline, Month 3 (last 4 weeks of treatment)

  5. Percentage of Participants With a 100% Reduction From Baseline of Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment)

    A migraine day was defined as any calendar day in which the subject experienced a qualified migraine headache defined as: with/without aura, lasting ≥ 30 minutes with at least 1 criteria: 1. ≥ 2 of following pain features: unilateral, throbbing, moderate to severe or exacerbated with exercise/physical activity, 2. ≥ 1 of the following symptoms: nausea and/or vomiting, photophobia and phonophobia. If a migraine-specific medication (ie, triptan or ergotamine) was taken during aura, or a headache, it was counted as a migraine day regardless of duration and pain features/associated symptoms.

    Measured: Baseline, Month 3 (last 4 weeks of treatment)

  6. Number of Participants Who Developed Anti-AMG334 Antibodies

    Blood samples for immunogenicity testing were collected for the measurement of anti-AMG334 binding antibodies.

    Measured: Baseline up to approximately 180 weeks

Timeline

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

  1. First posted30 Mar 2017
  2. Study start20 Mar 2017
  3. Primary completion18 Jan 2018
  4. Study completion28 Jan 2021

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
246 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03096834
Sponsor's protocol ID
CAMG334A2301
Other IDs
2016-002211-18, 2016
Status last verified
Feb 2022
First submitted
17 Mar 2017
Last updated
23 Mar 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Publications

  • Reuter U, Goadsby PJ, Ferrari MD, Da Silva Lima GP, Mondal S, Kalim J, Hasan F, Wen S, Arkuszewski M, Pandhi S, Stites T, Lanteri-Minet M. Efficacy and Safety of Erenumab in Participants With Episodic Migraine in Whom 2-4 Prior Preventive Treatments Had Failed: LIBERTY 3-Year Study. Neurology. 2024 May;102(10):e209349. doi: 10.1212/WNL.0000000000209349. Epub 2024 Apr 26.

    PubMed 38669638
  • 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
  • Ferrari MD, Reuter U, Goadsby PJ, Paiva da Silva Lima G, Mondal S, Wen S, Tenenbaum N, Pandhi S, Lanteri-Minet M, Stites T. Two-year efficacy and safety of erenumab in participants with episodic migraine and 2-4 prior preventive treatment failures: results from the LIBERTY study. J Neurol Neurosurg Psychiatry. 2022 Mar;93(3):254-262. doi: 10.1136/jnnp-2021-327480. Epub 2021 Nov 29.

    PubMed 34845002
  • Goadsby PJ, Reuter U, Lanteri-Minet M, Paiva da Silva Lima G, Hours-Zesiger P, Fernandes C, Wen S, Tenenbaum N, Kataria A, Ferrari MD, Klatt J. Long-term Efficacy and Safety of Erenumab: Results From 64 Weeks of the LIBERTY Study. Neurology. 2021 May 31;96(22):e2724-e2735. doi: 10.1212/WNL.0000000000012029.

    PubMed 33910942
  • Lanteri-Minet M, Goadsby PJ, Reuter U, Wen S, Hours-Zesiger P, Ferrari MD, Klatt J. Effect of erenumab on functional outcomes in patients with episodic migraine in whom 2-4 preventives were not useful: results from the LIBERTY study. J Neurol Neurosurg Psychiatry. 2021 May;92(5):466-472. doi: 10.1136/jnnp-2020-324396. Epub 2021 Jan 5.

    PubMed 33402419
  • Reuter U, Goadsby PJ, Lanteri-Minet M, Wen S, Hours-Zesiger P, Ferrari MD, Klatt J. Efficacy and tolerability of erenumab in patients with episodic migraine in whom two-to-four previous preventive treatments were unsuccessful: a randomised, double-blind, placebo-controlled, phase 3b study. Lancet. 2018 Nov 24;392(10161):2280-2287. doi: 10.1016/S0140-6736(18)32534-0. Epub 2018 Oct 22.

    PubMed 30360965

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing AMG334 (70 mg) Pre-Filled Syringe (PFS) in people with Episodic Migraine, run by Novartis Pharmaceuticals at 59 sites in 16 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 7 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 23 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 59 sites in Germany, Italy, Spain, Belgium, Sweden and 11 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 18 Feb 2022). 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?

Percentage of Participants With at Least 50% Reduction From Baseline of Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment) (time frame: Baseline, Month 3 (last 4 weeks of treatment)). 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 NCT03096834, 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 23 Mar 2022.

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