Episodic MigrainePhase 3REBUILD-1NCT03432286
A Study of Galcanezumab (LY2951742) in Participants 6 to 17 Years of Age With Episodic Migraine
A Phase 3 study testing Galcanezumab in people with Episodic Migraine, run by Eli Lilly and Company at 73 sites in 10 countries.
Trial summary
The main purpose of this study is to evaulate the efficacy and safety of galcanezumab in participants 6 to 17 years of age for the preventive treatment of episodic migraine. The primary objective is to demonstrate the superiority of galcanezumab versus placebo in the reduction of monthly migraine headache days across… Read more about this study
- Who is it for?
- Ages 6 to 17 years
- Conditions the study is for
- Episodic Migraine
- What is being tested?
- Galcanezumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 533 participants
- Where
- 73 sitesin 10 countries
- Study dates
- 14 Mar 2018to Nov 2026
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 6 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Have a diagnosis of migraine with or without aura as defined by the IHS ICHD-3 guidelines (1.1 or 1.2 according to ICHD-3 [2018]), with a history of migraine headaches of at least 6 months prior to screening.
Who cannot join
- Participants who are taking, or are expected to take, therapeutic antibodies during the course of the study (adalimumab, infliximab, trastuzumab, bevacizumab, etc.). Prior use of therapeutic antibodies is allowed if that use was more than 12 months prior to baseline.
- Known hypersensitivity to monoclonal antibodies or other therapeutic proteins, or to galcanezumab or its excipients.
- Current use or prior exposure to galcanezumab, another CGRP antibody, or CGRP receptor antibody, including those who have previously completed or withdrawn from this study or any other study investigating a CGRP antibody.
- History of IHS ICHD-3 diagnosis of new daily persistent headache, cluster headache or migraine subtypes including hemiplegic (sporadic or familial) migraine and migraine with brainstem aura (previously basilar-type migraine).
- History of significant head or neck injury within 6 months prior to screening; or traumatic head injury at any time that is associated with significant change in the quality or frequency of their headaches, including new onset of migraine following traumatic head injury.
- Participants with a known history of intracranial tumors or developmental malformations including Chiari malformations.
Trial locations and contacts
73 sites in 10 countries.
73 sites in 10 countries
United States38 sites
Dent Neurologic Institute
Amherst, New York, 14226
Medical Research Partners
Ammon, Idaho, 83406
Clinical Integrative Research Center of Atlanta, LLC
Atlanta, Georgia, 30328
Children's Hospital Colorado
Aurora, Colorado, 80045
Pharmasite Research, Inc.
Baltimore, Maryland, 21208
Northwest Clinical Research Center
Bellevue, Washington, 98007
Elite Clinical Trials
Blackfoot, Idaho, 83221
Northwest Clinical Trials
Boise, Idaho, 83704
Boston Clinical Trials
Boston, Massachusetts, 02131
Minneapolis Clinic of Neurology - Burnsville Office
Burnsville, Minnesota, 55337
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229
Velocity Clinical Research, Providence
East Greenwich, Rhode Island, 02818
Tribe Clinical Research, LLC
Greenville, South Carolina, 29607
Inpatient Pharmacy
Hoffman Estates, Illinois, 60169
Pain and Headache Centers of Texas
Houston, Texas, 77054
Rehabilitation & Neurological Services
Huntsville, Alabama, 35805
Clinical Neuroscience Solutions, Inc. dba CNS Healthcare
Jacksonville, Florida, 32256
Children Mercy Pediatric Clinical Research Unit
Kansas City, Missouri, 64108
University of Kentucky Chandler Medical Center
Lexington, Kentucky, 40536
Miller Children's & Women's Hospital Long Beach
Long Beach, California, 90806
University of Miami Don Suffer Clinical Research Building
Miami, Florida, 33136
Ezy Medical Research
Miami Lakes, Florida, 33015
Cohen Children's Northwell Health Physician Partners - Pediatric Neurology
New Hyde Park, New York, 11042
Clinical Neuroscience Solutions
Orlando, Florida, 32801
Avanza Medical Research Center
Pensacola, Florida, 32503
21st Century Neurology, a Division of Xenoscience, Inc.
Phoenix, Arizona, 85004
Phoenix Children's Hospital
Phoenix, Arizona, 85016
UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224
Office 18
Pittsburgh, Pennsylvania, 15236
Providence Health & Services
Portland, Oregon, 97225
Velocity Clinical Research at Raleigh Neurology
Raleigh, North Carolina, 27607
Wr-McCr, Llc
San Diego, California, 92108
Meridian Clinical Research, LLC
Savannah, Georgia, 31406
Seattle Children's Hospital
Seattle, Washington, 98105
USF Health
Tampa, Florida, 33612
Center for Neurosciences
Tucson, Arizona, 85718
MedVadis Research Corporation
Waltham, Massachusetts, 02451
Premiere Research Institute at Palm Beach Neurology
West Palm Beach, Florida, 33407
India8 sites
Mangala Hospital & Mangala Kidney Foundation
Mangalore, 575003
Getwell Hospital and Research Institute
Nagpur, 440012
Central India Cardiology and Research Institute
Nagpur, 440015
All India Institute of Medical Sciences (AIIMS) - Nagpur
Nagpur, 441108
G.B. Pant Institute of Postgraduate Medical Education & Research
New Delhi, 110002
All India Institute of Medical Sciences
New Delhi, 110029
Sir Ganga Ram Hospital
New Delhi, 110060
Medipoint Hospitals Pvt. Ltd.
Pune, 411007
Japan8 sites
Konan Hospital
Kobe, 658-0064
Umenotsuji Clinic
Kochi, 780-8011
Tatsuoka Neurology Clinic
Kyoto, 600-8811
Yamaguchi Clinic
Nishinomiya, 663-8204
Tominaga Hospital
Osaka, 556-0017
Sendai Headache and Neurology Clinic
Sendai, 982-0014
Tokyo Medical University Hospital
Shinjuku-ku, 160-0023
Tokyo Headache Clinic
Tokyo, 151-0051
Mexico5 sites
Centro de Investigacion Medica Aguascalientes (CIMA)
Aguascalientes, 20116
Operadora Unidad de Investigación en Salud de Chihuahua S.A. de C.V.
Chihuahua City, 31203
Hospital Civil Fray Antonio Alcalde
Guadalajara, 44280
PanAmerican Clinical Research - Guadalajara
Guadalajara, 44670
Clinica De Enfermedades Cronicas y Procedimientos Especiales
Morelia, 58249
Spain5 sites
Hospital Universitari Vall d'Hebron
Barcelona, 8035
Hospital de la Santa Creu i Sant Pau
Barcelona, 8041
Hospital Universitario Virgen Del Rocio
Seville, 41013
Hospital Clinico de Valencia
Valencia, 46010
Hospital Clínico Universitario de Valladolid
Valladolid, 47005
Italy3 sites
IRCCS Istituto Neurologico Carlo Besta
Milan, 20133
Ospedale Pediatrico Bambino Gesù
Roma, 00165
Policlinico Umberto I
Roma, 161
Denmark2 sites
Sanos Clinic - Nordjylland
Aalborg, 9362
Herlev and Gentofte Hospital
Copenhagen, 2730
Puerto Rico2 sites
Dr. Samuel Sanchez PSC
Caguas, 727
Ponce Medical School Foundation Inc.
Ponce, 00716
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled Study of Galcanezumab in Patients 6 to 17 Years of Age With Episodic Migraine - the REBUILD-1 Study
The main purpose of this study is to evaulate the efficacy and safety of galcanezumab in participants 6 to 17 years of age for the preventive treatment of episodic migraine. The primary objective is to demonstrate the superiority of galcanezumab versus placebo in the reduction of monthly migraine headache days across the 3-month double-blind treatment period.
Read the detailed description
The study has two parts which enroll separately from each other such that participants may choose to participate in either but not both: the main study and a study addendum.
- The main study includes a 3-month, randomized, double-blind treatment period in which participants receive either galcanezumab or placebo, followed by a 9-month open-label extension in which all participants receive galcanezumab.
- The study addendum is a stand-alone study of galcanezumab pharmacokinetics and safety in a group of participants separate from those in the main study. The study addendum includes a 5-month evaluation period after a single injection of galcanezumab, followed by a 9-month open-label extension.
- Conditions
- Episodic Migraine
- Being tested
- Galcanezumab, Placebo
- Keywords
- pediatric, children, prevention, prophylaxis, headache, pediatric migraine
- Medical subject headings
- Headache
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GalcanezumabDrug
Also called LY2951742
Administered SQ
PlaceboDrug
Administered SQ
| Study group | Role | What they receive |
|---|---|---|
| Galcanezumab | Experimental | Galcanezumab administered by SQ injection.
Participants may be eligible for optional open-label extension at the end of the double-blind period. Receives: Drug: Galcanezumab |
| Placebo | Placebo comparator | Placebo administered by SQ injection.
Participants may be eligible for optional open-label extension at the end of the double-blind period. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline in the Number of Monthly Migraine Headache Days
Change from baseline in the number of monthly migraine headache days
Measured: Baseline, 3 Months
Secondary outcomes (15)
Percentage of Participants with Reduction from Baseline ≥50%, ≥75% and 100% in Monthly Migraine Headache Days
Percentage of participants with reduction from baseline ≥50%, ≥75% and 100% in monthly migraine headache days
Measured: 3 Months
Change from Baseline in the Number of Monthly Migraine Headache Days with Nausea and/or Vomiting
Change from baseline in the number of monthly migraine headache days with nausea and/or vomiting
Measured: Baseline, 3 Months
Change from Baseline in the Number of Monthly Migraine Headache Days with Photophobia and Phonophobia
Change from baseline in the number of monthly migraine headache days with photophobia and phonophobia
Measured: Baseline, 3 Months
Change from Baseline in the Number of Monthly Migraine Headaches with Prodromal Symptoms
Change from baseline in the number of monthly migraine headaches with prodromal symptoms
Measured: Baseline, 3 Months
Change from Baseline in the Number of Migraine Headache Days on which Acute Headache Medication is Taken
Change from baseline in the number of migraine headache days on which acute headache medication is taken
Measured: Baseline, 3 Months
Patient Global Impression-Improvement (PGI-I) Rating
PGI-I rating
Measured: Month 1 to Month 3
Change from Baseline in the Severity of Remaining Migraine Headaches per Month
Change from baseline in the severity of remaining migraine headaches per month
Measured: Baseline, 3 Months
Change from Baseline in the Number of Monthly Headache Days
Change from baseline in the number of monthly headache days
Measured: Baseline, 3 Months
Change from Baseline on the Pediatric Quality of Life Inventory (PedsQL) Total Score
Change from Baseline on the PedsQL total score
Measured: Baseline, 3 Months
Change from Baseline on the Pediatric Migraine Disability Assessment Test (PedMIDAS) Total Score
Change from baseline on the PedMIDAS total score
Measured: Baseline, 3 Months
Percentage of Participants with Suicidal Ideation and Behaviors Assessed by the Columbia Suicide Severity Rating Scale (C-SSRS) Score
Percentage of Participants with Suicidal Ideation and Behaviors Assessed by the C-SSRS Score
Measured: Baseline through 3 Months
Pharmacokinetics (PK): Serum Concentration of Galcanezumab
PK: Serum concentration of galcanezumab
Measured: Baseline through 3 Months
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)
Plasma concentration of CGRP
Measured: Baseline through 3 Months
Percentage of Participants Developing Anti-Drug Antibodies
Percentage of participants developing anti-drug antibodies
Measured: Baseline through 3 Months
Percentage of Participants who Initiate Migraine Prevention Medication in the Post-Treatment Follow-Up Phase
Percentage of participants who initiate migraine prevention medication in the post-treatment follow-up phase
Measured: 16 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Feb 2018
- Study start14 Mar 2018
- Primary completion14 Nov 2025
- Study completionNov 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Episodic MigraineStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe sponsor's other registered studies.
- 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 533 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03432286
- Sponsor's protocol ID
- 16352
- Other IDs
- I5Q-MC-CGAS, 2017-004351-23, 2017
- Acronym
- REBUILD-1
- Status last verified
- Jan 2026
- First submitted
- 8 Feb 2018
- Last updated
- 26 Jan 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Study at a glance
From the registry record, last updated by the sponsor on 26 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Study of Galcanezumab in Patients 6 to 17 Years of Age With Episodic Migraine - the REBUILD-1 Study
- ClinicalTrials.gov ID
- NCT03432286
- Acronym / sponsor ID
- REBUILD-1 / 16352
- Conditions
- Episodic Migraine
- Keywords
- pediatric, children, prevention, prophylaxis, headache, pediatric migraine
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 533 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 14 Mar 2018 (actual)
- Primary completion
- 14 Nov 2025 (actual)
- Study completion
- Nov 2026 (estimated)
- First posted
- 14 Feb 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of this study is to evaulate the efficacy and safety of galcanezumab in participants 6 to 17 years of age for the preventive treatment of episodic migraine. The primary objective is to demonstrate the superiority of galcanezumab versus placebo in the reduction of monthly migraine headache days across the 3-month double-blind treatment period.
Detailed description
The study has two parts which enroll separately from each other such that participants may choose to participate in either but not both: the main study and a study addendum.
- The main study includes a 3-month, randomized, double-blind treatment period in which participants receive either galcanezumab or placebo, followed by a 9-month open-label extension in which all participants receive galcanezumab.
- The study addendum is a stand-alone study of galcanezumab pharmacokinetics and safety in a group of participants separate from those in the main study. The study addendum includes a 5-month evaluation period after a single injection of galcanezumab, followed by a 9-month open-label extension.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Galcanezumab | Experimental | Drug: GalcanezumabGalcanezumab administered by SQ injection. Participants may be eligible for optional open-label extension at the end of the double-blind period. |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo administered by SQ injection. Participants may be eligible for optional open-label extension at the end of the double-blind period. |
Who may qualify
- Ages
- 6 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (1 listed)
- Have a diagnosis of migraine with or without aura as defined by the IHS ICHD-3 guidelines (1.1 or 1.2 according to ICHD-3 [2018]), with a history of migraine headaches of at least 6 months prior to screening.
Key exclusion criteria (6 listed)
- Participants who are taking, or are expected to take, therapeutic antibodies during the course of the study (adalimumab, infliximab, trastuzumab, bevacizumab, etc.). Prior use of therapeutic antibodies is allowed if that use was more than 12 months prior to baseline.
- Known hypersensitivity to monoclonal antibodies or other therapeutic proteins, or to galcanezumab or its excipients.
- Current use or prior exposure to galcanezumab, another CGRP antibody, or CGRP receptor antibody, including those who have previously completed or withdrawn from this study or any other study investigating a CGRP antibody.
- History of IHS ICHD-3 diagnosis of new daily persistent headache, cluster headache or migraine subtypes including hemiplegic (sporadic or familial) migraine and migraine with brainstem aura (previously basilar-type migraine).
- History of significant head or neck injury within 6 months prior to screening; or traumatic head injury at any time that is associated with significant change in the quality or frequency of their headaches, including new onset of migraine following traumatic head injury.
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 |
|---|---|---|
| GalcanezumabAlso: LY2951742Administered SQ | Drug | Galcanezumab |
| PlaceboAdministered SQ | Drug | Placebo |
Primary outcome
Change from Baseline in the Number of Monthly Migraine Headache Days
Time frame: Baseline, 3 Months
Change from baseline in the number of monthly migraine headache days
15 secondary outcomes
Percentage of Participants with Reduction from Baseline ≥50%, ≥75% and 100% in Monthly Migraine Headache Days
Time frame: 3 Months
Change from Baseline in the Number of Monthly Migraine Headache Days with Nausea and/or Vomiting
Time frame: Baseline, 3 Months
Change from Baseline in the Number of Monthly Migraine Headache Days with Photophobia and Phonophobia
Time frame: Baseline, 3 Months
Change from Baseline in the Number of Monthly Migraine Headaches with Prodromal Symptoms
Time frame: Baseline, 3 Months
Change from Baseline in the Number of Migraine Headache Days on which Acute Headache Medication is Taken
Time frame: Baseline, 3 Months
Patient Global Impression-Improvement (PGI-I) Rating
Time frame: Month 1 to Month 3
Change from Baseline in the Severity of Remaining Migraine Headaches per Month
Time frame: Baseline, 3 Months
Change from Baseline in the Number of Monthly Headache Days
Time frame: Baseline, 3 Months
Change from Baseline on the Pediatric Quality of Life Inventory (PedsQL) Total Score
Time frame: Baseline, 3 Months
Change from Baseline on the Pediatric Migraine Disability Assessment Test (PedMIDAS) Total Score
Time frame: Baseline, 3 Months
Percentage of Participants with Suicidal Ideation and Behaviors Assessed by the Columbia Suicide Severity Rating Scale (C-SSRS) Score
Time frame: Baseline through 3 Months
Pharmacokinetics (PK): Serum Concentration of Galcanezumab
Time frame: Baseline through 3 Months
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)
Time frame: Baseline through 3 Months
Percentage of Participants Developing Anti-Drug Antibodies
Time frame: Baseline through 3 Months
Percentage of Participants who Initiate Migraine Prevention Medication in the Post-Treatment Follow-Up Phase
Time frame: 16 Months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Jan 2026.
- A Study of Galcanezumab (LY2951742) in Participants 6 to 17 Years of Age With Episodic MigraineLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
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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.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
73 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Galcanezumab in people with Episodic Migraine, run by Eli Lilly and Company at 73 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 1 inclusion and 6 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: under way, not looking for participants, as of the sponsor's last update on 26 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 73 sites in United States, India, Japan, Mexico, Spain 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. 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?
This study is still under way. Results are not available in the source record yet.
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 Number of Monthly Migraine Headache Days (time frame: Baseline, 3 Months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 26 Jan 2026.