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MigrainePhase 3NCT03812224

A Controlled Trial of Erenumab in Migraine Prevention

A Phase 3 study testing Erenumab in people with Migraine, run by Amgen at 41 sites in Japan.

Completed

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

Official record
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Trial summary

The purpose of this study was to assess the efficacy and safety of erenumab for prevention of migraine in Japanese adults with episodic migraine (EM) and chronic migraine (CM). Read more about this study

Who is it for?
Ages 20 to 65 years
Conditions the study is for
Migraine
What is being tested?
Erenumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
261 participants
Where
41 sitesJapan
Study dates
12 Apr 2019to 25 Nov 2020
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 20 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has provided informed consent/assent prior to initiation of any study specific activities/procedures.
  • Japanese subjects greater than or equal to 20 to less than or equal to 65 years of age upon entry into screening.
  • History of migraine (with or without aura) for greater than or equal to 12 months before screening according to the International Headache Society Classification ICHD-3 (Headache Classification Committee of the International Headache Society, 2018) based on medical records and/or patient self-report
  • Migraine frequency: Chronic Migraine (CM) or Episodic Migraine (EM) over the 3 months before screening based on the following criteria:
  • CM is defined as greater than or equal to 15 headache days per month of which greater than or equal to 8 headache days on average across the 3 months meet criteria as migraine days
  • EM is defined as less than 15 headache days per month of which at least 4 or more headache days on average across the 3 months meet criteria as migraine days

Who cannot join

  • Subjects greater than 50 years of age at migraine onset.
  • History of cluster headache or hemiplegic migraine headache.
  • Unable to differentiate migraine from other headaches.
  • Migraine with continuous pain, in which the subject does not experience any pain-free periods (of any duration) during the 1 month before the screening period.
  • Malignancy, except non-melanoma skin cancers, cervical or breast ductal carcinoma in situ within the last 5 years.
  • Other exclusion criteria may apply

Trial locations and contacts

41 sites in 1 country.

41 sites in 1 country

Japan41 sites
  • Research Site

    Chofu-shi, Tokyo, 182-0006

  • Research Site

    Hachioji-shi, Tokyo, 192-0032

  • Research Site

    Hiroshima, Hiroshima, 730-0031

  • Research Site

    Hiroshima, Hiroshima, 730-0845

  • Research Site

    Hofu-shi, Yamaguchi, 747-0802

  • Research Site

    Iruma-gun, Saitama, 350-0495

  • Research Site

    Kagoshima, Kagoshima-ken, 892-0844

  • Research Site

    Kahoku-gun, Ishikawa-ken, 929-0342

  • Research Site

    Kai-shi, Yamanashi, 400-0124

  • Research Site

    Kasuga-shi, Fukuoka, 816-0802

  • Research Site

    Kasuga-shi, Fukuoka, 816-0824

  • Research Site

    Kawasaki-shi, Kanagawa, 211-8588

  • Research Site

    Kawasaki-shi, Kanagawa, 216-8511

  • Research Site

    Kobe, Hyōgo, 658-0064

  • Research Site

    Kochi, Kochi, 780-8011

  • Research Site

    Kumamoto, Kumamoto, 861-2101

  • Research Site

    Kumamoto, Kumamoto, 862-8505

  • Research Site

    Kyoto, Kyoto, 600-8811

  • Research Site

    Matsuyama, Ehime, 790-0925

  • Research Site

    Minato-ku, Tokyo, 108-0075

  • Research Site

    Minato-ku, Tokyo, 108-8642

  • Research Site

    Morioka, Iwate, 020-8505

  • Research Site

    Ōita, Oita Prefecture, 870-0831

  • Research Site

    Osaka, Osaka, 556-0017

  • Research Site

    Saga, Saga-ken, 840-0806

  • Research Site

    Saitama-shi, Saitama, 338-8577

  • Research Site

    Sapporo, Hokkaido, 003-0003

  • Research Site

    Sapporo, Hokkaido, 007-0836

  • Research Site

    Sapporo, Hokkaido, 060-8570

  • Research Site

    Sendai, Miyagi, 982-0014

  • Research Site

    Shibuya-ku, Tokyo, 151-0051

  • Research Site

    Shimotsuga-gun, Tochigi, 321-0293

  • Research Site

    Shinjuku-ku, Tokyo, 160-0017

  • Research Site

    Shizuoka, Shizuoka, 420-0853

  • Research Site

    Takamatsu, Kagawa-ken, 769-0103

  • Research Site

    Tokorozawa-shi, Saitama, 359-1141

  • Research Site

    Tottori-shi, Tottori, 680-0045

  • Research Site

    Toyama, Toyama, 930-0803

  • Research Site

    Toyonaka-shi, Osaka, 560-0012

  • Research Site

    Yamaguchi, Yamaguchi, 754-0002

  • Research Site

    Yonago-shi, Tottori, 683-0033

Other trials in Japan

About this study

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

The purpose of this study was to assess the efficacy and safety of erenumab for prevention of migraine in Japanese adults with episodic migraine (EM) and chronic migraine (CM).

Read the detailed description

Migraine prevention is an area of a large unmet medical need, with existing therapies often having modest efficacy and poor tolerability. Calcitonin gene-related peptide (CGRP) receptor antagonism is a novel approach to migraine preventive therapy. Erenumab is a human monoclonal antibody against canonical CGRP receptor. The present study is a phase 3 trial intended to assess the efficacy and safety of erenumab for prevention of migraine in Japanese adults with episodic migraine (EM) and chronic migraine (CM).

The study consists of a screening period (up to 7 weeks, including a 4-week baseline period), a 24-week double-blind treatment period (DBTP), a 28-week open-label treatment period (OLTP), and an 8-week safety follow-up period (12 weeks after the last dose of investigational product).

Conditions
Migraine
Being tested
Erenumab, 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.

  • ErenumabDrug

    Also called AMG 334, Aimovig®

    Administered by subcutaneous injection once a month

  • PlaceboDrug

    Administered by subcutaneous injection once a month

Study groups in NCT03812224
Study groupRoleWhat they receive
ErenumabExperimentalParticipants were to receive erenumab 70 mg once a month for 24 weeks during the double-blind treatment period followed by erenumab 70 mg once a month for 28 weeks during the open-label treatment period.
Receives: Drug: Erenumab
PlaceboPlacebo comparatorParticipants were to receive placebo to erenumab once a month for 24 weeks during the double-blind treatment period followed by erenumab 70 mg once a month for 28 weeks during the open-label treatment period.
Receives: Drug: Erenumab; Drug: Placebo

What is being measured

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

  1. Change From Baseline in Mean Monthly Migraine Days (MMD) Over Months 4, 5, and 6 of the Double-blind Treatment Period

    A migraine day was any calendar day in which the participant experienced a qualified migraine headache (onset, continuation, or recurrence of the migraine headache). A qualified migraine headache was defined either as a migraine with or without aura, lasting for ≥ 4 hours, and meeting at least 1 of the following criteria:

    1. ≥ 2 of the following pain features:
    • unilateral
    • throbbing
    • moderate to severe
    • exacerbated with exercise/physical activity
    1. ≥ 1 of the following associated symptoms:
    • nausea
    • vomiting
    • photophobia and phonophobia

    The change from baseline in monthly migraine days was calculated as the average number of migraine days per month during the last 3 months (months 4, 5, and 6) of the 24-week double-blind treatment period minus the number of migraine days during the 4-week baseline period.

    Measured: 4-week baseline period and the last 3 months (months 4, 5, and 6) of the 24-week double-blind treatment period

Secondary outcomes (2)
  1. Percentage of Participants With at Least a 50% Reduction From Baseline in Mean Monthly Migraine Days Over Months 4, 5, and 6 of the DBTP

    A migraine day was any calendar day in which the participant experienced a qualified migraine headache (onset, continuation, or recurrence of the migraine headache). A qualified migraine headache was defined either as a migraine with or without aura, lasting for ≥ 4 hours, and meeting at least 1 of the following criteria:

    1. ≥ 2 of the following pain features:
    • unilateral
    • throbbing
    • moderate to severe
    • exacerbated with exercise/physical activity
    1. ≥ 1 of the following associated symptoms:
    • nausea
    • vomiting
    • photophobia and phonophobia

    Measured: 4-week baseline period and the last 3 months (months 4, 5, and 6) of the 24-week double-blind treatment period

  2. Change From Baseline in Mean Monthly Acute Migraine-specific Medication Treatment Days Over Months 4, 5, and 6 of the DBTP

    An acute migraine-specific medication treatment day is any calendar day during which a participant took a migraine-specific medication (e.g., triptan or ergotamine).

    The change from baseline in monthly acute migraine-specific treatment days was calculated as the average number of migraine-specific treatment days per month during the last 3 months of the 24-week double-blind treatment period minus the number of migraine-specific treatment days during the 4-week baseline period.

    Measured: 4-week baseline period and the last 3 months (months 4, 5, and 6) of the 24-week double-blind treatment period

Timeline

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

  1. First posted23 Jan 2019
  2. Study start12 Apr 2019
  3. Primary completion16 Mar 2020
  4. Study completion25 Nov 2020

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
261 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03812224
Sponsor's protocol ID
20170609
Status last verified
Feb 2024
First submitted
18 Jan 2019
Last updated
21 Feb 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request

Publications

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

    PubMed 35272533
  • Hirata K, Takeshima T, Sakai F, Imai N, Matsumori Y, Tatsuoka Y, Numachi Y, Yoshida R, Peng C, Mikol DD, Lima GPDS, Cheng S. Early onset of efficacy with erenumab for migraine prevention in Japanese patients: Analysis of two randomized, double-blind, placebo-controlled studies. Brain Behav. 2022 Mar;12(3):e2526. doi: 10.1002/brb3.2526. Epub 2022 Feb 24.

    PubMed 35201674
  • Hiramatsu K, Onizuka Y, Hasebe M, Yoshida R, Numachi Y. Novel Drug for Migraine Prophylaxis: Mode of Action, Efficacy and Safety of Erenumab. Shinryo to Shinyaku (Med Cons New-Remed) 2021:58(11):797-832

  • Hirata K, Sakai F, Takeshima T, Imai N, Matsumori Y, Yoshida R, Numachi Y, Peng C, Mikol DD, Cheng S. Efficacy and safety of erenumab in Japanese migraine patients with prior preventive treatment failure or concomitant preventive treatment: subgroup analyses of a phase 3, randomized trial. J Headache Pain. 2021 Sep 18;22(1):110. doi: 10.1186/s10194-021-01313-8.

    PubMed 34537006
  • Takeshima T, Sakai F, Hirata K, Imai N, Matsumori Y, Yoshida R, Peng C, Cheng S, Mikol DD. Erenumab treatment for migraine prevention in Japanese patients: Efficacy and safety results from a Phase 3, randomized, double-blind, placebo-controlled study. Headache. 2021 Jun;61(6):927-935. doi: 10.1111/head.14138. Epub 2021 Jun 21.

    PubMed 34153117
  • Hirata K, Takeshima T, Sakai F, Numachi Y, Yoshida R, Koukakis R, Hasebe M, Yui D, da Silva Lima GP, Cheng S. Long-term efficacy and safety of erenumab in Japanese patients with episodic and chronic migraine: results from a 28-week open-label treatment period of a randomised trial. BMJ Open. 2023 Aug 18;13(8):e068616. doi: 10.1136/bmjopen-2022-068616.

    PubMed 37597868
  • Kitamura S, Takeshima T, Yui D, da Silva Lima GP, Koukakis R, Peng C, Yoshida R, Numachi Y, Hasebe M. Efficacy of Erenumab for Migraine Prevention in Japanese Patients with Episodic and Chronic Migraine: Results of a Post-Hoc Pooled Analysis. Neurol Ther. 2023 Dec;12(6):1993-2006. doi: 10.1007/s40120-023-00538-w. Epub 2023 Sep 12.

    PubMed 37698837
  • Dias-Barbosa C, Igarashi H, Duenas A, Hareendran A, Kitamura S, Tanaka S, Sanno N, Doi H, Nagamitsu T, Tatsuoka Y, Matsumori Y, Hasebe M, Takeshima T. Experiences of Migraine and Erenumab Treatment in Japan: Qualitative Interviews with Clinical Trial Participants. Patient. 2026 Apr 16. doi: 10.1007/s40271-026-00813-6. Online ahead of print.

    PubMed 41991782

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Erenumab in people with Migraine, run by Amgen at 41 sites in Japan.

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 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: finished, as of the sponsor's last update on 21 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 41 sites in Japan. 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 4 Mar 2021). 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 Mean Monthly Migraine Days (MMD) Over Months 4, 5, and 6 of the Double-blind Treatment Period (time frame: 4-week baseline period and the last 3 months (months 4, 5, and 6) of the 24-week double-blind treatment period). 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 NCT03812224, which also lists 8 linked publications.

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

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

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Feb 2024.

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