MigrainePhase 3NCT04530110
A Trial to Test if Fremanezumab is Effective in Preventing Migraine in Children and Adolescents
A Phase 3 study testing Fremanezumab in people with Migraine, run by Teva Branded Pharmaceutical Products R&D LLC at 70 sites in 9 countries.
Trial summary
The primary objective of the study is to evaluate the long-term safety and tolerability of subcutaneous fremanezumab in the preventive treatment of migraine in pediatric participants 6 to 17 years of age (inclusive at enrollment in the pivotal study). Read more about this study
- Who is it for?
- Ages 6 to 17 years
- Conditions the study is for
- Migraine
- What is being tested?
- Fremanezumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 499 participants
- Where
- 70 sitesin 9 countries
- Study dates
- 16 Sep 2020to 22 Dec 2025
- 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 6 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Inclusion Criteria for Participants Rolling Over from the Pivotal Efficacy Studies (TV48125-CNS-30082 or TV48125-CNS-30083):
- Participants have completed the pivotal efficacy study and, in the opinion of the Investigator or the Sponsor, are able to complete the study in a safe and compliant way.
- Participants may continue with a stable dose/regimen of the preventive medication they were taking during the pivotal efficacy studies.
- The participant continues to meet appropriate criteria carried forward from the pivotal efficacy study/
- The participant has received all recommended age-appropriate vaccines according to local standard of care and schedule.
- The participant weighs at least 17.0 kg on the day of study enrollment.
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- NOTE: Additional criteria apply; please contact the investigator for more information.
- Inclusion Criteria for Participants Rolling Over from the Phase 1 Pediatric Pharmacokinetic Study (Study TV48125-CNS-10141):
- The participant/caregiver has demonstrated compliance with the electronic headache diary during the 28-day baseline period by entry of headache data on a minimum of 21 out of 28 days (approximately 75% diary compliance).
- The participant has received all recommended age-appropriate vaccines according to local standard of care and schedule.
- The participant weighs at least 17.0 kg on the day of study enrollment.
- The participant has a body mass index ranging from the 5th to 120% of the 95th percentile, inclusive, on the day of study enrollment.
- Not using preventive medications or using no more than 2 preventive medications for migraine or other medical condition, as long as the dose and regimen have been stable for at least 2 months prior to screening (visit 1).
- NOTE: Additional criteria apply; please contact the investigator for more information.
- Inclusion Criteria for Participants Rolling Over from the Pivotal Efficacy Studies (TV48125-CNS-30082 and TV48125-CNS-30083) for Safety and antidrug antibody (ADA) Assessment Only:
- Participants may be included in this study if they sign and date the informed consent document or upon consent of a parent or guardian, if the participant is younger than the age of consent, accompanied by assent of the participant.
Who cannot join
- Exclusion Criteria for Participants Rolling Over from the Pivotal Efficacy Studies (TV48125-CNS-30082 or TV48125-CNS-30083):
- In the judgment of the investigator, the participant has a clinically significant abnormal finding on study entry, including hematology, blood chemistry, coagulation tests, or urinalysis values/findings (abnormal tests may be repeated for confirmation).
- The participant has a current history of a clinically significant psychiatric condition, at the discretion of the investigator. Any prior history of a suicide attempt, or a history of suicidal ideation with a specific plan within the past 2 years, must be excluded.
- The participant has an ongoing infection or a known history of human immunodeficiency virus infection, tuberculosis, Lyme disease, or chronic hepatitis B or C, or a known active infection of coronavirus disease 2019 (COVID-19).
- The participant has a history of hypersensitivity reactions to injected proteins, including mAbs, or a history of Stevens-Johnson Syndrome or toxic epidermal necrolysis syndrome, or the participant is concomitantly using lamotrigine.
- The participant received a live attenuated vaccine (eg, intranasal flu vaccine, and measles, mumps, and rubella vaccine) within the 12-week period prior to screening. Note: If a medical need arises during the study, the participant may receive a live attenuated vaccine.
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- The participant is pregnant or nursing.
- In the judgment of the investigator, the participant has an abnormal finding on the baseline 12-lead ECG considered clinically significant.
- The participant has a current or past medical history of hemiplegic migraine.
- NOTE: Additional criteria apply; please contact the investigator for more information.
- Exclusion Criteria for Participants Rolling Over from the Phase 1 Pharmacokinetic Study (TV48125-CNS-10141):
- The participant has any clinically significant cardiovascular (including congenital cardiac anomalies or thromboembolic events), endocrine, gastrointestinal, genitourinary, hematologic, hepatic, immunologic, neurologic, ophthalmic, pulmonary, renal disease, or complications of an infection, at the discretion of the investigator.
- The participant has a current history of a clinically significant psychiatric condition, any prior history of a suicide attempt, or a history of suicidal ideation with a specific plan within the past 2 years, at the discretion of the investigator.
- The participant has an ongoing infection or a known history of human immunodeficiency virus infection, tuberculosis, Lyme disease, or chronic hepatitis B or C, or a known active infection of coronavirus disease 2019 (COVID-19).
- The participant has a history of hypersensitivity reactions to injected proteins, including mAbs, or a history of Stevens-Johnson Syndrome or toxic epidermal necrolysis syndrome, or the participant is concomitantly using lamotrigine.
- The participant received a live attenuated vaccine (eg, intranasal flu vaccine, and measles, mumps, and rubella vaccine) within the 12-week period prior to screening. Note: If a medical need arises during the study, the participant may receive a live attenuated vaccine.
- The participant is pregnant or nursing.
- In the judgment of the investigator, the participant has an abnormal finding on the baseline 12-lead ECG considered clinically significant.
- The participant has a current or past medical history of hemiplegic migraine.
- NOTE: Additional criteria apply; please contact the investigator for more information.
- Exclusion Criteria for Participants Rolling Over from the Pivotal Efficacy Studies (TV48125-CNS-30082 and TV48125-CNS-30083) for Safety and antidrug antibody (ADA) Assessment Only: Not Applicable
Trial locations and contacts
70 sites in 9 countries.
70 sites in 9 countries
United States32 sites
Teva Investigational Site 14276
Amherst, New York, 14226
Teva Investigational Site 14251
Ann Arbor, Michigan, 48104
Teva Investigational Site 14243
Atlanta, Georgia, 30328
Teva Investigational Site 14319
Aurora, Colorado, 80045
Teva Investigational Site 14252
Austin, Texas, 78731
Teva Investigational Site 14273
Austin, Texas, 78759
Teva Investigational Site 14365
Baltimore, Maryland, 21201
Teva Investigational Site 14256
Bridgeton, Missouri, 63044-2513
Teva Investigational Site 14374
Bristol, Tennessee, 37620
Teva Investigational Site 14264
Cincinnati, Ohio, 45229-3039
Teva Investigational Site 14368
Colorado Springs, Colorado, 80907
Teva Investigational Site 14360
Covington, Louisiana, 70433
Teva Investigational Site 14367
Dallas, Texas, 75235-7701
Teva Investigational Site 14377
Durham, North Carolina, 27710
Teva Investigational Site 14263
Hoffman Estates, Illinois, 60169
Teva Investigational Site 14244
Jacksonville, Florida, 32256
Teva Investigational Site 14327
Louisville, Kentucky, 40202
Teva Investigational Site 14325
Miami, Florida, 33155
Teva Investigational Site 14270
Minneapolis, Minnesota, 55402
Teva Investigational Site 14371
New Brunswick, New Jersey, 08901
Teva Investigational Site 14323
Norfolk, Virginia, 23510
Teva Investigational Site 14257
Oklahoma City, Oklahoma, 73112
Teva Investigational Site 14364
Philadelphia, Pennsylvania, 19104-4318
Teva Investigational Site 14248
Raleigh, North Carolina, 27607
Teva Investigational Site 14376
Ridgeland, Mississippi, 39157
Teva Investigational Site 14375
Salt Lake City, Utah, 84109
Teva Investigational Site 14258
Savannah, Georgia, 31406
Teva Investigational Site 14363
Tulsa, Oklahoma, 74136
Teva Investigational Site 14246
Waltham, Massachusetts, 02451
Teva Investigational Site 14250
West Palm Beach, Florida, 33407
Teva Investigational Site 14255
West Palm Beach, Florida, 33409
Teva Investigational Site 14245
Wichita, Kansas, 67206
Poland8 sites
Teva Investigational Site 53441
Gdansk, 80-389
Teva Investigational Site 53437
Kielce, 25-316
Teva Investigational Site 53443
Krakow, 30-363
Teva Investigational Site 53452
Krakow, 30-539
Teva Investigational Site 53440
Lublin, 20-582
Teva Investigational Site 53439
Poznan, 60-355
Teva Investigational Site 53451
Poznan, 61-731
Teva Investigational Site 53442
Szczecin, 70-111
Israel7 sites
Teva Investigational Site 80170
Be’er Ya‘aqov, 7033001
Teva Investigational Site 80166
Haifa, 3104802
Teva Investigational Site 80168
Holon, 58100
Teva Investigational Site 80169
Jerusalem, 9124001
Teva Investigational Site 80167
Ramat Gan, 5265601
Teva Investigational Site 80164
Safed, 1311001
Teva Investigational Site 80165
Tel Aviv, 6423906
Italy7 sites
Teva Investigational Site 30230
Florence, 50139
Teva Investigational Site 30239
Milan, 20132
Teva Investigational Site 30228
Milan, 20133
Teva Investigational Site 30226
Milan, 20148
Teva Investigational Site 30238
Padua, 35128
Teva Investigational Site 30227
Pavia, 27100
Teva Investigational Site 30225
Rome, 00163
Finland4 sites
Teva Investigational Site 40053
Helsinki, 00380
Teva Investigational Site 40049
Kuopio, 70210
Teva Investigational Site 40054
Oulu, 90100
Teva Investigational Site 40052
Tampere, 33521
Canada3 sites
Teva Investigational Site 11181
Montreal, Quebec, H3H 2R9
Teva Investigational Site 11182
Ottawa, Ontario, K1H 8L1
Teva Investigational Site 11179
Ottawa, Ontario, K2G 1W2
Germany3 sites
Teva Investigational Site 32728
Bad Homburg, 61350
Teva Investigational Site 32729
Berlin, 13353
Teva Investigational Site 32726
Leipzig, 04177
Netherlands3 sites
Teva Investigational Site 38138
Doetinchem, 7009 BL
Teva Investigational Site 38135
Nijmegen, 6532 SZ
Teva Investigational Site 38136
Rotterdam, 3015 GD
Spain3 sites
Teva Investigational Site 31271
Barcelona, 08035
Teva Investigational Site 31270
Valencia, 46026
Teva Investigational Site 31265
Valladolid, 47010
About this study
Official title: A Multicenter, Open-Label Study Evaluating the Long-Term Safety, Tolerability, and Efficacy of Monthly Subcutaneous Administration of Fremanezumab for the Preventive Treatment of Episodic and Chronic Migraine in Pediatric Patients 6 to 17 Years of Age
The primary objective of the study is to evaluate the long-term safety and tolerability of subcutaneous fremanezumab in the preventive treatment of migraine in pediatric participants 6 to 17 years of age (inclusive at enrollment in the pivotal study).
Secondary objectives are to evaluate the efficacy of subcutaneous fremanezumab in pediatric participants with migraine and to evaluate the immunogenicity of fremanezumab and the impact of ADAs on clinical outcomes in pediatric participants exposed to fremanezumab.
The total duration of the study is planned to be up to 84 months.
Read the detailed description
The study population will be composed of 3 subgroups of participants as follows:
- Participants rolling over from the pivotal Phase 3 pediatric efficacy studies (Studies TV48125-CNS-30082 and TV48125-CNS-30083)
- Participants rolling over from the Phase 1 pediatric pharmacokinetic study (Study TV48125-CNS-10141)
- Participants rolling over from the pivotal Phase 3 pediatric efficacy studies (Studies TV48125-CNS-30082 and TV48125-CNS-30083) for safety follow-up and antidrug antibody (ADA) evaluation only
- Conditions
- Migraine
- Being tested
- Fremanezumab
- Keywords
- episodic migraine, chronic migraine
- 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
Participants weighing ≥ threshold will receive Dose A subcutaneously monthly.
Participants weighing < threshold will receive Dose B subcutaneously monthly.
Subcutaneously monthly, confirmed or adjusted, as appropriate, based on the participant's weight every 3 months.
| Study group | Role | What they receive |
|---|---|---|
| Fremanezumab | Experimental | The dose of Fremanezumab to be administered will be confirmed or adjusted, as appropriate, based on the participant's weight every 3 months. Receives: Drug: Fremanezumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Adverse Events (AEs)
An AE was defined as any untoward medical occurrence in a participant who received the study drug without regard to possibility of causal relationship. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in the Reported AE section.
Measured: Day 1 up to Day 393
Number of Participants With Potentially Clinically Significant Abnormal Laboratory (Serum Chemistry, Hematology, Coagulation, and Urinalysis) Results
Serum chemistry tests with clinically significant abnormal findings included: alanine aminotransferase, aspartate aminotransferase, and lactate dehydrogenase ≥2*upper limit of normal (ULN); gamma glutamyl transferase ≥3* ULN; bilirubin ≥34.2 micromole/liter (umol/L); and urea nitrogen ≥9 umol/L. Hematology tests with clinically significant abnormal findings included: hemoglobin ≤100 grams (g)/L (female) or ≤100 g/L (male), hematocrit <0.32 L/L (male), leukocytes ≤3*10^9 cells/L or ≥20*10^9 cells/L, neutrophils ≤1*10^9 cells/L, eosinophils/leukocytes ≥10%, and platelets ≤75x10^9/L. Coagulation parameter test with clinically significant abnormal findings included: prothrombin international normalized ratio (INR) >1.5. Urinalysis laboratory tests with clinically significant abnormal findings included: urine protein and urine glucose ≥2 units (U) increase from baseline. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Measured: Day 1 up to Day 253
Number of Participants With Shift From Baseline to Last Assessment in Electrocardiogram (ECG) Findings (Assessed by Investigator)
The number of participants with a shift from Baseline (Normal, Abnormal CS [Clinically Significant], or Abnormal NCS [Not Clinically Significant]) in any of the following ECG parameters is reported by treatment group: Heart rate, PR interval, QRS interval, RR interval, QT interval, QT interval corrected using the Bazett's formula (QTcB), and QT interval corrected using the Fridericia formula (QTcF). Last assessment was defined as the last observed postbaseline interpretation. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Measured: Baseline to last assessment (up to Day 253)
Number of Participants With Shift From Baseline to Last Assessment in ECG Findings (Assessed by Cardiologist)
The number of participants with a shift from Baseline (Normal or Abnormal) in any of the following ECG parameters is reported by treatment group: Heart rate, PR interval, QRS interval, RR interval, QT interval, QTcB, and QTcF. Last assessment was defined as the last observed postbaseline interpretation. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Measured: Baseline to last assessment (up to Day 253)
Number of Participants With Potentially Clinically Significant Vital Sign Abnormalities
Potentially clinically significant abnormal vital signs findings included any one of the following: Pulse rate ≥120 beats per minute (bpm) and increase from baseline of ≥15 bpm, or ≤50 bpm and decrease from baseline of ≥15 bpm, or ≤60 bpm and decrease from baseline of ≥15 bpm; systolic blood pressure ≤80 millimeters of mercury (mmHg) and decrease of ≥20 mmHg, or ≤85 mmHg and decrease of ≥20 mmHg, or ≥150 mmHg and increase of ≥20 mmHg; diastolic blood pressure ≤37 mmHg and decrease of ≥15 mmHg, or ≤44 mmHg and decrease of ≥15 mmHg, or ≥100 mmHg and increase of ≥15 mmHg, or ≥93 mmHg and increase of ≥15 mmHg; respiratory rate <15 or <10 breaths/minute; and body temperature ≥38.3 degrees Celsius and change ≥1.1 degrees Celsius. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Measured: Day 1 up to Day 253
Number of Participants With Shift From Baseline to Last Assessment in Physical Examination Findings
The number of participants with a shift from Baseline (Normal or Abnormal) in any of the following organ systems examination is reported by treatment group: general appearance; head, eyes, ears, nose, and throat (HEENT); chest and lungs; cardiovascular; abdomen; musculoskeletal; skin; lymph nodes; neurological, and extremities/back. Last assessment was defined as the last observed postbaseline interpretation. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Measured: Baseline to last assessment (up to Day 393)
Number of Participants With Suicidal Ideation or Behavior, as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)
C-SSRS is a questionnaire to assess suicidal ideation and suicidal behavior. Suicidal behavior was defined as a "yes" answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation was defined as a "yes" answer to any one of 5 suicidal ideation questions: wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent, any self-injurious behavior with no suicidal intent.
Measured: Day 1 up to Day 393
Secondary outcomes (7)
Mean Change From Baseline in the Monthly Average Number of Headache Days of at Least Moderate Severity
A headache day of at least moderate severity was defined as a calendar day (00:00 to 23:59) where the participant reported either of the following: A day with headache pain that lasted ≥2 hours with a peak severity of at least moderate severity or a day where the participant used acute headache medication (triptans or ergots) to treat a headache of any severity or duration. Monthly averages were derived and normalized to 28 days equivalent by formula: (number of days of efficacy variable over 4-week period/number of days with assessments recorded in in electronic diary [e-diary] for 4-week period) * 28.
Measured: Baseline, Months 1, 5, and 9
Mean Change From Baseline in the Monthly Average Number of Migraine Days
A migraine day was defined as a day with at least one of the following: A calendar day (0:00 to 23:59) demonstrating ≥2 consecutive hours of a headache meeting criteria for migraine with or without aura, or a calendar day (0:00 to 23:59) demonstrating ≥2 consecutive hours of a headache meeting criteria for probable migraine, a migraine subtype where only 1 migraine criterion was missing, or 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 were derived and normalized to 28 days equivalent by formula: (number of days of efficacy variable over 4-week period/number of days with assessments recorded in e-diary for 4-week period) * 28.
Measured: Baseline, Months 1, 5, and 9
Percentage of Participants Reaching at Least 50% Reduction From Baseline in the Monthly Average Number of Migraine Days
A migraine day was defined as a day with at least one of the following: A calendar day (0:00 to 23:59) demonstrating ≥2 consecutive hours of a headache meeting criteria for migraine with or without aura, or a calendar day (0:00 to 23:59) demonstrating ≥2 consecutive hours of a headache meeting criteria for probable migraine, a migraine subtype where only 1 migraine criterion was missing, or 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 were derived and normalized to 28 days equivalent by formula: (number of days of efficacy variable over 4-week period/number of days with assessments recorded in e-diary for 4-week period) * 28.
Measured: Months 1, 5, and 9
Percentage of Participants Reaching at Least 50% Reduction From Baseline in the Monthly Average Number of Headache Days of at Least Moderate Severity
A headache day of at least moderate severity was defined as a calendar day (00:00 to 23:59) where the participant reported either of the following: A day with headache pain that lasted ≥2 hours with a peak severity of at least moderate severity or a day where the participant used acute headache medication (triptans or ergots) to treat a headache of any severity or duration. Monthly averages were derived and normalized to 28 days equivalent by formula: (number of days of efficacy variable over 4-week period/number of days with assessments recorded in in electronic diary [e-diary] for 4-week period) * 28.
Measured: Months 1, 5, and 9
Mean Change From Baseline in the Monthly Average Number of Days of Use of Any Acute Headache Medications
Participants recorded any headache medications (name of drug, number of tablets/capsules, and the dose in milligrams per tablet/capsule) taken each day in their electronic headache diary device. Acute headache medication included triptans and ergot compounds. Monthly averages were derived and normalized to 28 days equivalent by formula: (number of days of efficacy variable over 4-week period/number of days with assessments recorded in e-diary for 4-week period) * 28.
Measured: Baseline, Months 1, 5, and 9
Mean Change From Baseline in Migraine-related Disability Score, as Measured by the Pediatric Migraine Disability Assessment (PedMIDAS) Questionnaire
The PedMIDAS is a scale developed to assess headache-related disability which can be self-administered by the participant or administered by a caregiver. It has been validated in participants aged 4 to 18 years and includes 3 subscales: the impact of headache on school performance (range of scores 0-92), disability at home (range of scores 0-92), social/sport functioning (range of scores 0-92). The subscales are added to get the total score with a range 0 to 276. The total score was used for grading of disability, with 4 score categories of 0 to 10, 11 to 30, 31 to 50, and 51-276 interpreted as disability grades 1 (little or no disability), 2 (mild disability), 3 (moderate disability), and 4 (severe disability), respectively. Higher total scores indicated severe disability. The change from baseline score is reported with a range of -276 to 276 with higher scores indicating more severe disability.
Measured: Baseline, Months 3, 6, 9, and 14
Number of Participants Developing Antidrug Antibodies (ADAs) Throughout the Study
Number of participants who developed ADAs were reported.
Measured: Day 1 up to Day 393
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Aug 2020
- Study start16 Sep 2020
- Primary completion15 Aug 2025
- Study completion22 Dec 2025
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.
- Other trials for MigraineStudies of the same condition, open and under way.
- More trials run by Teva Branded Pharmaceutical Products R&D LLCThe 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 499 participants (actual)
Sponsor and investigators
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Teva Medical Expert, MD, Study director, Teva Branded Pharmaceutical Products R&D LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04530110
- Sponsor's protocol ID
- TV48125-CNS-30084
- Other IDs
- 2019-002056-16, 2024-512837-34-00, EMEA-001877-PIP01-15, 2019
- Status last verified
- Jun 2026
- First submitted
- 24 Aug 2020
- Last updated
- 24 Jul 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the study protocol and the statistical analysis plan. Requests will be assessed for scientific merit, product approval status, and conflicts of interest. If the request is approved, patient level data will be de-identified and study documents will be redacted to protect the privacy of trial participants and to protect commercially confidential information. Please email USMedInfo@tevapharm.com to make your request.
- Expanded access
- Available
Study at a glance
From the registry record, last updated by the sponsor on 24 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Open-Label Study Evaluating the Long-Term Safety, Tolerability, and Efficacy of Monthly Subcutaneous Administration of Fremanezumab for the Preventive Treatment of Episodic and Chronic Migraine in Pediatric Patients 6 to 17 Years of Age
- ClinicalTrials.gov ID
- NCT04530110
- Acronym / sponsor ID
- TV48125-CNS-30084
- Conditions
- Migraine
- Keywords
- episodic migraine, chronic migraine
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 499 participants (actual)
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D LLCIndustry (pharma, biotech, devices)
- Study start
- 16 Sep 2020 (actual)
- Primary completion
- 15 Aug 2025 (actual)
- Study completion
- 22 Dec 2025 (actual)
- First posted
- 28 Aug 2020 (actual)
- Results
- Posted 24 Jul 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to evaluate the long-term safety and tolerability of subcutaneous fremanezumab in the preventive treatment of migraine in pediatric participants 6 to 17 years of age (inclusive at enrollment in the pivotal study).
Secondary objectives are to evaluate the efficacy of subcutaneous fremanezumab in pediatric participants with migraine and to evaluate the immunogenicity of fremanezumab and the impact of ADAs on clinical outcomes in pediatric participants exposed to fremanezumab.
The total duration of the study is planned to be up to 84 months.
Detailed description
The study population will be composed of 3 subgroups of participants as follows:
- Participants rolling over from the pivotal Phase 3 pediatric efficacy studies (Studies TV48125-CNS-30082 and TV48125-CNS-30083)
- Participants rolling over from the Phase 1 pediatric pharmacokinetic study (Study TV48125-CNS-10141)
- Participants rolling over from the pivotal Phase 3 pediatric efficacy studies (Studies TV48125-CNS-30082 and TV48125-CNS-30083) for safety follow-up and antidrug antibody (ADA) evaluation only
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Fremanezumab | Experimental | Drug: FremanezumabThe dose of Fremanezumab to be administered will be confirmed or adjusted, as appropriate, based on the participant's weight every 3 months. |
Who may qualify
- Ages
- 6 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (16 listed)
- Inclusion Criteria for Participants Rolling Over from the Pivotal Efficacy Studies (TV48125-CNS-30082 or TV48125-CNS-30083):
- Participants have completed the pivotal efficacy study and, in the opinion of the Investigator or the Sponsor, are able to complete the study in a safe and compliant way.
- Participants may continue with a stable dose/regimen of the preventive medication they were taking during the pivotal efficacy studies.
- The participant continues to meet appropriate criteria carried forward from the pivotal efficacy study/
- The participant has received all recommended age-appropriate vaccines according to local standard of care and schedule.
Key exclusion criteria (21 listed)
- Exclusion Criteria for Participants Rolling Over from the Pivotal Efficacy Studies (TV48125-CNS-30082 or TV48125-CNS-30083):
- In the judgment of the investigator, the participant has a clinically significant abnormal finding on study entry, including hematology, blood chemistry, coagulation tests, or urinalysis values/findings (abnormal tests may be repeated for confirmation).
- The participant has a current history of a clinically significant psychiatric condition, at the discretion of the investigator. Any prior history of a suicide attempt, or a history of suicidal ideation with a specific plan within the past 2 years, must be excluded.
- The participant has an ongoing infection or a known history of human immunodeficiency virus infection, tuberculosis, Lyme disease, or chronic hepatitis B or C, or a known active infection of coronavirus disease 2019 (COVID-19).
- The participant has a history of hypersensitivity reactions to injected proteins, including mAbs, or a history of Stevens-Johnson Syndrome or toxic epidermal necrolysis syndrome, or the participant is concomitantly using lamotrigine.
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 |
|---|---|---|
| FremanezumabParticipants weighing ≥ threshold will receive Dose A subcutaneously monthly. Participants weighing < threshold will receive Dose B subcutaneously monthly. Subcutaneously monthly, confirmed or adjusted, as appropriate, based on the participant's weight every 3 months. | Drug | Fremanezumab |
Primary outcome
Number of Participants With Adverse Events (AEs)
Time frame: Day 1 up to Day 393
An AE was defined as any untoward medical occurrence in a participant who received the study drug without regard to possibility of causal relationship. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in the Reported AE section.
Number of Participants With Potentially Clinically Significant Abnormal Laboratory (Serum Chemistry, Hematology, Coagulation, and Urinalysis) Results
Time frame: Day 1 up to Day 253
Serum chemistry tests with clinically significant abnormal findings included: alanine aminotransferase, aspartate aminotransferase, and lactate dehydrogenase ≥2*upper limit of normal (ULN); gamma glutamyl transferase ≥3* ULN; bilirubin ≥34.2 micromole/liter (umol/L); and urea nitrogen ≥9 umol/L. Hematology tests with clinically significant abnormal findings included: hemoglobin ≤100 grams (g)/L (female) or ≤100 g/L (male), hematocrit <0.32 L/L (male), leukocytes ≤3*10^9 cells/L or ≥20*10^9 cells/L, neutrophils ≤1*10^9 cells/L, eosinophils/leukocytes ≥10%, and platelets ≤75x10^9/L. Coagulation parameter test with clinically significant abnormal findings included: prothrombin international normalized ratio (INR) >1.5. Urinalysis laboratory tests with clinically significant abnormal findings included: urine protein and urine glucose ≥2 units (U) increase from baseline. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Shift From Baseline to Last Assessment in Electrocardiogram (ECG) Findings (Assessed by Investigator)
Time frame: Baseline to last assessment (up to Day 253)
The number of participants with a shift from Baseline (Normal, Abnormal CS [Clinically Significant], or Abnormal NCS [Not Clinically Significant]) in any of the following ECG parameters is reported by treatment group: Heart rate, PR interval, QRS interval, RR interval, QT interval, QT interval corrected using the Bazett's formula (QTcB), and QT interval corrected using the Fridericia formula (QTcF). Last assessment was defined as the last observed postbaseline interpretation. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Shift From Baseline to Last Assessment in ECG Findings (Assessed by Cardiologist)
Time frame: Baseline to last assessment (up to Day 253)
The number of participants with a shift from Baseline (Normal or Abnormal) in any of the following ECG parameters is reported by treatment group: Heart rate, PR interval, QRS interval, RR interval, QT interval, QTcB, and QTcF. Last assessment was defined as the last observed postbaseline interpretation. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Potentially Clinically Significant Vital Sign Abnormalities
Time frame: Day 1 up to Day 253
Potentially clinically significant abnormal vital signs findings included any one of the following: Pulse rate ≥120 beats per minute (bpm) and increase from baseline of ≥15 bpm, or ≤50 bpm and decrease from baseline of ≥15 bpm, or ≤60 bpm and decrease from baseline of ≥15 bpm; systolic blood pressure ≤80 millimeters of mercury (mmHg) and decrease of ≥20 mmHg, or ≤85 mmHg and decrease of ≥20 mmHg, or ≥150 mmHg and increase of ≥20 mmHg; diastolic blood pressure ≤37 mmHg and decrease of ≥15 mmHg, or ≤44 mmHg and decrease of ≥15 mmHg, or ≥100 mmHg and increase of ≥15 mmHg, or ≥93 mmHg and increase of ≥15 mmHg; respiratory rate <15 or <10 breaths/minute; and body temperature ≥38.3 degrees Celsius and change ≥1.1 degrees Celsius. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Shift From Baseline to Last Assessment in Physical Examination Findings
Time frame: Baseline to last assessment (up to Day 393)
The number of participants with a shift from Baseline (Normal or Abnormal) in any of the following organ systems examination is reported by treatment group: general appearance; head, eyes, ears, nose, and throat (HEENT); chest and lungs; cardiovascular; abdomen; musculoskeletal; skin; lymph nodes; neurological, and extremities/back. Last assessment was defined as the last observed postbaseline interpretation. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Suicidal Ideation or Behavior, as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)
Time frame: Day 1 up to Day 393
C-SSRS is a questionnaire to assess suicidal ideation and suicidal behavior. Suicidal behavior was defined as a "yes" answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation was defined as a "yes" answer to any one of 5 suicidal ideation questions: wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent, any self-injurious behavior with no suicidal intent.
7 secondary outcomes
Mean Change From Baseline in the Monthly Average Number of Headache Days of at Least Moderate Severity
Time frame: Baseline, Months 1, 5, and 9
Mean Change From Baseline in the Monthly Average Number of Migraine Days
Time frame: Baseline, Months 1, 5, and 9
Percentage of Participants Reaching at Least 50% Reduction From Baseline in the Monthly Average Number of Migraine Days
Time frame: Months 1, 5, and 9
Percentage of Participants Reaching at Least 50% Reduction From Baseline in the Monthly Average Number of Headache Days of at Least Moderate Severity
Time frame: Months 1, 5, and 9
Mean Change From Baseline in the Monthly Average Number of Days of Use of Any Acute Headache Medications
Time frame: Baseline, Months 1, 5, and 9
Mean Change From Baseline in Migraine-related Disability Score, as Measured by the Pediatric Migraine Disability Assessment (PedMIDAS) Questionnaire
Time frame: Baseline, Months 3, 6, 9, and 14
Number of Participants Developing Antidrug Antibodies (ADAs) Throughout the Study
Time frame: Day 1 up to Day 393
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jul 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the study protocol and the statistical analysis plan. Requests will be assessed for scientific merit, product approval status, and conflicts of interest. If the request is approved, patient level data will be de-identified and study documents will be redacted to protect the privacy of trial participants and to protect commercially confidential information. Please email USMedInfo@tevapharm.com to make your request.
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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 LLC
70 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 LLC at 70 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 16 inclusion and 21 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 24 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 70 sites in United States, Poland, Israel, Italy, Finland 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. 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 24 Jul 2026). 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?
Number of Participants With Adverse Events (AEs) (time frame: Day 1 up to Day 393). The study lists 7 primary outcomes in all. 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 24 Jul 2026.