Cluster Headache, EpisodicPhase 3ALLEVIATENCT04688775
Eptinezumab in Participants With Episodic Cluster Headache
A Phase 3 study testing Eptinezumab in people with Cluster Headache, Episodic, run by H. Lundbeck A/S at 120 sites in 19 countries.
Trial summary
The purpose of this study is to evaluate the efficacy of eptinezumab in participants with episodic Cluster Headache (eCH) Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Cluster Headache, Episodic
- What is being tested?
- Eptinezumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 231 participants
- Where
- 120 sitesin 19 countries
- Study dates
- 23 Dec 2020to 5 Oct 2023
- 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 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The participant has episodic cluster headache, as defined by International Headache Society (IHS) International Classification of Headache Disorders 3rd Edition (ICHD-3) classification, with an adequately documented record or reliable history of eCH of at least 12 months prior to Screening Visit 1.
- The participant has a prior history of cluster period(s) lasting 6 weeks or longer, when untreated.
- The participant is able to distinguish cluster headache attacks from other headaches (that is; tension-type headaches, migraine).
- The participant is, at Screening Visit 2, in cluster headache bout, characterized by the presence of at least one typical cluster headache attack, that started not later than 1 week prior to Screening Visit 2.
- The participant has a medical history of first symptoms of cluster headache from ≤60 years of age.
Who cannot join
- The participant has experienced failure on a previous treatment targeting the calcitonin gene-related peptide (CGRP) pathway (anti-CGRP monoclonal antibodies [mAbs] and gepants).
- The participant has confounding and clinically significant pain syndromes (for example, fibromyalgia, complex regional pain syndrome).
- The participant has a history or diagnosis of hypnic headache, hemicrania continua, new daily persistent headache, chronic migraine or unusual migraine subtypes such as hemiplegic migraine (sporadic and familial), recurrent painful ophthalmoplegic neuropathy, migraine with brainstem aura and migraine with neurological accompaniments that are not typical of migraine aura (diplopia, altered consciousness, or long duration).
- Participants with a lifetime history of psychosis, bipolar mania, or dementia are excluded. Participants with other psychiatric conditions whose symptoms are not controlled or who have not been adequately treated for a minimum of 6 months prior to Screening Visit 2 are also excluded.
- The participant is, at Screening Visit 2, at significant risk of suicide.
- The participant has a history of clinically significant cardiovascular disease, including uncontrolled hypertension, ischaemia or thromboembolic events (for example, cerebrovascular accident, deep vein thrombosis, or pulmonary embolism).
- Other inclusion and exclusion criteria may apply.
Trial locations and contacts
120 sites in 19 countries.
120 sites in 19 countries
United States24 sites
Dent Neurologic Institute - Amherst
Amherst, New York, 14226
Michigan Headache and Neurological Institute
Ann Arbor, Michigan, 48104-5131
Diamond Headache Clinic
Chicago, Illinois, 60642
Cleveland Clinic - Neurological Institute
Cleveland, Ohio, 44195
The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210
Neurology Colorado - Denver Advanced Neurological Evaluation and Treatment Center
Denver, Colorado, 80218
Headache Wellness Center
Greensboro, North Carolina, 27405
Mischer Neuroscience Institute
Houston, Texas, 77030
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Keck School of Medicine of USC
Los Angeles, California, 90033
Clinical Research Institute
Los Angeles, California, 90048
Froedtert and Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Yale New Haven Hospital
New Haven, Connecticut, 06510-2483
New York University School of Medicine
New York, New York, 10016
Hightower Clinical
Oklahoma City, Oklahoma, 73134
Stanford Neurosciences Health Center
Palo Alto, California, 94304
Thomas Jefferson University Hospital - Center City Campus
Philadelphia, Pennsylvania, 19107
Barrow Neurological Institute
Phoenix, Arizona, 85013
Mayo Clinic in Arizona - Phoenix Campus
Phoenix, Arizona, 85054
The Headache Center Mississippi
Ridgeland, Mississippi, 39157
Mayo Clinic - Rochester
Rochester, Minnesota, 55905
Clinvest Research
Springfield, Missouri, 65810
New England Institute for Neurology and Headache
Stamford, Connecticut, 06905
Accel Research Sites - Tampa
Tampa, Florida, 33634
Spain11 sites
Hospital Clinic de Barcelona
Barcelona, 08017
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Universitario Virgen Macarena
Castilleja de la Cuesta, Sevilla, 41950
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario Puerta de Hierro - Majadahonda
Majadahonda, Madrid, 28222
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008
Hospital Universitario Virgen del Rocío
Seville, 41013
Hospital Clínico Universitario de Valencia
Valencia, 46010
Hospital Universitari i Politècnic La Fe
Valencia, 46026
Hospital Clínico Universitario de Valladolid
Valladolid, 47003
Hospital Clinico Universitario Lozano Blesa
Zaragoza, 50009
Germany10 sites
Charité Campus Mitte
Berlin, 10117
Neurologische Praxis Dr. Stude
Bochum, North Rhine-Westphalia, 44787
Universitatsklinikum Carl Gustav Carus Dresden
Dresden, Saxony, 01307
Praxis für Neurologie, Psychosomatik, Nervenheilkunde, Psychotherapie und Spezielle Schmerztherapie
Essen, North Rhine-Westphalia, 45133
Universitätsklinikum Essen
Essen, North Rhine-Westphalia, 45147
Kopfschmerzzentrum Frankfurt
Frankfurt am Main, Hesse, 65929
Universität Heidelberg
Heidelberg, Baden-Wurttemberg, 69120
Schmerzklinik Kiel
Kiel, Schleswig-Holstein, 24149
LMU Klinikum - Campus Grosshadern
München, Bavaria, D-81377
Universitätsmedizin Rostock
Rostock, Mecklenburg-Western-Pommerania, 18147
Italy10 sites
Azienda Universitaria Ospedaliera Consorziale - Policlinico di Bari
Bari, 70124
IRCCS Istituto Delle Scienze Neurologiche di Bologna
Bologna, 40123
Azienda Ospedaliero - Universitaria Careggi
Florence, Florence, 50134
Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Fondazione Istituto Neurologico Car...
Milan, 20133
Azienda Ospedaliero - Universitaria di Modena
Modena, 41124
Azienda Ospedaliera Universitaria - Universita degli Studi della Campania Luigi Vanvitelli
Naples, 280138
Fondazione Mondino - Istituto Neurologico Nazionale a Carattere Scientifico IRCCS
Pavia, 27100
Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - San Raffaele Pisana
Rome, Roma, 00163
Universita Campus Bio-Medico di Roma
Rome, 00128
Ospedale Molinette - Clinica Neurologica II - Centro Cefalee
Turin, 10126
France8 sites
Hôpital Pierre Wertheimer
Bron
Centre Hospitalier Universitaire de Clermont-Ferrand
Clermont-Ferrand, Auvergne-Rhône-Alpes, 63003
Hôpital Roger Salengro
Lille, Nord, 59037
Hôpital de la Timone
Marseille, Provence-Alpes-Côte d'Azur Region, 13005
Centre Hospitalier Annecy Genevois
Metz-Tessy, Auvergne-Rhône-Alpes, 74370
Hôpital Cimiez
Nice, Côte-d'Or, 91179 - 06003
Hôpital Lariboisière
Paris, Île-de-France Region, 75010
Centre Hospitalier Universitaire de Saint-Étienne
Saint-Priest-en-Jarez, Rhône, 42055
Greece6 sites
401 General Military Hospital of Athens
Athens, Attica, 115 25
Eginition University - General Hospital of Athens
Athens, Attica, 11528
Mediterraneo Hospital
Glyfada, Attica, 16675
University General Hospital of Larissa
Larissa, Thessaly, 41110
General Hospital of Patras Agios Andreas
Pátrai, West Greece, 263 32
Euromedica General Clinic - Thessaloniki
Thessaloniki, 54645
Russia6 sites
Kazan State Medical University
Kazan', Tartarstan, 420012
First Moscow State Medical University named after I.M. Sechenov
Moscow, 119146
University Headache Clinic
Moscow, 121467
City Hospital No. 33 of the Leninsky District of the city of Nizhny Novgorod
Nizhny Novgorod, Nizhny Novgorod Oblast, 603076
LLC Scientific and Practical Medical Center Innovation and Health
Novosibirsk, 630054
Perm State Medical University named after E. A. Wagner of the Ministry of Healthcare of the Russi...
Perm, Permsky, 614990
Georgia5 sites
Pineo Medical Ecosystem
Tbilisi, 0114
Archangel Saint Michael Multiprofile Clinical Hospital
Tbilisi, 0159
Aversi Clinic - Central Branch
Tbilisi, 0160
Simon Khechinashvili University Hospital
Tbilisi, 0179
Consilium Medulla Multiprofile Clinic
Tbilisi, 0186
Sweden5 sites
Hallands sjukhus Halmstad
Halmstad, Halland County, 301 85
Karolinska Universitetssjukhuset Huddinge
Huddinge, Stockholm County, 141 57
Centralsjukhuset Karlstad
Karlstad, Värmland County, 651 85
Skåneuro Privatmottagning
Lund, Skåne County, 222 22
Danderyds Sjukhus
Stockholm, Stockholm County, 182 88
United Kingdom5 sites
Hull University Teaching Hospitals NHS Trust
Hull, England, HU3 2JZ
The Walton Centre NHS Foundation Trust
Liverpool, England, L9 7LJ
King's College Hospital NHS Foundation Trust
London, England, SE5 9PJ
The Newcastle Upon Tyne Hospitals NHS Foundation Trust
Newcastle upon Tyne, England, NE7 7DN
Northern Care Alliance NHS Foundation Trust
Salford, England, M6 8HD
Czechia4 sites
Mestska Nemocnice Ostrava
Ostrava, Moravian-Silesian, 728 80
Fakultní Thomayerova nemocnice
Prague, Prague, 140 59
FORBELI s.r.o. Neurologicka Ambulance
Prague, Prague, 160 00
Institut Neuropsychiatrické Péce
Prague, Prague, 186 00
Denmark4 sites
Aarhus Universitetshospital
Aarhus N, Central Jutland, 8200
Sydvestjysk Sygehus - Esbjerg
Esbjerg, 6700
Rigshospitalet Glostrup
Glostrup Municipality, Capital Region, 2600
Hospitalsenhed Midt og Regionshospitalet Viborg
Viborg, Central Jutland, 8800
Finland4 sites
Terveystalo Ruoholahti
Helsinki, Southern Finland, 00180
Tampereen Yliopistollinen Sairaala (TAYS)
Tampere, Länsi-Suomen Lääni, 33520
Terveystalo Tampere
Tampere, 33100
Terveystalo Turku Pulssi
Turku, Western Finland, 20100
Portugal4 sites
Hospital Garcia de Orta
Almada, Setúbal District, 2805-267
Hospital Prof. Doutor Fernando Fonseca
Amadora, Lisbon District, 2720-276
Centro Hospitalar Universitario Lisboa Norte, E.P.E - Hospital De Santa Maria
Lisbon, Lisbon District, 1649-035
Hospital da Luz
Lisbon, 1500-650
Belgium3 sites
Algemeen Ziekenhuis Sint-Jan Brugge-Oostende - Campus Sint-Jan
Bruges, West-Vlaanderen, 8000
Universitair Ziekenhuis Brussel
Brussels, Brussels Capital, 1090
Centre Hospitalier Chretien - Clinique MontLégia
Liège, 4000
Estonia3 sites
Ida-Viru Keskhaigla
Kohtla-Järve, Ida-Virumaa, 31025
Confido Meditsiinikeskus
Tallinn, Harju, 10138
Tartu Ülikooli Kliinikum
Tartu, Tartu, 50406
Japan3 sites
Saitama Neuropsychiatric Institute
Saitama-shi, Saitama, 338-8577
Sendai Headache And Neurology Clinic
Sendai, Miyagi, 982-0014
Japanese Red Cross Shizuoka Hospital
Shizuoka, Shizuoka, 420-0853
Netherlands3 sites
Brain Research Center - Amsterdam
Amsterdam, North Holland, 1081 GN
Zuyderland Medisch Centrum Sittard-Geleen
Geleen, Limburg, 6162 BG
Canisius-Wilhelmina Ziekenhuis
Nijmegen, Gelderland, 6532 SZ
Norway2 sites
Oslo Hodepinesenter
Oslo, 0275
St. Olavs Hospital - Universitetssykehuset I Trondheim
Trondheim, 7030
About this study
Official title: Interventional, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Delayed-Start Study to Evaluate the Efficacy and Safety of Eptinezumab in Patients With Episodic Cluster Headache
The purpose of this study is to evaluate the efficacy of eptinezumab in participants with episodic Cluster Headache (eCH)
Read the detailed description
Eligible participants will be randomly assigned to receive treatment, in a blinded manner, two infusions of either eptinezumab or placebo in a cross-over manner during the Placebo-controlled Period and Active Treatment Period of the study.
The total duration of the study after randomization is 24 weeks, including a safety follow-up period of 8 weeks.
- Conditions
- Cluster Headache, Episodic
- Being tested
- Eptinezumab, Placebo
- Medical subject headings
- Cluster Headache
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EptinezumabDrug
Eptinezumab - concentrate for solution for infusion, intravenously
PlaceboDrug
Placebo - 100 milliliters (mL) of 0.9% normal saline, intravenously
| Study group | Role | What they receive |
|---|---|---|
| Sequence 1: Eptinezumab Then Placebo | Experimental | Eptinezumab in the Placebo-controlled Period, followed by administration of placebo in the Active Treatment Period Receives: Drug: Eptinezumab; Drug: Placebo |
| Sequence 2: Placebo Then Eptinezumab | Experimental | Placebo in the Placebo-controlled Period, followed by administration of eptinezumab in the Active Treatment Period Receives: Drug: Eptinezumab; 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 Weekly Cluster Headache (CH) Attacks, Averaged Over Weeks 1-2
The participant completed a CH eDiary, daily, and recorded for each day/week whether he/she had any CH attacks. For each CH attack, the start date and time was collected. The participant recorded further daily information regarding CH characteristics and intake of acute medication for CH. CH items were assessed with a yes/no response.
Measured: Baseline (Week 0), Weeks 1-2
Secondary outcomes (28)
Number of Participants With ≥50% Reduction From Baseline in Number of Weekly Attacks Over Weeks 1-2
Measured: Baseline (Week 0), Weeks 1-2
Change From Baseline in the Number of Weekly Times an Abortive Medication Was Used, Averaged Over Weeks 1-2
Abortive medications included the use of triptans or oxygen (O2).
Measured: Baseline (Week 0), Weeks 1-2
Change From Baseline in the Number of Daily Attacks, Averaged Over Days 1-3
Measured: Baseline (Week 0), Days 1-3
Change From Baseline in the Number of Days With <3 Attacks Per Day, Averaged Over Weeks 1-2
Measured: Baseline (Week 0), Weeks 1-2
Time From First Infusion of IMP to Resolution of Cluster Headache Bout Within the First 4 Weeks
Presented here is the result of the analysis of time from first infusion of IMP to resolution of cluster headache bout. The hazard ratio estimate is an estimate from the Cox model of time to resolution.
Measured: From first infusion (Baseline, Day 0) to 4 weeks
Change From Baseline in Number of Attacks Starting ≤24 Hours After the Start of the First Infusion of IMP
Measured: From first infusion in the placebo-controlled period (Baseline, Day 0) to 24-hours after the first infusion in the placebo-controlled period
Change From Baseline in the Daily Mean Score on 5-Point Self-Rating Pain Severity Scale, Averaged Over Days 1-3
The severity of pain was rated on an ordinal scale that ranged from 0 to 4 with higher scores indicating more headache pain (headache pain ratings: 0 = none/barely any pain; 1 = mild; 2 = moderate; 3 = severe; 4 = excruciating).
Measured: Baseline (Week 0), Days 1-3
Change From Baseline to Week 1 in the Number of Weekly Attacks
Measured: Baseline (Week 0), Week 1
Change From Baseline to Week 2 in the Number of Weekly Attacks
Measured: Baseline (Week 0), Week 2
Number of Participants With ≥50% Reduction From Baseline in Number of Weekly Attacks in Week 1
Measured: Baseline (Week 0), Week 1
Number of Participants With ≥30% Reduction From Baseline in Number of Weekly Attacks in Week 1
Measured: Baseline (Week 0), Week 1
Number of Participants With ≥30% Reduction From Baseline in Number of Weekly Attacks Over Weeks 1-2
Measured: Baseline (Week 0), Weeks 1-2
Change From Baseline in Weekly Integrated Measure of Frequency and Intensity of Pain, Averaged Over Weeks 1-2
The weekly integrated measure of frequency and intensity of pain calculates a singular numerical value for frequency and intensity of pain by adding the intensity rating (Worst pain on a 5-point Self-rating pain severity scale) for each attack during that week. The intensity of pain for each attack was rated on an ordinal scale that ranged from 0 to 4 with higher scores indicating more headache pain (0 = none/barely any pain; 1 = mild; 2 = moderate; 3 = severe; 4 = excruciating). The total weekly score could range from 0 (no attacks and/or no pain) to no specified upper limit, with lower scores representing better outcomes.
Measured: Baseline (Week 0), Weeks 1-2
Change From Baseline to Week 1 in Weekly Integrated Measure of Frequency and Intensity of Pain
The weekly integrated measure of frequency and intensity of pain calculates a singular numerical value for frequency and intensity of pain by adding the intensity rating (Worst pain on a 5-point Self-rating pain severity scale) for each attack during that week. The intensity of pain for each attack was rated on an ordinal scale that ranged from 0 to 4 with higher scores indicating more headache pain (0 = none/barely any pain; 1 = mild; 2 = moderate; 3 = severe; 4 = excruciating). The total weekly score could range from 0 (no attacks and/or no pain) to no specified upper limit, with lower scores representing better outcomes.
Measured: Baseline (Week 0), Week 1
Change From Baseline to Week 2 in Weekly Integrated Measure of Frequency and Intensity of Pain
The weekly integrated measure of frequency and intensity of pain calculates a singular numerical value for frequency and intensity of pain by adding the intensity rating (Worst pain on a 5-point Self-rating pain severity scale) for each attack during that week. The intensity of pain for each attack was rated on an ordinal scale that ranged from 0 to 4 with higher scores indicating more headache pain (0 = none/barely any pain; 1 = mild; 2 = moderate; 3 = severe; 4 = excruciating). The total weekly score could range from 0 (no attacks and/or no pain) to no specified upper limit, with lower scores representing better outcomes.
Measured: Baseline (Week 0), Week 2
Change From Baseline in the Number of Weekly Attacks, Averaged Over Weeks 1-4
Measured: Baseline (Week 0), Weeks 1-4
Change From Baseline in Weekly Integrated Measure of Frequency and Intensity of Pain, Averaged Over Weeks 1-4
The weekly integrated measure of frequency and intensity of pain score calculates a singular numerical value for frequency and intensity of pain by adding the intensity rating (Worst pain on a 5-point Self-rating pain severity scale) for each attack during that week. The intensity of pain for each attack was rated on an ordinal scale that ranged from 0 to 4 with higher scores indicating more headache pain (0 = none/barely any pain; 1 = mild; 2 = moderate; 3 = severe; 4 = excruciating). The total weekly score could range from 0 (no attacks and/or no pain) to no specified upper limit, with lower scores representing better outcomes.
Measured: Baseline (Week 0), Weeks 1-4
Change From Baseline in the Mean Score on 5-Point Self-Rating Pain Severity Scale (Average Per Attack Over a Week) for Weeks 1, 2, 3, and 4
The severity of pain for each attack was rated on an ordinal scale that ranged from 0 to 4 with higher scores indicating more headache pain (headache pain ratings: 0 = none/barely any pain; 1 = mild; 2 = moderate; 3 = severe; 4 = excruciating).
Measured: Baseline (Week 0), Weeks 1, 2, 3, and 4
Change From Baseline in the Number of Weekly Attacks for Each of Weeks 3 and 4
Measured: Baseline (Week 0), Weeks 3-4
Patient Global Impression of Change (PGIC) Score at Weeks 1, 2, and 4
The PGIC is a patient-reported measure of improvement in pain sensation and quality of life scored on a scale from 1 (very much improved) to 7 (very much worse). Lower scores indicate better health status.
Measured: Weeks 1, 2, and 4
Change From Baseline in Sleep Impact Scale (SIS) Domain Scores at Weeks 2 and 4
The SIS is a patient-reported clinical outcome assessment used to assess quality of life resulting from sleep disturbance. The SIS questionnaire includes 35 items belonging to 7 domains to assess sleep impact on: daily activities; emotional well-being; emotional impact; energy/fatigue; social well-being; mental fatigue; and satisfaction with sleep. Each item, for 6 out of the 7 domains, is rated on a 5-point scale ranging from 1 (always or all of the time) to 5 (never or none of the time), whereas satisfaction with sleep is rated on a 5-point scale ranging from 1 (very satisfied) to 5 (very dissatisfied). Each domain yields a score ranging from 0 to 100, which is presented here. A higher score for Daily Activities, Emotional Well-being, Emotional Impact, Energy/Fatigue, Social Well-being, and Mental Fatigue indicates better quality of life. A lower score for Satisfaction with Sleep indicates a higher quality of life.
Measured: Baseline (Week 0), Weeks 2 and 4
Change From Baseline in Euroqol 5-Dimension 5-Levels (EQ-5D-5L) Visual Analogue Scale (VAS) at Weeks 2 and 4
The EQ-5D-5L VAS is a participant-reported assessment designed to measure the participant's well-being and ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).
Measured: Baseline (Week 0), Weeks 2 and 4
Health Care Resource Utilization (HCRU) Score: Number of Visits to a Family Doctor/General Practitioner
Number of participants who visited a family doctor/general practitioner has been reported.
Measured: Week 4
HCRU Score: Number of Visits to a Specialist
Number of participants who visited a specialist has been reported.
Measured: Week 4
HCRU Score: Number of Emergency Department Visits Due to Cluster Headache
Number of participants who visited an emergency department due to CH was reported.
Measured: Week 4
HCRU Score: Number of Hospital Admissions Due to Cluster Headache
Number of participants who were admitted to a hospital due to CH was reported.
Measured: Week 4
HCRU Score: Number of Overnight Hospital Stays Due to Cluster Headache
Number of participants who stayed overnight in a hospital due to CH was reported.
Measured: Week 4
Change From Baseline in the Work Productivity Activity Impairment (WPAI) Questionnaire Subscores at Week 4
The WPAI:GH2.0 is a patient self-rated clinical outcome assessment designed to provide a quantitative measure of the work productivity and activity impairment due to a health condition. The WPAI:GH2.0 assesses activities over the preceding 7 days and consists of 6 items: 1 item assesses employment (yes/no); 3 items assess the number of hours worked, the number of hours missed from work due to the participant's condition, or due to other reasons; and 2 visual numerical scales assess how much the participant's condition affects his/her productivity at work and his/her ability to complete normal daily activities. Each item (Absenteeism, Presenteeism, Work Productivity Loss, Activity Impairment) was calculated into an impairment percentage ranging from 0 to 100%, with higher numbers indicating greater impairment and less productivity (i.e. worse outcomes). Change from baseline for each item is shown here.
Measured: Baseline (Week 0), Week 4
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Dec 2020
- Study start23 Dec 2020
- Primary completion14 Jun 2023
- Study completion5 Oct 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Cluster Headache, EpisodicStudies of the same condition, open and under way.
- More trials run by H. Lundbeck A/SThe 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
- 231 participants (actual)
Sponsor and investigators
- Lead sponsor
- H. Lundbeck A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Email contact via H. Lundbeck A/S, Study director, LundbeckClinicalTrials@Lundbeck.com
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04688775
- Sponsor's protocol ID
- 19386A
- Acronym
- ALLEVIATE
- Status last verified
- Jul 2024
- First submitted
- 24 Dec 2020
- Last updated
- 9 Aug 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Jensen RH, Tassorelli C, Tepper SJ, Charles A, Goadsby PJ, Snoer AH, Sperling B, Krog Josiassen M, Borgen Linander C, Ettrup A, Boneva N. Efficacy and Safety of Eptinezumab in Episodic Cluster Headache: A Randomized Clinical Trial. JAMA Neurol. 2025 Jul 1;82(7):706-714. doi: 10.1001/jamaneurol.2025.1317.
PubMed 40388178
Study at a glance
From the registry record, last updated by the sponsor on 9 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Interventional, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Delayed-Start Study to Evaluate the Efficacy and Safety of Eptinezumab in Patients With Episodic Cluster Headache
- ClinicalTrials.gov ID
- NCT04688775
- Acronym / sponsor ID
- ALLEVIATE / 19386A
- Conditions
- Cluster Headache, Episodic
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 231 participants (actual)
- Lead sponsor
- H. Lundbeck A/SIndustry (pharma, biotech, devices)
- Study start
- 23 Dec 2020 (actual)
- Primary completion
- 14 Jun 2023 (actual)
- Study completion
- 5 Oct 2023 (actual)
- First posted
- 30 Dec 2020 (actual)
- Results
- Posted 9 Aug 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy of eptinezumab in participants with episodic Cluster Headache (eCH)
Detailed description
Eligible participants will be randomly assigned to receive treatment, in a blinded manner, two infusions of either eptinezumab or placebo in a cross-over manner during the Placebo-controlled Period and Active Treatment Period of the study.
The total duration of the study after randomization is 24 weeks, including a safety follow-up period of 8 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Sequence 1: Eptinezumab Then Placebo | Experimental | Drug: Eptinezumab, Drug: PlaceboEptinezumab in the Placebo-controlled Period, followed by administration of placebo in the Active Treatment Period |
| Sequence 2: Placebo Then Eptinezumab | Experimental | Drug: Eptinezumab, Drug: PlaceboPlacebo in the Placebo-controlled Period, followed by administration of eptinezumab in the Active Treatment Period |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- The participant has episodic cluster headache, as defined by International Headache Society (IHS) International Classification of Headache Disorders 3rd Edition (ICHD-3) classification, with an adequately documented record or reliable history of eCH of at least 12 months prior to Screening Visit 1.
- The participant has a prior history of cluster period(s) lasting 6 weeks or longer, when untreated.
- The participant is able to distinguish cluster headache attacks from other headaches (that is; tension-type headaches, migraine).
- The participant is, at Screening Visit 2, in cluster headache bout, characterized by the presence of at least one typical cluster headache attack, that started not later than 1 week prior to Screening Visit 2.
- The participant has a medical history of first symptoms of cluster headache from ≤60 years of age.
Key exclusion criteria (7 listed)
- The participant has experienced failure on a previous treatment targeting the calcitonin gene-related peptide (CGRP) pathway (anti-CGRP monoclonal antibodies [mAbs] and gepants).
- The participant has confounding and clinically significant pain syndromes (for example, fibromyalgia, complex regional pain syndrome).
- The participant has a history or diagnosis of hypnic headache, hemicrania continua, new daily persistent headache, chronic migraine or unusual migraine subtypes such as hemiplegic migraine (sporadic and familial), recurrent painful ophthalmoplegic neuropathy, migraine with brainstem aura and migraine with neurological accompaniments that are not typical of migraine aura (diplopia, altered consciousness, or long duration).
- Participants with a lifetime history of psychosis, bipolar mania, or dementia are excluded. Participants with other psychiatric conditions whose symptoms are not controlled or who have not been adequately treated for a minimum of 6 months prior to Screening Visit 2 are also excluded.
- The participant is, at Screening Visit 2, at significant risk of suicide.
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 |
|---|---|---|
| EptinezumabEptinezumab - concentrate for solution for infusion, intravenously | Drug | Sequence 1: Eptinezumab Then Placebo, Sequence 2: Placebo Then Eptinezumab |
| PlaceboPlacebo - 100 milliliters (mL) of 0.9% normal saline, intravenously | Drug | Sequence 1: Eptinezumab Then Placebo, Sequence 2: Placebo Then Eptinezumab |
Primary outcome
Change From Baseline in the Number of Weekly Cluster Headache (CH) Attacks, Averaged Over Weeks 1-2
Time frame: Baseline (Week 0), Weeks 1-2
The participant completed a CH eDiary, daily, and recorded for each day/week whether he/she had any CH attacks. For each CH attack, the start date and time was collected. The participant recorded further daily information regarding CH characteristics and intake of acute medication for CH. CH items were assessed with a yes/no response.
28 secondary outcomes
Number of Participants With ≥50% Reduction From Baseline in Number of Weekly Attacks Over Weeks 1-2
Time frame: Baseline (Week 0), Weeks 1-2
Change From Baseline in the Number of Weekly Times an Abortive Medication Was Used, Averaged Over Weeks 1-2
Time frame: Baseline (Week 0), Weeks 1-2
Change From Baseline in the Number of Daily Attacks, Averaged Over Days 1-3
Time frame: Baseline (Week 0), Days 1-3
Change From Baseline in the Number of Days With <3 Attacks Per Day, Averaged Over Weeks 1-2
Time frame: Baseline (Week 0), Weeks 1-2
Time From First Infusion of IMP to Resolution of Cluster Headache Bout Within the First 4 Weeks
Time frame: From first infusion (Baseline, Day 0) to 4 weeks
Change From Baseline in Number of Attacks Starting ≤24 Hours After the Start of the First Infusion of IMP
Time frame: From first infusion in the placebo-controlled period (Baseline, Day 0) to 24-hours after the first infusion in the placebo-controlled period
Change From Baseline in the Daily Mean Score on 5-Point Self-Rating Pain Severity Scale, Averaged Over Days 1-3
Time frame: Baseline (Week 0), Days 1-3
Change From Baseline to Week 1 in the Number of Weekly Attacks
Time frame: Baseline (Week 0), Week 1
Change From Baseline to Week 2 in the Number of Weekly Attacks
Time frame: Baseline (Week 0), Week 2
Number of Participants With ≥50% Reduction From Baseline in Number of Weekly Attacks in Week 1
Time frame: Baseline (Week 0), Week 1
Number of Participants With ≥30% Reduction From Baseline in Number of Weekly Attacks in Week 1
Time frame: Baseline (Week 0), Week 1
Number of Participants With ≥30% Reduction From Baseline in Number of Weekly Attacks Over Weeks 1-2
Time frame: Baseline (Week 0), Weeks 1-2
Change From Baseline in Weekly Integrated Measure of Frequency and Intensity of Pain, Averaged Over Weeks 1-2
Time frame: Baseline (Week 0), Weeks 1-2
Change From Baseline to Week 1 in Weekly Integrated Measure of Frequency and Intensity of Pain
Time frame: Baseline (Week 0), Week 1
Change From Baseline to Week 2 in Weekly Integrated Measure of Frequency and Intensity of Pain
Time frame: Baseline (Week 0), Week 2
Change From Baseline in the Number of Weekly Attacks, Averaged Over Weeks 1-4
Time frame: Baseline (Week 0), Weeks 1-4
Change From Baseline in Weekly Integrated Measure of Frequency and Intensity of Pain, Averaged Over Weeks 1-4
Time frame: Baseline (Week 0), Weeks 1-4
Change From Baseline in the Mean Score on 5-Point Self-Rating Pain Severity Scale (Average Per Attack Over a Week) for Weeks 1, 2, 3, and 4
Time frame: Baseline (Week 0), Weeks 1, 2, 3, and 4
Change From Baseline in the Number of Weekly Attacks for Each of Weeks 3 and 4
Time frame: Baseline (Week 0), Weeks 3-4
Patient Global Impression of Change (PGIC) Score at Weeks 1, 2, and 4
Time frame: Weeks 1, 2, and 4
Change From Baseline in Sleep Impact Scale (SIS) Domain Scores at Weeks 2 and 4
Time frame: Baseline (Week 0), Weeks 2 and 4
Change From Baseline in Euroqol 5-Dimension 5-Levels (EQ-5D-5L) Visual Analogue Scale (VAS) at Weeks 2 and 4
Time frame: Baseline (Week 0), Weeks 2 and 4
Health Care Resource Utilization (HCRU) Score: Number of Visits to a Family Doctor/General Practitioner
Time frame: Week 4
HCRU Score: Number of Visits to a Specialist
Time frame: Week 4
HCRU Score: Number of Emergency Department Visits Due to Cluster Headache
Time frame: Week 4
HCRU Score: Number of Hospital Admissions Due to Cluster Headache
Time frame: Week 4
HCRU Score: Number of Overnight Hospital Stays Due to Cluster Headache
Time frame: Week 4
Change From Baseline in the Work Productivity Activity Impairment (WPAI) Questionnaire Subscores at Week 4
Time frame: Baseline (Week 0), Week 4
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Aug 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40388178Jensen RH, Tassorelli C, Tepper SJ, Charles A, Goadsby PJ, Snoer AH, Sperling B, Krog Josiassen M, Borgen Linander C, Ettrup A, Boneva N. Efficacy and Safety of Eptinezumab in Episodic Cluster Headache: A Randomized Clinical Trial. JAMA Neurol. 2025 Jul 1;82(7):706-714. doi: 10.1001/jamaneurol.2025.1317.
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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.
Email contact via H. Lundbeck A/S study director
LundbeckClinicalTrials@Lundbeck.com
120 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Eptinezumab in people with Cluster Headache, Episodic, run by H. Lundbeck A/S at 120 sites in 19 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 5 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 9 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 120 sites in United States, Spain, Germany, Italy, France and 14 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 9 Aug 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in the Number of Weekly Cluster Headache (CH) Attacks, Averaged Over Weeks 1-2 (time frame: Baseline (Week 0), Weeks 1-2). 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 NCT04688775, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Aug 2024.