Episodic MigrainePhase 3E-BEONDNCT06047457
A Study to Evaluate the Effectiveness and Safety of Dysport® for the Prevention of Episodic Migraine in Adults
A Phase 3 study testing Botulinum toxin type A in people with Episodic Migraine, run by Ipsen at 105 sites in 8 countries.
Trial summary
The purpose of this study is to understand the safety and effectiveness of the study drug, Dysport® when compared with placebo in preventing episodic migraine. A migraine is a headache with severe throbbing pain or a pulsating sensation, usually on one side of the head, and is often accompanied by feeling or being… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Episodic Migraine
- What is being tested?
- Botulinum toxin type A
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 751 participants
- Where
- 105 sitesin 8 countries
- Study dates
- 29 Sep 2023to 16 Nov 2026
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Must be ≥18 years of age inclusive, at the time of signing the informed consent and privacy/data protection documentation.
- Participant has a diagnosis for more than 12 months, prior to screening visit, of migraine with aura or migraine without aura according to the International Classification of Headache Disorders definition and diagnostic criteria
- Migraine onset occurred when participant was <50 years of age.
- Has baseline number of monthly headache days (MHD) of <15 and baseline number of monthly migraine days (MMD) of ≥6, using eDiary data collected during the 4 weeks nearest to randomisation on Day 1 (but prior to randomisation).
- Has baseline number of valid diary days ≥22 days collected during the 4 weeks nearest to randomisation on Day 1.
- Participant must have previously used, or is currently using, preventive treatment for migraine (pharmacological) (i.e. non-naïve) prior to start of screening eDiary
Who cannot join
- History or current diagnosis of migraine with brainstem aura, retinal migraine, complications of migraine, tension-type headache, trigeminal autonomic cephalalgias, hypnic headache, hemicrania continua, or new daily persistent headache.
- Headache attributed to another disorder (e.g. secondary headaches), except medication overuse headache, which is permitted.
- Use of any of the following medications in the specified timeframe prior to start of the screening daily headache eDiary:
- Within 24 weeks
- i. Botulinum toxin for migraine (or for any other medical/aesthetic reason within 16 weeks)
- Within 12 weeks
Show all 14Show fewer
- i. CGRP antagonists (monoclonal antibody or gepant) for preventive treatment of migraine (acute treatment of headache/migraine with a gepant is permitted, but limited to no more than 6 days per month (i.e. 6 days per each 4-week period with gepant intake))
- ii. Cannabinol or other types of cannabinoids
- Within 4 weeks
- i. Anaesthetic or steroid injection in any region targeted for injection with study intervention
- ii. Use of medical device to treat migraine (e.g. non-invasive neuromodulation therapies such as nerve stimulation (gammaCore), transcranial magnetic stimulation (cephaly), external trigeminal nerve stimulation, transcutaneous electrical nerve stimulation, and peripheral neuroelectrical stimulation)
- iii. Other interventions for migraine assessed to interfere with study evaluations (e.g. acupuncture in head and neck region, cranial traction, nociceptive trigeminal inhibition, occipital nerve block treatments, and dental splints for headache) iv. Use of opioids or barbiturates for more than 2 days/month.
- Note: participants are permitted to take one concomitant migraine preventative treatment (not listed above); however, the dose of this medication should be stable for ≥3 months before start of the screening eDiary.
- Known history of treatment failure to more than four medications prescribed for the prevention of migraine (two of which have different mechanisms of action) or known history of treatment failure to botulinum toxin prescribed for the prevention of migraine
Trial locations and contacts
105 sites in 8 countries.
105 sites in 8 countries
United States66 sites
Asheville Neurology Specialists
Asheville, North Carolina, 28806
Visionary Investigators Network (VIN)
Aventura, Florida, 33180
Central Research Associates
Birmingham, Alabama, 35205
Boston Clinical Trials Inc
Boston, Massachusetts, 02131
Beth Israel Deaconess Medical Center - Arnold Pain Management
Brookline, Massachusetts, 02115
SPRI Clinical Trials, LLC
Brooklyn, New York, 11235
Minneapolis Clinic of Neurology
Burnsville, Minnesota, 55337
Hope Clinical Research, LLC
Canoga Park, California, 91303
Clinical Research Professionals
Chesterfield, Missouri, 63005
Cedar Crosse Research Center
Chicago, Illinois, 60607
Chicago Headache Center & Research Institute
Chicago, Illinois, 60657
Headache Center of Hope
Cincinnati, Ohio, 45236
Axiom Research LLC
Colton, California, 92324
MedStar Health - Department of Neurology
Columbia, Washington, 20010
Neurology Clinic, PC
Cordova, Tennessee, 38018
Herzog, Steven MD
Dallas, Texas, 75214
Zenos Clinical Research
Dallas, Texas, 75230
Yale University School of Medicine
East Hartford, Connecticut, 06118
Inova Medical Group - Neurology
Fairfax, Virginia, 22031
Quest Research Institute
Farmington Hills, Michigan, 48334
MD Fort Wayne Neurological Center
Fort Wayne, Indiana, 46804
Neurology Center of NE,PC - Neurology
Foxborough, Massachusetts, 02035
KCA Neurology, PLLC
Franklin, Tennessee, 37067
Comprehensive Neurology Services
Frederick, Maryland, 21702
Lone Star Neurology
Frisco, Texas, 75035
Fullerton Neurological Center
Fullerton, California, 92835
Neurology Center of North Orange County
Fullerton, California, 92835
BCN Research, LLC
Greenfield, Wisconsin, 53228
Headache Wellness Center
Greensboro, North Carolina, 27405
Velocity Clinical Research - Hallandale Beach
Hallandale, Florida, 33009
Blue Sky MD
Hendersonville, North Carolina, 28792
AGA Clinical Trials
Hialeah, Florida, 33012
Infinity Clinical Research, LLC
Hollywood, Florida, 33024
Clinical Trial Network
Houston, Texas, 77074
Helios Clinical Research LLC (Helios CR, Inc. Jackson TN)
Jackson, Tennessee, 38305
Clinical Neuroscience Solutions Healthcare, Inc (CNS Healthcare, INC)
Jacksonville, Florida, 32256
Frontier Clinical Research, LLC
Kingwood, West Virginia, 26537
M3 Wake Research - Las Vegas Wellness Way
Las Vegas, Nevada, 89106
Alliance Clinical Las Vegas (Excel Clinical Research)
Las Vegas, Nevada, 89109
Suburban Research Associates
Media, Pennsylvania, 19063
840042
Miami, Florida, 33136
Quantum Clinical Trials
Miami Beach, Florida, 33140
Neuroscience Group of Northeast Wisconsin-Neenah
Neenah, Wisconsin, 54956
OrthoNeuro
New Albany, Ohio, 43054
Hasbani Neurology
New Haven, Connecticut, 06511
Coastal Carolina Research Center - North Charleston
North Charleston, South Carolina, 29405
SDS Clinical Trials
Orange, California, 92868
Clinical Neuroscience Solutions, Inc ((CNS Healthcare) - Psychiatry)
Orlando, Florida, 32801
Thomas Jefferson University Hospital - Jefferson Hospital for Neuroscience - Jefferson Neurology Associates - Neurology
Philadelphia, Pennsylvania, 19107
CCT Research
Phoenix, Arizona, 85044
Research Your Health
Plano, Texas, 75093
Nuvance Health Medical Practice
Poughkeepsie, New York, 12601
Robbins Headache Clinic
Riverwoods, Illinois, 60015
Rochester Clinical Research
Rochester, New York, 14609
J. Lewis Research Inc.-Foothill
Salt Lake City, Utah, 84109
Alliance Clinical San Diego (Acclaim Clinical Research)
San Diego, California, 92120
The Los Angeles Headache Center
Savannah, California, 31406
HonorHealth Neurology
Scottsdale, Arizona, 85251
New England Institute for Neurology and Headache (NEINH)/Medical Practice
Stamford, Connecticut, 06905
Guardian Angel Research Center
Tampa, Florida, 33614
Metrodora Institute
West Valley City, Utah, 84119
Lone Star Neurology,
Westborough, Massachusetts, 01581
Boston Clinical Trials Inc
Winter Park, Florida, 32131
Conquest Research
Winter Park, Florida, 32789
Helios Clinical Research
Wooster, Ohio, 44691
New England Regional Headache Center, Inc.
Worcester, Massachusetts, 01609
Czechia9 sites
Neurologie Brno s.r.o.
Brno
Pratia Brno s.r.o.
Brno
NEUROHK s.r.o.
Choceň
Nemocnice Jihlava, p.o.
Jihlava
Fakultni nemocnice Ostrava
Ostrava
Axon Clinical, s.r.o.
Prague
DADO MEDICAL s.r.o.
Prague
Fakultni Thomayerova nemocnice
Prague
Institut neuropsychiatricke pece
Prague
Poland8 sites
Centrum Medyczne Neuromed Pawel Lisewski
Bydgoszcz
Synexus Polska Sp. z o.o.
Gdynia
Centrum Medyczne Pratia Katowice
Katowice
Krakowska Akademia Neurologii Sp. z o.o.
Krakow
Krakowskie Centrum MedyczneSp.z o.o
Krakow
Pratia MCM Krakow
Krakow
Indywidualna Praktyka Lekarska dr hab. med. Anna Szczepanska-Szerej
Lublin
Instytut Zdrowia Dr Boczarska-Jedynak Sp. z o.o. S.K.
Oświęcim
Georgia6 sites
Ltd "Health"
Batumi, 6010
"Pineo Medical Ecosystem" LTD
Tbilisi, 0114
LTD New Hospitals
Tbilisi, 0114
LTD S.Khechinashvili University Hospital
Tbilisi, 0179
Multprofil Clinic Consilium Medulla
Tbilisi, 0186
ISR-GEO Med Res Clin Healthycore
Tbilisi
Germany5 sites
Charité - Universitätsmedizin Berlin KöR
Berlin
Emovis GmbH
Berlin
Universitätsmedizin Greifswald
Greifswald
Kopfschmerzzentrum Frankfurt am Main
Hessen
LMU - Klinikum der Universität München - Campus Grosshadern
München
Spain5 sites
Hospital Universitari Vall D Hebron
Barcelona
Complejo Hospitalario Ruber Juan Bravo
Madrid
Hospital Universitario 12 De Octubre
Madrid
Hospital Universitario Regional De Malaga
Málaga
Hospital Universitario y Politécnico La Fe
Valencia
Canada3 sites
Genge Partners Inc.
Montreal, H3A 2B4
CARe Clinic-Calgary
Red Deer
Bluewater Clinical Research Group Inc.
Sarnia, N7T 4X3
France3 sites
CHRU d'Amiens
Amiens
CHU Nimes - Hôpital Caremeau
Nîmes
Assistance Publique-Hopitaux de Paris (AP-HP) - Unite de Recherche Clinique Saint-Louis Lariboisere-Ferd Widal
Paris
About this study
Official title: A Phase III, Randomised, Double-blind, Placebo-controlled, Multicenter, Parallel-group Study With Extension Phase to Evaluate the Efficacy and Safety of Dysport® for the Prevention of Episodic Migraine in Adult Participants
The purpose of this study is to understand the safety and effectiveness of the study drug, Dysport® when compared with placebo in preventing episodic migraine.
A migraine is a headache with severe throbbing pain or a pulsating sensation, usually on one side of the head, and is often accompanied by feeling or being sick and a sensitivity to bright lights and sound.
Read more
Episodic Migraine is defined as having less than 15 days of headache a month with at least 6 days with migraine headaches.
Migraines are caused by a series of events which cause the brain to get stimulated / activated, which results in the release of chemicals that cause pain.
Dysport® is a formulation of Botulinum toxin type A (BoNT-A), a medication that stops the release of these chemical messengers.
The study will consist of 3 periods:
- A 'screening period' of 6 to 12 weeks to assess whether the participant can take part to the study and requires 1 visit.
- A first Treatment Phase of 24 weeks. On Day 1 and at Week 12 of the first Treatment Phase, participants will receive injections into various muscles across the head, neck, face and shoulders. The injections will contain either a dose "A" or a dose ''B'' of Dysport® or a placebo (an inactive substance or treatment that looks the same as, and is given in the same way as, an active drug or intervention/treatment being studied). Participants will make 4 visits to the clinic in person and have 4 remote (online) visits.
- A second Treatment Phase of 24 weeks (extension phase). At Week 24 and at Week 36, all participants will get Dysport® (dose "A" or dose "B").
There will be 3 in person visits and 4 remote visits.
Participants will need to complete an e-diary and questionnaires throughout the study.
Participants will undergo blood samplings, urine collections, physical examinations, and clinical evaluations. They may continue some other medications, but the details need to be recorded.
The total study duration for a participant will be up to 60 weeks (approx. 14 months).
- Conditions
- Episodic Migraine
- Being tested
- Botulinum toxin type A, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Botulinum toxin type ABiological
Also called Dysport®
Dose "A" U /Injection (U/I) , Intramuscular (IM) on every 12 weeks during a period of 36 weeks with a total of 4 injections.
Botulinum toxin type ABiological
Also called Dysport®
Dose "B" U/I, IM on every 12 weeks during a period of 36 weeks with a total of 4 injections.
PlaceboOther
"0" U/I, IM on Day 1 and Week 12 with a total of 2 injections.
Botulinum toxin type ABiological
Also called Dysport®
Dose "A" U/I, IM on Week 24 and Week 36 with a total of 2 injections.
Botulinum toxin type ABiological
Also called Dysport®
Dose "B" U/I, IM on Week 24 and Week 36 with a total of 2 injections.
| Study group | Role | What they receive |
|---|---|---|
| Dysport® dose "A" | Experimental | Participant will receive four treatment cycles, each separated by an interval of 12 weeks.
Double-blind placebo-controlled (DBPC) Phase: Dysport® dose "A" administered intramuscularly on Day 1 and Week 12.
Extension Phase: Dysport® dose "A" administered intramuscularly at Week 24 and Week 36 (final follow-up at Week 48) Receives: Biological: Botulinum toxin type A |
| Dysport® dose "B" | Experimental | Participant will receive four treatment cycles, each separated by an interval of 12 weeks.
DBPC Phase: Dysport® dose "B" administered intramuscularly on Day 1 and Week 12.
Extension Phase: Dysport® dose "B" administered intramuscularly at Week 24 and Week 36 (final follow-up at Week 48) Receives: Biological: Botulinum toxin type A |
| Placebo - Dysport dose "A" | Placebo comparator | Participant will receive four treatment cycles, each separated by an interval of 12 weeks.
DBPC Phase: Placebo dose "A" administered intramuscularly on Day 1 and Week 12.
Extension Phase: Dysport® dose "A" administered intramuscularly at Week 24 and Week 36 (final follow-up at Week 48). Receives: Other: Placebo; Biological: Botulinum toxin type A |
| Placebo - Dysport dose "B" | Placebo comparator | Participant will receive four treatment cycles, each separated by an interval of 12 weeks.
DBPC Phase: Placebo dose "B" administered intramuscularly on Day 1 and Week 12.
Extension Phase: Dysport® dose "B" administered intramuscularly at Week 24 and Week 36 (final follow-up at Week 48). Receives: Other: Placebo; Biological: Botulinum toxin type A |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in monthly migraine days (MMD)
The monthly migraine days (MMD) is assessed by a daily eDiary, completed by the participant, to evaluate the efficacy of Dysport® compared to placebo.
Measured: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Secondary outcomes (30)
Change from baseline in MMD of ≥50%
The monthly migraine days (MMD) is assessed by a daily eDiary.
Measured: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Change from baseline in MMD of ≥75%
The monthly migraine days (MMD) is assessed by a daily eDiary.
Measured: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Cumulative number of MMD
The cumulative number of monthly migraine days (MMD) is assessed by a daily eDiary.
Measured: From Day 1 to Week 24
Change from baseline in MMD of moderate or severe intensity
The intensity of MMD is assessed by a daily eDiary.
Measured: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Change from baseline in the number of MMD over the last 12 weeks prior to Week 24
The monthly migraine days (MMD) is assessed by a daily eDiary.
Measured: Weeks 13-24
Change from baseline in monthly headache days (MHD) of moderate or severe intensity
The intensity of monthly headache days (MHD) is assessed by a daily eDiary.
Measured: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Change from baseline in MHD of moderate or severe intensity of ≥50%
The intensity of monthly headache days (MHD) is assessed by a daily eDiary.
Measured: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Change from baseline in MHD of moderate or severe intensity of ≥75%
The intensity of monthly headache days (MHD) is assessed by a daily eDiary.
Measured: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Cumulative number of MHD of moderate to severe intensity
The cumulative number of monthly headache days (MHD) is assessed by a daily eDiary.
Measured: From Day 1 to Week 24
Change from baseline in the number of days per month of acute migraine medication intake
The acute migraine medication intake will be recorded in the daily eDiary Acute migraine medication is defined as triptan, ergotamine, gepant, or ditan
Measured: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Headache medication overuser (yes, no)
The headache medication overuse will be assessed by a concomitant medication log completed at each visit and acute medication taken to treat acute attack will be recorded in the daily eDiary. The headache medication overuse is defined as a participant with ≥10 days/month if ergotamine, triptan, gepant, ditan, opioid or combination analgesic, or ≥15 days/month if non-opioid analgesic (such as paracetamol, aspirin, NSAID)
Measured: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Use of acute migraine medication (yes or no)
The use of acute migraine medication will be recorded in the daily eDiary.
Measured: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Patient's Global Impression of Change (PGIC) score
The PGIC will be assessed by a questionnaire (7-point scale, score of 1 indicates very much improved and score of 7 indicates very much worse)
Measured: At Week 12 and Week 24
PGIC score of grade ≥1 and ≥2
The PGIC will be assessed by a questionnaire (7-point scale, score of 1 indicates very much improved and score of 7 indicates very much worse)
Measured: At Week 12 and Week 24
Change from baseline in role function restrictive (RFR) domain of Migraine Specific Quality of Life Questionnaire (MSQ)
The MSQ will be assessed by a questionnaire (Scores range from 0-100, higher scores indicate a better quality of life)
Measured: At Week 12 and Week 24
Change from baseline in role function-preventive (RFP) domain of MSQ Questionnaire
The MSQ will be assessed by a questionnaire (Scores range from 0-100, higher scores indicate a better quality of life)
Measured: At Week 12 and Week 24
Change from baseline in emotional function (EF) domain of MSQ Questionnaire
The MSQ will be assessed by a questionnaire (Scores range from 0-100, higher scores indicate a better quality of life)
Measured: At Week 12 and Week 24
Change from baseline in total MSQ score
The MSQ will be assessed by a questionnaire (Scores range from 0-100, higher scores indicate a better quality of life)
Measured: At Week 12 and Week 24
Change in MSQ score to the minimally important change (MIC)
The MSQ will be assessed by a questionnaire (Scores range from 0-100, higher scores indicate a better quality of life)
Measured: At Week 12 and Week 24
Change from baseline in total 6-item Headache Impact Test (HIT-6) score
The HIT-6 will be assessed by a questionnaire (scores range from 36-78 and higher scores indicate a greater impact of headache on subject's life)
Measured: At Week 12 and Week 24
Change in total 6-item Headache Impact Text (HIT-6) score to the MIC thresholds
The HIT-6 will be assessed by a questionnaire (scores range from 36-78 and higher scores indicate a greater impact of headache on subject's life)
Measured: At Week 12 and Week 24
Change from baseline in Short Form 12 (SF-12) Questionnaire score
The SF-12 will be assessed by a questionnaire (scores range from 0-100, with higher scores indicating better functioning)
Measured: At Week 12 and Week 24
Change from baseline to Chronic migraine status
Transition to Chronic migraine status will be assessed by the daily eDiary and defined as number of participants with ≥15 MHD and ≥8 MMD
Measured: At Week 24 (Week 21-24)
Time to onset of effect
Time to onset of effect is defined as the first time point post randomisation where MMD is reduced from baseline ≥50%
Measured: From first time point post randomisation to Week 24
Incidence of Treatment emergent adverse event (TEAEs)
An Adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Up to Week 24
Percentage of Participants with clinically significant changes in vital signs
Percentage of participants with clinically significant changes in vital signs will be reported. The clinical significance will be graded by the investigator.
Measured: From baseline up to Week 24
Percentage of participants with clinically significant laboratory parameters (blood chemistry, haematology)
Percentage of participants with clinically significant change in laboratory parameters (blood chemistry, hematology and coagulation) will be reported. The clinical significance will graded by the investigator.
Measured: From baseline up to Week 24
Treatment-emergence of suicidal ideation/suicidal behaviour
It will be assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) questionnaire that consists of 4 subscales:
- Ideation severity subscale: questions answered yes/no, severity of ideation scored 1-5 with 5 being most severe
- Intensity of ideation subscale : scores range from 2-25 with higher scores indicating more severe intensity of ideation.
- Suicide behaviour subscale:4 types of suicidal behaviours are scored yes/no
- Behaviour Lethality subscale: actual lethality/medical damage scores 0-5, with 5 being most severe (death) and potential lethality scores 0-2 with 2 being more potentially lethal.
Measured: From baseline up to Week 24
Percentage of participants with binding antibodies to Dysport®
Presence of binding antibodies will be assessed using a validated method of electrochemiluminescence assay (ECLA).
Measured: At Week 24
Percentage of participants with neutralising antibodies to Dysport®
It will be performed only for confirmed positive samples with ECLA (confirmation of the presence of binding antibodies). Presence of neutralizing antibodies will be assessed using a validated cell-based assay (CBA).
Measured: At Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Sep 2023
- Study start29 Sep 2023
- Primary completion1 Jun 2026
- Study completion16 Nov 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Episodic MigraineStudies of the same condition, open and under way.
- More trials run by IpsenThe 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 751 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ipsen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ipsen Medical Director, Study director, Ipsen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06047457
- Sponsor's protocol ID
- CLIN-52120-464
- Other IDs
- 2023-504839-40-00, 2023
- Acronym
- E-BEOND
- Status last verified
- Sep 2026
- First submitted
- 14 Sep 2023
- Last updated
- 4 Sep 2026
- Results posted
- 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 clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of study participants.
Study at a glance
From the registry record, last updated by the sponsor on 4 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomised, Double-blind, Placebo-controlled, Multicenter, Parallel-group Study With Extension Phase to Evaluate the Efficacy and Safety of Dysport® for the Prevention of Episodic Migraine in Adult Participants
- ClinicalTrials.gov ID
- NCT06047457
- Acronym / sponsor ID
- E-BEOND / CLIN-52120-464
- Conditions
- Episodic Migraine
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 751 participants (actual)
- Lead sponsor
- IpsenIndustry (pharma, biotech, devices)
- Study start
- 29 Sep 2023 (actual)
- Primary completion
- 1 Jun 2026 (actual)
- Study completion
- 16 Nov 2026 (estimated)
- First posted
- 21 Sep 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to understand the safety and effectiveness of the study drug, Dysport® when compared with placebo in preventing episodic migraine.
A migraine is a headache with severe throbbing pain or a pulsating sensation, usually on one side of the head, and is often accompanied by feeling or being sick and a sensitivity to bright lights and sound.
Episodic Migraine is defined as having less than 15 days of headache a month with at least 6 days with migraine headaches.
Migraines are caused by a series of events which cause the brain to get stimulated / activated, which results in the release of chemicals that cause pain.
Dysport® is a formulation of Botulinum toxin type A (BoNT-A), a medication that stops the release of these chemical messengers.
The study will consist of 3 periods:
- A 'screening period' of 6 to 12 weeks to assess whether the participant can take part to the study and requires 1 visit.
- A first Treatment Phase of 24 weeks. On Day 1 and at Week 12 of the first Treatment Phase, participants will receive injections into various muscles across the head, neck, face and shoulders. The injections will contain either a dose "A" or a dose ''B'' of Dysport® or a placebo (an inactive substance or treatment that looks the same as, and is given in the same way as, an active drug or intervention/treatment being studied). Participants will make 4 visits to the clinic in person and have 4 remote (online) visits.
- A second Treatment Phase of 24 weeks (extension phase). At Week 24 and at Week 36, all participants will get Dysport® (dose "A" or dose "B").
There will be 3 in person visits and 4 remote visits.
Participants will need to complete an e-diary and questionnaires throughout the study.
Participants will undergo blood samplings, urine collections, physical examinations, and clinical evaluations. They may continue some other medications, but the details need to be recorded.
The total study duration for a participant will be up to 60 weeks (approx. 14 months).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Dysport® dose "A" | Experimental | Biological: Botulinum toxin type AParticipant will receive four treatment cycles, each separated by an interval of 12 weeks. Double-blind placebo-controlled (DBPC) Phase: Dysport® dose "A" administered intramuscularly on Day 1 and Week 12. Extension Phase: Dysport® dose "A" administered intramuscularly at Week 24 and Week 36 (final follow-up at Week 48) |
| Dysport® dose "B" | Experimental | Biological: Botulinum toxin type AParticipant will receive four treatment cycles, each separated by an interval of 12 weeks. DBPC Phase: Dysport® dose "B" administered intramuscularly on Day 1 and Week 12. Extension Phase: Dysport® dose "B" administered intramuscularly at Week 24 and Week 36 (final follow-up at Week 48) |
| Placebo - Dysport dose "A" | Placebo comparator | Other: Placebo, Biological: Botulinum toxin type AParticipant will receive four treatment cycles, each separated by an interval of 12 weeks. DBPC Phase: Placebo dose "A" administered intramuscularly on Day 1 and Week 12. Extension Phase: Dysport® dose "A" administered intramuscularly at Week 24 and Week 36 (final follow-up at Week 48). |
| Placebo - Dysport dose "B" | Placebo comparator | Other: Placebo, Biological: Botulinum toxin type AParticipant will receive four treatment cycles, each separated by an interval of 12 weeks. DBPC Phase: Placebo dose "B" administered intramuscularly on Day 1 and Week 12. Extension Phase: Dysport® dose "B" administered intramuscularly at Week 24 and Week 36 (final follow-up at Week 48). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Must be ≥18 years of age inclusive, at the time of signing the informed consent and privacy/data protection documentation.
- Participant has a diagnosis for more than 12 months, prior to screening visit, of migraine with aura or migraine without aura according to the International Classification of Headache Disorders definition and diagnostic criteria
- Migraine onset occurred when participant was <50 years of age.
- Has baseline number of monthly headache days (MHD) of <15 and baseline number of monthly migraine days (MMD) of ≥6, using eDiary data collected during the 4 weeks nearest to randomisation on Day 1 (but prior to randomisation).
- Has baseline number of valid diary days ≥22 days collected during the 4 weeks nearest to randomisation on Day 1.
Key exclusion criteria (14 listed)
- History or current diagnosis of migraine with brainstem aura, retinal migraine, complications of migraine, tension-type headache, trigeminal autonomic cephalalgias, hypnic headache, hemicrania continua, or new daily persistent headache.
- Headache attributed to another disorder (e.g. secondary headaches), except medication overuse headache, which is permitted.
- Use of any of the following medications in the specified timeframe prior to start of the screening daily headache eDiary:
- i. Botulinum toxin for migraine (or for any other medical/aesthetic reason within 16 weeks)
- i. CGRP antagonists (monoclonal antibody or gepant) for preventive treatment of migraine (acute treatment of headache/migraine with a gepant is permitted, but limited to no more than 6 days per month (i.e. 6 days per each 4-week period with gepant intake))
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 |
|---|---|---|
| Botulinum toxin type AAlso: Dysport®Dose "A" U /Injection (U/I) , Intramuscular (IM) on every 12 weeks during a period of 36 weeks with a total of 4 injections. | Biological | Dysport® dose "A" |
| Botulinum toxin type AAlso: Dysport®Dose "B" U/I, IM on every 12 weeks during a period of 36 weeks with a total of 4 injections. | Biological | Dysport® dose "B" |
| Placebo"0" U/I, IM on Day 1 and Week 12 with a total of 2 injections. | Other | Placebo - Dysport dose "A", Placebo - Dysport dose "B" |
| Botulinum toxin type AAlso: Dysport®Dose "A" U/I, IM on Week 24 and Week 36 with a total of 2 injections. | Biological | Placebo - Dysport dose "A" |
| Botulinum toxin type AAlso: Dysport®Dose "B" U/I, IM on Week 24 and Week 36 with a total of 2 injections. | Biological | Placebo - Dysport dose "B" |
Primary outcome
Change from baseline in monthly migraine days (MMD)
Time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
The monthly migraine days (MMD) is assessed by a daily eDiary, completed by the participant, to evaluate the efficacy of Dysport® compared to placebo.
30 secondary outcomes
Change from baseline in MMD of ≥50%
Time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Change from baseline in MMD of ≥75%
Time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Cumulative number of MMD
Time frame: From Day 1 to Week 24
Change from baseline in MMD of moderate or severe intensity
Time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Change from baseline in the number of MMD over the last 12 weeks prior to Week 24
Time frame: Weeks 13-24
Change from baseline in monthly headache days (MHD) of moderate or severe intensity
Time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Change from baseline in MHD of moderate or severe intensity of ≥50%
Time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Change from baseline in MHD of moderate or severe intensity of ≥75%
Time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Cumulative number of MHD of moderate to severe intensity
Time frame: From Day 1 to Week 24
Change from baseline in the number of days per month of acute migraine medication intake
Time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Headache medication overuser (yes, no)
Time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Use of acute migraine medication (yes or no)
Time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)
Patient's Global Impression of Change (PGIC) score
Time frame: At Week 12 and Week 24
PGIC score of grade ≥1 and ≥2
Time frame: At Week 12 and Week 24
Change from baseline in role function restrictive (RFR) domain of Migraine Specific Quality of Life Questionnaire (MSQ)
Time frame: At Week 12 and Week 24
Change from baseline in role function-preventive (RFP) domain of MSQ Questionnaire
Time frame: At Week 12 and Week 24
Change from baseline in emotional function (EF) domain of MSQ Questionnaire
Time frame: At Week 12 and Week 24
Change from baseline in total MSQ score
Time frame: At Week 12 and Week 24
Change in MSQ score to the minimally important change (MIC)
Time frame: At Week 12 and Week 24
Change from baseline in total 6-item Headache Impact Test (HIT-6) score
Time frame: At Week 12 and Week 24
Change in total 6-item Headache Impact Text (HIT-6) score to the MIC thresholds
Time frame: At Week 12 and Week 24
Change from baseline in Short Form 12 (SF-12) Questionnaire score
Time frame: At Week 12 and Week 24
Change from baseline to Chronic migraine status
Time frame: At Week 24 (Week 21-24)
Time to onset of effect
Time frame: From first time point post randomisation to Week 24
Incidence of Treatment emergent adverse event (TEAEs)
Time frame: Up to Week 24
Percentage of Participants with clinically significant changes in vital signs
Time frame: From baseline up to Week 24
Percentage of participants with clinically significant laboratory parameters (blood chemistry, haematology)
Time frame: From baseline up to Week 24
Treatment-emergence of suicidal ideation/suicidal behaviour
Time frame: From baseline up to Week 24
Percentage of participants with binding antibodies to Dysport®
Time frame: At Week 24
Percentage of participants with neutralising antibodies to Dysport®
Time frame: At Week 24
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Sep 2026.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of study participants.
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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.
Ipsen Medical Director study director
Ipsen
105 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Botulinum toxin type A in people with Episodic Migraine, run by Ipsen at 105 sites in 8 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 6 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 4 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 105 sites in United States, Czechia, Poland, Georgia, Germany and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline in monthly migraine days (MMD) (time frame: Every 4 weeks from Week 4 (Weeks 1-4) to Week 24 (Weeks 21-24)). 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 4 Sep 2026.