Episodic MigrainePhase 2MERANTINCT06625060
A Study to Evaluate IPN10200 Safety and Efficacy in the Prevention of Episodic or Chronic Migraine in Adults
A Phase 2 study testing Corabotase, Corabotase dose A and Corabotase dose B in people with Episodic Migraine and Chronic Migraine, run by Ipsen at 162 sites in 14 countries.
Trial summary
A migraine is a headache with severe throbbing pain or a pulsating sensation, usually on one side of the head. It is often accompanied by feeling or being sick and a sensitivity to bright lights and sound. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Episodic Migraine, Chronic Migraine
- What is being tested?
- Corabotase, Corabotase dose A and Corabotase dose B
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 670 participants
- Where
- 162 sitesin 14 countries
- Study dates
- 10 Oct 2024to 31 Oct 2027
- Phase
- Phase 2
- 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF. Participant has provided written informed consent and signed privacy/data protection documentation;
- Male or female ≥18 to 80 years of age at the time of signing the informed consent;
- Diagnosis of either EM or CM, per ICHD-3 criteria, for at least 12 months prior to the screening visit;
- Diagnosis of migraine at ≤50 years of age;
- Participants in the EM group: History of EM diagnosis and headache frequency (i.e. migraine and non-migraine headache): ≤14 headache days in the 4 weeks prior to randomisation on study Day 1 based on information recorded in the eDiary; migraine frequency: ≥6 migraine days in the 4 weeks prior to randomisation on study Day 1 based on information recorded in the eDiary;
- Participants in the CM group: History of CM diagnosis and headache frequency (i.e. migraine and non-migraine headache): ≥15 headache days in the 4 weeks prior to randomisation on study Day 1 based on information recorded in the eDiary; migraine frequency: ≥8 migraine days in the 4 weeks prior to randomisation on study Day 1 based on information recorded in the eDiary;
- Participant with a history of use of at least one preventive treatment for migraine.
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 (MOH);
- Current uncontrolled psychiatric or psychological condition, or one that could confound assessment of headaches/migraines or interfere with study participation;
- Risk of self-harm or harm to others as evidenced by past suicidal behaviour or endorsing items 3, 4, or 5 on the C-SSRS at screening or Day 1.
- Participants presenting with a swallowing disorder of any origin which might be exacerbated by botulinum toxin treatment, such as:
- Grade 3 or 4 on the Dysphagia Severity Scale (severe dysphagia) with swallowing difficulties and requiring a change in diet.
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- Clinically relevant skin condition or infection that could interfere with injection of study intervention;
- Participant has any medical condition or situation that would make them unsuitable for participation in the study;
- Participant receiving more than one allowable concomitant migraine preventive treatment;
- Known history of an inadequate response to >4 medications prescribed for the prevention of migraine (2 of which have different mechanisms of action to botulinum toxin);
- Use of any of the following medications in the specified timeframe prior to the screening visit:
- Botulinum toxin for migraine within 24 weeks (or for any other medical/aesthetic reason within 16 weeks);
- Prior use of mAbs blocking CGRP pathway within 12 weeks for preventative treatment of migraine
- Prior use of oral CGRP receptor antagonist (gepants) for preventative treatment of migraine within 2 weeks;
- Anaesthetic or steroid injection in any region targeted for treatment with study medication within 4 weeks;
- Use of cannabidiol or other types of cannabinoids within 30 days;
- Use of medical device to treat migraine within 4 weeks (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);
- Use of other intervention to treat migraine that is assessed to interfere with study evaluations within 4 weeks (e.g. acupuncture in the head and neck region, cranial traction, nociceptive trigeminal inhibition, occipital nerve block treatments and dental splints for headache);
- Use of opioids or barbiturates for more than 2 days/month within the last 4 weeks.
- Concurrent participation in another interventional clinical study (or within specified timeframe according to national or local legislation or requirements);
- Diagnosis of other significant pain disorders that could confound the assessment of headaches/migraines or interfere with study participation, including but not limited to chronic pain disorders such as fibromyalgia, chronic low back pain and complex regional pain syndrome;
- Pregnant women, nursing women, premenopausal women, or WOCBP (i.e. not surgically sterile or 1 year postmenopausal) not willing to practice an acceptable contraceptive method, at the beginning of the study and for a minimum of 12 weeks following the administration of study treatment;
- Male subjects who are not vasectomised and who have female partners of childbearing potential and are not willing to use condoms with spermicide for a minimum of 12 weeks following the initial double-blind administration of the treatment;
- History of alcohol or drug abuse within 5 years of the screening visit (excluding medication overuse for headache);
- Body mass index (BMI) ≥35 kg/m² at the screening visit;
- Known clinically significant hypersensitivity to any of the study drugs, excipients or materials used to administer the study drug;
- Patients who, in the clinician's judgment, are actively suicidal, and therefore, deemed to be at significant risk for suicide.
- A diagnosis of a neuromuscular disorder or respiratory disorder, such as myasthenia gravis, Lambert-Eaton syndrome or amyotrophic lateral sclerosis that in the opinion of the investigator would compromise the safety of the study participant.
Trial locations and contacts
162 sites in 14 countries.
162 sites in 14 countries
United States68 sites
Michigan Head Pain & Neurological Institute - Neurology/Pain
Ann Arbor, Michigan, 48104
Michigan Head Pain & Neurological Institute
Ann Arbor, Michigan, 48104
Axiom Research, LLC
Apple Valley, California, 92308
NeuroTrials Research, Inc.
Atlanta, Georgia, 30309
MedStar Neurosciences and Rehabilitation Research Network
Baltimore, Maryland, 21218
MedStar Neurosciences and Rehabilitation
Baltimore, Maryland, 21218
MedStar Franklin Square Hospital Center
Baltimore, Maryland, 21237
Medstar Franklin Square Medical Center
Baltimore, Maryland, 21237
Central Research Associates
Birmingham, Alabama, 35205
Neurology Offices
Boca Raton, Florida, 33432
Integrative Clinical Trials, LLC
Brooklyn, New York, 11229
Minneapolis Clinic-Neurology
Burnsville, Minnesota, 55306
Profound Research. LLC - NCSC
Carlsbad, California, 92011
Crescent City Headache and Neurology Center, LLC
Chalmette, Louisiana, 70043
MD First Research - Chandler - Neurology
Chandler, Arizona, 85224
MD First Research - Chandler
Chandler, Arizona, 85286
UC Gardner Neuroscience Institute
Cincinnati, Ohio, 45219
Ochsner Health Center - Covington
Covington, Louisiana, 70433
Zenos Clinical Research - Internal Medicine
Dallas, Texas, 75201
Neurology Diagnostics, Inc.
Dayton, Ohio, 45459
M3Wake -PRI Encino
Encino, California, 91316
WR-PRI Encino
Encino, California, 91316
Advanced Neuroscience Research Center, LLC
Fort Collins, Colorado, 80501
Advanced Neuroscience Research Center, LLC - Neurology
Fort Collins, Colorado, 80524
Neurology Center of NE,PC - Neurology
Foxborough, Massachusetts, 02035
Neuro-Pain Medical Center
Fresno, California, 93710
Lone Star Neurology
Frisco, Texas, 75034
Fullerton Neurological Center - Neurology
Fullerton, California, 92832
Neurology Center of North Orange County
Fullerton, California, 92832
Michigan Center of Medical Research
Grand Blanc, Michigan, 48439
AGA Clinical Trials
Hialeah, Florida, 33012
Elevate Clinical Research - Houston
Houston, Texas, 77002
Javara Inc. - Houston, TX
Houston, Texas, 77002
Marshall Health Clinical Research Center
Huntington, West Virginia, 25701
Rehabilitation & Neurological Services, LLC
Huntsville, Alabama, 35801
Frontier Clinical Research, LLC - Kingwood
Kingwood, West Virginia, 26537
Kaizen Brain Center
La Jolla, California, 92037
M3 Wake Research/MSRA, LLC
Lake City, Florida, 32055
M3 Wake Research/MSRA,LLC
Lake City, Florida, 32055
Alliance Clinical Las Vegas (Excel Clinical Research) - Internal Medicine
Las Vegas, Nevada, 89101
Pharmacology Research Institute (PRI)
Los Alamitos, California, 90720
Clinical Neuroscience Solutions, Inc - Memphis
Memphis, Tennessee, 38119
Clinical Neuroscience Solutions, Inc.
Memphis, Tennessee, 38119
Javara Inc. - New Caney, TX
New Caney, Texas, 77357
DelRicht Research
New Orleans, Louisiana, 70112
DelRicht Research at Touro Medical Center
New Orleans, Louisiana, 70115
LSU Healthcare Network Orthopedic & Sports Medicine
New Orleans, Louisiana, 70115
Pharmacology Research Institute (PRI) - Los Alamitos/Long Beach
Newport Beach, California, 92660
Renstar Medical Research
Ocala, Florida, 34471
Clinical Neuroscience Solutions, Inc.
Orlando, Florida, 32801
Papillion Research Center/Avacare
Papillion, Nebraska, 68046
Profound Research, LLC
Pasadena, California, 91105
Emerald Coast Center For Neurological Disorders
Pensacola, Florida, 32502
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Preferred Primary Care Physicians - Curry Hollow
Pittsburgh, Pennsylvania, 15236
J. Lewis Research-Site Number:8400053
Salt Lake City, Utah, 84101
Acclaim Clinical Research - Internal Medicine
San Diego, California, 92101
New England Institute for Neurology and Headache (NEINH)/Medical Practice
Stamford, Connecticut, 06901
Puget Sound Neurology - Neurology
Tacoma, Washington, 98409
Montefiore Medical Center: Headache Center
The Bronx, New York, 10461
Clinical Trials Management LLC
Thousand Oaks, California, 91360
MedVadis Research
Waltham, Massachusetts, 02451
Alliance Clinical West Hills (Focus Clinical Research)
West Hills, California, 91307
ChronicleBio
West Valley City, Utah, 84119
Mass Institute of Clinical Research
Westborough, Massachusetts, 01581
Upstate Clinical Research Associates - Research Center
Williamsville, New York, 14221
Upstate Clinical Research Associates
Williamsville, New York, 14221
Conquest Research
Winter Park, Florida, 32789
Poland17 sites
Synexus Polska Sp. z o.o.
Częstochowa
Silmedic sp. z o.o.
Katowice
Synexus Katowice
Katowice
Uniwersyteckie Centrum Kliniczne im. prof. K. Gibinskiego Slaskiego Uniwersytetu Medycznego w Katowicach
Katowice
Centrum Medyczne PROMED
Krakow
CM Linden
Krakow
FutureMeds Krakow
Krakow
Specjalistyczne Gabinety Sp. z o.o.
Krakow
FutureMeds Lodz
Lodz
Instytut Zdrowia Dr Boczarska-Jedynak Sp. z o.o. S.K.
Oświęcim
Synexus Polska Sp. z o.o. - Oddzial w Gdyni
Pomorskie
Velocity Nova Sp. z o.o - Velocity Pulawy
Puławy
ETG Siedlce
Siedlce
Centrum Leczenia Zaburzen Pamieci i Neuroobrazowania Affidea
Warsaw
City Clinic Research Sp. z o.o.
Warsaw
ETG Neuroscience Sp. z o.o.
Warsaw
MIGRE Polskie Centrum Leczenia Migreny Anna Gryglas-Dworak
Wroclaw
Japan11 sites
Ikeda Neurosurgical Clinic - Neurosurgery
Fukuoka
DOI Internal Medicine/Neurology Clinic
Hiroshima
Konankai Konan Medical Center - Neurology
Hyōgo
Tanaka Neurosurgery & Headache Clinic
Kagoshima
Ishikawa Clinic
Kyoto
Sendai Zutsu No-Shinkei Clinic - Neurology
Miyagi
Tominaga Clinic - Neurology
Osaka
Japanese Red Cross Shizuoka Hospital - Neurology
Shizuoka
Iwata Neurosurgery Clinic
Tokyo
Kitasato University Kitasato Institute Hospital - Urology - Neurology
Tokyo
Nagamitsu Clinic - Neurology
Yamaguchi
Germany9 sites
Charite - Universitaetsmedizin Berlin - Neurology
Berlin
FutureMeds Berlin (emovis)
Berlin
Universitaetsklinikum Carl Gustav Carus an der Technischen Universitaet Dresden - UniversitaetsSchmerzCentrum - USC
Dresden
Universitätsklinikum Essen (AöR)
Essen
Kopfschmerzzentrum Frankfurt
Frankfurt
Praxis Dr. Oehlwein
Gera
Schmerz- und Palliativzentrum Goeppingen
Göppingen
Universitaetsmedizin Greifswald
Greifswald
NeuroPoint
Ulm
Czechia7 sites
Pratia Brno s.r.o.
Brno
NEUROHK s.r.o.
Choceň
NeuropsychiatrieHK, s.r.o.
Hradec Králové
Fakultni nemocnice Ostrava - Neurologicka klinika
Ostrava
Pratia Pardubice a.s.
Pardubice
AXON clinical
Prague
DADO MEDICAL s.r.o.
Prague
New Zealand7 sites
Optimal Clinical Trials
Auckland
New Zealand Brain Research Institute at University of Otago
Christchurch
Optimal Clinical Trials - Christchurch
Christchurch
Pacific Clinical Research Network (PCRN) - Christchurch
Christchurch
Pacific Clinical Research Network (PCRN) - Tasman
Nelson
Pacific Clinical Research Network (PCRN) - Auckland
Takapuna
Lakeland Clinical Trials Wellington
Upper Hutt
South Korea7 sites
Hallym University Dongtan Sacred Heart Hospital - Neurology
Gyeonggi-do
Inje University Ilsan Paik Hospital - Allergology
Gyeonggi-do
Ewha Womans University Seoul Hospital - Neurology
Seoul
Kangbuk Samsung Hospital - Neurology
Seoul
Nowon Eulji Medical Center, Eulji University - Neurology
Seoul
Seoul National University Hospital
Seoul
Severance Hospital, Yonsei University Health System
Seoul
Spain7 sites
Hospital Clinic de Barcelona - Neurología
Barcelona
Hospital Universitario Vall d'Hebron - Enfermedades Infecciosas
Barcelona
FutureMeds Spain Cádiz
Cadiz
FutureMeds Madrid
Madrid
Hospital Universitario Marqués de Valdecilla - Neurologia
Santander
Hospital Universitario Virgen del Rocio
Seville
Hospital Clinico Universitario de Valladolid - Gastroenterology
Valladolid
Canada6 sites
CaRe Clinic - Calgary
Calgary
University of Calgary Foothills Campus
Calgary
Centre de Recherche Saint-Louis (Lévis) - Clinique Neuro-Lévis
Lévis
Centre de Recherche Saint-Louis (Quebec) - Clinique Médicale Saint-Louis
Québec
CaRe Clinic Red Deer
Red Deer
Bluewater Clinical Research Group Inc.
Sarnia
Georgia6 sites
Ltd "Health"
Batumi
"Pineo Medical Ecosystem" LTD
Tbilisi
LTD "Israel-Georgian Medical Research Clinic Healthycore"
Tbilisi
LTD "Multiprofile Clinic Consilium Medulla"
Tbilisi
LTD New Hospitals - Neurology
Tbilisi
Ltd. S.Khechinashvili University Clinic
Tbilisi
Brazil5 sites
Instituto de Neurologia de Curitiba
Paraná
Associação Hospitalar Moinhos de Vento
Rio Grande
A2Z Clinical
São Paulo
Hospital Alemao Oswaldo Cruz
São Paulo
Pseg Centro de Pesquisa Clínica S.A
São Paulo
France5 sites
CHU Amiens Sud-Centre Rech Clinique
Amiens
Centre Hospitalier Regional Universtaire De Clermont-Ferrand - Neurologie
Clermont-Ferrand
CHU de Nantes - Hôpital Laennec - Neurology
Nantes
CHU Nimes - Hôpital Caremeau - Service de Neurologie
Nîmes
Assistance Publique-Hopitaux de Paris (AP-HP) - Unite de Recherche Clinique Saint-Louis Lariboisere-Ferd Widal
Paris
United Kingdom4 sites
Royal Devon And Exeter Hospital - Neurology
Exeter
Hull University Teaching Hospitals NHS Trust - Hull Royal Infirmary
Hull
Walton Centre For Neurology And Neurosurgery
Liverpool
King's College Hospital
London
Australia3 sites
The Alfred Hospital - Neurology
Melbourne
Western Health - Neurology & Stroke Services
Saint Albans
The Royal Melbourne Hospital - Neurology
Victoria Park
About this study
Official title: A Multicentre, Randomised, Double-blind, Placebo-controlled, Dose Escalation and Dose Finding Phase II Study to Evaluate the Safety and Efficacy of IPN10200 in the Prevention of Episodic or Chronic Migraine in Adults
A migraine is a headache with severe throbbing pain or a pulsating sensation, usually on one side of the head. It is often accompanied by feeling or being sick and a sensitivity to bright lights and sound. Migraines are caused by a series of events when the brain gets stimulated or activated, which causes the release of chemicals that cause pain. Corabotase (also known as IPN10200) is a medication that stops the release of these chemical messengers.
Participants with episodic migraine (EM) or chronic migraine (CM) will be included in both Step 1 and Step 2. "Headache days" are when participants experience headaches that meet the criteria for a migraine or a headache without the additional migraine-specific symptoms. "Migraine days" occur when the headache displays clear migraine characteristics.
Read more
This study aims to determine:
- The safety and efficacy of injecting Corabotase directly into the muscles of the head and neck to prevent EM and CM,
- The right amount (dose) of Corabotase to inject at each point,
- The total amount (dose) of Corabotase that provides the best balance between safety and efficacy preventing migraines.
Participants will need to complete a daily electronic migraine Diary (eDiary) and questionnaires throughout the study. The total study duration for a participant will be up to 44 weeks.
Read the detailed description
The study will consist of 3 periods:
- A 'screening period' to assess whether the participant can take part in the study.
- Step 1 is divided in two cohorts. The study will assess sequentially the safety of two doses of Corabotase, a lower dose in the cohort 1 and a higher dose in cohort 2. Participants will be administered with the study drug or placebo. The treatment is injected in muscles of the head, face and neck. The safety of participants is monitored throughout the 36 weeks at each cohort.
- Step 2: In this step, new eligible participants will be divided into two groups based on their diagnosis (EM or CM). These groups will then be randomly assigned to one of three intervention groups: Dose A, Dose B, or a placebo. The intervention will be given in a series of injections in muscles of the head, face and neck. Participants will be monitored for both efficacy and safety until they complete the Week 36 visit (the end of study).
- Conditions
- Episodic Migraine, Chronic Migraine
- Being tested
- Corabotase, Placebo, Corabotase dose A, Corabotase dose B
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CorabotaseBiological
Lyophilised powder
PlaceboOther
Excipients without active substance, Lyophilised powder
Corabotase dose ABiological
Lyophilised powder
Corabotase dose BBiological
Lyophilised powder
| Study group | Role | What they receive |
|---|---|---|
| Step 1 - Cohort 1- Corabotase | Experimental | Participants will receive Corabotase dose A through injections at Day 1. Receives: Biological: Corabotase |
| Step 1 - Cohort 1 - Placebo | Placebo comparator | Participants will receive placebo through injections at Day 1. Receives: Other: Placebo |
| Step 1 - Cohort 2 - Corabotase | Experimental | Participants will receive Corabotase dose B through injections at Day 1. Receives: Biological: Corabotase |
| Step 1 - Cohort 2 - Placebo | Placebo comparator | Participants will receive placebo through injections at Day 1. Receives: Other: Placebo |
| Step 2- EM group Corabotase Dose A | Experimental | Dose A will be administered to the participants in a single treatment cycle. Receives: Biological: Corabotase dose A |
| Step 2- EM group Corabotase Dose B | Experimental | Dose B will be administered to the participants in a single treatment cycle Receives: Biological: Corabotase dose B |
| Step 2- EM group placebo | Placebo comparator | Placebo will be administered to the participants in a single treatment cycle Receives: Other: Placebo |
| Step 2- CM group Corabotase Dose A | Experimental | Dose A will be administered to the participants in a single treatment cycle Receives: Biological: Corabotase dose A |
| Step 2- CM group Corabotase Dose B | Experimental | Dose B will be administered to the participants in a single treatment cycle Receives: Biological: Corabotase dose B |
| Step 2- CM group placebo | Placebo comparator | Placebo will be administered to the participants in a single treatment cycle Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of participants experiencing any Adverse Event (AEs) including treatment emergent adverse events (TEAEs), serious adverse events (SAEs), adverse event of special interest (AESI) and AE leading to treatment discontinuation
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. TEAE is an AE for which the start date is on or after the date that the intervention began.
Measured: For step 1: From baseline until end of study at Week 36
Percentage of Participants with clinically significant changes from baseline in Laboratory Parameters
Clinically significant change in laboratory parameters will be reported. The clinical significance will graded by the investigator.
Measured: For step 1: At all timepoints post injection until Week 36
Percentage of Participants With Clinically Significant Changes from baseline in Vital Signs
Clinically significant changes in vital signs will be reported. The clinical significance will be graded by the investigator.
Measured: For step 1: At all timepoints post injection until Week 36
Percentage of participants with clinically significant change from baseline in facial examination
Clinically significant changes in facial examination and focused neurological/physical examinations will be reported. The clinical significance will be graded by the investigator.
Measured: For step 1: At all timepoints post injection until Week 36
Percentage of participants with clinically significant change from baseline in 12-lead Electrocardiogram (ECG) readings
Measured: For step 1: At all timepoints post injection until Week 36
Treatment-emergence of suicidal ideation/suicidal behaviour
It will be assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) questionnaire that consists of 2 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.
Measured: For step 1: At all timepoints post injection until Week 36
Percentage of participants with Binding antibodies to IPN10200
Measured: For step 1: At baseline, Week 4, Week 12 and Week 36.
Percentage of participants with neutralising antibodies to IPN10200
Measured: For step 1: At baseline, Week 4, Week 12 and Week 36.
Change from baseline in the number of Monthly migraine days (MMD)s
Measured: For step 2: At Week 12 (Weeks 9-12).
Secondary outcomes (9)
Change from baseline in the number of MMD
Measured: For Step 1 and step 2: From Week 1 to Week 36.
Change from baseline in the number of Monthly Headache Days (MHD)
Measured: For Step 1 and step 2: From Week 1 to Week 36
Change from baseline in the number of moderate/severe MHD
Measured: For Step 1 and step 2: From Week 1 to Week 36
Migraine prevention response
Migraine prevention response is assessed using two thresholds: by a reduction from baseline of either ≥50% or ≥75% in MMD
Measured: For Step 1 and step 2: From Week 1 to Week 36
Headache prevention response
Assessed using two thresholds: by a reduction from baseline of either ≥50% or ≥ 75% in MHD
Measured: For Step 1 and step 2: From Week 1 to Week 36.
Change from baseline in the number of days per 4 week period of acute medication use for migraine relief.
An acute medication use day is defined as any day on which a participant reports, per eDiary, the intake of allowed medication(s) for the acute treatment of migraine.
Measured: For Step 1 and step 2: From Week 1 to Week 36.
The use of acute migraine medication (yes or no)
The use of acute migraine medication will be recorded in the daily eDiary.
Measured: For Step 1 and step 2: From Week 1 to Week 36.
Percentage of participants with Binding antibodies to IPN10200
Measured: For step 2 : At baseline, Week 4, Week 12 , Week 24 and Week 36.
Percentage of participants with neutralising antibodies to IPN10200
Measured: For step 2 : At baseline, Week 4, Week 12 , Week 24 and Week 36.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Oct 2024
- Study start10 Oct 2024
- Primary completion31 Oct 2027 (estimated)
- Study completion31 Oct 2027 (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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Model Description
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 670 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
- NCT06625060
- Sponsor's protocol ID
- CLIN-10200-454
- Other IDs
- 2024-511101-28-00
- Acronym
- MERANTI
- Status last verified
- Sep 2026
- First submitted
- 1 Oct 2024
- Last updated
- 8 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 8 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicentre, Randomised, Double-blind, Placebo-controlled, Dose Escalation and Dose Finding Phase II Study to Evaluate the Safety and Efficacy of IPN10200 in the Prevention of Episodic or Chronic Migraine in Adults
- ClinicalTrials.gov ID
- NCT06625060
- Acronym / sponsor ID
- MERANTI / CLIN-10200-454
- Conditions
- Episodic Migraine, Chronic Migraine
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 670 participants (actual)
- Lead sponsor
- IpsenIndustry (pharma, biotech, devices)
- Study start
- 10 Oct 2024 (actual)
- Primary completion
- 31 Oct 2027 (estimated)
- Study completion
- 31 Oct 2027 (estimated)
- First posted
- 3 Oct 2024 (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.
A migraine is a headache with severe throbbing pain or a pulsating sensation, usually on one side of the head. It is often accompanied by feeling or being sick and a sensitivity to bright lights and sound. Migraines are caused by a series of events when the brain gets stimulated or activated, which causes the release of chemicals that cause pain. Corabotase (also known as IPN10200) is a medication that stops the release of these chemical messengers.
Participants with episodic migraine (EM) or chronic migraine (CM) will be included in both Step 1 and Step 2. "Headache days" are when participants experience headaches that meet the criteria for a migraine or a headache without the additional migraine-specific symptoms. "Migraine days" occur when the headache displays clear migraine characteristics.
This study aims to determine:
- The safety and efficacy of injecting Corabotase directly into the muscles of the head and neck to prevent EM and CM,
- The right amount (dose) of Corabotase to inject at each point,
- The total amount (dose) of Corabotase that provides the best balance between safety and efficacy preventing migraines.
Participants will need to complete a daily electronic migraine Diary (eDiary) and questionnaires throughout the study. The total study duration for a participant will be up to 44 weeks.
Detailed description
The study will consist of 3 periods:
- A 'screening period' to assess whether the participant can take part in the study.
- Step 1 is divided in two cohorts. The study will assess sequentially the safety of two doses of Corabotase, a lower dose in the cohort 1 and a higher dose in cohort 2. Participants will be administered with the study drug or placebo. The treatment is injected in muscles of the head, face and neck. The safety of participants is monitored throughout the 36 weeks at each cohort.
- Step 2: In this step, new eligible participants will be divided into two groups based on their diagnosis (EM or CM). These groups will then be randomly assigned to one of three intervention groups: Dose A, Dose B, or a placebo. The intervention will be given in a series of injections in muscles of the head, face and neck. Participants will be monitored for both efficacy and safety until they complete the Week 36 visit (the end of study).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 10
- Model description
- Model Description
| Arm | Type | Receives |
|---|---|---|
| Step 1 - Cohort 1- Corabotase | Experimental | Biological: CorabotaseParticipants will receive Corabotase dose A through injections at Day 1. |
| Step 1 - Cohort 1 - Placebo | Placebo comparator | Other: PlaceboParticipants will receive placebo through injections at Day 1. |
| Step 1 - Cohort 2 - Corabotase | Experimental | Biological: CorabotaseParticipants will receive Corabotase dose B through injections at Day 1. |
| Step 1 - Cohort 2 - Placebo | Placebo comparator | Other: PlaceboParticipants will receive placebo through injections at Day 1. |
| Step 2- EM group Corabotase Dose A | Experimental | Biological: Corabotase dose ADose A will be administered to the participants in a single treatment cycle. |
| Step 2- EM group Corabotase Dose B | Experimental | Biological: Corabotase dose BDose B will be administered to the participants in a single treatment cycle |
| Step 2- EM group placebo | Placebo comparator | Other: PlaceboPlacebo will be administered to the participants in a single treatment cycle |
| Step 2- CM group Corabotase Dose A | Experimental | Biological: Corabotase dose ADose A will be administered to the participants in a single treatment cycle |
| Step 2- CM group Corabotase Dose B | Experimental | Biological: Corabotase dose BDose B will be administered to the participants in a single treatment cycle |
| Step 2- CM group placebo | Placebo comparator | Other: PlaceboPlacebo will be administered to the participants in a single treatment cycle |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF. Participant has provided written informed consent and signed privacy/data protection documentation;
- Male or female ≥18 to 80 years of age at the time of signing the informed consent;
- Diagnosis of either EM or CM, per ICHD-3 criteria, for at least 12 months prior to the screening visit;
- Diagnosis of migraine at ≤50 years of age;
- Participants in the EM group: History of EM diagnosis and headache frequency (i.e. migraine and non-migraine headache): ≤14 headache days in the 4 weeks prior to randomisation on study Day 1 based on information recorded in the eDiary; migraine frequency: ≥6 migraine days in the 4 weeks prior to randomisation on study Day 1 based on information recorded in the eDiary;
Key exclusion criteria (28 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 (MOH);
- Current uncontrolled psychiatric or psychological condition, or one that could confound assessment of headaches/migraines or interfere with study participation;
- Risk of self-harm or harm to others as evidenced by past suicidal behaviour or endorsing items 3, 4, or 5 on the C-SSRS at screening or Day 1.
- Participants presenting with a swallowing disorder of any origin which might be exacerbated by botulinum toxin treatment, such as:
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 |
|---|---|---|
| CorabotaseLyophilised powder | Biological | Step 1 - Cohort 1- Corabotase, Step 1 - Cohort 2 - Corabotase |
| PlaceboExcipients without active substance, Lyophilised powder | Other | Step 1 - Cohort 1 - Placebo, Step 1 - Cohort 2 - Placebo, Step 2- CM group placebo, Step 2- EM group placebo |
| Corabotase dose ALyophilised powder | Biological | Step 2- CM group Corabotase Dose A, Step 2- EM group Corabotase Dose A |
| Corabotase dose BLyophilised powder | Biological | Step 2- CM group Corabotase Dose B, Step 2- EM group Corabotase Dose B |
Primary outcome
Percentage of participants experiencing any Adverse Event (AEs) including treatment emergent adverse events (TEAEs), serious adverse events (SAEs), adverse event of special interest (AESI) and AE leading to treatment discontinuation
Time frame: For step 1: From baseline until end of study at Week 36
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. TEAE is an AE for which the start date is on or after the date that the intervention began.
Percentage of Participants with clinically significant changes from baseline in Laboratory Parameters
Time frame: For step 1: At all timepoints post injection until Week 36
Clinically significant change in laboratory parameters will be reported. The clinical significance will graded by the investigator.
Percentage of Participants With Clinically Significant Changes from baseline in Vital Signs
Time frame: For step 1: At all timepoints post injection until Week 36
Clinically significant changes in vital signs will be reported. The clinical significance will be graded by the investigator.
Percentage of participants with clinically significant change from baseline in facial examination
Time frame: For step 1: At all timepoints post injection until Week 36
Clinically significant changes in facial examination and focused neurological/physical examinations will be reported. The clinical significance will be graded by the investigator.
Percentage of participants with clinically significant change from baseline in 12-lead Electrocardiogram (ECG) readings
Time frame: For step 1: At all timepoints post injection until Week 36
Treatment-emergence of suicidal ideation/suicidal behaviour
Time frame: For step 1: At all timepoints post injection until Week 36
It will be assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) questionnaire that consists of 2 subscales: 1. Ideation severity subscale: questions answered yes/no, severity of ideation scored 1-5 with 5 being most severe 2. Intensity of ideation subscale : scores range from 2-25 with higher scores indicating more severe intensity of ideation.
Percentage of participants with Binding antibodies to IPN10200
Time frame: For step 1: At baseline, Week 4, Week 12 and Week 36.
Percentage of participants with neutralising antibodies to IPN10200
Time frame: For step 1: At baseline, Week 4, Week 12 and Week 36.
Change from baseline in the number of Monthly migraine days (MMD)s
Time frame: For step 2: At Week 12 (Weeks 9-12).
9 secondary outcomes
Change from baseline in the number of MMD
Time frame: For Step 1 and step 2: From Week 1 to Week 36.
Change from baseline in the number of Monthly Headache Days (MHD)
Time frame: For Step 1 and step 2: From Week 1 to Week 36
Change from baseline in the number of moderate/severe MHD
Time frame: For Step 1 and step 2: From Week 1 to Week 36
Migraine prevention response
Time frame: For Step 1 and step 2: From Week 1 to Week 36
Headache prevention response
Time frame: For Step 1 and step 2: From Week 1 to Week 36.
Change from baseline in the number of days per 4 week period of acute medication use for migraine relief.
Time frame: For Step 1 and step 2: From Week 1 to Week 36.
The use of acute migraine medication (yes or no)
Time frame: For Step 1 and step 2: From Week 1 to Week 36.
Percentage of participants with Binding antibodies to IPN10200
Time frame: For step 2 : At baseline, Week 4, Week 12 , Week 24 and Week 36.
Percentage of participants with neutralising antibodies to IPN10200
Time frame: For step 2 : At baseline, Week 4, Week 12 , Week 24 and Week 36.
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 8 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
162 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Corabotase, Corabotase dose A and Corabotase dose B in people with Episodic Migraine and Chronic Migraine, run by Ipsen at 162 sites in 14 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 7 inclusion and 28 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 8 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 162 sites in United States, Poland, Japan, Germany, Czechia and 9 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
Percentage of participants experiencing any Adverse Event (AEs) including treatment emergent adverse events (TEAEs), serious adverse events (SAEs), adverse event of special interest (AESI) and AE leading to treatment discontinuation (time frame: For step 1: From baseline until end of study at Week 36). The study lists 9 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 8 Sep 2026.