Evaluation of Efficay & Safety of Galcanezumab in the Pre... | NCT02614196 | Trialant
NCT02614196
Sponsor
Eli Lilly and Company
Status
Completed
Last Update Posted
Jun 17, 2020Actual
Enrollment
986Actual
Phase
Phase 3
Conditions
Migraine
Interventions
Galcanezumab
Placebo
Countries
United States
Argentina
Czechia
Germany
Israel
Mexico
Netherlands
Puerto Rico
South Korea
Spain
Taiwan
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT02614196
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
15768
Secondary IDs
ID
Type
Description
Link
I5Q-MC-CGAH
Other Identifier
Eli Lilly and Company
2015-001882-17
EudraCT Number
Brief Title
Evaluation of Efficay & Safety of Galcanezumab in the Prevention of Episodic Migraine- the EVOLVE-2 Study
Official Title
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of LY2951742 in Patients With Episodic Migraine - the EVOLVE-2 Study
Acronym
EVOLVE-2
Organization
Eli Lilly and CompanyINDUSTRY
Status Module
Record Verification Date
Jun 2020
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Dec 4, 2015Actual
Primary Completion Date
Mar 29, 2017Actual
Completion Date
Oct 5, 2018Actual
First Submitted Date
Nov 23, 2015
First Submission Date that Met QC Criteria
Nov 23, 2015
First Posted Date
Nov 25, 2015Estimated
Results Waived
Not provided
Results First Submitted Date
Aug 23, 2018
Results First Submitted that Met QC Criteria
Dec 12, 2018
Results First Posted Date
Jan 7, 2019Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Mar 15, 2018
Certification/Extension First Submitted that Passed QC Review
Mar 15, 2018
Certification/Extension First Posted Date
Mar 19, 2018Actual
Last Update Submitted Date
Jun 10, 2020
Last Update Posted Date
Jun 17, 2020Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Eli Lilly and CompanyINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The main purpose of this study is to evaluate the efficacy and safety of the study drug known as galcanezumab in participants with episodic migraine.
Detailed Description
Not provided
Conditions Module
Conditions
Migraine
Keywords
prevention
prophylaxis
headache
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
986Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Galcanezumab 120mg
Experimental
Galcanezumab 240mg given as loading dose at first dosing visit followed by galcanezumab 120mg once a month for 5 months by subcutaneous (SC) injection.
Drug: Galcanezumab
Galcanezumab 240mg
Experimental
Galcanezumab 240mg given by SC injection once a month for 6 months.
Drug: Galcanezumab
Placebo
Placebo Comparator
Placebo given by SC injection once a month for 6 months.
Drug: Placebo
Galcanezumab 120mg Maximum Extended Enrollment Cohort
Experimental
Galcanezumab 240mg given as loading dose at first dosing visit followed by galcanezumab 120mg once a month for 5 months by subcutaneous (SC) injection.
Drug: Galcanezumab
Galcanezumab 240mg Maximum Extended Enrollment Cohort
Experimental
Galcanezumab 240mg given by SC injection once a month for 6 months.
Drug: Galcanezumab
Placebo Maximum Extended Enrollment Cohort
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Galcanezumab
Drug
Administered SC
Galcanezumab 120mg
Galcanezumab 120mg Maximum Extended Enrollment Cohort
Galcanezumab 240mg
Galcanezumab 240mg Maximum Extended Enrollment Cohort
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days
Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred.
Migraine Headache : A headache, with or without aura, of ≥30 minutes duration with both of the following required features (A and B):
A) At least 2 of the following headache characteristics: Unilateral location; Pulsatile quality; Moderate or severe pain intensity; Aggravation by or causing avoidance of routine physical activity; AND B) During headache at least one of the following: Nausea and/or vomiting; Photophobia and phonophobia;
Overall mean is derived from the average of months 1 to 6 from mixed model repeated measures (MMRM) model. Least Square (LS) mean was calculated using mixed model repeated measures (MMRM) model with treatment, pooled country, month, and treatment by month, baseline, and baseline by month as fixed effects.
Baseline, Month 1 through Month 6
Secondary Outcomes
Measure
Description
Time Frame
Mean Percentage of Participants With Reduction From Baseline ≥50%, ≥75%, and 100% in Monthly Migraine Headache Days
Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred.
Mean is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, baseline.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Have a diagnosis of migraine as defined by International Headache Society (IHS) International Classification of Headache Disorders (ICHD)-3 beta version (1.1 or 1.2) (ICHD-3 2013), with a history of migraine headaches of at least 1 year prior to screening, migraine onset prior to age 50 and MONTHLY frequency of 4-14 MHD.
Exclusion Criteria:
Are currently enrolled in or have participated within the last 30 days or within 5 half-lives (whichever is longer) in a clinical trial involving an investigational product.
Current use or prior exposure to galcanezumab or another Calcitonin Gene-Related Peptide (CGRP) antibody.
Known hypersensitivity to multiple drugs, monoclonal antibodies or other therapeutic proteins, or to galcanezumab.
History of persistent daily headache, cluster headache or migraine subtypes including hemiplegic (sporadic or familial) migraine, ophthalmoplegic migraine, and migraine with brainstem aura (basilar-type migraine) defined by IHS ICHD-3 beta.
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
65 Years
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Ailani J, Kuruppu DK, Rettiganti M, Oakes T, Schroeder K, Wietecha L, Port M, Blumenfeld AM. Does "wearing off" of efficacy occur in galcanezumab-treated patients at the end of the monthly treatment cycle? Post hoc analyses of four phase III randomized trials. Headache. 2022 Feb;62(2):198-207. doi: 10.1111/head.14257. Epub 2022 Jan 25.
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Types
Study Protocol
Statistical Analysis Plan (SAP)
Clinical Study Report (CSR)
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Participants received placebo by subcutaneous injection once a month for 6 months during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
FG001
Galcanezumab 120mg
Periods
Title
Milestones
Reasons Not Completed
Double Blind Treatment Phase
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Jan 22, 2016
Oct 1, 2018
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Brazil
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Double
Masking Description
Sponsor is also masked.
Who Masked
ParticipantInvestigator
Placebo Comparator
Placebo given by SC injection once a month for 6 months.
Drug: Placebo
LY2951742
Placebo
Drug
Administered SC
Placebo
Placebo Maximum Extended Enrollment Cohort
Baseline, Month 1 through Month 6
Mean Change From Baseline in the Migraine-Specific Quality of Life Questionnaire (MSQ) Version 2.1 Role Function Restrictive Domain
MSQ v2.1 was developed to address physical & emotional limitations of specific concern to individuals with migraine.
It consists of 14 items that address 3 domains:(1) Role Function-Restrictive (items 1-7);(2) Role Function- Preventive (items 8-11);&(3) Emotional Function (items 12-14).Response options range from "none of the time" (value 1) to "all of the time" (value 6), & are reverse-recoded (value 6 to 1) before the domain scores are calculated.Total raw scores for each domain is the sum of the final item value for all of the items in that domain.After the total raw score is computed for each domain, they are transformed to a 0-100 scale with higher scores indicating a better health status & a positive change in scores reflecting functional improvement.
Mean is derived from the average of months 4 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline by month & baseline MHD category as fixed factors.
Baseline, Month 4 through Month 6
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days Requiring Medication for the Acute Treatment of Migraine or Headache
Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred.
Overall mean is derived from the average of months 1 to 6 from MMRM model.LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed effects.
Baseline, Month 1 through Month 6
Mean Change From Baseline in Patient Global Impression of Severity (PGI-S) Rating
The PGI-S scale is a participant-rated instrument that measures patients own global impression of their illness severity. The participant was instructed as follows: "Considering migraine as a chronic condition, how would you rate your level of illness?" Response options were from 1 ("normal, not at all ill") to 7 ("extremely ill"). Mean is derived from the average of months 4 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed factors.
Baseline, Month 4 through Month 6
Overall Mean Change From Baseline in Headache Hours
Headache Hours is calculated as the total number of headache hours on which a headache occurred. Overall mean is derived from the average of months 1 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month and baseline MHD category.
Baseline, Month 1 through Month 6
Mean Change From Baseline in the Migraine Disability Assessment Test (MIDAS) Total Score
The MIDAS is a participant-rated scale which was designed to quantify headache-related disability over a 3-month period. This instrument consists of five items that reflect the number of days reported as missing or with reduced productivity at work or home, and the number of days of missed social events. Each item has a numeric response range from 0 to 90 days, if days are missed from work or home they are not counted as days with reduced productivity at work or home. The numeric responses are summed to produce a total score ranging from 0 to 270, in which a higher value is indicative of more disability.
LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed factors.
Baseline, Month 6
Percentage of Participants Developing Anti-drug Antibodies (ADA) to Galcanezumab
Treatment emergent (TE) ADA evaluable participant is considered to be TE ADA+ if the subject has at least one post-baseline titer that is a 4-fold or greater increase in titer from baseline measurement. If baseline result is ADA Not Present, then the participant is TE ADA+ if there is at least one post-baseline result of ADA present with titer >= 1: 20.
Month 1 through Month 6
Pharmacokinetics (PK): Serum Concentrations of Galcanezumab
Pharmacokinetics (PK): Serum Concentrations of Galcanezumab.
Month 6
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP).
Month 6
Phoenix
Arizona
85023
United States
Axiom Research
Apple Valley
California
92307
United States
Cedars Sinai Medical Center
Los Angeles
California
90048
United States
Catalina Research Institute, LLC
Montclair
California
91763
United States
Pacific Research Partners, LLC
Oakland
California
94607
United States
Medical Center for Clinical Research
San Diego
California
92108
United States
Optimus Medical Group
San Francisco
California
94102
United States
Schuster Medical Research Institute
Sherman Oaks
California
91403
United States
IMMUNOe International Research Centers
Centennial
Colorado
80112
United States
Clinical Research of South Florida
Coral Gables
Florida
33134
United States
Sunrise Clinical Research
Hollywood
Florida
33021
United States
Westside Center for Clinical Research
Jacksonville
Florida
32205
United States
Clinical Neuroscience Solutions Inc
Jacksonville
Florida
32256
United States
Sensible Healthcare
Ocoee
Florida
34761
United States
Meridien Research
Tampa
Florida
33634
United States
Atlanta Center of Medical Research
Atlanta
Georgia
30331
United States
Christie Clinic, LLC
Champaign
Illinois
61820
United States
Diamond Headache Clinic
Chicago
Illinois
60642
United States
Josephson Wallack Munshower Neurology
Indianapolis
Indiana
46256
United States
Heartland Research Associates
Wichita
Kansas
67205
United States
Novex Clinical Research
New Bedford
Massachusetts
02740
United States
QUEST Research Institute
Farmington Hills
Michigan
48334
United States
Healthcare Research Network - Hazelwood
Hazelwood
Missouri
63042
United States
Nevada Headache Institute
Las Vegas
Nevada
89113
United States
Bio Behavioral Health
Toms River
New Jersey
08755
United States
Albuquerque Clinical Trials
Albuquerque
New Mexico
87102
United States
Regional Clinical Research
Binghamton
New York
13760
United States
SPRI Clinical Trials, LLC.
Brooklyn
New York
11235
United States
High Point Clinical Trials Center
High Point
North Carolina
27265
United States
Neurology & Neuroscience Associates, Inc.
Akron
Ohio
44320
United States
Univ of Cincinnati College of Medicine
Cincinnati
Ohio
45219
United States
Urgent Care Specialists, LLC
Columbus
Ohio
43214
United States
Urgent Care Specialists, LLC
Dayton
Ohio
45424
United States
IPS Research Company
Oklahoma City
Oklahoma
73103
United States
Oregon Neurology Associates
Springfield
Oregon
97477
United States
Clinical Research of Philadelphia
Philadelphia
Pennsylvania
19114
United States
Mountain View Clinical Research, Inc
Greer
South Carolina
29651
United States
Coastal Carolina Research Center, Inc.
Mt. Pleasant
South Carolina
29464
United States
FutureSearch Trials
Dallas
Texas
75231
United States
Clinical Trial Network
Houston
Texas
77074
United States
Clinpoint Trial, LLC
Waxahachie
Texas
75165
United States
Foothill Family Clinic
Salt Lake City
Utah
84109
United States
Jordan River Family Medicine
South Jordan
Utah
84095
United States
Health Research of Hampton Roads Inc
Newport News
Virginia
23606
United States
Sentara Neurology Specialists
Virginia Beach
Virginia
23456
United States
Northwest Clinical Research Center
Bellevue
Washington
98007-4209
United States
Polyclinic
Seattle
Washington
98104
United States
Dean Foundation for Health Research and Education
Middleton
Wisconsin
53562
United States
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Buenos Aires
C1046AAQ
Argentina
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Ciudad Autonoma de Buenos Aire
C1012AAR
Argentina
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Ciudad Autonoma de Buenos Aire
C1013AAB
Argentina
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Ciudad Autonoma de Buenos Aire
C1128AAF
Argentina
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Brno
656 91
Czechia
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Kladno
27201
Czechia
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Prague
100 00
Czechia
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Prague
120 00
Czechia
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Prague
160 00
Czechia
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Prague
182 00
Czechia
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Berlin
10117
Germany
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Bielefeld
33647
Germany
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Bochum
44787
Germany
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Bochum
44797
Germany
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Essen
45147
Germany
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Halle
06120
Germany
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Hamburg
20246
Germany
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Jena
07747
Germany
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Kassel
34121
Germany
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Königstein
61462
Germany
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Prien am Chiemsee
83209
Germany
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Tübingen
72076
Germany
Hillel Yaffe
Hadera
38100
Israel
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Haifa
3525408
Israel
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Kfar Saba
4420122
Israel
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Ramat Gan
5266202
Israel
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Aguascalientes
20217
Mexico
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Culiacán
80020
Mexico
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Mexico City
03740
Mexico
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For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Amsterdam
1078 VV
Netherlands
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Geleen
6162 BG
Netherlands
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Leiden
2333 ZA
Netherlands
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Nijmegen
6532 SZ
Netherlands
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Tilburg
5042 AD
Netherlands
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Zwolle
8025 AB
Netherlands
Cortex, PSC
Las Piedras
00771
Puerto Rico
SomniCare Sleep Institute
San Juan
00918
Puerto Rico
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Hwaseong-si
18450
South Korea
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Seoul
01830
South Korea
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician
Seoul
03080
South Korea
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Seoul
03181
South Korea
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Seoul
06351
South Korea
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Seoul
07441
South Korea
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Seoul
08308
South Korea
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Barcelona
08035
Spain
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Barcelona
08907
Spain
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Elda
03600
Spain
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Santander
39008
Spain
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Valencia
46010
Spain
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Valencia
46026
Spain
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Valladolid
47005
Spain
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Kaohsiung City
80756
Taiwan
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Taichung
43761
Taiwan
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Tainan
70142
Taiwan
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Tainan
71004
Taiwan
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Taipei
11217
Taiwan
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Taipei
220
Taiwan
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Glasgow
G51 4TF
United Kingdom
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Hull
HU3 2JZ
United Kingdom
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Liverpool
L9 7LJ
United Kingdom
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London
SE5 9RS
United Kingdom
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Stoke-on-Trent
ST4 6QG
United Kingdom
Derived
Citrome L, Sanchez Del Rio M, Dong Y, Nichols RM, Tockhorn-Heidenreich A, Foster SA, Stauffer VL. Benefit-Risk Assessment of Galcanezumab Versus Placebo for the Treatment of Episodic and Chronic Migraine Using the Metrics of Number Needed to Treat and Number Needed to Harm. Adv Ther. 2021 Aug;38(8):4442-4460. doi: 10.1007/s12325-021-01848-x. Epub 2021 Jul 15.
Jedynak J, Eross E, Gendolla A, Rettiganti M, Stauffer VL. Shift from high-frequency to low-frequency episodic migraine in patients treated with Galcanezumab: results from two global randomized clinical trials. J Headache Pain. 2021 May 28;22(1):48. doi: 10.1186/s10194-021-01222-w.
Pozo-Rosich P, Samaan KH, Schwedt TJ, Nicholson RA, Rettiganti M, Pearlman EM. Galcanezumab Provides Consistent Efficacy Throughout the Dosing Interval Among Patients with Episodic and Chronic Migraine: A Post Hoc Analysis. Adv Ther. 2021 Jun;38(6):3154-3165. doi: 10.1007/s12325-021-01708-8. Epub 2021 May 5.
Ament M, Day K, Stauffer VL, Skljarevski V, Rettiganti M, Pearlman E, Aurora SK. Effect of galcanezumab on severity and symptoms of migraine in phase 3 trials in patients with episodic or chronic migraine. J Headache Pain. 2021 Feb 6;22(1):6. doi: 10.1186/s10194-021-01215-9.
Kuruppu DK, North JM, Kovacik AJ, Dong Y, Pearlman EM, Hutchinson SL. Onset, Maintenance, and Cessation of Effect of Galcanezumab for Prevention of Migraine: A Narrative Review of Three Randomized Placebo-Controlled Trials. Adv Ther. 2021 Mar;38(3):1614-1626. doi: 10.1007/s12325-021-01632-x. Epub 2021 Feb 5.
Dodick DW, Doty EG, Aurora SK, Ruff DD, Stauffer VL, Jedynak J, Dong Y, Pearlman EM. Medication overuse in a subgroup analysis of phase 3 placebo-controlled studies of galcanezumab in the prevention of episodic and chronic migraine. Cephalalgia. 2021 Mar;41(3):340-352. doi: 10.1177/0333102420966658. Epub 2020 Nov 3.
Ailani J, Andrews JS, Rettiganti M, Nicholson RA. Impact of galcanezumab on total pain burden: findings from phase 3 randomized, double-blind, placebo-controlled studies in patients with episodic or chronic migraine (EVOLVE-1, EVOLVE-2, and REGAIN trials). J Headache Pain. 2020 Oct 17;21(1):123. doi: 10.1186/s10194-020-01190-7.
Stauffer VL, Turner I, Kemmer P, Kielbasa W, Day K, Port M, Quinlan T, Camporeale A. Effect of age on pharmacokinetics, efficacy, and safety of galcanezumab treatment in adult patients with migraine: results from six phase 2 and phase 3 randomized clinical trials. J Headache Pain. 2020 Jun 23;21(1):79. doi: 10.1186/s10194-020-01148-9.
Bangs ME, Kudrow D, Wang S, Oakes TM, Terwindt GM, Magis D, Yunes-Medina L, Stauffer VL. Safety and tolerability of monthly galcanezumab injections in patients with migraine: integrated results from migraine clinical studies. BMC Neurol. 2020 Jan 17;20(1):25. doi: 10.1186/s12883-020-1609-7.
Kielbasa W, Quinlan T. Population Pharmacokinetics of Galcanezumab, an Anti-CGRP Antibody, Following Subcutaneous Dosing to Healthy Individuals and Patients With Migraine. J Clin Pharmacol. 2020 Feb;60(2):229-239. doi: 10.1002/jcph.1511. Epub 2019 Sep 4.
Silberstein SD, Stauffer VL, Day KA, Lipsius S, Wilson MC. Galcanezumab in episodic migraine: subgroup analyses of efficacy by high versus low frequency of migraine headaches in phase 3 studies (EVOLVE-1 & EVOLVE-2). J Headache Pain. 2019 Jun 28;20(1):75. doi: 10.1186/s10194-019-1024-x.
Stauffer VL, Wang S, Voulgaropoulos M, Skljarevski V, Kovacik A, Aurora SK. Effect of Galcanezumab Following Treatment Cessation in Patients With Migraine: Results From 2 Randomized Phase 3 Trials. Headache. 2019 Jun;59(6):834-847. doi: 10.1111/head.13508. Epub 2019 Apr 3.
Forderreuther S, Zhang Q, Stauffer VL, Aurora SK, Lainez MJA. Preventive effects of galcanezumab in adult patients with episodic or chronic migraine are persistent: data from the phase 3, randomized, double-blind, placebo-controlled EVOLVE-1, EVOLVE-2, and REGAIN studies. J Headache Pain. 2018 Dec 29;19(1):121. doi: 10.1186/s10194-018-0951-2.
Nichols R, Doty E, Sacco S, Ruff D, Pearlman E, Aurora SK. Analysis of Initial Nonresponders to Galcanezumab in Patients With Episodic or Chronic Migraine: Results From the EVOLVE-1, EVOLVE-2, and REGAIN Randomized, Double-Blind, Placebo-Controlled Studies. Headache. 2019 Feb;59(2):192-204. doi: 10.1111/head.13443. Epub 2018 Nov 21.
Skljarevski V, Matharu M, Millen BA, Ossipov MH, Kim BK, Yang JY. Efficacy and safety of galcanezumab for the prevention of episodic migraine: Results of the EVOLVE-2 Phase 3 randomized controlled clinical trial. Cephalalgia. 2018 Jul;38(8):1442-1454. doi: 10.1177/0333102418779543. Epub 2018 May 31.
Participants received loading dose of 240mg galcanezumab at 1st dosing visit followed by 120mg galcanezumab once a month for 5 months by subcutaneous injection during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
FG002
Galcanezumab 240mg
Participants received 240mg galcanezumab by subcutaneous injection once a month for 6 months during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
FG003
Placebo Maximum Extended Enrollment Cohort
Participants received placebo by subcutaneous injection once a month for 6 months during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
FG004
Galcanezumab 120mg Maximum Extended Enrollment Cohort
Participants received loading dose of 240mg galcanezumab at 1st dosing visit followed by 120mg galcanezumab once a month for 5 months by subcutaneous injection during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
FG005
Galcanezumab 240mg Maximum Extended Enrollment Cohort
Participants received 240mg galcanezumab by subcutaneous injection once a month for 6 months during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
FG000463 subjects
FG001233 subjects
FG002226 subjects
FG00330 subjects
FG00415 subjects
FG00519 subjects
Received at Least One Dose of Study Drug
FG000461 subjects
FG001231 subjects
FG002223 subjects
FG00330 subjects
FG00414 subjects
FG00519 subjects
COMPLETED
FG000387 subjects
FG001203 subjects
FG002195 subjects
FG00326 subjects
FG00414 subjects
FG00519 subjects
NOT COMPLETED
FG00076 subjects
FG00130 subjects
FG00231 subjects
FG0034 subjects
FG0041 subjects
FG0050 subjects
Type
Comment
Reasons
Adverse Event
FG0008 subjects
FG0015 subjects
FG0029 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Lack of Efficacy
FG0006 subjects
FG0011 subjects
FG0021 subjects
FG0030 subjects
FG004
Lost to Follow-up
FG00010 subjects
FG0017 subjects
FG0021 subjects
FG0030 subjects
FG004
Physician Decision
FG0004 subjects
FG0010 subjects
FG0022 subjects
FG0030 subjects
FG004
Pregnancy
FG0001 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
FG004
Protocol Violation
FG0005 subjects
FG0012 subjects
FG0021 subjects
FG0030 subjects
FG004
Terminated by sponsor
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Withdrawal by Subject
FG00039 subjects
FG00111 subjects
FG00214 subjects
FG0034 subjects
FG004
Did not receive study drug
FG0002 subjects
FG0012 subjects
FG0023 subjects
FG0030 subjects
FG004
Post Treatment Follow-up Phase
Type
Comment
Milestone Data
STARTED
FG000410 subjectsParticipants who discontinued double blind phase had an option to enter post treatment phase
FG001213 subjectsParticipants who discontinued double blind phase had an option to enter post treatment phase
FG002207 subjectsParticipants who discontinued double blind phase had an option to enter post treatment phase
FG00325 subjectsParticipants who discontinued double blind phase had an option to enter post treatment phase
FG00415 subjectsParticipants who discontinued double blind phase had an option to enter post treatment phase
FG00519 subjectsParticipants who discontinued double blind phase had an option to enter post treatment phase
COMPLETED
FG000390 subjects
FG001208 subjects
FG002199 subjects
FG00324 subjects
FG004
NOT COMPLETED
FG00020 subjects
FG0015 subjects
FG0028 subjects
FG0031 subjects
FG004
Type
Comment
Reasons
Lost to Follow-up
FG0008 subjects
FG0013 subjects
FG0023 subjects
FG003
All randomized participants who received at least one dose of study drug for non-ME2 arms & All randomized participants for ME2 arms.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Placebo
Participants received placebo by subcutaneous injection once a month for 6 months during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
BG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at 1st dosing visit followed by 120mg galcanezumab once a month for 5 months by subcutaneous injection during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
BG002
Galcanezumab 240mg
Participants received 240mg galcanezumab by subcutaneous injection once a month for 6 months during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
BG003
Placebo Maximum Extended Enrollment Cohort
Participants received placebo by subcutaneous injection once a month for 6 months during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
BG004
Galcanezumab 120mg Maximum Extended Enrollment Cohort
Participants received loading dose of 240mg galcanezumab at 1st dosing visit followed by 120mg galcanezumab once a month for 5 months by subcutaneous injection during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
BG005
Galcanezumab 240mg Maximum Extended Enrollment Cohort
Participants received 240mg galcanezumab by subcutaneous injection once a month for 6 months during double blind treatment phase. Participants did not receive any intervention during post-treatment follow-up phase.
BG006
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000461
BG001231
BG002223
BG00330
BG00415
BG00519
BG006979
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00042.33± 11.30
BG00140.91± 11.15
BG00241.91± 10.77
BG003
Sex: Female, Male
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
Female
BG000393
BG001197
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG000118
BG00158
BG002
Race (NIH/OMB)
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG00020
BG0018
BG002
Region of Enrollment
Count of Participants
Participants
No
Title
Denominators
Categories
Argentina
Title
Measurements
BG00022
BG00112
BG002
Migraine Headache Days (MHD) per month
Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred.
Mean
Standard Deviation
Days per Month
Title
Denominators
Categories
Title
Measurements
BG0009.19± 2.99
BG0019.07
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days
Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred.
Migraine Headache : A headache, with or without aura, of ≥30 minutes duration with both of the following required features (A and B):
A) At least 2 of the following headache characteristics: Unilateral location; Pulsatile quality; Moderate or severe pain intensity; Aggravation by or causing avoidance of routine physical activity; AND B) During headache at least one of the following: Nausea and/or vomiting; Photophobia and phonophobia;
Overall mean is derived from the average of months 1 to 6 from mixed model repeated measures (MMRM) model. Least Square (LS) mean was calculated using mixed model repeated measures (MMRM) model with treatment, pooled country, month, and treatment by month, baseline, and baseline by month as fixed effects.
All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.
As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (ME2) arms/groups but only for the main global study arms/groups
Posted
Least Squares Mean
Standard Error
Migraine Headache Days per Month
Baseline, Month 1 through Month 6
ID
Title
Description
OG000
Placebo
Participants received placebo by subcutaneous injection once a month for 6 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first doing visit followed by 120mg galcanezumab once a month for 5 months by subcutaneous injection.
OG002
Galcanezumab 240mg
Participants received 240mg galcanezumab by subcutaneous injection once a month for 6 months.
Units
Counts
Participants
OG000450
OG001226
OG002220
Title
Denominators
Categories
Title
Measurements
OG000-2.28± 0.20
OG001-4.29± 0.25
OG002-4.18± 0.26
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mixed Models Analysis
<.001
LSMean Difference
-2.02
Standard Error of the Mean
0.27
2-Sided
95
-2.55
-1.48
Superiority
OG000
OG002
Mixed Models Analysis
<.001
Secondary
Mean Percentage of Participants With Reduction From Baseline ≥50%, ≥75%, and 100% in Monthly Migraine Headache Days
Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred.
Mean is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, baseline.
All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.
As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (ME2) arms/groups but only for the main global study arms/groups.
Posted
Mean
Standard Error
percentage of participants
Baseline, Month 1 through Month 6
ID
Title
Description
OG000
Placebo
Participants received placebo by subcutaneous injection once a month for 6 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed by 120mg galcanezumab once a month for 5 months by subcutaneous injection.
OG002
Galcanezumab 240mg
Secondary
Mean Change From Baseline in the Migraine-Specific Quality of Life Questionnaire (MSQ) Version 2.1 Role Function Restrictive Domain
MSQ v2.1 was developed to address physical & emotional limitations of specific concern to individuals with migraine.
It consists of 14 items that address 3 domains:(1) Role Function-Restrictive (items 1-7);(2) Role Function- Preventive (items 8-11);&(3) Emotional Function (items 12-14).Response options range from "none of the time" (value 1) to "all of the time" (value 6), & are reverse-recoded (value 6 to 1) before the domain scores are calculated.Total raw scores for each domain is the sum of the final item value for all of the items in that domain.After the total raw score is computed for each domain, they are transformed to a 0-100 scale with higher scores indicating a better health status & a positive change in scores reflecting functional improvement.
Mean is derived from the average of months 4 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline by month & baseline MHD category as fixed factors.
All randomized participants who received at least one dose of study drug and had baseline & at least one post baseline value.
As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (ME2) arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline, Month 4 through Month 6
ID
Title
Description
OG000
Placebo
Participants received placebo subcutaneously once a month for 6 months.
Secondary
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days Requiring Medication for the Acute Treatment of Migraine or Headache
Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred.
Overall mean is derived from the average of months 1 to 6 from MMRM model.LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed effects.
All randomized participants who received at least one dose of study drug and had baseline and post baseline value.
As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (ME2) arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
Days per Month
Baseline, Month 1 through Month 6
ID
Title
Description
OG000
Placebo
Participants received placebo by subcutaneous injection once a month for 6 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first doing visit followed by 120mg galcanezumab once a month for 5 months subcutaneously.
OG002
Galcanezumab 240mg
Secondary
Mean Change From Baseline in Patient Global Impression of Severity (PGI-S) Rating
The PGI-S scale is a participant-rated instrument that measures patients own global impression of their illness severity. The participant was instructed as follows: "Considering migraine as a chronic condition, how would you rate your level of illness?" Response options were from 1 ("normal, not at all ill") to 7 ("extremely ill"). Mean is derived from the average of months 4 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed factors.
All randomized participants who received at least one dose of study drug and had baseline and post baseline value.
As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (ME2) arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline, Month 4 through Month 6
ID
Title
Description
OG000
Placebo
Participants received placebo by subcutaneous injection once a month for 6 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first doing visit followed by 120mg galcanezumab once a month for 5 months subcutaneous injection.
OG002
Secondary
Overall Mean Change From Baseline in Headache Hours
Headache Hours is calculated as the total number of headache hours on which a headache occurred. Overall mean is derived from the average of months 1 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month and baseline MHD category.
All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.
As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (ME2) arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
Headache Hours per Month
Baseline, Month 1 through Month 6
ID
Title
Description
OG000
Placebo
Participants received placebo by subcutaneous injection once a month for 6 months.
OG001
Galcanezumab120mg
Participants received loading dose of 240mg galcanezumab followed by 120mg galcanezumab once a month for 5 months subcutaneously.
OG002
Galcanezumab 240mg
Participants received 240mg galcanezumab by subcutaneous injection once a month for 6 months.
Secondary
Mean Change From Baseline in the Migraine Disability Assessment Test (MIDAS) Total Score
The MIDAS is a participant-rated scale which was designed to quantify headache-related disability over a 3-month period. This instrument consists of five items that reflect the number of days reported as missing or with reduced productivity at work or home, and the number of days of missed social events. Each item has a numeric response range from 0 to 90 days, if days are missed from work or home they are not counted as days with reduced productivity at work or home. The numeric responses are summed to produce a total score ranging from 0 to 270, in which a higher value is indicative of more disability.
LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed factors.
All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.
As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (ME2) arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline, Month 6
ID
Title
Description
OG000
Placebo
Participants received placebo by subcutaneous injection once a month for 6 months.
OG001
Galcanezumab120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed by 120mg galcanezumab once a month for 5 months subcutaneous injection.
Secondary
Percentage of Participants Developing Anti-drug Antibodies (ADA) to Galcanezumab
Treatment emergent (TE) ADA evaluable participant is considered to be TE ADA+ if the subject has at least one post-baseline titer that is a 4-fold or greater increase in titer from baseline measurement. If baseline result is ADA Not Present, then the participant is TE ADA+ if there is at least one post-baseline result of ADA present with titer >= 1: 20.
All randomized participants who received at least one dose of study drug & had least one non-missing test result for ADA for each of the baseline period and the post-baseline period. As pre-specified in the analysis plan, outcome measures will not be reported for the ME2 arms/groups but only for the main global study arms/groups.
Posted
Number
percentage of participants
Month 1 through Month 6
ID
Title
Description
OG000
Placebo
Participants received placebo by subcutaneous injection once a month for 6 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first doing visit followed by 120mg galcanezumab once a month for 5 months by subcutaneous injection.
OG002
Galcanezumab 240mg
Participants received 240mg galcanezumab by subcutaneous injection once a month for 6 months.
Secondary
Pharmacokinetics (PK): Serum Concentrations of Galcanezumab
Pharmacokinetics (PK): Serum Concentrations of Galcanezumab.
All randomized participants who received at least one dose of study drug and had measurable serum concentrations.
As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (ME2) arms/groups but only for the main global study arms/groups.
Posted
Mean
Standard Deviation
Nanogram per milliliter (ng/mL)
Month 6
ID
Title
Description
OG000
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed by 120mg galcanezumab once a month for 5 months subcutaneous injection.
OG001
Galcanezumab 240mg
Participants received 240mg galcanezumab by subcutaneous injection once a month for 6 months.
Units
Counts
Participants
OG000
Secondary
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP).
All randomized participants who had received at least one dose of study drug and had measurable plasma concentration.
As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (ME2) arms/groups but only for the main global study arms/groups.
Posted
Mean
Standard Deviation
ng/mL
Month 6
ID
Title
Description
OG000
Placebo
Participants received placebo by subcutaneous injection once a month for 6 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed by 120mg galcanezumab once a month for 5 months subcutaneously.
OG002
Galcanezumab 240mg
Participants received 240mg galcanezumab by subcutaneous injection once a month for 6 months.
Units
Counts
Time Frame
Up to 10 Months
Description
There were 5 participants in Galcanezumab 120mg treatment phase, 1 participant in Galcanezumab 120mg post- treatment , 1 participant in Galcanezumab 120 mg treatment phase ME2 & 1 participant in Galcanezumab 120mg post-treatment ME2 arms who discontinued after receiving loading dose of 240mg, these participants were included in Galcanezumab 240mg Treatment, Post Treatment & equivalent ME2 arms for adverse event reporting.
Per protocol, AE analysis was planned per treatment regimen received.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Placebo - Treatment Phase
Participants received placebo subcutaneously once a month for 6 months.
0
461
5
461
150
461
EG001
Galcanezumab 120mg - Treatment Phase
Participants received loading dose of 240mg galcanezumab at first dosing visit followed by 120mg galcanezumab once a month for 5 months subcutaneously.
0
226
5
226
78
226
EG002
Galcanezumab 240mg - Treatment Phase
Participants received 240mg galcanezumab subcutaneously once a month for 6 months.
0
228
7
228
87
228
EG003
Placebo - Post-treatment Phase
Participants didn't receive any intervention.
0
410
3
410
40
410
EG004
Galcanezumab 120mg - Post-treatment Phase
Participants didn't receive any intervention.
0
212
1
212
16
212
EG005
Galcanezumab 240mg - Post-treatment Phase
Participants didn't receive any intervention.
0
208
3
208
13
208
EG006
Placebo - Treatment Phase ME2
Participants received placebo subcutaneously once a month for 6 months.
0
30
1
30
10
30
EG007
Galcanezumab 120mg - Treatment Phase ME2
Participants received loading dose of 240mg galcanezumab at first dosing visit followed by 120mg galcanezumab once a month for 5 months subcutaneously.
0
14
1
14
9
14
EG008
Galcanezumab 240mg - Treatment Phase ME2
Participants received 240mg galcanezumab subcutaneously once a month for 6 months.
0
20
0
20
9
20
EG009
Placebo - Post-treatment Phase ME2
Participants didn't receive any intervention.
0
25
2
25
3
25
EG010
Galcanezumab 120mg - Post-treatment Phase ME2
Participants didn't receive any intervention.
0
14
0
14
6
14
EG011
Galcanezumab 240mg - Post-treatment Phase ME2
Participants didn't receive any intervention.
0
20
0
20
0
20
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Acute myocardial infarction
Cardiac disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0021 events1 affected228 at risk
EG0030 events0 affected410 at risk
EG0040 events0 affected212 at risk
EG0050 events0 affected208 at risk
EG0060 events0 affected30 at risk
EG0070 events0 affected14 at risk
EG0080 events0 affected20 at risk
EG0090 events0 affected25 at risk
EG0100 events0 affected14 at risk
EG0110 events0 affected20 at risk
Goitre
Endocrine disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Gastritis
Gastrointestinal disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0011 events1 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Haemorrhoids
Gastrointestinal disorders
MedDRA 20.1
Systematic Assessment
EG0001 events1 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Rectal polyp
Gastrointestinal disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0011 events1 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Pyrexia
General disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0021 events1 affected228 at risk
EG003
Cholecystitis acute
Hepatobiliary disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Cholelithiasis
Hepatobiliary disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0021 events1 affected228 at risk
EG003
Gallbladder polyp
Hepatobiliary disorders
MedDRA 20.1
Systematic Assessment
EG0001 events1 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Appendicitis
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Influenza
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0021 events1 affected228 at risk
EG003
Pyelonephritis
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Urosepsis
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Foot fracture
Injury, poisoning and procedural complications
MedDRA 20.1
Systematic Assessment
EG0001 events1 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Meniscus injury
Injury, poisoning and procedural complications
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0021 events1 affected228 at risk
EG003
Rib fracture
Injury, poisoning and procedural complications
MedDRA 20.1
Systematic Assessment
EG0001 events1 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Road traffic accident
Injury, poisoning and procedural complications
MedDRA 20.1
Systematic Assessment
EG0001 events1 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Patellofemoral pain syndrome
Musculoskeletal and connective tissue disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Adenocarcinoma of the cervix
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 20.1
Systematic Assessment
All randomized female participants.
EG0000 events0 affected393 at risk
EG0011 events1 affected192 at risk
EG0020 events0 affected196 at risk
EG003
Uterine leiomyoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 20.1
Systematic Assessment
All randomized female participants.
EG0000 events0 affected393 at risk
EG0010 events0 affected192 at risk
EG0020 events0 affected196 at risk
EG003
Generalised tonic-clonic seizure
Nervous system disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0021 events1 affected228 at risk
EG003
Headache
Nervous system disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0011 events1 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Migraine
Nervous system disorders
MedDRA 20.1
Systematic Assessment
EG0001 events1 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Transient ischaemic attack
Nervous system disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0021 events1 affected228 at risk
EG003
Disorientation
Psychiatric disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0021 events1 affected228 at risk
EG003
Panic attack
Psychiatric disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Post-traumatic stress disorder
Psychiatric disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Suicide attempt
Psychiatric disorders
MedDRA 20.1
Systematic Assessment
EG0001 events1 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Bladder dysfunction
Renal and urinary disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0011 events1 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Nasal septum deviation
Respiratory, thoracic and mediastinal disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Abdominal pain upper
Gastrointestinal disorders
MedDRA 20.1
Systematic Assessment
EG0003 events3 affected461 at risk
EG0015 events4 affected226 at risk
EG0023 events3 affected228 at risk
EG0030 events0 affected410 at risk
EG0040 events0 affected212 at risk
EG0052 events1 affected208 at risk
EG0060 events0 affected30 at risk
EG0071 events1 affected14 at risk
EG0080 events0 affected20 at risk
EG0091 events1 affected25 at risk
EG0100 events0 affected14 at risk
EG0110 events0 affected20 at risk
Nausea
Gastrointestinal disorders
MedDRA 20.1
Systematic Assessment
EG00015 events15 affected461 at risk
EG0014 events4 affected226 at risk
EG0023 events3 affected228 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA 20.1
Systematic Assessment
EG0004 events4 affected461 at risk
EG0010 events0 affected226 at risk
EG0022 events2 affected228 at risk
EG003
Injection site pain
General disorders
MedDRA 20.1
Systematic Assessment
EG000142 events39 affected461 at risk
EG001100 events21 affected226 at risk
EG00261 events20 affected228 at risk
EG003
Injection site reaction
General disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG00117 events7 affected226 at risk
EG00225 events18 affected228 at risk
EG003
Cystitis
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG0005 events5 affected461 at risk
EG0012 events2 affected226 at risk
EG0022 events2 affected228 at risk
EG003
Hordeolum
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG0002 events2 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Influenza
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG00016 events14 affected461 at risk
EG0014 events3 affected226 at risk
EG0029 events9 affected228 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG00049 events41 affected461 at risk
EG00123 events19 affected226 at risk
EG00221 events16 affected228 at risk
EG003
Pharyngitis
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG0001 events1 affected461 at risk
EG0010 events0 affected226 at risk
EG0021 events1 affected228 at risk
EG003
Rhinitis
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG0004 events4 affected461 at risk
EG0012 events2 affected226 at risk
EG0022 events1 affected228 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA 20.1
Systematic Assessment
EG00019 events16 affected461 at risk
EG00114 events13 affected226 at risk
EG00212 events12 affected228 at risk
EG003
Vaginal infection
Infections and infestations
MedDRA 20.1
Systematic Assessment
All randomized female participants.
EG0000 events0 affected393 at risk
EG0012 events2 affected192 at risk
EG0021 events1 affected196 at risk
EG003
Vulvovaginitis
Infections and infestations
MedDRA 20.1
Systematic Assessment
All randomized female participants.
EG0001 events1 affected393 at risk
EG0010 events0 affected192 at risk
EG0020 events0 affected196 at risk
EG003
Contusion
Injury, poisoning and procedural complications
MedDRA 20.1
Systematic Assessment
EG0003 events3 affected461 at risk
EG0011 events1 affected226 at risk
EG0022 events2 affected228 at risk
EG003
Muscle strain
Injury, poisoning and procedural complications
MedDRA 20.1
Systematic Assessment
EG0001 events1 affected461 at risk
EG0011 events1 affected226 at risk
EG0021 events1 affected228 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA 20.1
Systematic Assessment
EG0005 events5 affected461 at risk
EG0014 events4 affected226 at risk
EG0023 events3 affected228 at risk
EG003
Arthritis
Musculoskeletal and connective tissue disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA 20.1
Systematic Assessment
EG00024 events20 affected461 at risk
EG0012 events2 affected226 at risk
EG0025 events5 affected228 at risk
EG003
Foot deformity
Musculoskeletal and connective tissue disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Intervertebral disc disorder
Musculoskeletal and connective tissue disorders
MedDRA 20.1
Systematic Assessment
EG0000 events0 affected461 at risk
EG0010 events0 affected226 at risk
EG0020 events0 affected228 at risk
EG003
Skin papilloma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)