Evaluation of Galcanezumab in the Prevention of Chronic M... | NCT02614261 | Trialant
NCT02614261
Sponsor
Eli Lilly and Company
Status
Completed
Last Update Posted
May 18, 2022Actual
Enrollment
1,117Actual
Phase
Phase 3
Conditions
Chronic Migraine
Interventions
Galcanezumab
Placebo
Countries
United States
Argentina
Canada
Czechia
Germany
Israel
Italy
Mexico
Netherlands
Puerto Rico
Spain
Taiwan
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT02614261
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
15769
Secondary IDs
ID
Type
Description
Link
I5Q-MC-CGAI
Other Identifier
Eli Lillly and Company
2015-001883-21
EudraCT Number
Brief Title
Evaluation of Galcanezumab in the Prevention of Chronic Migraine
Official Title
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of LY2951742 in Patients With Chronic Migraine - the REGAIN Study
Acronym
REGAIN
Organization
Eli Lilly and CompanyINDUSTRY
Status Module
Record Verification Date
Apr 2022
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
Nov 30, 2015Actual
Primary Completion Date
Mar 16, 2017Actual
Completion Date
Jul 14, 2021Actual
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
Oct 19, 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
Apr 25, 2022
Last Update Posted Date
May 18, 2022Actual
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
Not provided
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 of the study drug known as galcanezumab in participants with chronic migraine.
Detailed Description
Not provided
Conditions Module
Conditions
Chronic 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
1,117Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Placebo
Placebo Comparator
Double-blind treatment phase: Participants received placebo once a month by subcutaneous (SC) injection for 3 months.
Open-label extension phase: After completion of double-blind phase, participants had an option to enter open-label extension phase where they receive 240 milligram (mg) galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
Follow-up phase: After completion or discontinuation from double-blind or open-label extension phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.
Drug: Galcanezumab
Drug: Placebo
Galcanezumab 120 mg
Experimental
Double-blind treatment phase: Participants received loading dose of 240 mg of galcanezumab at first dosing visit followed 120 mg galcanezumab once a month by SC injection for 2 months.
Open-label extension phase: After completion of double-blind phase, participants had an option to enter open-label extension phase where they received 240mg galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
Follow-up phase: After completion or discontinuation from double-blind or open-label extension phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.
Drug: Galcanezumab
Galcanezumab 240 mg
Experimental
Double-blind treatment phase: Participants received 240 mg of galcanezumab once a month by subcutaneous injection for 3 months.
Open-label extension phase: After completion of double-blind phase, participants had an option to enter open-label extension phase where they received 240mg galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
Follow-up phase: After completion or discontinuation from double-blind or open-label extension phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Galcanezumab
Drug
Administered SC
Galcanezumab 120 mg
Galcanezumab 240 mg
Israel Addendum
Placebo
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD)
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 3 from mixed model repeated measures (MMRM) model. Least square(LS) Mean was calculated using MMRM model with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, month, treatment by month, baseline, and baseline by month as fixed effects.
Baseline, Month 1 through Month 3
Secondary Outcomes
Measure
Description
Time Frame
Number of Participants With Reduction From Baseline ≥50%, ≥75% and 100% in Monthly Migraine Headache Days
MHD: A calendar day on which a migraine headache or probable migraine headache occurred.
Baseline, Month 1 through Month 3
Mean Change From Baseline in the Migraine-Specific Quality of Life Questionnaire (MSQ) Role-function Restrictive Domain
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Main Study:
Have a diagnosis of chronic migraine as defined by International Headache Society (IHS) International Classification of Headache Disorders (ICHD)-3 beta guidelines (1.3) (ICHD-3 2013), with a history of migraine headaches of at least 1 year prior to screening, and migraine onset prior to age 50.
Israel addendum:
Participants must have completed all phases of main study, including the 4-month post-treatment follow-up phase, during which no investigational product was administered.
Participants also must be considered by the investigator to have benefited from galcanezumab treatment and must have exhausted alternative therapies for the prevention of migraine.
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)
Diener HC, Day KA, Lipsius S, Aurora SK, Hindiyeh NA, Detke HC. Shift from chronic to episodic migraine frequency in a long-term phase 3 study of galcanezumab. J Headache Pain. 2025 Feb 3;26(1):26. doi: 10.1186/s10194-025-01956-x.
Pozo-Rosich P, Detke HC, Wang S, Dolezil D, Li LQ, Aurora SK, Reuter U. Long-term treatment with galcanezumab in patients with chronic migraine: results from the open-label extension of the REGAIN study. Curr Med Res Opin. 2022 May;38(5):731-742. doi: 10.1080/03007995.2022.2059975. Epub 2022 Apr 15.
See Also Links
Label
URL
A Study of LY2951742 in the Prevention of Chronic Migraine (REGAIN)
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.
Main study: This randomised part of study was conducted in 3 phases
a 3-month double-blind treatment phase
an optional 9-month open-label extension phase
a 4-month follow-up phase
Israel addendum: Participants in Israel who completed all phases in main study, benefited from galcanezumab and had no other suitable alternative treatment options available were provided continued-access to galcanezumab where safety was monitored.
Recruitment Details
Not provided
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Placebo
Double-blind treatment phase: Participants received placebo once a month by subcutaneous (SC) injection for 3 months.
Open-label extension phase: After completion of double-blind phase, participants had an option to enter open-label extension phase where they receive 240 milligram (mg) galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
Follow-up phase: After completion or discontinuation from double-blind or open-label extension phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.
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 2, 2018
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Brazil
South Korea
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
Not provided
Who Masked
ParticipantInvestigator
Drug: Galcanezumab
Israel Addendum
Experimental
Eligible participants from main study were enrolled in Israel addendum. Participants received 120mg or 240mg galcanezumab SC once a month, at the discretion of the investigator, for up to 3 years or until Israel's Ministry of Health's conditions for continued access cease to be met, whichever occurs first.
Drug: Galcanezumab
LY2951742
Placebo
Drug
Administered SC
Placebo
MSQ v2.1 is a health status instrument, with a 4-week recall period, developed to address physical and emotional limitations of specific concern to individuals with migraine. Addressing the impact of migraine on work or daily activities, relationships with family & friends, leisure time, productivity, concentration, energy, tiredness & feelings. 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.
Baseline, Month 3
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 3 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, month, treatment by month,baseline, and baseline by month as fixed effects.
Baseline, Month 1 through Month 3
Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score
PGI-S scale is a participant-rated instrument that measures participants 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"). LSMean was calculated using MMRM model with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, month, treatment by month, baseline, and baseline by month as fixed effects.
Baseline, Month 3
Overall Mean Change From Baseline in Headache Hours
Overall mean is derived from the average of months 1 to 3 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, month, treatment by month,baseline, and baseline by month as fixed effects.
Baseline, Month 1 through Month 3
Mean Change From Baseline on 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 Analysis of covariance (ANCOVA) model with last observation carried forward (LOCF) with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, and baseline value as fixed effects.
Baseline, Month 3
Percentage of Participants Developing Treatment Emergent Anti-drug Antibodies (ADA) to Galcanezumab
A Treatment Emergent Anti-Drug Antibodies (TE ADA) evaluable participant is considered to be TE ADA+ if the participant 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 >= 20.
Month 1 through Month 3
Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of Galcanezumab
Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of Galcanezumab.
Baseline through Month 3
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP).
Month 3
Serum Concentrations of Galcanezumab
Serum concentrations of Galcanezumab
Month 3
Phoenix
Arizona
85023
United States
Pharmacology Research Institute, Encino
Encino
California
91316
United States
Fullerton Neurology and Headache Center
Fullerton
California
92835
United States
Pharmacology Research Institute, Los Alamitos
Los Alamitos
California
90720
United States
Pharmacology Research Institute, Newport Beach
Newport Beach
California
92660
United States
Desert Valley Research
Rancho Mirage
California
92270
United States
Anderson Clinical Research
Redlands
California
92374
United States
Artemis Institute for Clinical Research
San Diego
California
92103
United States
Medical Center for Clinical Research
San Diego
California
92108
United States
Optimus Medical Group
San Francisco
California
94102
United States
Colorado Neurological Institute
Englewood
Colorado
80113
United States
Advanced Neurosciences Research, LLC
Fort Collins
Colorado
80528
United States
Associated Neurologists of Southern Connecticut
Fairfield
Connecticut
06824
United States
Avail Clinical Research LLC
DeLand
Florida
32720
United States
Clinical Neuroscience Solutions Inc
Jacksonville
Florida
32256
United States
|Renstar Medical Research
Ocala
Florida
34471
United States
Psychiatric Inst of Florida-Clinical Neuroscience Solutions
Orlando
Florida
32801
United States
Compass Research
Oviedo
Florida
32765
United States
Premiere Research Institute at Palm Beach Neurology
West Palm Beach
Florida
33407
United States
Northwest Clinical Trials
Boise
Idaho
83704
United States
Christie Clinic, LLC
Champaign
Illinois
61820
United States
Robbins Headache Clinic
Riverwoods
Illinois
60015
United States
Midwest Institute for Clinical Research
Indianapolis
Indiana
46260
United States
Phoenix Medical Research, Inc
Prairie Village
Kansas
66208
United States
Heartland Research Associates
Wichita
Kansas
67205
United States
PharmaSite Research Inc
Baltimore
Maryland
21208
United States
Boston Clinical Trials Inc
Boston
Massachusetts
02131
United States
Michigan Head, Pain and Neurological Institute
Ann Arbor
Michigan
48104
United States
Clinical Research Institute
Minneapolis
Minnesota
55402
United States
Healthcare Research Network - Hazelwood
Hazelwood
Missouri
63042
United States
ClinVest
Springfield
Missouri
65807
United States
Albuquerque Clinical Trials
Albuquerque
New Mexico
87102
United States
Dent Neurological Institute
Amherst
New York
14226
United States
Island Neuro Associates,PC
Plainview
New York
11803
United States
Univ of Cincinnati College of Medicine
Cincinnati
Ohio
45219
United States
Healthcare Research Consultant
Tulsa
Oklahoma
74135
United States
Preferred Primary Care Physicians
Pleasant Hills
Pennsylvania
15236
United States
Abington Neurological Associates
Willow Grove
Pennsylvania
19090
United States
Clinical Trials of South Carolina
Charleston
South Carolina
29406
United States
University of South Carolina
Columbia
South Carolina
29203
United States
Coastal Carolina Research Center, Inc.
Mt. Pleasant
South Carolina
29464
United States
BG Neurology
Spartanburg
South Carolina
29307
United States
ClinSearch
Chattanooga
Tennessee
37421
United States
FutureSearch Trials of Neurology and Sleep Lab
Austin
Texas
78731
United States
Headache Medicine Specialist of North Texas
Dallas
Texas
75231
United States
Foothill Family Clinic
Salt Lake City
Utah
84109
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
Premier Clinical Research
Spokane
Washington
99202
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
C1056ABJ
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
C1046AAQ
Argentina
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Ciudad Autonoma de Buenos Aire
C1128AAF
Argentina
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Ciudad Autonoma de Buenos Aire
C1204AAD
Argentina
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.
Ciudad Autonoma de Buenos Aire
C1428AQK
Argentina
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.
Ciudad Autonoma de Buenos Aire
C1430EGF
Argentina
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.
Córdoba
X5000EDC
Argentina
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Córdoba
X5021FPQ
Argentina
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Brampton
L6T 0G1
Canada
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Kelowna
V1Y 1Z9
Canada
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Montreal
H3A 2B4
Canada
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Ottawa
K2G 6E2
Canada
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Brno
656 91
Czechia
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.
Kladno
27201
Czechia
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Prague
100 00
Czechia
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Prague
120 00
Czechia
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.
Prague
160 00
Czechia
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Prague
1790 12
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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Essen
45147
Germany
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Hamburg
20246
Germany
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Kassel
34121
Germany
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Königstein
61462
Germany
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Prien am Chiemsee
83209
Germany
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.
Tübingen
72076
Germany
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.
Hadera
38100
Israel
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.
Kfar Saba
4420122
Israel
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Ramat Gan
5266202
Israel
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Tel Aviv
6423906
Israel
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Bologna
40139
Italy
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Florence
50134
Italy
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Modena
40124
Italy
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Pavia
27100
Italy
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Roma
00163
Italy
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Aguascalientes
20217
Mexico
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Culiacán
80020
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.
Amsterdam
1078 VV
Netherlands
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Leiden
2333 ZA
Netherlands
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Nijmegen
6532 SZ
Netherlands
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Zwolle
8025 AB
Netherlands
Office of Dr. Ruddy Guerra
Manati
00674
Puerto Rico
GCM Medical Group PSC
San Juan
00909
Puerto Rico
Instituto de Neurologia Dra. Ivonne Fraga
San Juan
00918
Puerto Rico
Neuro GI Wellness Center
San Juan
00926
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.
Barcelona
08028
Spain
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Barcelona
08035
Spain
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Pamplona
31008
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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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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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.
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.
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.
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.
Ford J, Tassorelli C, Leroux E, Wang S, Ayer D, Nichols R, Detke H. Changes in patient functioning and disability: results from a phase 3, double-blind, randomized, placebo-controlled clinical trial evaluating galcanezumab for chronic migraine prevention (REGAIN). Qual Life Res. 2021 Jan;30(1):105-115. doi: 10.1007/s11136-020-02623-1. Epub 2020 Sep 15.
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.
Ruff DD, Ford JH, Tockhorn-Heidenreich A, Sexson M, Govindan S, Pearlman EM, Wang SJ, Khan A, Aurora SK. Efficacy of galcanezumab in patients with chronic migraine and a history of preventive treatment failure. Cephalalgia. 2019 Jul;39(8):931-944. doi: 10.1177/0333102419847957. Epub 2019 May 19.
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.
Detke HC, Goadsby PJ, Wang S, Friedman DI, Selzler KJ, Aurora SK. Galcanezumab in chronic migraine: The randomized, double-blind, placebo-controlled REGAIN study. Neurology. 2018 Dec 11;91(24):e2211-e2221. doi: 10.1212/WNL.0000000000006640. Epub 2018 Nov 16.
FG001
Galcanezumab 120mg
Double-blind treatment phase: Participants received loading dose of 240 mg of galcanezumab at first dosing visit followed 120 mg galcanezumab once a month by subcutaneous injection for 2 months.
Open-label extension phase: After completion of double-blind phase, participants had an option to enter open-label extension phase where they received 240mg galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
Follow-up phase: After completion or discontinuation from double-blind or open-label extension phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.
FG002
Galcanezumab 240mg
Double-blind treatment phase: Participants received 240 mg of galcanezumab once a month by subcutaneous injection for 3 months.
Open-label extension phase: After completion of double-blind phase, participants had an option to enter open-label extension phase where they received 240mg galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
Follow-up phase: After completion or discontinuation from double-blind or open-label extension phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.
FG003
Israel Addendum
Eligible participants from main study were enrolled in Israel addendum. Participants received 120mg or 240mg galcanezumab SC once a month, at the discretion of the investigator, for up to 3 years or until Israel's Ministry of Health's conditions for continued access cease to be met, whichever occurs first.
FG000559 subjects
FG001279 subjects
FG002279 subjects
FG0030 subjects
Received at Least One Dose of Study Drug
FG000558 subjects
FG001278 subjects
FG002277 subjects
FG0030 subjects
Safety Population
FG000558 subjects
FG001273 subjects5 participants discontinued after receiving loading dose of 240mg. They were included under 240mg arm for safety analysis.
FG002282 subjects
FG0030 subjects
COMPLETED
FG000509 subjects
FG001262 subjects
FG002266 subjects
FG0030 subjects
NOT COMPLETED
FG00050 subjects
FG00117 subjects
FG00213 subjects
FG0030 subjects
Type
Comment
Reasons
Adverse Event
FG0007 subjects
FG0013 subjects
FG0022 subjects
FG0030 subjects
Lack of Efficacy
FG0004 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
Lost to Follow-up
FG0009 subjects
FG0014 subjects
FG0021 subjects
FG0030 subjects
Physician Decision
FG0002 subjects
FG0011 subjects
FG0021 subjects
FG0030 subjects
Pregnancy
FG0002 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
Protocol Violation
FG0006 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
Screen failure
FG0000 subjects
FG0011 subjects
FG0022 subjects
FG0030 subjects
Withdrawal by Subject
FG00020 subjects
FG0015 subjects
FG0027 subjects
FG0030 subjects
Open-Label Extension Phase
Type
Comment
Milestone Data
STARTED
FG000501 subjectsParticipants from double-blind treatment phase had the option to enter the open-label extension phase or proceed directly to the follow-up phase.
FG001259 subjectsParticipants from double-blind treatment phase had the option to enter the open-label extension phase or proceed directly to the follow-up phase.
FG002262 subjectsParticipants from double-blind treatment phase had the option to enter the open-label extension phase or proceed directly to the follow-up phase.
FG0030 subjects
Safety Population
FG000501 subjects
FG001259 subjects
FG002262 subjects
FG0030 subjects
COMPLETED
FG000413 subjects
FG001204 subjects
FG002208 subjects
FG0030 subjects
NOT COMPLETED
FG00088 subjects
FG00155 subjects
FG00254 subjects
FG0030 subjects
Type
Comment
Reasons
Adverse Event
FG00023 subjects
FG00112 subjects
FG00211 subjects
FG003
Follow-up Phase
Type
Comment
Milestone Data
STARTED
FG000453 subjectsParticipants from double-blind treatment or open-label extension phases entered the follow-up phase.
FG001228 subjectsParticipants from double-blind treatment or open-label extension phases entered the follow-up phase.
FG002231 subjectsParticipants from double-blind treatment or open-label extension phases entered the follow-up phase.
FG0030 subjects
Entered From Double-blind Treatment Phase
FG00015 subjects
FG0015 subjects1 among these participants discontinued from double-blind treatment phase after receiving 240mg loading dose and entered Follow-up phase.
FG0023 subjects
FG003
Safety Population (Entered From Double-blind Treatment Phase)
FG00015 subjects
FG0014 subjects1 participant who discontinued from double-blind treatment phase after receiving 240mg loading dose and entered Follow-up phase was included under 240mg arm for safety analysis.
FG0024 subjects
FG003
Entered From Open-label Extension Phase
FG000438 subjects
FG001223 subjects
FG002228 subjects
FG0030 subjects
Safety Population (Entered From Open-label Extension Phase)
FG000438 subjects
FG001223 subjects
FG002228 subjects
FG0030 subjects
COMPLETED
FG000421 subjects
FG001217 subjects
FG002217 subjects
FG0030 subjects
NOT COMPLETED
FG00032 subjects
FG00111 subjects
FG00214 subjects
FG0030 subjects
Type
Comment
Reasons
Adverse Event
FG0002 subjects
FG0010 subjects
FG0021 subjects
FG003
Israel Addendum
Type
Comment
Milestone Data
STARTED
FG0000 subjectsMain study arm.
FG0010 subjectsMain study arm.
FG0020 subjectsMain study arm.
FG00329 subjectsEligible participants from main study enrolled in Israel addendum.
Safety Population
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG00329 subjects
COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG00325 subjects
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0034 subjects
Type
Comment
Reasons
Withdrawal by Subject
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG003
All randomized participants.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Placebo
Double-blind treatment phase: Participants received placebo once a month by subcutaneous injection for 3 months.
Open-label extension phase: After completion of double-blind phase, participants had an option to enter open-label extension phase where they receive 240 mg galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
Follow-up phase: After completion or discontinuation from double-blind or open-label extension phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.
BG001
Galcanezumab 120mg
Double-blind treatment phase: Participants received loading dose of 240 mg of galcanezumab at first dosing visit followed 120 mg galcanezumab once a month by subcutaneous injection for 2 months.
Open-label extension phase: After completion of double-blind phase, participants had an option to enter open-label extension phase where they received 240mg galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
Follow-up phase: After completion or discontinuation from double-blind or open-label extension phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.
BG002
Galcanezumab 240mg
Double-blind treatment phase: Participants received 240 mg of galcanezumab once a month by subcutaneous injection for 3 months.
Open-label extension phase: After completion of double-blind phase, participants had an option to enter open-label extension phase where they received 240mg galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
Follow-up phase: After completion or discontinuation from double-blind or open-label extension phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.
BG003
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000559
BG001279
BG002279
BG0031117
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
ParticipantsBG000559
ParticipantsBG001279
ParticipantsBG002279
ParticipantsBG003
Sex: Female, Male
Count of Participants
Participants
No
Title
Denominators
Categories
ParticipantsBG000559
ParticipantsBG001279
ParticipantsBG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
No
Title
Denominators
Categories
ParticipantsBG000559
ParticipantsBG001279
ParticipantsBG002
Race (NIH/OMB)
Count of Participants
Participants
No
Title
Denominators
Categories
ParticipantsBG000559
ParticipantsBG001279
ParticipantsBG002
Region of Enrollment
Count of Participants
Participants
No
Title
Denominators
Categories
Argentina
ParticipantsBG000559
ParticipantsBG001279
ParticipantsBG002
Migraine Headache Days (MHD)
MHD: A calendar day on which a migraine headache or probable migraine headache occurred.
All randomized participants who received at least one dose of study drug.
Mean
Standard Deviation
Days per Month
Title
Denominators
Categories
ParticipantsBG000558
ParticipantsBG001278
ParticipantsBG002
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 (MHD)
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 3 from mixed model repeated measures (MMRM) model. Least square(LS) Mean was calculated using MMRM model with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, month, 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.
Posted
Least Squares Mean
Standard Error
Migraine Headache Days per Month
Baseline, Month 1 through Month 3
ID
Title
Description
OG000
Placebo
Participants received placebo once a month by subcutaneous injection for 3 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed by 120mg of galcanezumab once a month by subcutaneous injection for 2 months.
OG002
Galcanezumab 240mg
Participants received 240 mg of galcanezumab once a month by subcutaneous injection for 3 months.
Units
Counts
Participants
OG000538
OG001273
OG002274
Title
Denominators
Categories
Title
Measurements
OG000-2.74± 0.36
OG001-4.83± 0.44
OG002-4.62± 0.43
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
-2.09
Standard Error of the Mean
0.42
2-Sided
95
-2.92
-1.26
Superiority
OG000
OG002
Mixed Models Analysis
<.001
Secondary
Number of Participants With Reduction From Baseline ≥50%, ≥75% and 100% in Monthly Migraine Headache Days
MHD: A calendar day on which a migraine headache or probable migraine headache occurred.
All randomized participants who received at least one dose of study drug and had baseline and month 3 measurement.
Posted
Count of Participants
Participants
No
Baseline, Month 1 through Month 3
ID
Title
Description
OG000
Placebo
Participants received placebo once a month by subcutaneous injection for 3 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg of galcanezumab at first dosing visit followed 120mg galcanezumab once a month by subcutaneous injection for 2 months.
OG002
Galcanezumab 240mg
Participants received 240 mg of galcanezumab once a month by subcutaneous injection for 3 months.
Units
Counts
Participants
Secondary
Mean Change From Baseline in the Migraine-Specific Quality of Life Questionnaire (MSQ) Role-function Restrictive Domain
MSQ v2.1 is a health status instrument, with a 4-week recall period, developed to address physical and emotional limitations of specific concern to individuals with migraine. Addressing the impact of migraine on work or daily activities, relationships with family & friends, leisure time, productivity, concentration, energy, tiredness & feelings. 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.
All randomized participants who received at least one dose of study drug and had baseline and month 3 measurement.
LSMean was calculated using MMRM model with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, month, treatment by month, baseline, and baseline by month as fixed effects.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline, Month 3
ID
Title
Description
OG000
Placebo
Participants received placebo once a month by subcutaneous injection for 3 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 3 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, month, 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 measurement.
Posted
Least Squares Mean
Standard Error
Days Per Month
Baseline, Month 1 through Month 3
ID
Title
Description
OG000
Placebo
Participants received placebo once a month by subcutaneous injection for 3 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed 120mg galcanezumab once a month by subcutaneous injection for 2 months.
OG002
Galcanezumab 240mg
Participants received 240mg of galcanezumab once a month by subcutaneous injection for 3 months.
Secondary
Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score
PGI-S scale is a participant-rated instrument that measures participants 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"). LSMean was calculated using MMRM model with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, month, 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 month 3 measurement.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline, Month 3
ID
Title
Description
OG000
Placebo
Participants received placebo once a month by subcutaneous injection for 3 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed by 120 mg galcanezumab once a month by subcutaneous injection for 2 months.
OG002
Galcanezumab 240mg
Participants received 240mg of galcanezumab once a month by subcutaneous injection for 3 months.
Secondary
Overall Mean Change From Baseline in Headache Hours
Overall mean is derived from the average of months 1 to 3 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, month, 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 & at least one post baseline measurement.
Posted
Least Squares Mean
Standard Error
Headache Hours per Month
Baseline, Month 1 through Month 3
ID
Title
Description
OG000
Placebo
Participants received placebo once a month by subcutaneous injection for 3 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240 mg galcanezumab at first dosing visit followed 120mg galcanezumab once a month by subcutaneous injection for 2 months.
OG002
Galcanezumab 240mg
Participants received 240mg of galcanezumab once a month by subcutaneous injection for 3 months.
Secondary
Mean Change From Baseline on 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 Analysis of covariance (ANCOVA) model with last observation carried forward (LOCF) with treatment, pooled country, baseline medication overuse, concurrent prophylaxis use, and baseline value as fixed effects.
All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline measurement.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline, Month 3
ID
Title
Description
OG000
Placebo
Participants received placebo once a month by subcutaneous injection for 3 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed 120mg galcanezumab once a month by subcutaneous injection for 2 months.
Secondary
Percentage of Participants Developing Treatment Emergent Anti-drug Antibodies (ADA) to Galcanezumab
A Treatment Emergent Anti-Drug Antibodies (TE ADA) evaluable participant is considered to be TE ADA+ if the participant 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 >= 20.
All randomized participants who received at least one dose of study drug and had at least one non-missing test result for ADA for each of the baseline period and the post baseline period.
Posted
Count of Participants
Participants
No
Month 1 through Month 3
ID
Title
Description
OG000
Placebo
Participants received placebo once a month by subcutaneous injection for 3 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed 120mg galcanezumab once a month by subcutaneous injection for 2 months.
OG002
Galcanezumab 240mg
Participants received 240mg of galcanezumab once a month by subcutaneous injection for 3 months.
Secondary
Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of Galcanezumab
Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of Galcanezumab.
Zero participants analyzed. AUC data was not collected as AUC was not pre-specified in protocol.
Posted
Baseline through Month 3
ID
Title
Description
OG000
Placebo
Participants received placebo once a month by subcutaneous injection for 3 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed 120mg galcanezumab once a month by subcutaneous injection for 2 months.
OG002
Galcanezumab 240mg
Participants received 240mg of galcanezumab once a month by subcutaneous injection for 3 months.
Units
Counts
Participants
Secondary
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP).
All randomized participants who received at least one dose of study drug and had measurable plasma concentrations.
Posted
Mean
Standard Deviation
Nanogram per milliliter (ng/mL)
Month 3
ID
Title
Description
OG000
Placebo
Participants received placebo once a month by subcutaneous injection for 3 months.
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed by 120mg galcanezumab once a month by subcutaneous injection for 2 months.
OG002
Galcanezumab 240mg
Participants received 240mg of galcanezumab once a month by subcutaneous injection for 3 months.
Units
Counts
Participants
Secondary
Serum Concentrations of Galcanezumab
Serum concentrations of Galcanezumab
All randomized participants who received at least one dose of Galcanezumab and had measurable serum concentrations.
Posted
Mean
Standard Deviation
Nanogram per milliliter (ng/mL)
Month 3
ID
Title
Description
OG000
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed 120 mg galcanezumab once a month by subcutaneous injection for 2 months.
OG001
Galcanezumab 240mg
Participants received 240mg of galcanezumab once a month by subcutaneous injection for 3 months.
Units
Counts
Participants
OG000
Time Frame
Baseline to 16 months for main study plus additional 3 years if enrolled in Israel continued-access addendum.
Description
All participants from safety population. Per protocol, AE analysis was planned per treatment regimen received. Gender specific events only occurring in male or female participants have had the number of participants At Risk adjusted accordingly.
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 - Double-Blind Treatment Phase
Participants received placebo once a month by subcutaneous injection for 3 months.
0
558
5
558
170
558
EG001
Galcanezumab 120mg - Double-Blind Treatment Phase
Participants received loading dose of 240mg galcanezumab at first dosing visit followed by 120mg of galcanezumab once a month by subcutaneous injection for 2 months.
0
273
2
273
98
273
EG002
Galcanezumab 240mg - Double-Blind Treatment Phase
Participants received 240 mg of galcanezumab once a month by subcutaneous injection for 3 months.
0
282
4
282
105
282
EG003
Placebo/Galcanezumab - Open-Label Extension Phase
After completion of Placebo double-blind phase, participants had an option to enter open-label extension phase where they received 240 mg galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
After completion of Galcanezumab 120mg double-blind phase, participants had an option to enter open-label extension phase where they received 240mg galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
After completion of Galcanezumab 240mg double-blind phase, participants had an option to enter open-label extension phase where they received 240mg galcanezumab SC at first month, 120mg at second month followed by 120mg or 240mg once a month (at the discretion of the investigator) for the remaining 7 months.
0
262
9
262
120
262
EG006
Placebo - Follow-up Phase
Participants entered follow-up phase from placebo double-blind treatment phase and were observed for 4 months. No treatments administered.
0
15
0
15
0
15
EG007
Galcanezumab 120mg - Follow-up Phase
Participants entered follow-up phase from Galcanezumab 120mg double-blind treatment phase and were observed for 4 months. No treatments administered.
0
4
0
4
0
4
EG008
Galcanezumab 240mg - Follow-up Phase
Participants entered follow-up phase from from Galcanezumab 240mg double-blind treatment phase and were observed for 4 months. No treatments administered.
0
4
0
4
2
4
EG009
Placebo/Galcanezumab - Follow-up Phase
Participants entered follow-up phase from Placebo/Galcanezumabopen-label extension phase and were observed for 4 months. No treatments administered.
0
438
5
438
57
438
EG010
Galcanezumab 120mg/Galcanezumab - Follow-up Phase
Participants entered follow-up phase from Galcanezumab 120mg/Galcanezumab open-label extension phase and were observed for 4 months. No treatments administered.
0
223
3
223
19
223
EG011
Galcanezumab 240mg/Galcanezumab - Follow-up Phase
Participants entered follow-up phase from Galcanezumab 240mg/Galcanezumab open-label extension phase and were observed for 4 months. No treatments administered.
0
228
1
228
27
228
EG012
Israel Addendum
Eligible participants from main study were enrolled in Israel addendum. Participants received 120mg or 240mg galcanezumab SC once a month, at the discretion of the investigator, for up to 3 years or until Israel's Ministry of Health's conditions for continued access cease to be met, whichever occurs first.
0
29
6
29
26
29
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Iron deficiency anaemia
Blood and lymphatic system disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG0031 events1 affected501 at risk
EG004
Acute myocardial infarction
Cardiac disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Angina unstable
Cardiac disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Cardiac failure congestive
Cardiac disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Myocardial infarction
Cardiac disorders
MedDRA 24.0
Systematic Assessment
EG0001 events1 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Ventricular extrasystoles
Cardiac disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Congenital diaphragmatic hernia
Congenital, familial and genetic disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Abdominal adhesions
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Abdominal pain lower
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Abdominal pain upper
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Alcoholic pancreatitis
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0001 events1 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Gastritis
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0001 events1 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Haematemesis
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Haemorrhoids
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Hiatus hernia
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Pancreatitis acute
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0021 events1 affected282 at risk
EG003
Small intestinal obstruction
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Volvulus
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Non-cardiac chest pain
General disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Swelling face
General disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Cholelithiasis
Hepatobiliary disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Appendicitis
Infections and infestations
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Cellulitis
Infections and infestations
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Chronic tonsillitis
Infections and infestations
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Complicated appendicitis
Infections and infestations
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Diverticulitis
Infections and infestations
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Osteomyelitis
Infections and infestations
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Pneumonia
Infections and infestations
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Vestibular neuronitis
Infections and infestations
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Foot fracture
Injury, poisoning and procedural complications
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Road traffic accident
Injury, poisoning and procedural complications
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Skin laceration
Injury, poisoning and procedural complications
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Dehydration
Metabolism and nutrition disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Diabetic ketoacidosis
Metabolism and nutrition disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Hypokalaemia
Metabolism and nutrition disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0021 events1 affected282 at risk
EG003
Intervertebral disc protrusion
Musculoskeletal and connective tissue disorders
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Breast cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Colon cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0011 events1 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Lung adenocarcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Malignant nipple neoplasm
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0011 events1 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Oesophageal adenocarcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Squamous cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Tongue neoplasm malignant stage unspecified
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 24.0
Systematic Assessment
EG0000 events0 affected558 at risk
EG0010 events0 affected273 at risk
EG0020 events0 affected282 at risk
EG003
Uterine leiomyoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Categorical pseudo likelihood-based repeated measures model (CPRMM)
.004
Odds Ratio (OR)
1.623
2-Sided
95
1.167
2.256
Superiority
OG000
OG002
Reduction from Baseline ≥50%
CPRMM
Categorical pseudo likelihood-based repeated measures model (CPRMM)
<.001
Odds Ratio (OR)
1.788
2-Sided
95
1.291
2.474
Superiority
OG000
OG001
Reduction from Baseline ≥75%
CPRMM
Categorical pseudo likelihood-based repeated measures model (CPRMM)
.102
Odds Ratio (OR)
1.498
2-Sided
95
0.923
2.430
Superiority
OG000
OG002
Reduction from Baseline ≥75%
CPRMM
Categorical pseudo likelihood-based repeated measures model (CPRMM)
.011
Odds Ratio (OR)
1.819
2-Sided
95
1.146
2.888
Superiority
OG000
OG001
Reduction from Baseline ≥100%
CPRMM
Categorical pseudo likelihood-based repeated measures model (CPRMM)
0.729
Odds Ratio (OR)
0.761
2-Sided
95
0.163
3.563
Superiority
OG000
OG002
Reduction from Baseline ≥100%
CPRMM
Categorical pseudo likelihood-based repeated measures model (CPRMM)
.276
Odds Ratio (OR)
1.897
2-Sided
95
0.600
5.998
Superiority
OG001
Galcanezumab 120mg
Participants received loading dose of 240mg galcanezumab at first dosing visit followed 120mg galcanezumab once a month by subcutaneous injection for 2 months.
OG002
Galcanezumab 240mg
Participants received 240mg of galcanezumab once a month by subcutaneous injection for 3 months.
Units
Counts
Participants
OG000494
OG001252
OG002253
Title
Denominators
Categories
Title
Measurements
OG00016.76± 1.18
OG00121.81± 1.41
OG00223.05± 1.63
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
5.06
Standard Error of the Mean
1.50
2-Sided
95
2.12
7.99
Superiority
OG000
OG002
Mixed Models Analysis
<.001
LSMean Difference
6.29
Standard Error of the Mean
1.66
2-Sided
95
3.03
9.55
Superiority
Units
Counts
Participants
OG000538
OG001273
OG002274
Title
Denominators
Categories
Title
Measurements
OG000-2.23± 0.33
OG001-4.74± 0.40
OG002-4.25± 0.40
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
-2.51
Standard Error of the Mean
0.38
2-Sided
95
-3.27
-1.76
Superiority
OG000
OG002
Mixed Models Analysis
<.001
LSMean Difference
-2.01
Standard Error of the Mean
0.38
2-Sided
95
-2.77
-1.26
Superiority
Units
Counts
Participants
OG000494
OG001252
OG002253
Title
Denominators
Categories
Title
Measurements
OG000-0.62± 0.08
OG001-0.76± 0.10
OG002-0.91± 0.10
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
.181
LSMean Difference
-0.14
Standard Error of the Mean
0.10
2-Sided
95
-0.34
0.06
Superiority
OG000
OG002
Mixed Models Analysis
.006
LSMean Difference
-0.28
Standard Error of the Mean
0.10
2-Sided
95
-0.48
-0.08
Superiority
Units
Counts
Participants
OG000538
OG001273
OG002274
Title
Denominators
Categories
Title
Measurements
OG000-13.44± 3.91
OG001-36.15± 4.74
OG002-31.53± 4.70
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
-22.71
Standard Error of the Mean
4.60
2-Sided
95
-31.74
-13.69
Superiority
OG000
OG002
Mixed Models Analysis
<.001
LSMean Difference
-18.09
Standard Error of the Mean
4.58
2-Sided
95
-27.09
-9.09
Superiority
OG002
Galcanezumab 240mg
Participants received 240mg of galcanezumab once a month by subcutaneous injection for 3 months.