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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-004598-34 | EudraCT Number |
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The study is being conducted to evaluate two doses of TEV-48125 in adult patients with episodic migraine
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Matching Placebo |
|
| Fremanezumab 675 mg/placebo/placebo | Experimental | Participants randomized to receive fremanezumab 675 mg/placebo/placebo received 675 mg of fremanezumab as 3 injections (225 mg/1.5 mL) on Day 0, and placebo as a single 1.5-mL injection on Days 28 and 56. |
|
| Fremanezumab 225/225/225 mg | Experimental | Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fremanezumab | Drug | Fremanezumab was provided as a sterile, unpreserved, aqueous solution for injection, 225 mg/1.5 mL pre-filled syringe for single-use administration. The 675 mg dose was given as 3 injections; doses of 225 mg were given as a single injection. Study drug was administered at the clinical site. |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in the Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Study Drug | A migraine day was defined as when at least 1 of the following situations occurred: - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for migraine with or without aura - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for probable migraine, a migraine subtype where only 1 migraine criterion is missing - a calendar day (0:00 to 23:59) demonstrating a headache of any duration that was treated with migraine-specific medications (triptans and ergot compounds) Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value. | Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12) |
| Participants With Adverse Events | An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents usual activities. Relationship of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. | Day 1 to Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With At Least 50% Reduction In Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Study Drug | Responder rates were defined as the percentage of total subjects who reached at least a 50% reduction in the monthly average of headache days (as subjectively reported by participants in the study diary) of at least moderate severity relative to the baseline period. For the overall analysis (Month 1-3), patients who discontinued early were considered nonresponders. Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The percentage reduction in monthly average is calculated as: ((baseline value - postbaseline value) / baseline value) * 100 |
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Inclusion Criteria:
Males or females aged 18 to 70 years, inclusive, with migraine onset at ≤50 years of age
Patient signs and dates the informed consent document
Patient has history of migraine according to International Classification of Headache Disorders, or clinical judgment suggests a migraine diagnosis
85% e-diary compliance
Total body weight between 99 and 265 lbs, inclusive
Exclusion Criteria:
Clinically significant hematological, cardiac, renal, endocrine, pulmonary, gastrointestinal, genitourinary, neurologic, hepatic, or ocular disease, at the discretion of the investigator
Evidence or medical history of clinically significant psychiatric issues, including any suicide attempt in the past, or suicidal ideation with a specific plan in the past 2 years
History of clinically significant cardiovascular disease or vascular ischemia (such as myocardial, neurological [eg, cerebral ischemia], peripheral extremity ischemia, or other ischemic event) or thromboembolic events (arterial or venous thrombotic or embolic events), such as cerebrovascular accident (including transient ischemic attacks), deep vein thrombosis, or pulmonary embolism
Known infection or history of human immunodeficiency virus, tuberculosis, or chronic hepatitis B or C infection
Past or current history of cancer in the last 5 years, except for appropriately treated nonmelanoma skin carcinoma
Pregnant or nursing females
History of hypersensitivity reactions to injected proteins, including monoclonal antibodies
Participation in a clinical study of a new chemical entity or a prescription medicine within 2 months or 5 half-lives, whichever is longer
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| Name | Affiliation | Role |
|---|---|---|
| Teva Medical Expert, MD | Teva Branded Pharmaceutical Products R&D, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Teva Investigational Site 13628 | Birmingham | Alabama | 35211 | United States | ||
| Teva Investigational Site 13577 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39221611 | Derived | Tatsumoto M, Ishida M, Iba K, Kim BK, Ning X, Osawa C, Nakai M, Kurita Y. Effects of fremanezumab on migraine-associated symptoms and medication use in Japanese and Korean patients with episodic migraine: Exploratory endpoint analysis of a multicenter, randomized, double-blind, placebo-controlled trial. Headache. 2025 Mar;65(3):399-406. doi: 10.1111/head.14810. Epub 2024 Sep 2. | |
| 36038833 |
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A total of 2995 patients with migraine provided written informed consent. Of the 2995 patients screened, 875 met entry criteria, including diagnostic criteria for episodic migraine (EM) and diary compliance during the run-in period, and were randomized into this study from 123 study centers by 123 investigators.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Participants randomized to receive placebo received three 1.5-mL placebo injections on Day 0, and a single 1.5-mL placebo injection on Days 28 and 56. |
| FG001 | Fremanezumab 675 mg/Placebo/Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 30, 2016 | Oct 10, 2018 |
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|
|
| Placebo | Drug | Placebo 1.5 mL pre-filled syringes identical in appearance to active intervention. Study drug was administered at the clinical site. |
|
| Baseline (Days -28 to Day -1), Treatment Month 1, Month 2, Month 3, Month 1-3 (Days 1 - Week 12) |
| Change From Baseline in the Monthly Average Number of Days of Use of Any Acute Headache Medicine During the 12 Week Period After the First Dose of Study Drug | Patients recorded any migraine medications (name of drug, number of tablets/capsules, and the dose in milligrams per tablet/capsule) taken on each day in their electronic headache diary device. Acute migraine-specific medication included triptans or ergots. Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value. | Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12) |
| Change From Baseline in the Number of Migraine Days During the 4 Week Period After the First Dose of Study Drug | A migraine day was defined as when at least 1 of the following situations occurred: - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for migraine with or without aura - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for probable migraine, a migraine subtype where only 1 migraine criterion is missing - a calendar day (0:00 to 23:59) demonstrating a headache of any duration that was treated with migraine-specific medications (triptans and ergot compounds) Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value. | Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 4) |
| Change From Baseline in the Monthly Average Number of Migraine Days During the 12 Week Period After the First Dose of Study Medication in Patients Not Receiving Concomitant Preventive Migraine Medications | A subset of patients (specified in the protocol not to exceed 30%) were allowed to use 1 concomitant migraine preventive medication. This outcome only includes those participants who did not take concomitant preventive migraine medication during this study. A migraine day has been previously defined. Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value. | Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12) |
| Change From Baseline in Migraine-Related Disability Score (MIDAS), As Measured by the Migraine Disability Assessment At 4 Weeks After the Last (3rd) Dose of Study Drug | The MIDAS questionnaire is a 5-item instrument developed to assess headache-related disability based on lost days of activity in 3 domains (work, household work, and nonwork) over the previous 3 months. The total score, ie, the sum of the # lost days answered for the first 5 questions, is used for grading of disability, with scores of 0-5 lost days = grade 1 (little or no disability), 6-10 lost days =grade 2 (mild disability), 11-20 lost days = grade 3 (moderate disability), and ≥21 lost days interpreted as grade 4 (severe disability). Negative change from baseline scores indicate a reduction (improvement) in headache-related disability. | Baseline (Day 0), Treatment Week 12 (4 weeks after the 3rd dose) |
| Electrocardiogram Finding Shifts From Baseline to Overall | 12-lead ECGs were performed before other assessments (eg, blood draws and administration of questionnaires) and performed in triplicate. The worst post-baseline finding for the patient is summarized. Only patients with both baseline and post-baseline ECGs are included. The ECG was evaluated by the investigator at the time of recording (signed and dated), and the printout was kept in the source documentation file. When potentially clinically significant findings were detected by the investigator, a cardiologist at a central diagnostic center was consulted for a definitive interpretation. Any ECG finding that was judged by the investigator as a potentially clinically significant change (worsening) compared with a baseline value was considered an adverse event. - NCS = abnormal, not clinically significant - CS = abnormal, clinically significant Shift format is: baseline finding / worst post-baseline finding | Baseline (Day 0), Treatment Week 12 (or early withdrawal) |
| Participants With Vital Signs Potentially Clinically Significant Abnormal Values | Vital signs were performed before other assessments (eg, blood draws and administration of questionnaires). Vital signs with at least one participant showing potentially clinically significant abnormal findings included: - Pulse Rate Low: <=50 and decrease of >=15 beats per minute - Systolic Blood Pressure Low: <=90 mmHg and decrease of >=20 mmHg - Diastolic Blood Pressure High: >=105 mmHg and increase of >=15 mmHg - Diastolic Blood Pressure Low: <=50 mmHg and decrease of >=15 mmHg - Respiratory Rate Low: <10 breaths / minute | Treatment Days 28, 56 and 84. Changes from previous reading may reflect the baseline reading performed on Day 0. |
| Participants With Serum Chemistry and Hematology Potentially Clinically Significant Abnormal Results | Serum chemistry and hematology laboratory tests with potentially clinically significant abnormal findings included: - Blood Urea Nitrogen (BUN) High: >=10.71 mmol/L - Bilirubin High: >=34.2 umol/L - Alanine Aminotransferase (ALT): >=3*upper limit of normal (ULN) - Aspartate Aminotransferase (AST): >=3*upper limit of normal (ULN) - Gamma Glutamyl Transferase (GGT): >=3*upper limit of normal (ULN) - Hemoglobin: Male: <115 g/L or Female: <=95 g/L - Hematocrit: Male: <0.37 L/L or Female: <0.32 L/L - Leukocytes: >=20*10^9/L or <=3*10^9/L - Eosinophils/Leukocytes: >=10% - Platelets: >=700*10^9/L or <=75*10^9/L | Treatment Days 28, 56 and 84 (or early withdrawal) |
| Participants With Urinalysis Laboratory Tests Potentially Clinically Significant Abnormal Results | Urinalysis with potentially clinically significant abnormal findings included: - Blood: >=2 unit increase from baseline - Urine Glucose (mg/dL): >=2 unit increase from baseline - Ketones (mg/dL): >=2 unit increase from baseline - Urine Protein (mg/dL): >=2 unit increase from baseline | Treatment Days 28, 56 and 84. Changes from previous reading reflect the baseline reading performed on Day 0. |
| Prothrombin Time Shifts From Baseline to Endpoint | Shifts in prothrombin time from baseline to endpoint were summarized using patient counts grouped into three categories: - Low (below normal range) - Normal (within the normal range of 9.4 to 12.5 seconds) - High (above normal range) Shift format is: baseline finding / endpoint finding | Baseline (Day 0), Treatment Endpoint (Week 12) |
| Injection Site Reaction Adverse Events | Counts of participants who reported treatment-emergent injection site reactions as AEs are summarized. Preferred terms from MedDRA version 18.1 are offered without a threshold applied. | Day 1 to Week 12 |
| Participants With Positive Electronic Columbia Suicide Severity Rating Scale Results After the First Dose of Study Drug | The electronic Columbia-Suicide Severity Rating Scale (eC-SSRS) was used to assess the patient's suicidal ideation (severity and intensity) and behavior (Posner et al 2011). The eC-SSRS Baseline/Screening version was completed by the patient at visit 2, and the eC-SSRS Since Last Visit version was completed by the patient at all other time points. Any positive findings on the eC-SSRS Since Last Visit version required evaluation by a physician or doctoral-level psychologist. Findings after the first dose of study drug using the eC-SSRS Since Last Visit version are summarized. | Day 1 to Week 12 |
| Birmingham |
| Alabama |
| 35216 |
| United States |
| Teva Investigational Site 13577 | Birmingham | Alabama | United States |
| Teva Investigational Site 13628 | Birmingham | Alabama | United States |
| Teva Investigational Site 13606 | Phoenix | Arizona | 85018 | United States |
| Teva Investigational Site 13579 | Phoenix | Arizona | 85023 | United States |
| Teva Investigational Site 13579 | Phoenix | Arizona | United States |
| Teva Investigational Site 13606 | Phoenix | Arizona | United States |
| Teva Investigational Site 13602 | Little Rock | Arkansas | 72205 | United States |
| Teva Investigational Site 13602 | Little Rock | Arkansas | United States |
| Teva Investigational Site 13568 | Encino | California | 91316 | United States |
| Teva Investigational Site 13568 | Encino | California | United States |
| Teva Investigational Site 13546 | Fullerton | California | 92835 | United States |
| Teva Investigational Site 13546 | Fullerton | California | United States |
| Teva Investigational Site 13540 | Long Beach | California | 90806 | United States |
| Teva Investigational Site 13540 | Long Beach | California | United States |
| Teva Investigational Site 13632 | Redlands | California | 92374 | United States |
| Teva Investigational Site 13632 | Redlands | California | United States |
| Teva Investigational Site 13571 | Redondo Beach | California | 90277 | United States |
| Teva Investigational Site 13571 | Redondo Beach | California | United States |
| Teva Investigational Site 13573 | San Diego | California | 92103 | United States |
| Teva Investigational Site 13573 | San Diego | California | United States |
| Teva Investigational Site 13538 | Santa Monica | California | 90404 | United States |
| Teva Investigational Site 13538 | Santa Monica | California | United States |
| Teva Investigational Site 13594 | Santa Rosa | California | 95405 | United States |
| Teva Investigational Site 13594 | Santa Rosa | California | United States |
| Teva Investigational Site 13595 | Walnut Creek | California | 94598 | United States |
| Teva Investigational Site 13595 | Walnut Creek | California | United States |
| Teva Investigational Site 13629 | Aurora | Colorado | 80014 | United States |
| Teva Investigational Site 13629 | Aurora | Colorado | United States |
| Teva Investigational Site 13557 | Boulder | Colorado | 80301 | United States |
| Teva Investigational Site 13557 | Boulder | Colorado | United States |
| Teva Investigational Site 13593 | Colorado Springs | Colorado | 80918 | United States |
| Teva Investigational Site 13593 | Colorado Springs | Colorado | United States |
| Teva Investigational Site 13633 | Denver | Colorado | 80210 | United States |
| Teva Investigational Site 13612 | Denver | Colorado | 80239 | United States |
| Teva Investigational Site 13612 | Denver | Colorado | United States |
| Teva Investigational Site 13633 | Denver | Colorado | United States |
| Teva Investigational Site 13631 | Englewood | Colorado | 80113 | United States |
| Teva Investigational Site 13631 | Englewood | Colorado | United States |
| Teva Investigational Site 13563 | East Hartford | Connecticut | 06118 | United States |
| Teva Investigational Site 13563 | East Hartford | Connecticut | United States |
| Teva Investigational Site 13550 | Stamford | Connecticut | 06905 | United States |
| Teva Investigational Site 13550 | Stamford | Connecticut | United States |
| Teva Investigational Site 13635 | Bradenton | Florida | 34201 | United States |
| Teva Investigational Site 13635 | Bradenton | Florida | United States |
| Teva Investigational Site 13597 | Gainesville | Florida | 32607 | United States |
| Teva Investigational Site 13597 | Gainesville | Florida | United States |
| Teva Investigational Site 13607 | Hialeah | Florida | 33012 | United States |
| Teva Investigational Site 13607 | Hialeah | Florida | United States |
| Teva Investigational Site 13559 | Jacksonville | Florida | 32205 | United States |
| Teva Investigational Site 13559 | Jacksonville | Florida | United States |
| Teva Investigational Site 13584 | Ocala | Florida | 34471 | United States |
| Teva Investigational Site 13584 | Ocala | Florida | United States |
| Teva Investigational Site 13587 | Orlando | Florida | 32806 | United States |
| Teva Investigational Site 13551 | Orlando | Florida | United States |
| Teva Investigational Site 13555 | Orlando | Florida | United States |
| Teva Investigational Site 13587 | Orlando | Florida | United States |
| Teva Investigational Site 13599 | Orlando | Florida | United States |
| Teva Investigational Site 13553 | Pembroke Pines | Florida | 33026 | United States |
| Teva Investigational Site 13553 | Pembroke Pines | Florida | United States |
| Teva Investigational Site 13616 | Pinellas Park | Florida | 33781 | United States |
| Teva Investigational Site 13616 | Pinellas Park | Florida | United States |
| Teva Investigational Site 13567 | West Palm Beach | Florida | 33407 | United States |
| Teva Investigational Site 13567 | West Palm Beach | Florida | United States |
| Teva Investigational Site 13620 | Atlanta | Georgia | 30312 | United States |
| Teva Investigational Site 13537 | Atlanta | Georgia | 30342 | United States |
| Teva Investigational Site 13537 | Atlanta | Georgia | United States |
| Teva Investigational Site 13620 | Atlanta | Georgia | United States |
| Teva Investigational Site 13604 | Boise | Idaho | 83642 | United States |
| Teva Investigational Site 13604 | Meridian | Idaho | United States |
| Teva Investigational Site 13585 | Chicago | Illinois | 60607 | United States |
| Teva Investigational Site 13621 | Chicago | Illinois | 60654 | United States |
| Teva Investigational Site 13585 | Chicago | Illinois | United States |
| Teva Investigational Site 13621 | Chicago | Illinois | United States |
| Teva Investigational Site 13627 | Evanston | Illinois | 60201 | United States |
| Teva Investigational Site 13627 | Evanston | Illinois | United States |
| Teva Investigational Site 13596 | Indianapolis | Indiana | 46254 | United States |
| Teva Investigational Site 13596 | Indianapolis | Indiana | United States |
| Teva Investigational Site 13617 | Wichita | Kansas | 67207 | United States |
| Teva Investigational Site 13598 | Wichita | Kansas | 67211 | United States |
| Teva Investigational Site 13598 | Wichita | Kansas | United States |
| Teva Investigational Site 13617 | Wichita | Kansas | United States |
| Teva Investigational Site 13566 | Louisville | Kentucky | 40207 | United States |
| Teva Investigational Site 13566 | Louisville | Kentucky | United States |
| Teva Investigational Site 13603 | Metairie | Louisiana | 70006 | United States |
| Teva Investigational Site 13603 | Metairie | Louisiana | United States |
| Teva Investigational Site 13582 | Baltimore | Maryland | United States |
| Teva Investigational Site 13582 | Pikesville | Maryland | 21208 | United States |
| Teva Investigational Site 13590 | Boston | Massachusetts | 02131 | United States |
| Teva Investigational Site 13590 | Boston | Massachusetts | United States |
| Teva Investigational Site 13589 | New Bedford | Massachusetts | 02301 | United States |
| Teva Investigational Site 13589 | New Bedford | Massachusetts | United States |
| Teva Investigational Site 13543 | Wellesley Hills | Massachusetts | 02481 | United States |
| Teva Investigational Site 13543 | Wellesley Hills | Massachusetts | United States |
| Teva Investigational Site 13539 | Ann Arbor | Michigan | 48104 | United States |
| Teva Investigational Site 13539 | Ann Arbor | Michigan | United States |
| Teva Investigational Site 13542 | Golden Valley | Minnesota | 55422 | United States |
| Teva Investigational Site 13542 | Golden Valley | Minnesota | United States |
| Teva Investigational Site 13534 | Kansas City | Missouri | 64114 | United States |
| Teva Investigational Site 13534 | Kansas City | Missouri | United States |
| Teva Investigational Site 13536 | Springfield | Missouri | United States |
| Teva Investigational Site 13619 | St Louis | Missouri | 63141 | United States |
| Teva Investigational Site 13619 | St Louis | Missouri | United States |
| Teva Investigational Site 13618 | Fremont | Nebraska | 68025 | United States |
| Teva Investigational Site 13618 | Fremont | Nebraska | United States |
| Teva Investigational Site 13605 | Las Vegas | Nevada | 89106 | United States |
| Teva Investigational Site 13605 | Las Vegas | Nevada | United States |
| Teva Investigational Site 13578 | Lebanon | New Hampshire | 03756 | United States |
| Teva Investigational Site 13578 | Lebanon | New Hampshire | United States |
| Teva Investigational Site 13575 | Martinsville | New Jersey | United States |
| Teva Investigational Site 13575 | Raritan | New Jersey | 08869 | United States |
| Teva Investigational Site 13588 | Albuquerque | New Mexico | 87102 | United States |
| Teva Investigational Site 13588 | Albuquerque | New Mexico | United States |
| Teva Investigational Site 13576 | Amherst | New York | 14226 | United States |
| Teva Investigational Site 13576 | Amherst | New York | United States |
| Teva Investigational Site 13565 | Plainview | New York | 11803 | United States |
| Teva Investigational Site 13565 | Plainview | New York | United States |
| Teva Investigational Site 13544 | Greensboro | North Carolina | 27401 | United States |
| Teva Investigational Site 13574 | Greensboro | North Carolina | 27408 | United States |
| Teva Investigational Site 13544 | Greensboro | North Carolina | United States |
| Teva Investigational Site 13574 | Greensboro | North Carolina | United States |
| Teva Investigational Site 13545 | Raleigh | North Carolina | 27607 | United States |
| Teva Investigational Site 13545 | Raleigh | North Carolina | United States |
| Teva Investigational Site 13609 | Akron | Ohio | 44311 | United States |
| Teva Investigational Site 13634 | Akron | Ohio | 44311 | United States |
| Teva Investigational Site 13609 | Akron | Ohio | United States |
| Teva Investigational Site 13634 | Akron | Ohio | United States |
| Teva Investigational Site 13533 | Cincinnati | Ohio | 45227 | United States |
| Teva Investigational Site 13624 | Cincinnati | Ohio | 45249 | United States |
| Teva Investigational Site 13533 | Cincinnati | Ohio | United States |
| Teva Investigational Site 13624 | Cincinnati | Ohio | United States |
| Teva Investigational Site 13569 | Cleveland | Ohio | 44195 | United States |
| Teva Investigational Site 13569 | Cleveland | Ohio | United States |
| Teva Investigational Site 13626 | Columbus | Ohio | 43212 | United States |
| Teva Investigational Site 13626 | Columbus | Ohio | United States |
| Teva Investigational Site 13625 | Mogadore | Ohio | 44260 | United States |
| Teva Investigational Site 13625 | Mogadore | Ohio | United States |
| Teva Investigational Site 13561 | Oklahoma City | Oklahoma | 73112 | United States |
| Teva Investigational Site 13561 | Oklahoma City | Oklahoma | United States |
| Teva Investigational Site 13601 | Eugene | Oregon | 97401 | United States |
| Teva Investigational Site 13601 | Eugene | Oregon | United States |
| Teva Investigational Site 13591 | Jenkintown | Pennsylvania | 19046 | United States |
| Teva Investigational Site 13591 | Jenkintown | Pennsylvania | United States |
| Teva Investigational Site 13554 | Philadelphia | Pennsylvania | 19107 | United States |
| Teva Investigational Site 13554 | Philadelphia | Pennsylvania | United States |
| Teva Investigational Site 13608 | Uniontown | Pennsylvania | 15401 | United States |
| Teva Investigational Site 13608 | Uniontown | Pennsylvania | United States |
| Teva Investigational Site 13615 | Greer | South Carolina | 29650 | United States |
| Teva Investigational Site 13615 | Greer | South Carolina | United States |
| Teva Investigational Site 13556 | Mt. Pleasant | South Carolina | 29464 | United States |
| Teva Investigational Site 13556 | Mt. Pleasant | South Carolina | United States |
| Teva Investigational Site 13560 | Bristol | Tennessee | 37620 | United States |
| Teva Investigational Site 13560 | Bristol | Tennessee | United States |
| Teva Investigational Site 13532 | Nashville | Tennessee | 37203 | United States |
| Teva Investigational Site 13552 | Nashville | Tennessee | 37203 | United States |
| Teva Investigational Site 13532 | Nashville | Tennessee | United States |
| Teva Investigational Site 13552 | Nashville | Tennessee | United States |
| Teva Investigational Site 13541 | Austin | Texas | 78731 | United States |
| Teva Investigational Site 13541 | Austin | Texas | United States |
| Teva Investigational Site 13623 | Dallas | Texas | 75214 | United States |
| Teva Investigational Site 13623 | Dallas | Texas | United States |
| Teva Investigational Site 13611 | Plano | Texas | 75024 | United States |
| Teva Investigational Site 13611 | Plano | Texas | United States |
| Teva Investigational Site 13572 | San Antonio | Texas | 78229 | United States |
| Teva Investigational Site 13572 | San Antonio | Texas | United States |
| Teva Investigational Site 13614 | Murray | Utah | 84107 | United States |
| Teva Investigational Site 13614 | Murray | Utah | United States |
| Teva Investigational Site 13581 | West Jordan | Utah | 84088 | United States |
| Teva Investigational Site 13581 | West Jordan | Utah | United States |
| Teva Investigational Site 13630 | Virginia Beach | Virginia | 23454 | United States |
| Teva Investigational Site 13630 | Virginia Beach | Virginia | United States |
| Teva Investigational Site 13564 | Seattle | Washington | 98105 | United States |
| Teva Investigational Site 13586 | Seattle | Washington | 98105 | United States |
| Teva Investigational Site 13564 | Seattle | Washington | United States |
| Teva Investigational Site 13586 | Seattle | Washington | United States |
| Teva Investigational Site 13600 | Morgantown | West Virginia | 26506 | United States |
| Teva Investigational Site 13600 | Morgantown | West Virginia | United States |
| Teva Investigational Site 11124 | Hamilton | Ontario | L8N 1Y2 | Canada |
| Teva Investigational Site 11124 | Hamilton | Ontario | Canada |
| Teva Investigational Site 11120 | Calgary | T3M 1M4 | Canada |
| Teva Investigational Site 11120 | Calgary | Canada |
| Teva Investigational Site 11121 | Montreal | H2W 1V1 | Canada |
| Teva Investigational Site 11121 | Montreal | Canada |
| Teva Investigational Site 11122 | Newmarket | L3Y5G8 | Canada |
| Teva Investigational Site 11122 | Newmarket | Canada |
| Teva Investigational Site 11123 | Sarnia | N7T 4X3 | Canada |
| Teva Investigational Site 11123 | Sarnia | Canada |
| Teva Investigational Site 54144 | Brno | 602 00 | Czechia |
| Teva Investigational Site 54144 | Brno | Czechia |
| Teva Investigational Site 54141 | Kunratice | 14800 | Czechia |
| Teva Investigational Site 54141 | Kunratice | Czechia |
| Teva Investigational Site 54145 | Pardubice | 53002 | Czechia |
| Teva Investigational Site 54145 | Pardubice | Czechia |
| Teva Investigational Site 54143 | Prague | 100 00 | Czechia |
| Teva Investigational Site 54146 | Prague | 130 00 | Czechia |
| Teva Investigational Site 54142 | Prague | 140 59 | Czechia |
| Teva Investigational Site 54143 | Prague | Czechia |
| Teva Investigational Site 54146 | Prague | Czechia |
| Teva Investigational Site 54142 | Prague-4-Krc | Czechia |
| Teva Investigational Site 40018 | Helsinki | 00100 | Finland |
| Teva Investigational Site 40017 | Helsinki | 00930 | Finland |
| Teva Investigational Site 40017 | Helsinki | Finland |
| Teva Investigational Site 40018 | Helsinki | Finland |
| Teva Investigational Site 40016 | Turku | 20100 | Finland |
| Teva Investigational Site 40016 | Turku | Finland |
| Teva Investigational Site 80096 | Holon | 58100 | Israel |
| Teva Investigational Site 80096 | Holon | Israel |
| Teva Investigational Site 80099 | Jerusalem | 9112001 | Israel |
| Teva Investigational Site 80099 | Jerusalem | Israel |
| Teva Investigational Site 80098 | Nahariya | 221001 | Israel |
| Teva Investigational Site 80098 | Nahariya | Israel |
| Teva Investigational Site 80097 | Netanya | 4244916 | Israel |
| Teva Investigational Site 80097 | Netanya | Israel |
| Teva Investigational Site 80100 | Ramat Gan | 5262160 | Israel |
| Teva Investigational Site 80100 | Ramat Gan | Israel |
| Teva Investigational Site 80095 | Tel Aviv | 64239 | Israel |
| Teva Investigational Site 80095 | Tel Aviv | Israel |
| Teva Investigational Site 84072 | Chofu-shi | 182-0006 | Japan |
| Teva Investigational Site 84064 | Chofu-shi | Japan |
| Teva Investigational Site 84072 | Chofu-shi | Japan |
| Teva Investigational Site 84066 | Kagoshima | 892-0844 | Japan |
| Teva Investigational Site 84066 | Kagoshima | Japan |
| Teva Investigational Site 84069 | Kai | 400-0124 | Japan |
| Teva Investigational Site 84069 | Kaisho | Japan |
| Teva Investigational Site 84073 | Kawasaki | 211-8588 | Japan |
| Teva Investigational Site 84073 | Kawasaki-shi | Japan |
| Teva Investigational Site 84067 | Kyoto | 600-8811 | Japan |
| Teva Investigational Site 84067 | Kyoto | Japan |
| Teva Investigational Site 84062 | Osaka | 556-0015 | Japan |
| Teva Investigational Site 84062 | Osaka | Japan |
| Teva Investigational Site 84070 | Saitama | 338-8577 | Japan |
| Teva Investigational Site 84070 | Saitama-shi | Japan |
| Teva Investigational Site 84061 | Sendai | 982-0014 | Japan |
| Teva Investigational Site 84061 | Sendai | Japan |
| Teva Investigational Site 84065 | Shimotsuma | Japan |
| Teva Investigational Site 84063 | Shinjuku-ku | 160-8582 | Japan |
| Teva Investigational Site 84068 | Shizuoka | 4200-853 | Japan |
| Teva Investigational Site 84068 | Shizuoka | Japan |
| Teva Investigational Site 84065 | Tochigi | 321-0293 | Japan |
| Teva Investigational Site 84064 | Tokyo | 182-0006 | Japan |
| Teva Investigational Site 84071 | Toyonaka | Japan |
| Teva Investigational Site 84071 | Toyonaka-shi | Japan |
| Teva Investigational Site 53364 | Krakow | 31-523 | Poland |
| Teva Investigational Site 53363 | Krakow | 33-332 | Poland |
| Teva Investigational Site 53363 | Krakow | Poland |
| Teva Investigational Site 53364 | Krakow | Poland |
| Teva Investigational Site 53366 | Lublin | 20-022 | Poland |
| Teva Investigational Site 53366 | Lublin | Poland |
| Teva Investigational Site 53365 | Poznan | 60-529 | Poland |
| Teva Investigational Site 53365 | Poznan | Poland |
| Teva Investigational Site 53367 | Warsaw | 04-730 | Poland |
| Teva Investigational Site 53367 | Warsaw | Poland |
| Teva Investigational Site 50399 | Kazan' | 420012 | Russia |
| Teva Investigational Site 50395 | Kazan' | 420021 | Russia |
| Teva Investigational Site 50395 | Kazan' | Russia |
| Teva Investigational Site 50399 | Kazan' | Russia |
| Teva Investigational Site 50394 | Moscow | 121467 | Russia |
| Teva Investigational Site 50400 | Moscow | 129128 | Russia |
| Teva Investigational Site 50394 | Moscow | Russia |
| Teva Investigational Site 50400 | Moscow | Russia |
| Teva Investigational Site 50398 | Nizhny Novgorod | 603126 | Russia |
| Teva Investigational Site 50396 | Nizhny Novgorod | 603137 | Russia |
| Teva Investigational Site 50396 | Nizhny Novgorod | Russia |
| Teva Investigational Site 50398 | Nizhny Novgorod | Russia |
| Teva Investigational Site 50397 | Ufa | 450007 | Russia |
| Teva Investigational Site 50397 | Ufa | Russia |
| Teva Investigational Site 31207 | Madrid | 28046 | Spain |
| Teva Investigational Site 31207 | Madrid | Spain |
| Teva Investigational Site 31208 | Pamplona | 31008 | Spain |
| Teva Investigational Site 31208 | Pamplona | Spain |
| Teva Investigational Site 31205 | Valladolid | 47003 | Spain |
| Teva Investigational Site 31205 | Valladolid | Spain |
| Teva Investigational Site 31206 | Zaragoza | 50009 | Spain |
| Teva Investigational Site 31206 | Zaragoza | Spain |
| Derived |
| McAllister P, Cohen JM, Campos VR, Ning X, Janka L, Barash S. Impact of fremanezumab on disability outcomes in patients with episodic and chronic migraine: a pooled analysis of phase 3 studies. J Headache Pain. 2022 Aug 29;23(1):112. doi: 10.1186/s10194-022-01438-4. |
| 35331009 | Derived | Diener HC, McAllister P, Jurgens TP, Kessler Y, Ning X, Cohen JM, Campos VR, Barash S, Silberstein SD. Safety and tolerability of fremanezumab in patients with episodic and chronic migraine: a pooled analysis of phase 3 studies. Cephalalgia. 2022 Jul;42(8):769-780. doi: 10.1177/03331024221076485. Epub 2022 Mar 25. |
| 34819017 | Derived | Nahas SJ, Naegel S, Cohen JM, Ning X, Janka L, Campos VR, Krasenbaum LJ, Holle-Lee D, Kudrow D, Lampl C. Efficacy and safety of fremanezumab in clinical trial participants aged >/=60 years with episodic or chronic migraine: pooled results from 3 randomized, double-blind, placebo-controlled phase 3 studies. J Headache Pain. 2021 Nov 24;22(1):141. doi: 10.1186/s10194-021-01351-2. |
| 33413075 | Derived | Silberstein SD, Cohen JM, Yang R, Gandhi SK, Du E, Jann AE, Marmura MJ. Treatment benefit among migraine patients taking fremanezumab: results from a post hoc responder analysis of two placebo-controlled trials. J Headache Pain. 2021 Jan 7;22(1):2. doi: 10.1186/s10194-020-01212-4. |
| 31752521 | Derived | Brandes JL, Kudrow D, Yeung PP, Sakai F, Aycardi E, Blankenbiller T, Grozinski-Wolff M, Yang R, Ma Y. Effects of fremanezumab on the use of acute headache medication and associated symptoms of migraine in patients with episodic migraine. Cephalalgia. 2020 Apr;40(5):470-477. doi: 10.1177/0333102419885905. Epub 2019 Nov 21. |
| 29800211 | Derived | Dodick DW, Silberstein SD, Bigal ME, Yeung PP, Goadsby PJ, Blankenbiller T, Grozinski-Wolff M, Yang R, Ma Y, Aycardi E. Effect of Fremanezumab Compared With Placebo for Prevention of Episodic Migraine: A Randomized Clinical Trial. JAMA. 2018 May 15;319(19):1999-2008. doi: 10.1001/jama.2018.4853. |
Participants randomized to receive fremanezumab 675 mg/placebo/placebo received 675 mg of fremanezumab as 3 injections (225 mg/1.5 mL) on Day 0, and placebo as a single 1.5-mL injection on Days 28 and 56.
| FG002 | Fremanezumab 225/225/225 mg | Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
| Intent to Treat (ITT) |
|
| Safety Population |
|
| Full Analysis Set |
|
| COMPLETED |
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| NOT COMPLETED |
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|
Intent to treat (ITT) population
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Participants randomized to receive placebo received three 1.5-mL placebo injections on Day 0, and a single 1.5-mL placebo injection on Days 28 and 56. |
| BG001 | Fremanezumab 675 mg/Placebo/Placebo | Participants randomized to receive fremanezumab 675 mg/placebo/placebo received 675 mg of fremanezumab as 3 injections (225 mg/1.5 mL) on Day 0, and placebo as a single 1.5-mL injection on Days 28 and 56. |
| BG002 | Fremanezumab 225/225/225 mg | Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||
| Age, Customized | Count of Participants | Participants |
| |||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
| |||||||||||
| Preventive Medication Use During Baseline Period | Eligible patients entered a 28-day run-in/baseline period during which headache information was captured daily throughout study participation using the electronic headache diary device. During randomization, patients were stratified based on sex, country, and baseline preventive migraine medication use (yes, no) to ensure balance for the covariates. | Count of Participants | Participants |
| ||||||||||
| Weight | Mean | Standard Deviation | kg |
| ||||||||||
| Time Since Initial Migraine Diagnosis | Mean | Standard Deviation | years |
| ||||||||||
| Total Number of Headache Days of Any Duration And Any Severity During the 28 Day Baseline Period | Eligible patients entered a 28-day run-in/baseline period during which headache information was captured daily throughout study participation using the electronic headache diary device. | Three participants did not capture data in the e-diary. | Mean | Standard Deviation | days |
| ||||||||
| Number of Migraine Days | Eligible patients entered a 28-day run-in/baseline period during which headache information was captured daily throughout study participation using the electronic headache diary device. Migraine headaches are as defined in The International Classification of Headache Disorders 3rd edition (ICHD-3). | Three participants did not capture data in the e-diary. | Mean | Standard Deviation | days |
| ||||||||
| Number of Headache Days of At Least Moderate Severity | Eligible patients entered a 28-day run-in/baseline period during which headache information was captured daily throughout study participation using the electronic headache diary device. Headache severity was subjectively rated by the patient as mild, moderate or severe. | Three participants did not capture data in the e-diary. | Mean | Standard Deviation | days |
| ||||||||
| Number of Days of Use of Any Acute Headache Medications | Eligible patients entered a 28-day run-in/baseline period during which headache information (including information about use of headache medications) was captured daily throughout study participation using the electronic headache diary device. | Three participants did not capture data in the e-diary. | Mean | Standard Deviation | days |
| ||||||||
| Migraine Disability Assessment (MIDAS) Total Score | The MIDAS questionnaire is a 5-item instrument developed to assess headache-related disability based on lost days of activity in 3 domains (work, household work, and nonwork) over the previous 3 months. The total score, ie, the sum of the # lost days answered for the first 5 questions, is used for grading of disability, with scores of 0-5 = grade 1 (little or no disability), 6-10 =grade 2 (mild disability), 11-20 = grade 3 (moderate disability), and ≥21 interpreted as grade 4 (severe disability). | Eleven participants did not capture data in the e-diary. | Mean | Standard Deviation | units on a scale |
|
| 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 | Change From Baseline in the Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Study Drug | A migraine day was defined as when at least 1 of the following situations occurred: - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for migraine with or without aura - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for probable migraine, a migraine subtype where only 1 migraine criterion is missing - a calendar day (0:00 to 23:59) demonstrating a headache of any duration that was treated with migraine-specific medications (triptans and ergot compounds) Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value. | Full analysis set | Posted | Median | Inter-Quartile Range | days | Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12) |
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| Primary | Participants With Adverse Events | An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents usual activities. Relationship of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. | Safety population | Posted | Count of Participants | Participants | Day 1 to Week 12 |
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| Secondary | Percentage of Participants With At Least 50% Reduction In Monthly Average Number of Migraine Days During the 12-Week Period After the First Dose of Study Drug | Responder rates were defined as the percentage of total subjects who reached at least a 50% reduction in the monthly average of headache days (as subjectively reported by participants in the study diary) of at least moderate severity relative to the baseline period. For the overall analysis (Month 1-3), patients who discontinued early were considered nonresponders. Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The percentage reduction in monthly average is calculated as: ((baseline value - postbaseline value) / baseline value) * 100 | Full analysis set | Posted | Number | percentage of participants | Baseline (Days -28 to Day -1), Treatment Month 1, Month 2, Month 3, Month 1-3 (Days 1 - Week 12) |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Monthly Average Number of Days of Use of Any Acute Headache Medicine During the 12 Week Period After the First Dose of Study Drug | Patients recorded any migraine medications (name of drug, number of tablets/capsules, and the dose in milligrams per tablet/capsule) taken on each day in their electronic headache diary device. Acute migraine-specific medication included triptans or ergots. Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value. | Full analysis set | Posted | Median | Inter-Quartile Range | days | Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12) |
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| Secondary | Change From Baseline in the Number of Migraine Days During the 4 Week Period After the First Dose of Study Drug | A migraine day was defined as when at least 1 of the following situations occurred: - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for migraine with or without aura - a calendar day (0:00 to 23:59) demonstrating at least 4 consecutive hours of a headache endorsing criteria for probable migraine, a migraine subtype where only 1 migraine criterion is missing - a calendar day (0:00 to 23:59) demonstrating a headache of any duration that was treated with migraine-specific medications (triptans and ergot compounds) Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value. | Full analysis set; includes participants with observations | Posted | Median | Inter-Quartile Range | days | Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 4) |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Monthly Average Number of Migraine Days During the 12 Week Period After the First Dose of Study Medication in Patients Not Receiving Concomitant Preventive Migraine Medications | A subset of patients (specified in the protocol not to exceed 30%) were allowed to use 1 concomitant migraine preventive medication. This outcome only includes those participants who did not take concomitant preventive migraine medication during this study. A migraine day has been previously defined. Monthly averages are derived and normalized to 28 days equivalent by the following formula: (# days of efficacy variable over relevant period / # days with assessments recorded in the e-diary over the relevant period) * 28. The change is calculated as postbaseline value - baseline value. | Full analysis set of participants who did not receive concomitant migraine prevention medication | Posted | Median | Inter-Quartile Range | days | Baseline (Days -28 to Day -1), Treatment (Days 1 - Week 12) |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Migraine-Related Disability Score (MIDAS), As Measured by the Migraine Disability Assessment At 4 Weeks After the Last (3rd) Dose of Study Drug | The MIDAS questionnaire is a 5-item instrument developed to assess headache-related disability based on lost days of activity in 3 domains (work, household work, and nonwork) over the previous 3 months. The total score, ie, the sum of the # lost days answered for the first 5 questions, is used for grading of disability, with scores of 0-5 lost days = grade 1 (little or no disability), 6-10 lost days =grade 2 (mild disability), 11-20 lost days = grade 3 (moderate disability), and ≥21 lost days interpreted as grade 4 (severe disability). Negative change from baseline scores indicate a reduction (improvement) in headache-related disability. | Full analysis set | Posted | Median | Inter-Quartile Range | lost days | Baseline (Day 0), Treatment Week 12 (4 weeks after the 3rd dose) |
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| Secondary | Electrocardiogram Finding Shifts From Baseline to Overall | 12-lead ECGs were performed before other assessments (eg, blood draws and administration of questionnaires) and performed in triplicate. The worst post-baseline finding for the patient is summarized. Only patients with both baseline and post-baseline ECGs are included. The ECG was evaluated by the investigator at the time of recording (signed and dated), and the printout was kept in the source documentation file. When potentially clinically significant findings were detected by the investigator, a cardiologist at a central diagnostic center was consulted for a definitive interpretation. Any ECG finding that was judged by the investigator as a potentially clinically significant change (worsening) compared with a baseline value was considered an adverse event. - NCS = abnormal, not clinically significant - CS = abnormal, clinically significant Shift format is: baseline finding / worst post-baseline finding | Safety population of participants with both baseline and post-treatment ECGs | Posted | Count of Participants | Participants | Baseline (Day 0), Treatment Week 12 (or early withdrawal) |
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| Secondary | Participants With Vital Signs Potentially Clinically Significant Abnormal Values | Vital signs were performed before other assessments (eg, blood draws and administration of questionnaires). Vital signs with at least one participant showing potentially clinically significant abnormal findings included: - Pulse Rate Low: <=50 and decrease of >=15 beats per minute - Systolic Blood Pressure Low: <=90 mmHg and decrease of >=20 mmHg - Diastolic Blood Pressure High: >=105 mmHg and increase of >=15 mmHg - Diastolic Blood Pressure Low: <=50 mmHg and decrease of >=15 mmHg - Respiratory Rate Low: <10 breaths / minute | Safety population of participants with both baseline and post-treatment values for each vital sign. | Posted | Count of Participants | Participants | Treatment Days 28, 56 and 84. Changes from previous reading may reflect the baseline reading performed on Day 0. |
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| Secondary | Participants With Serum Chemistry and Hematology Potentially Clinically Significant Abnormal Results | Serum chemistry and hematology laboratory tests with potentially clinically significant abnormal findings included: - Blood Urea Nitrogen (BUN) High: >=10.71 mmol/L - Bilirubin High: >=34.2 umol/L - Alanine Aminotransferase (ALT): >=3*upper limit of normal (ULN) - Aspartate Aminotransferase (AST): >=3*upper limit of normal (ULN) - Gamma Glutamyl Transferase (GGT): >=3*upper limit of normal (ULN) - Hemoglobin: Male: <115 g/L or Female: <=95 g/L - Hematocrit: Male: <0.37 L/L or Female: <0.32 L/L - Leukocytes: >=20*10^9/L or <=3*10^9/L - Eosinophils/Leukocytes: >=10% - Platelets: >=700*10^9/L or <=75*10^9/L | Safety population of participants with at least one postbaseline result for the tests. | Posted | Count of Participants | Participants | Treatment Days 28, 56 and 84 (or early withdrawal) |
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| Secondary | Participants With Urinalysis Laboratory Tests Potentially Clinically Significant Abnormal Results | Urinalysis with potentially clinically significant abnormal findings included: - Blood: >=2 unit increase from baseline - Urine Glucose (mg/dL): >=2 unit increase from baseline - Ketones (mg/dL): >=2 unit increase from baseline - Urine Protein (mg/dL): >=2 unit increase from baseline | Safety population of participants with at least one postbaseline result for the tests | Posted | Count of Participants | Participants | Treatment Days 28, 56 and 84. Changes from previous reading reflect the baseline reading performed on Day 0. |
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| Secondary | Prothrombin Time Shifts From Baseline to Endpoint | Shifts in prothrombin time from baseline to endpoint were summarized using patient counts grouped into three categories: - Low (below normal range) - Normal (within the normal range of 9.4 to 12.5 seconds) - High (above normal range) Shift format is: baseline finding / endpoint finding | Safety population of participants with both baseline and posttreatment values | Posted | Count of Participants | Participants | Baseline (Day 0), Treatment Endpoint (Week 12) |
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| Secondary | Injection Site Reaction Adverse Events | Counts of participants who reported treatment-emergent injection site reactions as AEs are summarized. Preferred terms from MedDRA version 18.1 are offered without a threshold applied. | Safety population | Posted | Count of Participants | Participants | Day 1 to Week 12 |
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| Secondary | Participants With Positive Electronic Columbia Suicide Severity Rating Scale Results After the First Dose of Study Drug | The electronic Columbia-Suicide Severity Rating Scale (eC-SSRS) was used to assess the patient's suicidal ideation (severity and intensity) and behavior (Posner et al 2011). The eC-SSRS Baseline/Screening version was completed by the patient at visit 2, and the eC-SSRS Since Last Visit version was completed by the patient at all other time points. Any positive findings on the eC-SSRS Since Last Visit version required evaluation by a physician or doctoral-level psychologist. Findings after the first dose of study drug using the eC-SSRS Since Last Visit version are summarized. | Safety population | Posted | Count of Participants | Participants | Day 1 to Week 12 |
|
Day 1 to Week 12
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Participants randomized to receive placebo received three 1.5-mL placebo injections Day 0, and a single 1.5-mL placebo injection on Days 28 and 56. | 0 | 294 | 7 | 294 | 113 | 294 |
| EG001 | Fremanezumab 225/225/225 mg | Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. | 0 | 289 | 3 | 289 | 132 | 289 |
| EG002 | Fremanezumab 675 mg/Placebo/Placebo | Participants randomized to receive fremanezumab 675 mg/placebo/placebo received 675 mg of fremanezumab as 3 active injections (225 mg/1.5 mL) on Day 0, and placebo as a single 1.5-mL injection on Days 28 and 56. | 1 | 291 | 3 | 291 | 133 | 291 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Intestinal haemorrhage | Gastrointestinal disorders | MedDRA (18.1) | Systematic Assessment |
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| Death | General disorders | MedDRA (18.1) | Systematic Assessment |
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| Drug hypersensitivity | Immune system disorders | MedDRA (18.1) | Systematic Assessment |
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| Appendicitis | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
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| Fall | Injury, poisoning and procedural complications | MedDRA (18.1) | Systematic Assessment |
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| Road traffic accident | Injury, poisoning and procedural complications | MedDRA (18.1) | Systematic Assessment |
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| Tendon injury | Injury, poisoning and procedural complications | MedDRA (18.1) | Systematic Assessment |
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| Wrist fracture | Injury, poisoning and procedural complications | MedDRA (18.1) | Systematic Assessment |
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| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA (18.1) | Systematic Assessment |
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| Lentigo maligna | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (18.1) | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (18.1) | Systematic Assessment |
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| Generalised tonic-clonic seizure | Nervous system disorders | MedDRA (18.1) | Systematic Assessment |
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| Status migrainosus | Nervous system disorders | MedDRA (18.1) | Systematic Assessment |
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| Abortion spontaneous | Pregnancy, puerperium and perinatal conditions | MedDRA (18.1) | Systematic Assessment |
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| Menorrhagia | Reproductive system and breast disorders | MedDRA (18.1) | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection site erythema | General disorders | MedDRA (18.1) | Systematic Assessment |
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| Injection site induration | General disorders | MedDRA (18.1) | Systematic Assessment |
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| Injection site pain | General disorders | MedDRA (18.1) | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
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Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Research | Teva Branded Pharmaceutical Products, R&D Inc | 1-888-483-8279 | USMedInfo@Tevapharm.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 26, 2017 | Oct 10, 2018 | SAP_001.pdf |
| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000604315 | fremanezumab |
Not provided
Not provided
Not provided
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Due to the deviation from the normal distribution assumption of the data, the primary analysis was conducted using the Wilcoxon rank-sum test as outlined in the SAP.
| Wilcoxon (Mann-Whitney) |
| <0.0001 |
0.05 level of significance |
| Superiority |
| Fremanezumab 225/225/225 mg |
Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
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| OG002 | Fremanezumab 225/225/225 mg | Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
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Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
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| OG002 | Fremanezumab 225/225/225 mg | Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
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| OG002 | Fremanezumab 225/225/225 mg | Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
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| OG002 |
| Fremanezumab 225/225/225 mg |
Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
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|
| OG002 | Fremanezumab 225/225/225 mg | Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
|
|
| Fremanezumab 225/225/225 mg |
Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
|
|
| OG002 |
| Fremanezumab 225/225/225 mg |
Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Participants |
|
|
Participants randomized to receive fremanezumab 225/225/225 mg received 1 active injection (225 mg/1.5 mL) on Days 0, 28 and 56. |
|
|