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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04418765
Other study ID # 18898A
Secondary ID
Status Completed
Phase Phase 3
First received
Last updated
Start date June 1, 2020
Est. completion date September 15, 2022

Study information

Verified date September 2023
Source H. Lundbeck A/S
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Evaluation of eptinezumab in the prevention of migraine in participants with unsuccessful prior preventive treatments.


Description:

The total study duration from the screening visit to the completion visit is approximately 76 weeks and includes a screening period (28-30 days), a placebo-controlled treatment period (24 weeks) and a treatment extension period (48 weeks). The participant will start treatment at the baseline visit and follow a 12-week dosing schedule with either eptinezumab (100 or 300 milligrams [mg]) or placebo by intraveneous (IV) infusion. Participants who were assigned to placebo in the placebo-controlled treatment period, will be randomly allocated to one of two treatment groups: eptinezumab 300 mg or eptinezumab 100 mg.


Recruitment information / eligibility

Status Completed
Enrollment 892
Est. completion date September 15, 2022
Est. primary completion date July 15, 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Inclusion Criteria: - The participant has a diagnosis of migraine, with a history of chronic or episodic migraines of at least 12 months prior to the Screening Visit - The participant has a migraine onset of =50 years of age. - The participant has =4 migraine days per month for each month within the past 3 months prior to the Screening Visit. - The participant has demonstrated compliance with the Headache eDiary by entry of data for at least 24 of the 28 days following the Screening Visit. - The participant fulfils the following criteria for chronic migraine (CM) or episodic migraine (EM) in prospectively collected information in the eDiary during the screening period: - For participants with CM: Migraine occurring on =8 days and headache occurring on >14 days - For participants with EM: Migraine occurring on =4 days and headache occurring on =14 days - The participant has documented evidence of treatment failure (must be supported by medical record or by physician's confirmation specific to each treatment) in the past 10 years of 2-4 different migraine preventive medications. - The participant has a history of either previous or active use of triptans for migraine. Exclusion Criteria: - The participant has experienced failure on a previous treatment targeting the calcitonin gene-related peptide (CGRP) pathway. - The participant has a treatment failure on valproate/divalproex or botulinum toxin A/B and the treatment is not the latest preventive medication prior to study inclusion. The medication is regarded as the latest if the medication start date is after the start date of the other preventive medications and the medication stop date is after the stop date of the other preventive medications. - The participant has confounding and clinically significant pain syndromes, (for example, fibromyalgia, chronic low back pain, complex regional pain syndrome). - The participant has a diagnosis of acute or active temporomandibular disorder. - The participant has a history or diagnosis of chronic tension-type headache, hypnic headache, cluster headache, hemicrania continua, new daily persistent headache, or unusual migraine subtypes such as hemiplegic migraine (sporadic and familial), ophthalmoplegic migraine, and migraine with neurological accompaniments that are not typical of migraine aura (diplopia, altered consciousness, or long duration). - The participant has a psychiatric condition that is uncontrolled and/or untreated for a minimum of 6 months prior to the Screening Visit. Participants with a lifetime history of psychosis and/or mania in the last 5 years prior to the Screening Visit are excluded. - The participant has a history of clinically significant cardiovascular disease or vascular ischaemia or thromboembolic events (for example, cerebrovascular accident, deep vein thrombosis, or pulmonary embolism). Other in- and exclusion criteria may apply

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Eptinezumab
Eptinezumab, concentrate for solution for infusion 100 mg/milliliter (mL)
Placebo
concentrate for solution for infusion, intravenously

Locations

Country Name City State
Belgium Algemeen Ziekenhuis Sint-Jan Brugge-Oostende - Campus Sint-Jan Brugge West-Vlaanderen
Belgium Universitair Ziekenhuis Brussel Brussels Bruxelles-Capitale
Belgium Universitair Ziekenhuis Gent Gent Oost-Vlaanderen
Belgium Jessa Ziekenhuis - Campus Virga Jesse Hasselt Limburg
Bulgaria Multiprofile Hospital for Active Treatment Heart and Brain EAD Pleven
Bulgaria Medical Center - Teodora EOOD Ruse
Bulgaria Acibadem City Clinic Tokuda Hospital Sofia
Bulgaria First Multiprofile Hospital for Active Treatment - Sofia Sofia Sofia City
Bulgaria Multiprofile Hospital for Active Treatment in Neurology and Psychiatry Sveti Naum Sofia Sofia City
Bulgaria Medical Center Medica Plus Veliko Tarnovo
Czechia CCR Brno Brno Jihormoravsky Kraj
Czechia Fakultní Nemocnice u sv. Anny v Brne Brno South Moravian
Czechia MUDr. Helena Hojdíkova s.r.o. Neurologicka Ambulance Hradec Kralove Hradec Kralové
Czechia Nemocnice Jihlava Jihlava
Czechia Neurosanatio s.r.o Litomyshl
Czechia CCR Ostrava Ostrava Severomoravsky Kraj
Czechia Fakultni nemocnice Ostrava Ostrava-Poruba-Poruba Moravian-Silesian
Czechia CCR Prague Praha 3 Praha
Czechia Fakultní Thomayerova nemocnice Praha 4 Prague
Czechia Neurologicka Ambulance - Forbeli Praha 6 Prague
Czechia Neuropsychiatrie S.R.O. Praha 6 Prague
Czechia Institut Neuropsychiatrické Péce Praha 8 Prague
Czechia Vestra Clinics Rychnov nad Kneznou Hradec Kralové
Czechia Neurologie, MP-neuro s.r.o., poliklinika Modry pavilon Slezska Ostrava
Czechia NeuroMed Zlín s.r.o. Zlín
Denmark Sydvestjysk Sygehus - Esbjerg Esbjerg
Denmark Rigshospitalet Glostrup Glostrup Hovedstaden
Denmark Odense Universitetshospital Odense Syddanmark
Finland Terveystalo Ruoholahti Helsinki Southern Finland
Finland Itä-Suomen Yliopisto - Kuopion Kampus Kuopio
Finland Tampereen Yliopistollinen Sairaala Tampere Länsi-Suomen Lääni
Finland Terveystalo Tampere Tampere
Finland Terveystalo Turku Pulssi Turku Western Finland
France Centre Hosptitalier Universitaire d'Angers Angers Pays De La Loire
France Hôpital Pierre Wertheimer Bron Rhone-Alps
France Hôpital Roger Salengro Lille Cedex Nord
France Assistance Publique Hôpitaux de Marseille Marseille cedex 5 Provence Alpes Cote D'Azure
France Hôpital Cimiez Nice Cedex 1 Côte-d'Or
France Hôpital Charles-Nicolle Rouen Haute-Normandie
Georgia Helsicore - Israeli-Georgian Medical Research Clinic T'bilisi Tbilisi
Georgia LLC Todua Clinic T'bilisi Tbilisi
Georgia Archangel Saint Michael Multiprofile Clinical Hospital Tbilisi
Georgia Aversi Clinic - Central Branch Tbilisi
Georgia Consilium Medulla Multiprofile Clinic Tbilisi
Georgia Jerarsi Clinic Tbilisi
Georgia Malkhaz Katsiashvili Multiprofile Emergency Center Tbilisi
Georgia Mediclub Georgia Medical Tbilisi
Georgia Pineo Medical Ecosystem Tbilisi
Georgia Simon Khechinashvili University Hospital Tbilisi
Germany Synexus Clinical Research - Berlin Berlin
Germany Neurozentrum Bielefeld Bielefeld Nordrhein-Westfalen
Germany Neurologische Praxis Dr. Stude Bochum Nordrhein-Westfalen
Germany Praxis Astrid Gendolla Essen Nordrhein-Westfalen
Germany Universitätsklinikum Essen Essen Nordrhein-Westfalen
Germany Synexus - Prüfzentrum Frankfurt/Main Frankfurt am Main Hesse
Germany CTC North Hamburg Hamburg (Hansestadt)
Germany Migräne- und Kopfschmerzklinik Königstein Königstein Im Taunus Hessen
Germany Synexus - Leipzig Leipzig Sachsen
Germany Neuroplus Mannheim Baden-Württemberg
Germany Praxis Dr. Steinwachs Nürnberg Bayern
Germany MVZ Dr. Roth & Kollegen GbR Ostfildern Baden-Wuerttemberg
Germany NeuroConcept AG Stuttgart Baden-Württemberg
Germany Neuropraxis München Süd Unterhaching
Germany Studienzentrum Nord West Westerstede Niedersachsen
Hungary UNO Medical Trials Kft. Budapest
Hungary Valeomed Diagnosztikai Kozpont Esztergom Komarom-Esztergom County
Hungary Pest Megyei Flor Ferenc Korhaz Kistarcsa Pest
Italy IRCCS Istituto Delle Scienze Neurologiche di Bologna Bologna
Italy Azienda Ospedaliero - Universitaria Careggi Florence
Italy Fondazione Mondino - Istituto Neurologico Nazionale a Carattere Scientifico IRCCS Pavia
Italy Azienda Ospedaliera - Universitaria Sant' Andrea Roma Rome
Italy Universita Campus Bio-Medico di Roma Roma Rome
Italy Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - San Raffaele Pisana Rome Roma
Poland Centrum Medyczne Pratia - Bydgoszcz Bydgoszcz Kujawsko-pomorskie
Poland Centrum Medyczne Pratia - Czestochowa Czestochowa
Poland Synexus - Czestochowa Czestochowa Slaskie
Poland Centrum Kliniczno Badawcze J Brzezicki B Gornikiewicz Brzezicka Lekarze Spolka Partnerska Elblag Warminsko-Mazurskie
Poland Synexus - Gdynia Gdynia Pomorskie
Poland Synexus - Katowice Katowice Slaskie
Poland Pratia MCM Krakow Krakow Malopolskie
Poland Specjalistyczne Gabinety Sp. z o.o. Krakow Malopolskie
Poland SOMED CR - Lodz Lodz
Poland Indywidualna Praktyka Lekarska dr hab. n. med. Anna Szczepanska-Szerej Lublin Lubelskie
Poland Prywatny Gabinet Lekarski Urszula Chyrchel-Paszkiewicz Lublin Lubelskie
Poland Instytut Zdrowia dr Boczarska-Jedynak Oswiecim Malopolskie
Poland Centrum Medyczne Solumed Poznan Wielkopolskie
Poland Synexus - Poznan Poznan Wielkopolskie
Poland Neuro-Care Katowice Siemianowice Slaskie Silesia
Poland Concept Medica Trials Prywatny Gabinet Lekarski Urszula Chyrchel-Paszkiewicz Warszawa Mazowieckie
Poland MTZ Clinical Research Powered by Pratia Warszawa Mazowieckie
Poland SOMED CR - Warsaw Warszawa Mazowieckie
Poland Centrum Medyczne Oporow Wroclaw Dolnoslaskie
Russian Federation University Headache Clinic Moscow
Slovakia Neurologicka ambulancia MUDr. Dupejova s.r.o. Banska Bystrica
Slovakia In Medic Bardejov
Slovakia MEDBAJ s.r.o. Dolny Kubin
Slovakia Medicínske Centrum Konzílium - Dubnica nad Vahom Dubnica nad Vahom
Spain Hospital Universitari Vall d'Hebron Barcelona
Spain Hospital Universitario de Basurto Bilbao Biscay
Spain Hospital Universitario La Paz Madrid
Spain Hospital Universitario Puerta de Hierro - Majadahonda Majadahonda Madrid
Spain Clinica Universidad de Navarra - Pamplona Pamplona Navarre
Spain Hospital Universitario Quironsalud Madrid Pozuelo de Alarcon Madrid
Spain Hospital Universitario Virgen del Rocío Sevilla
Spain Hospital Clínico Universitario de Valencia València
Spain Hospital Clínico Universitario de Valladolid Valladolid
Spain Hospital Alvaro Cunqueiro - Clinico Universitario Vigo Vigo Pontevedra
Spain Hospital Clinico Universitario Lozano Blesa Zaragoza
Sweden Stortorgets neurologmottagning Helsingborg Skåne Län
Sweden Centralsjukhuset Kristianstad Kristianstad Skåne Län
Sweden Universitetssjukhuset i Linköping Linkoeping Östergötlands Län
Sweden Migränkliniken Europa AB Värnamo Kronoborgs Län
United Kingdom Synexus - Scotland Clinical Research Centre Bellshill England
United Kingdom Synexus - Wales Cardiff Wales
United Kingdom Synexus - The Lancashire Clinic Chorley England
United Kingdom Synexus Midlands Clinical Research Centre Edgbaston England
United Kingdom Synexus - The Hexham Clinic Hexham England
United Kingdom Synexus - Merseyside Clinical Research Centre Liverpool England
United Kingdom Panthera Biopartners - North London London England
United Kingdom Panthera Biopartners - Manchester Manchester England
United Kingdom Synexus - Manchester Clinical Research Centre Manchester England
United Kingdom Panthera Biopartners - Preston Preston England
United Kingdom Synexus - Thames Valley Clinical Research Centre Reading England
United Kingdom Northern Care Alliance NHS Foundation Trust Salford England
United States Albuqerque Clinical Trials Albuquerque New Mexico
United States Dent Neurologic Institute - Amherst Amherst New York
United States Michigan Headache and Neurological Institute Ann Arbor Michigan
United States Northwest Clinical Research Center (NWCRC) Bellevue Washington
United States Integrative Clinical Trials Brooklyn New York
United States CTI Clinical Research Center Cincinnati Ohio
United States Hometown Urgent Care & Occupational Health/Hometown Research - Huber Heights Dayton Ohio
United States Sarkis Clinical Trials - Gainesville Gainesville Florida
United States Accel Research Sites - Maitland Maitland Florida
United States Clinical Neuroscience Solutions - Memphis Memphis Tennessee
United States Clinical Research Institute Inc. - Minneapolis Minneapolis Minnesota
United States Lynn Health Science Institute - Oklahoma City Oklahoma City Oklahoma
United States Northwest Neurological Spokane Washington
United States Diablo Clinical Research Walnut Creek California

Sponsors (1)

Lead Sponsor Collaborator
H. Lundbeck A/S

Countries where clinical trial is conducted

United States,  Belgium,  Bulgaria,  Czechia,  Denmark,  Finland,  France,  Georgia,  Germany,  Hungary,  Italy,  Poland,  Russian Federation,  Slovakia,  Spain,  Sweden,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change From Baseline in the Number of Monthly Migraine Days (MMDs) Averaged Over Weeks 1 to 12 A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted =30 minutes and the participant had an aura with the headache. Criterion C: lasted =30 minutes and met =2 of the following criteria: lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine. Baseline, Weeks 1 - 12
Secondary Percentage of Participants With =50% Reduction From Baseline in MMDs Averaged Over Weeks 1 to 12 A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted =30 minutes and the participant had an aura with the headache. Criterion C: lasted =30 minutes and met =2 of the following criteria: lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine. Baseline to Weeks 1 - 12
Secondary Change From Baseline in the Number of MMDs Averaged Over Weeks 13 to 24 A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted =30 minutes and the participant had an aura with the headache. Criterion C: lasted =30 minutes and met =2 of the following criteria: lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine. Baseline, Weeks 13 - 24
Secondary Percentage of Participants With =75% Reduction From Baseline in MMDs Averaged Over Weeks 1 to 12 A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted =30 minutes and the participant had an aura with the headache. Criterion C: lasted =30 minutes and met =2 of the following criteria: lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine. Baseline to Weeks 1 - 12
Secondary Change From Baseline in the Headache Impact Test (HIT-6) Score at Week 12 The HIT-6 (version 1.0) is a Likert-type, self-reporting questionnaire designed to assess the impact of an occurring headache and its effect on the ability to function normally in daily life. The HIT-6 contains 6 questions, each item was rated from never to always with the following response scores: never = 6, rarely = 8, sometimes = 10, very often = 11, and always = 13. The total score for the HIT-6 was the sum of each response score ranging from 36 to 78. The life impact derived from the total score was described as followed: severe (=60), substantial (56-59), some (50-55), little to none (=49). Baseline, Week 12
Secondary Percentage of Participants With =50% Reduction From Baseline in MMDs Averaged Over Weeks 13 to 24 A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted =30 minutes and the participant had an aura with the headache. Criterion C: lasted =30 minutes and met =2 of the following criteria: lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine. Baseline to Weeks 13 - 24
Secondary Percentage of Participants With =75% Reduction From Baseline in MMDs Averaged Over Weeks 13 to 24 A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted =30 minutes and the participant had an aura with the headache. Criterion C: lasted =30 minutes and met =2 of the following criteria: lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine. Baseline to Weeks 13 - 24
Secondary Percentage of Participants With 100% Reduction From Baseline in MMDs Averaged Over Weeks 1 to 12 A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted =30 minutes and the participant had an aura with the headache. Criterion C: lasted =30 minutes and met =2 of the following criteria: lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine. Baseline to Weeks 1 - 12
Secondary Percentage of Participants With =50% Reduction From Baseline in Monthly Headache Days (MHDs) Averaged Over Weeks 1 to 12 A headache day was defined as a day with a headache that lasted =30 minutes or met the definition of a migraine day (as defined in criterion A, B, C, or D above in outcome measure 1). Baseline to Weeks 1 - 12
Secondary Percentage of Participants With =75% Reduction From Baseline in Monthly Headache Days (MHDs) Averaged Over Weeks 1 to 12 A headache day was defined as a day with a headache that lasted =30 minutes or met the definition of a migraine day (as defined in criterion A, B, C, or D above in outcome measure 1). Baseline to Weeks 1 - 12
Secondary Percentage of Participants With 100% Reduction From Baseline in Monthly Headache Days (MHDs) Averaged Over Weeks 1 to 12 A headache day was defined as a day with a headache that lasted =30 minutes or met the definition of a migraine day (as defined in criterion A, B, C, or D above in outcome measure 1). Baseline to Weeks 1 - 12
Secondary Change From Baseline in the Number of MHDs Averaged Over Weeks 1 to 12 A headache day was defined as a day with a headache that lasted =30 minutes or met the definition of a migraine day (as defined in criterion A, B, C, or D above in outcome measure 1). Baseline, Weeks 1 - 12
Secondary Change From Baseline in the Percentage of Migraine Attacks With Severe Pain Intensity Averaged Over Weeks 1 to 12 A migraine attack was defined as a headache that occurred on a single day or lasted >1 day and that met the criteria for a migraine day (as defined in criterion A, B, C, or D above in outcome measure 1). Baseline, Weeks 1 - 12
Secondary Change From Baseline in the Percentage of Headache Episodes With Severe Pain Intensity Averaged Over Weeks 1 to 12 A headache episode was defined as a headache lasted =30 minutes or that met the criteria for a migraine (as defined in criterion A, B, C, or D above in outcome measure 1). Baseline, Weeks 1 - 12
Secondary Change From Baseline in the Number of Monthly Days With Use of Acute Migraine Medication Averaged Over Weeks 1 to 12 In the evening eDiary, participants were asked each day to fill out whether they used any of the following medications during that day: Ergotamine, triptan, analgesic, opioid, or combination analgesic. A day where the participant answered that they took any of those in the evening eDiary was considered a day with use of acute migraine medication. Baseline, Weeks 1 - 12
Secondary Change From Baseline in the Number of Monthly Days With Use of Acute Migraine Medication Averaged Over Weeks 13 to 24 In the evening eDiary, participants were asked each day to fill out whether they used any of the following medications during that day: Ergotamine, triptan, analgesic, opioid, or combination analgesic. A day where the participant answered that they took any of those in the evening eDiary was considered a day with use of acute migraine medication. Baseline, Weeks 13- 24
Secondary Change From Baseline in the Number of MMDs With Use of Acute Medication Averaged Over Weeks 1 to 12 Number of MMDs with acute medication usage was derived using the answer to "Did you take any medications to treat this headache?" in the headache diary. The question was asked when a participant was ending a headache. Thus, a migraine day with acute medication usage was defined as a migraine day with the extra condition that this question was answered as "Yes". Baseline, Weeks 1 - 12
Secondary Change From Baseline in the Number of MMDs With Use of Acute Medication Averaged Over Weeks 13 to 24 Number of MMDs with acute medication usage was derived using the answer to "Did you take any medications to treat this headache?" in the headache diary. The question was asked when a participant was ending a headache. Thus, a migraine day with acute medication usage was defined as a migraine day with the extra condition that this question was answered as "Yes". Baseline, Weeks 13 - 24
Secondary Patient Global Impression of Change (PGIC) Score at Week 12 The PGIC is a single, participant-reported item reflecting the participant's impression of change in his/her disease status since the start of the study (that is, in relation to activity limitations, symptoms, emotions, and overall quality of life). Participants rated their impression of change in disease status on a 7-point scale (1 = very much improved; 2 = much improved; 3 = minimally improved; 4 = no change; 5 = minimally worse; 6 = much worse; 7 = very much worse) where a higher score indicated worsening. Score ranges from 1 (Very Much Improved) to 7 (Very Much Worse). Lower scores indicate better health status. Week 12
Secondary PGIC Score at Week 24 The PGIC is a single, participant-reported item reflecting the participant's impression of change in his/her disease status since the start of the study (that is, in relation to activity limitations, symptoms, emotions, and overall quality of life). Participants rated their impression of change in disease status on a 7-point scale (1 = very much improved; 2 = much improved; 3 = minimally improved; 4 = no change; 5 = minimally worse; 6 = much worse; 7 = very much worse) where a higher score indicated worsening. Score ranges from 1 (Very Much Improved) to 7 (Very Much Worse). Lower scores indicate better health status. Week 24
Secondary Change From Baseline in the Number of MMDs in Participants With Medication Overuse Headache (MOH) Averaged Over Weeks 1 to 12 Baseline, Weeks 1 - 12
Secondary Percentage of Participants With Migraine on the Day After First Dosing Day 1
Secondary Most Bothersome Symptom (MBS) Score at Week 12 Participants were asked about their most bothersome symptom associated with their migraines during the Baseline Visit. Participants were asked to rate the improvement in this symptom from baseline on a 7-point scale (1 = very much improved; 2 = much improved; 3 = minimally improved; 4 = no change; 5 = minimally worse; 6 = much worse; 7 = very much worse) where a high score indicated worsening. Score ranges from 1 (Very Much Improved) to 7 (Very Much Worse). Lower scores indicate better health status. The MBS areas included: nausea, vomiting, sensitivity to light, sensitivity to sound, mental cloudiness, fatigue, pain with activity, mood changes, and other symptoms. Week 12
Secondary Change From Baseline in the HIT-6 Score at Week 24 The HIT-6 (version 1.0) is a Likert-type, self-reporting questionnaire designed to assess the impact of an occurring headache and its effect on the ability to function normally in daily life. The HIT-6 contains 6 questions, each item was rated from never to always with the following response scores: never = 6, rarely = 8, sometimes = 10, very often = 11, and always = 13. The total score for the HIT-6 was the sum of each response score ranging from 36 to 78. The life impact derived from the total score was described as followed: severe (=60), substantial (56-59), some (50-55), little to none (=49). Baseline, Week 24
Secondary Change From Baseline in the Migraine-Specific Quality of Life (MSQ) Subscores (Role Function-Restrictive, Role Function-Preventive, Emotional Function) at Week 12 The MSQ is a participant-reported outcome designed to assess the quality of life in participants with migraine. It consists of 14 items covering 3 domains: role function restrictive (7 items); role function preventive (4 items); and emotional function (3 items). Each item was scored on a 6-point scale ranging from 1 (none of the time) to 6 (all of the time). Raw domain scores were summed and transformed to a 0- to 100-point scale. Higher scores indicated better quality of life. Baseline, Week 12
Secondary Change From Baseline in the Health-Related Quality of Life (EQ-5D-5L) Visual Analog Scale (VAS) Score at Week 12 The EQ-5D-5L is a participant-reported assessment designed to measure the participant's well-being. It consists of 5 descriptive items (mobility, self-care, usual activities, pain/discomfort, and depression/anxiety) and a VAS of the overall health state. Each descriptive item was rated on a 5-point index ranging from 1 (no problems) to 5 (extreme problems). The VAS ranged from 0 (worst imaginable health state) to 100 (best imaginable health state). Baseline, Week 12
Secondary Change From Baseline in the MSQ Subscores (Role Function-Restrictive, Role Function-Preventive, Emotional Function) at Week 24 The MSQ is a participant-reported outcome designed to assess the quality of life in participants with migraine. It consists of 14 items covering 3 domains: role function restrictive (7 items); role function preventive (4 items); and emotional function (3 items). Each item was scored on a 6-point scale ranging from 1 (none of the time) to 6 (all of the time). Raw domain scores were summed and transformed to a 0- to 100-point scale. Higher scores indicated better quality of life. Baseline, Week 24
Secondary Change From Baseline in the Health-Related Quality of Life (EQ-5D-5L) VAS Score at Week 24 The EQ-5D-5L is a participant-reported assessment designed to measure the participant's well-being. It consists of 5 descriptive items (mobility, self-care, usual activities, pain/discomfort, and depression/anxiety) and a VAS of the overall health state. Each descriptive item was rated on a 5-point index ranging from 1 (no problems) to 5 (extreme problems). The VAS ranged from 0 (worst imaginable health state) to 100 (best imaginable health state). Baseline, Week 24
Secondary Change From Baseline in the Work Productivity and Activity Impairment (WPAI) Questionnaire Subscores (Absenteeism, Presenteeism, Work Productivity Loss, Activity Impairment) at Week 12 The WPAI Questionnaire is a participant-reported instrument developed to measure the impact on work productivity and regular activities attributable to a specific health problem (migraine). Recall period is the past 7 days. It contains 6 items that measure: 1) employment status, 2) hours missed from work due to the specific health problem, 3) hours missed from work for other reasons, 4) hours actually worked, 5) degree health affected productivity while working, and 6) degree health affected productivity in regular unpaid activities. Four scores were calculated from the responses to these 6 items: absenteeism, presenteeism, work productivity loss, and activity impairment. Scores were calculated as impairment percentages (0-100%), with higher numbers indicating greater impairment and less productivity, i.e, worse outcomes. Baseline, Week 12
Secondary Change From Baseline in the WPAI Questionnaire Subscores (Absenteeism, Presenteeism, Work Productivity Loss, Activity Impairment) at Week 24 The WPAI Questionnaire is a participant-reported instrument developed to measure the impact on work productivity and regular activities attributable to a specific health problem (migraine). Recall period is the past 7 days. It contains 6 items that measure: 1) employment status, 2) hours missed from work due to the specific health problem, 3) hours missed from work for other reasons, 4) hours actually worked, 5) degree health affected productivity while working, and 6) degree health affected productivity in regular unpaid activities. Four scores were calculated from the responses to these 6 items: absenteeism, presenteeism, work productivity loss, and activity impairment. Scores were calculated as impairment percentages (0-100%), with higher numbers indicating greater impairment and less productivity, i.e, worse outcomes. Baseline, Week 24
Secondary Percentage of Participants With =5-Point Reduction From Baseline to Week 12 in HIT-6 Score The HIT-6 (version 1.0) is a Likert-type, self-reporting questionnaire designed to assess the impact of an occurring headache and its effect on the ability to function normally in daily life. The HIT-6 contains 6 questions, each item was rated from never to always with the following response scores: never = 6, rarely = 8, sometimes = 10, very often = 11, and always = 13. The total score for the HIT-6 was the sum of each response score ranging from 36 to 78. The life impact derived from the total score was described as followed: severe (=60), substantial (56-59), some (50-55), little to none (=49). Baseline to Week 12
Secondary Percentage of Participants With =5-Point Reduction From Baseline to Week 24 in HIT-6 Score The HIT-6 (version 1.0) is a Likert-type, self-reporting questionnaire designed to assess the impact of an occurring headache and its effect on the ability to function normally in daily life. The HIT-6 contains 6 questions, each item was rated from never to always with the following response scores: never = 6, rarely = 8, sometimes = 10, very often = 11, and always = 13. The total score for the HIT-6 was the sum of each response score ranging from 36 to 78. The life impact derived from the total score was described as followed: severe (=60), substantial (56-59), some (50-55), little to none (=49). Baseline to Week 24
Secondary Health Care Resource Utilization (HCRU): Visits to a Family Doctor/General Practitioner Number of participants who visited to a family doctor/general practitioner has been reported. Week 12
Secondary HCRU: Visits to a Specialist Number of participants who visited to a specialist has been reported. Week 12
Secondary HCRU: Number of Emergency Department Visits Due to Your Migraine Number of participants who visited to emergency department due to your migraine has been reported. Week 12
Secondary HCRU: Number of Hospital Admissions Due to Migraine Number of participants who admitted in the hospital due to migraine has been reported. Week 12
Secondary HCRU: Total Number of Overnight Hospital Stays Due to Migraine Number of participants who had total number of overnight hospital stays due to migraine has been reported. Week 12
Secondary Change From Baseline in the Number of MMDs Averaged Over Weeks 25 to 36, 37 to 48, 49 to 60, and 61 to 72 A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted =30 minutes and the participant had an aura with the headache. Criterion C: lasted =30 minutes and met =2 of the following criteria: lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine. Baseline, Weeks 25 - 36, 37 - 48, 49 - 60, and 61 - 72
Secondary Percentage of Participants With =50% Reduction From Baseline in MMDs Averaged Over Weeks 25 to 36, 37 to 48, 49 to 60, and 61 to 72 A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted =30 minutes and the participant had an aura with the headache. Criterion C: lasted =30 minutes and met =2 of the following criteria: lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine. Baseline to Weeks 25 - 36, 37 - 48, 49 - 60, and 61 - 72
Secondary Percentage of Participants With =75% Reduction From Baseline in MMDs Averaged Over Weeks 25 to 36, 37 to 48, 49 to 60, and 61 to 72 A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted =30 minutes and the participant had an aura with the headache. Criterion C: lasted =30 minutes and met =2 of the following criteria: lasted =4 hours, had =2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by =1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine. Baseline to Weeks 25 - 36, 37 - 48, 49 - 60, and 61 - 72
Secondary Change From Baseline in HIT-6 Score at Weeks 36, 48, 60, and 72 The HIT-6 (version 1.0) is a Likert-type, self-reporting questionnaire designed to assess the impact of an occurring headache and its effect on the ability to function normally in daily life. The HIT-6 contains 6 questions, each item was rated from never to always with the following response scores: never = 6, rarely = 8, sometimes = 10, very often = 11, and always = 13. The total score for the HIT-6 was the sum of each response score ranging from 36 to 78. The life impact derived from the total score was described as followed: severe (=60), substantial (56-59), some (50-55), little to none (=49). Baseline, Weeks 36, 48, 60, and 72
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