Migraine Prevention MedDRA version: 20.0 Level: PT Classification code 10027599 Term: Migraine System Organ Class: 10029205 - Nervous system disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Documented history of migraine (with or without aura) for = 12 months prior to screening according to the International Classification of Headache Disorders, 3rd Edition (ICHD-3) - 4 to 14 days per month of migraine symptoms (based on ICHD-3 criteria) on average across the 3 months prior to screening based on retrospective reporting - =65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: - Older than 50 years of age at migraine onset - Unable to differentiate migraine from other headaches - History of cluster headache or hemiplegic migraine headache - Failed more than 4 prior migraine prophylaxis treatments [as specified in protocol] - Use of a prophylactic migraine medication within 5 half-lives, or a device or procedure within one month prior to the start of the baseline phase or during the baseline phase - Prior Botulinum toxin A treatment in the head/neck region (including cosmetic use or other licensed indications for Botox ®) within 4 months prior to start of or during the baseline phase - Use of the following for any indication in the 1 month prior to the start of the baseline phase or during the baseline phase: o ergotamines or triptanes =10 days/month, or o simple analgesics (NSAIDs, acetaminophen, paracetamol) =15 days/month, or o opioid- or butalbital-containing analgesics =4 days/month
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the effect of AMG 334 compared to placebo on the proportion of patients with at least 50% reduction from baseline in monthly migraine days;Secondary Objective: -To evaluate the effect of AMG 334 compared to placebo on the change from baseline of monthly migraine days -To evaluate the effect of AMG 334 compared to placebo on the "impact on everyday activities" domain as measured by the MPFID; -To evaluate the effect of AMG 334 compared to placebo on the "physical impairment" domain as measured by the Migraine Physical Function Impact Diary (MPFID); -To evaluate the effect of AMG 334 compared to placebo on change from baseline; -To evaluate the effect of AMG 334 compared to placebo on the proportion of patients with at least 75% reduction from baseline in monthly migraine days; -To evaluate the effect of AMG 334 compared to placebo on the proportion of patients with a 100% reduction from baseline in monthly migraine days; -To evaluate the safety, tolerability, and immunogenicity of AMG 334, -To evaluate clinical benefit as assessed by the investigator during the PTA Open-Label Treatment Epoch;Primary end point(s): Achievement of at least a 50% reduction from baseline in monthly migraine days in the last month (month 3) of the double-blind epoch;Timepoint(s) of evaluation of this end point: Month 3 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Change from baseline on monthly migraine days in the last month of the double-blind epoch Change from baseline to month 3 of the MPFID "impact on everyday activities" sub-domain score Change from baseline to month 3 of the MPFID "physical impairment" sub-domain score Change from baseline of monthly acute migraine medication treatment days in the last month of the double-blind epoch The achievement of at least a 75% reduction from baseline in monthly migraine days in the last month of the double-blind epoch The achievement of at least a 100% reduction from baseline in monthly migraine days in the last month of the double-blind epoch. Occurrence of cardiovascular events and evaluation of anti-drug antibodies in this patient population Exploratory Open-Label Epochs: additional data in a subset of patients in the PTA-Open-Label Treatment Epoch (anticipated up to an additional 6 months of data);Timepoint(s) of evaluation of this end point: For full details, please refer to the schedule of assessments table in the protocol. | — |
Countries
Australia, Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece, Italy, Netherlands, Norway, Spain, Sweden, Switzerland, United Kingdom
Contacts
Novartis s.r.o.