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A Study of LY2951742 (Galcanezumab) in Japanese Participants With Episodic Migraine

A Randomized, Double-Blind, Placebo-Controlled Study of LY2951742 (Galcanezumab) in Japanese Patients With Episodic Migraine

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02959177
Enrollment
459
Registered
2016-11-08
Start date
2016-11-09
Completion date
2019-01-18
Last updated
2021-04-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Migraine

Keywords

prevention, prophylaxis, headache

Brief summary

The main purpose of this study is to determine the efficacy of the study drug Galcanezumab in Japanese participants with episodic migraine.

Interventions

DRUGGalcanezumab

Administered SC

DRUGPlacebo

Administered SC

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Have a diagnosis of migraine as defined by International Headache Society (IHS) International Classification of Headache Disorders (ICHD)-3 beta guidelines (1.1 or 1.2) (ICHD-3 2013), with a history of migraine headaches of at least 1 year prior to screening, and migraine onset prior to age 50.

Exclusion criteria

* Are currently enrolled in or have participated within the last 30 days or within 5 half-lives (whichever is longer) in a clinical trial involving an investigational product. * Current use or prior exposure to Galcanezumab or other antibodies to CGRP or its receptor. * Known hypersensitivity to multiple drugs, monoclonal antibodies or other therapeutic proteins, or to Galcanezumab and the excipients in the investigational product. * History of persistent daily headache, cluster headache or migraine subtypes including hemiplegic (sporadic or familial) migraine, ophthalmoplegic migraine, and migraine with brainstem aura (basilar-type migraine) defined by IHS ICHD-3 beta.

Design outcomes

Primary

MeasureTime frameDescription
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD)Baseline, Month 1 through Month 6Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred. Migraine Headache : A headache, with or without aura, of ≥30 minutes duration with both of the following required features (A and B): A) At least 2 of the following headache characteristics: Unilateral location; Pulsatile quality; Moderate or severe pain intensity; Aggravation by or causing avoidance of routine physical activity; AND B) During headache at least one of the following: Nausea and/or vomiting; Photophobia and phonophobia; The overall mean is derived from the average of months 1 to 6 from mixed model repeat measures (MMRM) model. Least Square Mean (LSMEAN) was calculated using MMRM models with fixed categorical effects of treatment, month, and treatment-by-month interaction, as well as the continuous, fixed covariates of baseline value and baseline-by-month interaction.

Secondary

MeasureTime frameDescription
Percentage of Participants With a 75% or Greater Reduction From Baseline in Monthly Migraine Headache DaysBaseline, Month 1 through Month 6Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred. A 75% responder in a particular month is any participant who has a ≥75% reduction from baseline in the monthly number of migraine headache attacks in a 30-day interval. It is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, and baseline MHD category as fixed factors.
Percentage of Participants With a 100% Reduction From Baseline in Monthly Migraine Headache DaysBaseline, Month 1 through Month 6Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred. A 100% responder in a particular month is any participant who has a 100% reduction from baseline in the monthly number of migraine headache attacks in a 30-day interval. It is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, and baseline MHD category as fixed factors.
Overall Mean Change From Baseline on the Migraine-Specific Quality (MSQ) of Life QuestionnaireBaseline, Month 4 through Month 6MSQ version 2.1 is a health status instrument consists of 14 items addressing 3 domains:(1)Role Function-Restrictive (items 1-7);(2)Role Function- Preventive (items 8-11);&(3)Emotional Function (items 12-14).Response options range from none of the time (value 1) to all of the time (value 6), & are reverse-recoded (value 6 to 1) before the domain scores are calculated. Total raw scores for each domain is the sum of the final item value for all of the items in that domain. After total raw score is computed for each domain & total score, they are transformed to a 0-100 scale with higher scores indicating a better health status & a positive change in scores reflecting functional improvement. The overall mean is derived from the average of months 4 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, month, treatment by month, baseline by month and baseline MHD category as fixed factors.
Overall Mean Change From Baseline in Number of Migraine Headache Days With Acute Medication UseBaseline, Month 1 through Month 6Migraine Headache Day (MHD) with Acute Medication Use: Calendar days on which migraine or probable migraine occurs, requiring acute medication. The overall mean is derived from the average of months 1 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed effects.
Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) ScoreBaseline, Month 4 through Month 6The PGI-S scale is a patient-rated instrument that measures patients own global impression of their illness severity. The patient was instructed as follows: Considering migraine as a chronic condition, how would you rate your level of illness? Response options were from 1 (normal, not at all ill) to 7 (extremely ill). Mean is derived from the average of months 4 to 6 from MMRM model. Least square mean (LSM) was calculated using an MMRM model with treatment, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed effects.
Overall Mean Change From Baseline in Headache HoursBaseline, Month 1 through Month 6Headache Hours is calculated as the total number of headache hours on which a headache occurred. Overall mean is derived from the average of months 1 to 6 from MMRM model. LSMean was calculated using the MMRM model with treatment, month, treatment by month, baseline, baseline by month and baseline MHD category.
Percentage of Participants With a 50% or Greater Reduction From Baseline in Monthly Migraine Headache DaysBaseline, Month 1 through Month 6Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred. A 50% responder in a particular month is any participant who has a ≥50% reduction from baseline in the monthly number of migraine headache attacks in a 30-day interval. It is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, and baseline MHD category as fixed factors.
Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Month 6The PSMQ-M is a self-rated scale which measures participants level of satisfaction with study medication.The scale has been modified for use in this study, assessing 3 items related to the clinical trial treatment over the past 4 weeks: satisfaction, preference, and side effects. Satisfaction responses range from very unsatisfied to very satisfied with the current treatment. Preference compares the current study medication to previous medications, with responses from much rather prefer my previous medication to much rather prefer the medication administered to me during the study
Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Month 1 through Month 6C-SSRS captures the occurrence, severity, and frequency of suicide-related thoughts during the assessment period. The scale includes suggested questions to solicit the type of information needed to determine if a suicide-related thoughts occurred. Some questions are binary responses (yes/no) and some are on a scale of 1 (low severity) to 5 (high severity). Suicidal ideation (SI): a yes answer to any of 5 suicidal ideation questions: wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with any methods without intent to act, active suicidal ideation with some intent to act without specific plan, active suicidal ideation with specific plan and intent
Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Month 1 through Month 6C -SSRS captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior is defined as a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation is defined as a yes answer to any one of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation.
Percentage of Participants Developing Anti-Drug Antibodies (ADA) to GalcanezumabBaseline through Month 6Treatment emergent ADA will be defined as any of the following: * A negative baseline result and a positive post-baseline ADA result with a titer ≥20. This is also called treatment-induced ADA. * A positive baseline result and a positive post-baseline ADA result with a ≥4-fold increase in titers (for example, baseline titer of 10 increasing to ≥40 post-baseline). This is called treatment-boosted ADA.
Pharmacokinetics (PK): Serum Concentration of GalcanezumabMonth 6Pharmacokinetics (PK): Serum Concentration of Galcanezumab
Total Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)Month 6Total Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)
Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total ScoreBaseline, Month 6The MIDAS is a participant-rated scale which was designed to quantify headache-related disability over a 3-month period. This instrument consists of five items that reflect the number of days reported as missing or with reduced productivity at work or home, and the number of days of missed social events. Each item has a numeric response range from 0 to 90 days, if days are missed from work or home they are not counted as days with reduced productivity at work or home. The numeric responses are summed to produce a total score ranging from 0 to 270, in which a higher value is indicative of more disability. LSMean was calculated using MMRM model with treatment, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed factors.

Countries

Japan

Participant flow

Pre-assignment details

Participants were randomized to a Treatment Phase with double-blind treatment arms and then could enter a Follow-up Post Treatment Phase.

Participants by arm

ArmCount
120 mg Galcanezumab
Participants received loading dose of 240mg (2 injections of 120mg each) galcanezumab at first dosing visit followed by 120mg galcanezumab once a month for 5 months by subcutaneous injection.
115
240 mg Galcanezumab
Participants received 240 mg galcanezumab administered SC once a month for 6 months.
114
Placebo
Participants were administered placebo SC once a month for 6 months..
230
Total459

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Double-Blind Treatment PhaseAdverse Event520
Double-Blind Treatment PhasePhysician Decision100
Double-Blind Treatment PhaseProtocol Violation010
Double-Blind Treatment PhaseWithdrawal by Subject505
Follow-up Post Treatment PhaseAdverse Event010
Follow-up Post Treatment PhaseLost to Follow-up100
Follow-up Post Treatment PhaseWithdrawal by Subject002

Baseline characteristics

Characteristic120 mg GalcanezumabTotalPlacebo240 mg Galcanezumab
Age, Customized
Greater than 20 years old
114 Participants457 Participants229 Participants114 Participants
Age, Customized
Less than 20 years old
1 Participants2 Participants1 Participants0 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
115 Participants459 Participants230 Participants114 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Migraine Headache Days (MHD) per month8.6 days per month
STANDARD_DEVIATION 2.8
8.8 days per month
STANDARD_DEVIATION 2.9
8.6 days per month
STANDARD_DEVIATION 3
9.0 days per month
STANDARD_DEVIATION 3
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
115 Participants459 Participants230 Participants114 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants0 Participants
Region of Enrollment
Japan
115 Participants459 Participants230 Participants114 Participants
Sex: Female, Male
Female
95 Participants387 Participants196 Participants96 Participants
Sex: Female, Male
Male
20 Participants72 Participants34 Participants18 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 2300 / 1150 / 1140 / 1000 / 520 / 52
other
Total, other adverse events
149 / 23098 / 11593 / 11430 / 10021 / 5220 / 52
serious
Total, serious adverse events
0 / 2303 / 1151 / 1141 / 1000 / 520 / 52

Outcome results

Primary

Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD)

Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred. Migraine Headache : A headache, with or without aura, of ≥30 minutes duration with both of the following required features (A and B): A) At least 2 of the following headache characteristics: Unilateral location; Pulsatile quality; Moderate or severe pain intensity; Aggravation by or causing avoidance of routine physical activity; AND B) During headache at least one of the following: Nausea and/or vomiting; Photophobia and phonophobia; The overall mean is derived from the average of months 1 to 6 from mixed model repeat measures (MMRM) model. Least Square Mean (LSMEAN) was calculated using MMRM models with fixed categorical effects of treatment, month, and treatment-by-month interaction, as well as the continuous, fixed covariates of baseline value and baseline-by-month interaction.

Time frame: Baseline, Month 1 through Month 6

Population: All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)
120 mg GalcanezumabOverall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD)-3.60 Days
240 mg GalcanezumabOverall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD)-3.36 Days
PlaceboOverall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD)-0.59 Days
p-value: <0.00195% CI: [-3.8, -2.22]Mixed Models Analysis
p-value: <0.00195% CI: [-3.53, -1.94]Mixed Models Analysis
Secondary

Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score

The PGI-S scale is a patient-rated instrument that measures patients own global impression of their illness severity. The patient was instructed as follows: Considering migraine as a chronic condition, how would you rate your level of illness? Response options were from 1 (normal, not at all ill) to 7 (extremely ill). Mean is derived from the average of months 4 to 6 from MMRM model. Least square mean (LSM) was calculated using an MMRM model with treatment, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed effects.

Time frame: Baseline, Month 4 through Month 6

Population: All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)
120 mg GalcanezumabMean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score-0.25 units on a scale
240 mg GalcanezumabMean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score-0.41 units on a scale
PlaceboMean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score-0.15 units on a scale
Secondary

Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score

The MIDAS is a participant-rated scale which was designed to quantify headache-related disability over a 3-month period. This instrument consists of five items that reflect the number of days reported as missing or with reduced productivity at work or home, and the number of days of missed social events. Each item has a numeric response range from 0 to 90 days, if days are missed from work or home they are not counted as days with reduced productivity at work or home. The numeric responses are summed to produce a total score ranging from 0 to 270, in which a higher value is indicative of more disability. LSMean was calculated using MMRM model with treatment, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed factors.

Time frame: Baseline, Month 6

Population: All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)
120 mg GalcanezumabMean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score-7.06 units on a scale
240 mg GalcanezumabMean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score-5.13 units on a scale
PlaceboMean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score-2.16 units on a scale
p-value: <0.00195% CI: [-8.06, -1.73]Mixed Models Analysis
p-value: <0.00195% CI: [-6.08, 0.14]Mixed Models Analysis
Secondary

Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)

C -SSRS captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior is defined as a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation is defined as a yes answer to any one of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation.

Time frame: Month 1 through Month 6

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
120 mg GalcanezumabNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Preparatory acts or behavior0 Participants
120 mg GalcanezumabNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Completed suicide0 Participants
120 mg GalcanezumabNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Non-fatal suicide attempt0 Participants
120 mg GalcanezumabNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Aborted attempt0 Participants
240 mg GalcanezumabNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Non-fatal suicide attempt0 Participants
240 mg GalcanezumabNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Aborted attempt0 Participants
240 mg GalcanezumabNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Completed suicide0 Participants
240 mg GalcanezumabNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Preparatory acts or behavior0 Participants
PlaceboNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Completed suicide0 Participants
PlaceboNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Preparatory acts or behavior0 Participants
PlaceboNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Aborted attempt0 Participants
PlaceboNumber of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS)Non-fatal suicide attempt0 Participants
Secondary

Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)

C-SSRS captures the occurrence, severity, and frequency of suicide-related thoughts during the assessment period. The scale includes suggested questions to solicit the type of information needed to determine if a suicide-related thoughts occurred. Some questions are binary responses (yes/no) and some are on a scale of 1 (low severity) to 5 (high severity). Suicidal ideation (SI): a yes answer to any of 5 suicidal ideation questions: wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with any methods without intent to act, active suicidal ideation with some intent to act without specific plan, active suicidal ideation with specific plan and intent

Time frame: Month 1 through Month 6

Population: All randomized participants who received at least one dose of study drug and had at least one post baseline C-SSRS assessment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
120 mg GalcanezumabNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Wish to be dead1 Participants
120 mg GalcanezumabNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Non-specific active suicidal thoughts0 Participants
120 mg GalcanezumabNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Active SI with specific plan and intent0 Participants
120 mg GalcanezumabNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Active SI with no intent0 Participants
120 mg GalcanezumabNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Active SI with some intent0 Participants
240 mg GalcanezumabNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Active SI with no intent0 Participants
240 mg GalcanezumabNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Active SI with some intent0 Participants
240 mg GalcanezumabNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Wish to be dead0 Participants
240 mg GalcanezumabNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Active SI with specific plan and intent0 Participants
240 mg GalcanezumabNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Non-specific active suicidal thoughts0 Participants
PlaceboNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Non-specific active suicidal thoughts0 Participants
PlaceboNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Active SI with no intent0 Participants
PlaceboNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Wish to be dead0 Participants
PlaceboNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Active SI with some intent0 Participants
PlaceboNumber of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS)Active SI with specific plan and intent0 Participants
Secondary

Overall Mean Change From Baseline in Headache Hours

Headache Hours is calculated as the total number of headache hours on which a headache occurred. Overall mean is derived from the average of months 1 to 6 from MMRM model. LSMean was calculated using the MMRM model with treatment, month, treatment by month, baseline, baseline by month and baseline MHD category.

Time frame: Baseline, Month 1 through Month 6

Population: All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)
120 mg GalcanezumabOverall Mean Change From Baseline in Headache Hours-14.56 hours per month
240 mg GalcanezumabOverall Mean Change From Baseline in Headache Hours-16.46 hours per month
PlaceboOverall Mean Change From Baseline in Headache Hours-2.73 hours per month
p-value: <0.00195% CI: [-16.14, -7.51]Mixed Models Analysis
p-value: <0.00195% CI: [-18.05, -9.4]Mixed Models Analysis
Secondary

Overall Mean Change From Baseline in Number of Migraine Headache Days With Acute Medication Use

Migraine Headache Day (MHD) with Acute Medication Use: Calendar days on which migraine or probable migraine occurs, requiring acute medication. The overall mean is derived from the average of months 1 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed effects.

Time frame: Baseline, Month 1 through Month 6

Population: All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)
120 mg GalcanezumabOverall Mean Change From Baseline in Number of Migraine Headache Days With Acute Medication Use-3.02 MDHs with medication use
240 mg GalcanezumabOverall Mean Change From Baseline in Number of Migraine Headache Days With Acute Medication Use-2.81 MDHs with medication use
PlaceboOverall Mean Change From Baseline in Number of Migraine Headache Days With Acute Medication Use-0.12 MDHs with medication use
p-value: <0.00195% CI: [-3.61, -2.19]Mixed Models Analysis
p-value: <0.00195% CI: [-3.41, -1.99]Mixed Models Analysis
Secondary

Overall Mean Change From Baseline on the Migraine-Specific Quality (MSQ) of Life Questionnaire

MSQ version 2.1 is a health status instrument consists of 14 items addressing 3 domains:(1)Role Function-Restrictive (items 1-7);(2)Role Function- Preventive (items 8-11);&(3)Emotional Function (items 12-14).Response options range from none of the time (value 1) to all of the time (value 6), & are reverse-recoded (value 6 to 1) before the domain scores are calculated. Total raw scores for each domain is the sum of the final item value for all of the items in that domain. After total raw score is computed for each domain & total score, they are transformed to a 0-100 scale with higher scores indicating a better health status & a positive change in scores reflecting functional improvement. The overall mean is derived from the average of months 4 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, month, treatment by month, baseline by month and baseline MHD category as fixed factors.

Time frame: Baseline, Month 4 through Month 6

Population: All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)
120 mg GalcanezumabOverall Mean Change From Baseline on the Migraine-Specific Quality (MSQ) of Life Questionnaire17.13 units on a scale
240 mg GalcanezumabOverall Mean Change From Baseline on the Migraine-Specific Quality (MSQ) of Life Questionnaire15.91 units on a scale
PlaceboOverall Mean Change From Baseline on the Migraine-Specific Quality (MSQ) of Life Questionnaire10.12 units on a scale
p-value: <0.00195% CI: [4.54, 9.46]Mixed Models Analysis
p-value: <0.0195% CI: [3.33, 8.24]Mixed Models Analysis
Secondary

Percentage of Participants Developing Anti-Drug Antibodies (ADA) to Galcanezumab

Treatment emergent ADA will be defined as any of the following: * A negative baseline result and a positive post-baseline ADA result with a titer ≥20. This is also called treatment-induced ADA. * A positive baseline result and a positive post-baseline ADA result with a ≥4-fold increase in titers (for example, baseline titer of 10 increasing to ≥40 post-baseline). This is called treatment-boosted ADA.

Time frame: Baseline through Month 6

Population: All randomized participants who received at least 1 dose of study drug and had evaluable immunogenicity data.

ArmMeasureValue (NUMBER)
120 mg GalcanezumabPercentage of Participants Developing Anti-Drug Antibodies (ADA) to Galcanezumab9.57 percentage of participants
240 mg GalcanezumabPercentage of Participants Developing Anti-Drug Antibodies (ADA) to Galcanezumab10.53 percentage of participants
PlaceboPercentage of Participants Developing Anti-Drug Antibodies (ADA) to Galcanezumab1.30 percentage of participants
Secondary

Percentage of Participants With a 100% Reduction From Baseline in Monthly Migraine Headache Days

Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred. A 100% responder in a particular month is any participant who has a 100% reduction from baseline in the monthly number of migraine headache attacks in a 30-day interval. It is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, and baseline MHD category as fixed factors.

Time frame: Baseline, Month 1 through Month 6

Population: All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.

ArmMeasureValue (MEAN)Dispersion
120 mg GalcanezumabPercentage of Participants With a 100% Reduction From Baseline in Monthly Migraine Headache Days9.0 percentage of participantsStandard Error 1.5
240 mg GalcanezumabPercentage of Participants With a 100% Reduction From Baseline in Monthly Migraine Headache Days8.1 percentage of participantsStandard Error 1.5
PlaceboPercentage of Participants With a 100% Reduction From Baseline in Monthly Migraine Headache Days2.8 percentage of participantsStandard Error 0.6
95% CI: [2.03, 5.93]
95% CI: [1.79, 5.44]
Secondary

Percentage of Participants With a 50% or Greater Reduction From Baseline in Monthly Migraine Headache Days

Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred. A 50% responder in a particular month is any participant who has a ≥50% reduction from baseline in the monthly number of migraine headache attacks in a 30-day interval. It is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, and baseline MHD category as fixed factors.

Time frame: Baseline, Month 1 through Month 6

Population: All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.

ArmMeasureValue (MEAN)Dispersion
120 mg GalcanezumabPercentage of Participants With a 50% or Greater Reduction From Baseline in Monthly Migraine Headache Days49.8 percentage of participantsStandard Error 3.4
240 mg GalcanezumabPercentage of Participants With a 50% or Greater Reduction From Baseline in Monthly Migraine Headache Days48.2 percentage of participantsStandard Error 3.5
PlaceboPercentage of Participants With a 50% or Greater Reduction From Baseline in Monthly Migraine Headache Days20.3 percentage of participantsStandard Error 2
95% CI: [2.71, 5.57]
95% CI: [2.54, 5.23]
Secondary

Percentage of Participants With a 75% or Greater Reduction From Baseline in Monthly Migraine Headache Days

Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred. A 75% responder in a particular month is any participant who has a ≥75% reduction from baseline in the monthly number of migraine headache attacks in a 30-day interval. It is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, and baseline MHD category as fixed factors.

Time frame: Baseline, Month 1 through Month 6

Population: All randomized participants who received at least one dose of study drug and had baseline and at least one post baseline value.

ArmMeasureValue (MEAN)Dispersion
120 mg GalcanezumabPercentage of Participants With a 75% or Greater Reduction From Baseline in Monthly Migraine Headache Days25.5 percentage of participantsStandard Error 2.8
240 mg GalcanezumabPercentage of Participants With a 75% or Greater Reduction From Baseline in Monthly Migraine Headache Days25.0 percentage of participantsStandard Error 2.8
PlaceboPercentage of Participants With a 75% or Greater Reduction From Baseline in Monthly Migraine Headache Days9.6 percentage of participantsStandard Error 1.3
95% CI: [2.14, 4.89]
95% CI: [2.08, 4.8]
Secondary

Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)

The PSMQ-M is a self-rated scale which measures participants level of satisfaction with study medication.The scale has been modified for use in this study, assessing 3 items related to the clinical trial treatment over the past 4 weeks: satisfaction, preference, and side effects. Satisfaction responses range from very unsatisfied to very satisfied with the current treatment. Preference compares the current study medication to previous medications, with responses from much rather prefer my previous medication to much rather prefer the medication administered to me during the study

Time frame: Month 6

Population: All randomized participants who received at least one dose of study drug and had Month 6 PSMQ-M measurement.

ArmMeasureGroupValue (NUMBER)
120 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Satisfaction: Somewhat satisfied26.92 percentage of participants
120 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Side effects: Less side effects22.12 percentage of participants
120 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Side effects: Much less side effects35.58 percentage of participants
120 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Preference: Prefer study medication40.38 percentage of participants
120 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Preference: Much Prefer study medication22.12 percentage of participants
120 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Satisfaction: Very satisfied35.58 percentage of participants
240 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Side effects: Much less side effects28.83 percentage of participants
240 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Side effects: Less side effects33.33 percentage of participants
240 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Preference: Prefer study medication34.23 percentage of participants
240 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Satisfaction: Somewhat satisfied23.42 percentage of participants
240 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Preference: Much Prefer study medication27.03 percentage of participants
240 mg GalcanezumabPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Satisfaction: Very satisfied44.14 percentage of participants
PlaceboPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Preference: Much Prefer study medication3.11 percentage of participants
PlaceboPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Satisfaction: Very satisfied7.56 percentage of participants
PlaceboPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Satisfaction: Somewhat satisfied27.11 percentage of participants
PlaceboPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Preference: Prefer study medication28.00 percentage of participants
PlaceboPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Side effects: Much less side effects24.89 percentage of participants
PlaceboPercentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M)Side effects: Less side effects25.78 percentage of participants
Secondary

Pharmacokinetics (PK): Serum Concentration of Galcanezumab

Pharmacokinetics (PK): Serum Concentration of Galcanezumab

Time frame: Month 6

Population: All randomized participants who received at least one dose of study drug and had measurable serum concentrations.

ArmMeasureValue (MEAN)Dispersion
120 mg GalcanezumabPharmacokinetics (PK): Serum Concentration of Galcanezumab20400 nanograms per milliliterStandard Deviation 7490
240 mg GalcanezumabPharmacokinetics (PK): Serum Concentration of Galcanezumab40600 nanograms per milliliterStandard Deviation 18400
Secondary

Total Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)

Total Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)

Time frame: Month 6

Population: All randomized participants who received at least one dose of study drug and had measurable CGRP concentrations.

ArmMeasureValue (MEAN)Dispersion
120 mg GalcanezumabTotal Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)4.35 nanograms per milliliterStandard Deviation 1.25
240 mg GalcanezumabTotal Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)5.40 nanograms per milliliterStandard Deviation 1.53
PlaceboTotal Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)0.634 nanograms per milliliterStandard Deviation 1.36

Source: ClinicalTrials.gov · Data processed: Feb 20, 2026