Migraine
Conditions
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
Administered SC
Administered SC
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD) | Baseline, Month 1 through Month 6 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With a 75% or Greater Reduction From Baseline in Monthly Migraine Headache Days | Baseline, Month 1 through Month 6 | 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. |
| Percentage of Participants With a 100% Reduction From Baseline in Monthly Migraine Headache Days | Baseline, Month 1 through Month 6 | 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. |
| Overall Mean Change From Baseline on the Migraine-Specific Quality (MSQ) of Life Questionnaire | Baseline, Month 4 through Month 6 | 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. |
| Overall Mean Change From Baseline in Number of Migraine Headache Days With Acute Medication Use | Baseline, Month 1 through Month 6 | 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. |
| Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score | Baseline, Month 4 through Month 6 | 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. |
| Overall Mean Change From Baseline in Headache Hours | Baseline, Month 1 through Month 6 | 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. |
| Percentage of Participants With a 50% or Greater Reduction From Baseline in Monthly Migraine Headache Days | Baseline, Month 1 through Month 6 | 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. |
| Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Month 6 | 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 |
| Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Month 1 through Month 6 | 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 |
| Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Month 1 through Month 6 | 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. |
| Percentage of Participants Developing Anti-Drug Antibodies (ADA) to Galcanezumab | Baseline through Month 6 | 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. |
| Pharmacokinetics (PK): Serum Concentration of Galcanezumab | Month 6 | Pharmacokinetics (PK): Serum Concentration of Galcanezumab |
| Total Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP) | Month 6 | Total Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP) |
| Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score | Baseline, Month 6 | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 459 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Double-Blind Treatment Phase | Adverse Event | 5 | 2 | 0 |
| Double-Blind Treatment Phase | Physician Decision | 1 | 0 | 0 |
| Double-Blind Treatment Phase | Protocol Violation | 0 | 1 | 0 |
| Double-Blind Treatment Phase | Withdrawal by Subject | 5 | 0 | 5 |
| Follow-up Post Treatment Phase | Adverse Event | 0 | 1 | 0 |
| Follow-up Post Treatment Phase | Lost to Follow-up | 1 | 0 | 0 |
| Follow-up Post Treatment Phase | Withdrawal by Subject | 0 | 0 | 2 |
Baseline characteristics
| Characteristic | 120 mg Galcanezumab | Total | Placebo | 240 mg Galcanezumab |
|---|---|---|---|---|
| Age, Customized Greater than 20 years old | 114 Participants | 457 Participants | 229 Participants | 114 Participants |
| Age, Customized Less than 20 years old | 1 Participants | 2 Participants | 1 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 115 Participants | 459 Participants | 230 Participants | 114 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Migraine Headache Days (MHD) per month | 8.6 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 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 115 Participants | 459 Participants | 230 Participants | 114 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Region of Enrollment Japan | 115 Participants | 459 Participants | 230 Participants | 114 Participants |
| Sex: Female, Male Female | 95 Participants | 387 Participants | 196 Participants | 96 Participants |
| Sex: Female, Male Male | 20 Participants | 72 Participants | 34 Participants | 18 Participants |
Adverse events
| Event type | EG000 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 / 230 | 0 / 115 | 0 / 114 | 0 / 100 | 0 / 52 | 0 / 52 |
| other Total, other adverse events | 149 / 230 | 98 / 115 | 93 / 114 | 30 / 100 | 21 / 52 | 20 / 52 |
| serious Total, serious adverse events | 0 / 230 | 3 / 115 | 1 / 114 | 1 / 100 | 0 / 52 | 0 / 52 |
Outcome results
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| 120 mg Galcanezumab | Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD) | -3.60 Days |
| 240 mg Galcanezumab | Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD) | -3.36 Days |
| Placebo | Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD) | -0.59 Days |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| 120 mg Galcanezumab | Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score | -0.25 units on a scale |
| 240 mg Galcanezumab | Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score | -0.41 units on a scale |
| Placebo | Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score | -0.15 units on a scale |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| 120 mg Galcanezumab | Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score | -7.06 units on a scale |
| 240 mg Galcanezumab | Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score | -5.13 units on a scale |
| Placebo | Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score | -2.16 units on a scale |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| 120 mg Galcanezumab | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Preparatory acts or behavior | 0 Participants |
| 120 mg Galcanezumab | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Completed suicide | 0 Participants |
| 120 mg Galcanezumab | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Non-fatal suicide attempt | 0 Participants |
| 120 mg Galcanezumab | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Aborted attempt | 0 Participants |
| 240 mg Galcanezumab | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Non-fatal suicide attempt | 0 Participants |
| 240 mg Galcanezumab | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Aborted attempt | 0 Participants |
| 240 mg Galcanezumab | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Completed suicide | 0 Participants |
| 240 mg Galcanezumab | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Preparatory acts or behavior | 0 Participants |
| Placebo | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Completed suicide | 0 Participants |
| Placebo | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Preparatory acts or behavior | 0 Participants |
| Placebo | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Aborted attempt | 0 Participants |
| Placebo | Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) | Non-fatal suicide attempt | 0 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| 120 mg Galcanezumab | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Wish to be dead | 1 Participants |
| 120 mg Galcanezumab | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Non-specific active suicidal thoughts | 0 Participants |
| 120 mg Galcanezumab | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Active SI with specific plan and intent | 0 Participants |
| 120 mg Galcanezumab | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Active SI with no intent | 0 Participants |
| 120 mg Galcanezumab | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Active SI with some intent | 0 Participants |
| 240 mg Galcanezumab | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Active SI with no intent | 0 Participants |
| 240 mg Galcanezumab | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Active SI with some intent | 0 Participants |
| 240 mg Galcanezumab | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Wish to be dead | 0 Participants |
| 240 mg Galcanezumab | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Active SI with specific plan and intent | 0 Participants |
| 240 mg Galcanezumab | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Non-specific active suicidal thoughts | 0 Participants |
| Placebo | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Non-specific active suicidal thoughts | 0 Participants |
| Placebo | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Active SI with no intent | 0 Participants |
| Placebo | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Wish to be dead | 0 Participants |
| Placebo | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Active SI with some intent | 0 Participants |
| Placebo | Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) | Active SI with specific plan and intent | 0 Participants |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| 120 mg Galcanezumab | Overall Mean Change From Baseline in Headache Hours | -14.56 hours per month |
| 240 mg Galcanezumab | Overall Mean Change From Baseline in Headache Hours | -16.46 hours per month |
| Placebo | Overall Mean Change From Baseline in Headache Hours | -2.73 hours per month |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| 120 mg Galcanezumab | Overall Mean Change From Baseline in Number of Migraine Headache Days With Acute Medication Use | -3.02 MDHs with medication use |
| 240 mg Galcanezumab | Overall Mean Change From Baseline in Number of Migraine Headache Days With Acute Medication Use | -2.81 MDHs with medication use |
| Placebo | Overall Mean Change From Baseline in Number of Migraine Headache Days With Acute Medication Use | -0.12 MDHs with medication use |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| 120 mg Galcanezumab | Overall Mean Change From Baseline on the Migraine-Specific Quality (MSQ) of Life Questionnaire | 17.13 units on a scale |
| 240 mg Galcanezumab | Overall Mean Change From Baseline on the Migraine-Specific Quality (MSQ) of Life Questionnaire | 15.91 units on a scale |
| Placebo | Overall Mean Change From Baseline on the Migraine-Specific Quality (MSQ) of Life Questionnaire | 10.12 units on a scale |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 120 mg Galcanezumab | Percentage of Participants Developing Anti-Drug Antibodies (ADA) to Galcanezumab | 9.57 percentage of participants |
| 240 mg Galcanezumab | Percentage of Participants Developing Anti-Drug Antibodies (ADA) to Galcanezumab | 10.53 percentage of participants |
| Placebo | Percentage of Participants Developing Anti-Drug Antibodies (ADA) to Galcanezumab | 1.30 percentage of participants |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 120 mg Galcanezumab | Percentage of Participants With a 100% Reduction From Baseline in Monthly Migraine Headache Days | 9.0 percentage of participants | Standard Error 1.5 |
| 240 mg Galcanezumab | Percentage of Participants With a 100% Reduction From Baseline in Monthly Migraine Headache Days | 8.1 percentage of participants | Standard Error 1.5 |
| Placebo | Percentage of Participants With a 100% Reduction From Baseline in Monthly Migraine Headache Days | 2.8 percentage of participants | Standard Error 0.6 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 120 mg Galcanezumab | Percentage of Participants With a 50% or Greater Reduction From Baseline in Monthly Migraine Headache Days | 49.8 percentage of participants | Standard Error 3.4 |
| 240 mg Galcanezumab | Percentage of Participants With a 50% or Greater Reduction From Baseline in Monthly Migraine Headache Days | 48.2 percentage of participants | Standard Error 3.5 |
| Placebo | Percentage of Participants With a 50% or Greater Reduction From Baseline in Monthly Migraine Headache Days | 20.3 percentage of participants | Standard Error 2 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 120 mg Galcanezumab | Percentage of Participants With a 75% or Greater Reduction From Baseline in Monthly Migraine Headache Days | 25.5 percentage of participants | Standard Error 2.8 |
| 240 mg Galcanezumab | Percentage of Participants With a 75% or Greater Reduction From Baseline in Monthly Migraine Headache Days | 25.0 percentage of participants | Standard Error 2.8 |
| Placebo | Percentage of Participants With a 75% or Greater Reduction From Baseline in Monthly Migraine Headache Days | 9.6 percentage of participants | Standard Error 1.3 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 120 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Satisfaction: Somewhat satisfied | 26.92 percentage of participants |
| 120 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Side effects: Less side effects | 22.12 percentage of participants |
| 120 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Side effects: Much less side effects | 35.58 percentage of participants |
| 120 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Preference: Prefer study medication | 40.38 percentage of participants |
| 120 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Preference: Much Prefer study medication | 22.12 percentage of participants |
| 120 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Satisfaction: Very satisfied | 35.58 percentage of participants |
| 240 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Side effects: Much less side effects | 28.83 percentage of participants |
| 240 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Side effects: Less side effects | 33.33 percentage of participants |
| 240 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Preference: Prefer study medication | 34.23 percentage of participants |
| 240 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Satisfaction: Somewhat satisfied | 23.42 percentage of participants |
| 240 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Preference: Much Prefer study medication | 27.03 percentage of participants |
| 240 mg Galcanezumab | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Satisfaction: Very satisfied | 44.14 percentage of participants |
| Placebo | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Preference: Much Prefer study medication | 3.11 percentage of participants |
| Placebo | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Satisfaction: Very satisfied | 7.56 percentage of participants |
| Placebo | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Satisfaction: Somewhat satisfied | 27.11 percentage of participants |
| Placebo | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Preference: Prefer study medication | 28.00 percentage of participants |
| Placebo | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Side effects: Much less side effects | 24.89 percentage of participants |
| Placebo | Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) | Side effects: Less side effects | 25.78 percentage of participants |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 120 mg Galcanezumab | Pharmacokinetics (PK): Serum Concentration of Galcanezumab | 20400 nanograms per milliliter | Standard Deviation 7490 |
| 240 mg Galcanezumab | Pharmacokinetics (PK): Serum Concentration of Galcanezumab | 40600 nanograms per milliliter | Standard Deviation 18400 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 120 mg Galcanezumab | Total Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP) | 4.35 nanograms per milliliter | Standard Deviation 1.25 |
| 240 mg Galcanezumab | Total Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP) | 5.40 nanograms per milliliter | Standard Deviation 1.53 |
| Placebo | Total Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP) | 0.634 nanograms per milliliter | Standard Deviation 1.36 |