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Eptinezumab for Chronic Headache in Idiopathic Intracranial Hypertension

Prevention of Chronic Headache in Patients Diagnosed With Idiopathic Intracranial Hypertension With a Monoclonal Anti-calcitonin Gene-related Peptide Antibody: A Double-blinded Randomized Placebo-controlled Multicentre Trial

Status
Not yet recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07645833
Acronym
PRIMA
Enrollment
96
Registered
2026-06-12
Start date
2026-06-22
Completion date
2029-01-01
Last updated
2026-06-12

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

Conditions

Idiopathic Intracranial Hypertension (IIH)

Brief summary

The goal of this clinical trial is to learn if eptinezumab can reduce headache frequency and headache-related disability in adults with idiopathic intracranial hypertension (IIH) and chronic headache. It will also evaluate the safety and tolerability of eptinezumab in this patient population. The main questions it aims to answer are: * Does eptinezumab reduce the number of monthly moderate-to-severe headache days compared with placebo? * Does eptinezumab improve headache-related disability and patient-reported outcomes? * What adverse events occur during treatment with eptinezumab? Researchers will compare eptinezumab to placebo to determine whether eptinezumab is effective in the prevention of chronic headache in patients with IIH. Participants will: * Receive eptinezumab or placebo according to random assignment. * Attend scheduled study visits and clinical assessments. * Complete headache diaries and questionnaires during the study period. * Undergo study-related examinations and collection of biological samples, including blood samples.

Interventions

DRUGEptinezumab

Eptinezumab 300 mg. administered as an intravenous infusion in 100 ml. saline solution at baseline and at week 12 during the double-blind treatment period. participants may subsequently receive open-label eptinezumab according to the study protocol

DRUGPlacebo

Matching placebo (0.9% saline solution) administered intravenously

Sponsors

Rigmor Højland Jensen
Lead SponsorOTHER
H. Lundbeck A/S
CollaboratorINDUSTRY
Odense University Hospital
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 55 Years
Healthy volunteers
No

Inclusion criteria

* Female, aged 18 to 55 years * Diagnosis of idiopathic intracranial hypertension (IIH) or IIH without papilledema * Chronic headache associated with IIH * At least 15 headache days per monthduring the screening period * At least 8 migraine-like headache days per month during the screening period * Use of effective contraception througout the trial period and for at least 5 months after last administration of study drug

Exclusion criteria

* Non-compliance with headache diary completion during screening, defined as less than 80% of the days reported * Contraindications to receiving eptinezumab according to the Summary of Product Characteristics * Previous or current treatment with anti-CGRP monoclonal antibodies within 5 half-lives * Previous insufficient or non-effective treatment with eptinezumab * Pregnancy, breastfeeding, or planning pregnancy during the sudy period

Design outcomes

Primary

MeasureTime frameDescription
Mean monthly-to-severe headache daysWeeks 1 to 12Mean monthly number of moderate-to-severe headache days, defined as any day with headache of moderate or severe intensity or requiring acute headache medication, assessed using daily diary recordings

Contacts

CONTACTFrederik P.T. Jantzen, Md.
frederik.peter.thal.jantzen@regionh.dk+4538633555
PRINCIPAL_INVESTIGATORRigmor H Jensen, Ass.Professor, Dr.Med.

Danish Headache Center

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 13, 2026