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COACT Study: CGRPmAbs + OnabotulinumtoxinA Assessment of Chronic Migraine Treatments Study

Phase 4
Active, not recruiting
Conditions
Chronic Migraine, Headache
Registration Number
NCT05724771
Lead Sponsor
Chicago Headache Center & Research Institute
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Active, not recruiting
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

Inclusion Criteria:<br><br> - Chronic migraine patients between 18 to 75 years old<br><br> - Chronic migraine patients with = 12-month history of migraine<br><br> - Participant has received at least 2 consecutive OnabotulinumtoxinA treatment at<br> screening (visit 1)<br><br> - Achieved a clinically appropriate response from monotherapy OnabotulinumtoxinA at<br> enrollment (visit 2):<br><br> - =50% reduction in mean monthly headache days of at least moderate severity OR<br> Reduction of =7 mean monthly headache days of at least moderate severity OR<br><br> - HIT-6 reduction of =5 points<br><br> - History of =8 monthly migraine days (average from 3 previous months prior to<br> enrollment (visit 2))<br><br>Exclusion Criteria:<br><br> - History of <8 monthly migraine days (average from 3 previous months prior to<br> enrollment (visit 2))<br><br> - Patients with current use, or use within 3 months prior to screening (visit 1) a<br> CGRPmAbs (Aimovig, Ajovy, Emgality, or Vyepti)<br><br> - Concomitant use of gepants as a preventative treatment < 1 week prior to screening<br> (visit 1).<br><br> - Utilizing gepants as an acute rescue treatment >5 days per month.<br><br> - Current user of recreational or illicit drugs, or a history within 1 year prior to<br> screening (visit 1) of drug or alcohol abuse or dependence<br><br> - Clinically significant hematologic, endocrine, cardiovascular, pulmonary,<br> gastrointestinal, or neurologic disease. If there is a history of such a disease,<br> but the condition has been stable for more than 1 year prior to screening (visit 1)<br> and is judged by the PI as not likely to interfere with participation in the study,<br> the participant may be included.<br><br> - Female is pregnant, planning to become pregnant during the course of the study, or<br> currently lactating.

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in number of monthly migraine days with the addition of CGRPmAb Fremanezumab in chronic migraine patients currently on monotherapy OnabotulinumtoxinA.
Secondary Outcome Measures
NameTimeMethod
To assess improvements in HIT-6 (Headache Impact Test) score of >5 point reduction with the addition of CGRPmAb Fremanezumab in chronic migraine patients currently on monotherapy OnabotulinumtoxinA.
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