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临床试验/NCT04921384
NCT04921384
已完成
3 期

Interventional, Randomized, Double-blind, Parallel-group, Placebo-controlled Study to Evaluate Efficacy and Safety of Eptinezumab for the Preventive Treatment of Migraine

H. Lundbeck A/S87 个研究点 分布在 4 个国家目标入组 981 人2021年5月29日
适应症Migraine
干预措施EptinezumabPlacebo
相关药物PlaceboEptinezumab

概览

阶段
3 期
干预措施
Eptinezumab
疾病 / 适应症
Migraine
发起方
H. Lundbeck A/S
入组人数
981
试验地点
87
主要终点
Change from baseline in the number of monthly migraine days (MMDs) (Weeks 1-12)
状态
已完成
最后更新
3个月前

概览

简要总结

This study evaluates the efficacy of eptinezumab to prevent migraine in participants with chronic migraine.

详细描述

This is an interventional, multi-regional, multi-site, randomized, double-blind, placebo-controlled Phase III study, to confirm the efficacy and safety of eptinezumab in participants with chronic migraine who are eligible for preventive treatment. participants will be randomly allocated to one of three treatment groups: eptinezumab 300 mg, eptinezumab 100 mg, or placebo. The double-blind, placebo-controlled treatment period will be followed by an extension period where all participants will receive active treatment to further assess the safety and tolerability of eptinezumab. The total study duration from the Screening Visit to the Safety Follow-up Visit is approximately 36 weeks and includes a Screening Period (28-30 days), a Placebo-controlled Period (12 weeks), an Extension Period (12 weeks), and a Safety Follow-up Period (8 weeks).

注册库
clinicaltrials.gov
开始日期
2021年5月29日
结束日期
2025年2月17日
最后更新
3个月前
研究类型
Interventional
研究设计
Parallel
性别
All

研究者

责任方
Sponsor

入排标准

入选标准

  • The participant has a diagnosis of CM as defined by IHS ICHD-3 guidelines confirmed at screening visit with a history of migraine onset at least 12 months prior to the Screening Visit.
  • The participant has a migraine onset at ≤50 years of age.
  • The participant has ≥8 migraine days per month for each month within the past 3 months prior to the Screening Visit.
  • The participant fulfils the following criteria for migraine in prospectively collected information in the eDiary during the screening period:
  • Migraine occurring on ≥8 days and headache occurring on ≥15 to ≤26 days.
  • The participant has demonstrated compliance with the Headache eDiary by entry of data for at least 24 of the 28 days following the Screening Visit.
  • The participant is aged ≥18 (≥20 for Taiwan) and ≤75 years at the Screening Visit.

排除标准

  • The participant has received any medication targeting the calcitonin gene-related peptide (CGRP) pathway as preventive treatment of migraine.
  • The participant has confounding and clinically significant pain syndromes, (for example, fibromyalgia, chronic low back pain, complex regional pain syndrome).
  • The participant has a diagnosis of acute or active temporomandibular disorder.
  • The participant has a history or diagnosis of chronic tension-type headache, hypnic headache, cluster headache, hemicrania continua, new daily persistent headache, or unusual migraine subtypes such as hemiplegic migraine (sporadic and familial), ophthalmoplegic migraine, migraine with brainstem aura and migraine with neurological accompaniments that are not typical of migraine aura (diplopia, altered consciousness, or long duration).
  • The participant has a lifetime history of psychosis, bipolar mania, or dementia.
  • Participants with other psychiatric conditions whose symptoms are not controlled or who have not been adequately treated for a minimum of 6 months prior to screening are also excluded.
  • The participant has a history of clinically significant cardiovascular disease, including uncontrolled hypertension, vascular ischaemia or thromboembolic events (for example, cerebrovascular accident, deep vein thrombosis, or pulmonary embolism).
  • Other inclusion and exclusion criteria may apply

研究组 & 干预措施

Eptinezumab 300 mg

300 mg eptinezumab by intravenous (IV) infusion.

干预措施: Eptinezumab

Eptinezumab 100 mg

100 mg eptinezumab by IV infusion.

干预措施: Eptinezumab

Placebo

Placebo by IV infusion.

干预措施: Placebo

Placebo

Placebo by IV infusion.

干预措施: Eptinezumab

结局指标

主要结局

Change from baseline in the number of monthly migraine days (MMDs) (Weeks 1-12)

时间窗: Weeks 1-12

次要结局

  • Response: ≥75% reduction from baseline in MMDs (Weeks 1-4)(Weeks 1-4)
  • Response: ≥75% reduction from baseline in MMDs, (Weeks 1-12)(Weeks 1-12)
  • Change from baseline in rate of headaches with severe pain intensity (Weeks 1-12)(Weeks 1-12)
  • Change from baseline to Week 12 in the Migraine-Specific Quality of Life (MSQ v2.1) sub-scores (Role Function-Restrictive, Role Function-Preventive, Emotional Function)(Baseline to Week 12)
  • Health Care Resources Utilization (HCRU)(Baseline to Week 12)
  • Change from baseline to Week 12 in the Work Productivity and Activity Impairment Questionnaire: Migraine (WPAI:M) sub-scores (Absenteeism, Presenteeism, Work productivity loss, Activity impairment)(Baseline to Week 12)
  • Most Bothersome Symptom (MBS) score at Week 12, as measured relative to Screening(Screening to Week 12)
  • Change from baseline in rate of migraines with severe pain intensity (Weeks 1-12)(Weeks 1-12)
  • Change from baseline in the number of MMDs with use of acute medication (Weeks 1-12)(Weeks 1-12)
  • Patient Global Impression of Change (PGIC) score at week 12(Week 12)
  • Change from baseline to Week 12 in the Headache Impact Test (HIT-6) score(Baseline to Week 12)
  • Response: ≥50% reduction from baseline in MMDs (Weeks 1-12)(Weeks 1-12)
  • Migraine rate on the day after dosing(Day 1)
  • Change from baseline in the number of MHDs (Weeks 1-12)(Weeks 1-12)
  • Response: ≥50% reduction from baseline in monthly headache days (MHDs) (Weeks 1-12)(Weeks 1-12)
  • Response: ≥75% reduction from baseline in MHDs (Weeks 1-4)(Weeks 1-4)
  • Change from baseline to Week 12 in the Health-Related Quality of Life (EQ-5D-5L) Visual Analogue Scale (VAS) score(Baseline to Week 12)

研究点 (87)

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Vyepti (Eptinezumab) Demonstrates Efficacy in Phase III SUNRISE Trial for Migraine Prevention- Lundbeck's Vyepti (eptinezumab) met the primary endpoint in the Phase III SUNRISE trial, significantly reducing monthly migraine days compared to placebo. - The SUNRISE trial confirmed Vyepti's efficacy in chronic migraine patients in Asia, with statistically significant reductions observed from day 1 post-infusion. - Vyepti demonstrated a favorable safety profile in the SUNRISE trial, consistent with previous studies, supporting its potential as a preventive migraine treatment. - Lundbeck plans to engage with regulatory authorities to potentially make Vyepti available for migraine sufferers across Asia based on the positive trial results.Vyepti (Eptinezumab) Shows Positive Phase III Results in Asian Migraine Patients- Lundbeck's Vyepti (eptinezumab) met the primary endpoint in the SUNRISE Phase III trial, demonstrating statistically significant reductions in monthly migraine days compared to placebo. - The SUNRISE trial confirmed Vyepti's efficacy across all key secondary endpoints, with the treatment generally well-tolerated among chronic migraine patients in Asia. - Vyepti led to statistically significant reductions in the risk of experiencing migraine starting from day 1 post-infusion, compared to placebo, highlighting its rapid onset of action. - Lundbeck plans to engage with regulatory authorities to potentially make Vyepti available for migraine sufferers across Asia, addressing a significant unmet need.