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Migraine DisordersPhase 2NCT02275117

A Multicenter Assessment of ALD403 in Chronic Migraine

A Phase 2 study testing ALD403 in people with Migraine Disorders, run by Alder Biopharmaceuticals, Inc. at 92 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to assess ALD403 in the prevention of migraine headache in chronic migraineurs. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Migraine Disorders
What is being tested?
ALD403
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
665 participants
Where
92 sitesin 4 countries
Study dates
Oct 2014to Nov 2016
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Diagnosis of migraine at ≤ 35 years of age with history of chronic migraine ≥ 1 year
  • During the 28 day screening period, must have ≥ 15 headache days of which ≥ 8 days were assessed as migraine days with at least 5 migraine attacks as recorded in the eDiary
  • Headache eDiary was completed on at least 22 of the 28 days prior to randomization

Who cannot join

  • Confounding pain syndromes (e.g. fibromyalgia, chronic low back pain, complex regional pain syndrome) or any pain syndrome that requires regular analgesia
  • Psychiatric conditions that are uncontrolled and untreated, including conditions that are not controlled for a minimum of 6 months prior to screening.
  • History or diagnosis of complicated migraine (ICHD-III beta version, 2013), chronic tension-type headache, hypnic headache, cluster headache, hemicrania continua, new daily persistent headache, migraine with brainstem aura, sporadic and familial hemiplegic migraine
  • Unable to differentiate migraine from other headaches
  • Subject has received botulinum toxin for migraine or for any other medical/cosmetic reasons requiring injections in the head, face, or neck within 4 months prior to screening.
  • Have any clinically significant concurrent medical condition
  • Receipt of any monoclonal antibody treatment within 6 months of screening (within or outside a clinical trial)
  • Previously dosed with ALD403 or any monoclonal antibody targeting the CGRP pathway

Trial locations and contacts

92 sites in 4 countries.

92 sites in 4 countries

United States82 sites
  • Research Site

    Albany, New York, 12208

  • Research Site

    Albuquerque, New Mexico, 87102

  • Research Site

    Amherst, New York, 14226

  • Research Site

    Anaheim, California, 92801

  • Research Site

    Ann Arbor, Michigan, 48104

  • Research Site

    Atlanta, Georgia, 30022

  • Research Site

    Atlanta, Georgia, 30342

  • Research Site

    Austin, Texas, 78705

  • Research Site

    Bellevue, Washington, 98007

  • Research Site

    Boston, Massachusetts, 21310

  • Research Site

    Brockton, Massachusetts, 02301

  • Research Site

    Brooklyn, New York, 11235

  • Research Site

    Canton, Ohio, 44718

  • Research Site

    Cary, North Carolina, 27518

  • Research Site

    Chattanooga, Tennessee, 37421

  • Research Site

    Chicago, Illinois, 60607

  • Research Site

    Chicago, Illinois, 60640

  • Research Site

    Cincinnati, Ohio, 45255

  • Research Site

    Cleveland, Ohio, 44195

  • Research Site

    Colorado Springs, Colorado, 80918

  • Research Site

    Columbus, Ohio, 43213

  • Research Site

    Dallas, Texas, 75231

  • Research Site

    Dayton, Ohio, 45424

  • Research Site

    Denver, Colorado, 80210

  • Research Site

    Encino, California, 91436

  • Research Site

    Endwell, New York, 13760

  • Research Site

    Evansville, Illinois, 47714

  • Research Site

    Fort Worth, Texas, 76104

  • Research Site

    Gainesville, Florida, 32607

  • Research Site

    Hallandale, Florida, 33009

  • Research Site

    Hot Springs, Arkansas, 71901

  • Research Site

    Houston, Texas, 77058

  • Research Site

    Huntsville, Alabama, 35801

  • Research Site

    Jacksonville, Florida, 32256

  • Research Site

    Little Rock, Arkansas, 72211

  • Reserach Site

    Long Beach, California, 90806

  • Research Site

    Los Angeles, California, 90036

  • Research Site

    Louisville, Kentucky, 40207

  • Research Site

    Memphis, Tennessee, 38119

  • Research Site

    Miami, Florida, 33144

  • Research Site

    Miami, Florida, 33173

  • Research Site

    Mobile, Alabama, 36608

  • Research Site

    Mt. Pleasant, South Carolina, 29464

  • Research Site

    New Bedford, Massachusetts, 02740

  • Research Site

    New Orleans, Louisiana, 70115

  • Research Site

    New York, New York, 10019

  • Research Site

    Normal, Illinois, 61761

  • Research Site

    North Miami, Florida, 33161

  • Research Site

    Oakland, California, 94612

  • Research Site

    Oklahoma City, Oklahoma, 73116

  • Research Site

    Omaha, Nebraska, 68134

  • Research Site

    Orem, Utah, 84058

  • Research Site

    Orlando, Florida, 32801

  • Research Site

    Orlando, Florida, 32806

  • Research Site

    Philadelphia, Pennsylvania, 19107

  • Research Site

    Phoenix, Arizona, 85027

  • Research Site

    Portland, Oregon, 97239

  • Research Site

    Prairie Village, Kansas, 66206

  • Research Site

    Princeton, New Jersey, 08540

  • Research Site

    Richmond, Virginia, 23226

  • Research Site

    Rochester, New York, 14609

  • Research Site

    Salt Lake City, Utah, 84109

  • Research Site

    San Diego, California, 92108

  • Research Site

    San Francisco, California, 94102

  • Research Site

    Santa Monica, California, 90404

  • Research Site

    Scottsdale, Arizona, 85259

  • Research Site

    Seattle, Washington, 98105

  • Research Site

    Shreveport, Louisiana, 71105

  • Research Site

    Springfield, Missouri, 65807

  • Research Site

    St Louis, Missouri, 63141

  • Research Site

    Stamford, Connecticut, 06905

  • Research Site

    Stanford, California, 94305

  • Research Site

    Tacoma, Washington, 98405

  • Research Site

    Tampa, Florida, 33606

  • Research Site

    The Bronx, New York, 10461

  • Research Site

    Ventura, California, 93003

  • Research Site

    Virginia Beach, Virginia, 23454

  • Research Site

    Waterbury, Connecticut, 06708

  • Research Site

    Watertown, Massachusetts, 02472

  • Research Site

    Wichita, Kansas, 67207

  • Research Site

    Willow Grove, Pennsylvania, 19090

  • Research Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

Australia4 sites
  • Research Site

    Melbourne, Victoria, 3004

  • Research Site

    Melbourne, Victoria, 3050

  • Research Site

    Perth, Western Australia, 6009

  • Research Site

    Sydney, New South Wales, 2031

Other trials in Australia

Georgia3 sites
  • Research Site

    Tbilisi, 0112

  • Research Site

    Tbilisi, 0160

  • Research Site

    Tbilisi, 0186

Other trials in Georgia

New Zealand3 sites
  • Research Site

    Auckland, 8963

  • Research Site

    Christchurch, 2856

  • Research Site

    Hamilton, 3204

Other trials in New Zealand

About this study

Official title: A Parallel Group, Double-Blind, Randomized, Placebo Controlled, Dose-Ranging Phase 2 Trial to Evaluate the Efficacy, Safety, and Pharmacokinetics of ALD403 Administered Intravenously in Patients With Chronic Migraine

The purpose of this study is to assess ALD403 in the prevention of migraine headache in chronic migraineurs.

Being tested
ALD403, Placebo
Keywords
Migraine Disorders, ALD403
Medical subject headings
Migraine Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ALD403Biological

    Also called Eptinezumab-jjmr, Vyepti

  • PlaceboBiological

Study groups in NCT02275117
Study groupRoleWhat they receive
ALD403 Dose Level 1ExperimentalALD403 Dose Level 1 (IV)
Receives: Biological: ALD403
ALD403 Dose Level 2ExperimentalALD403 Dose Level 2 (IV)
Receives: Biological: ALD403
ALD403 Dose Level 3ExperimentalALD403 Dose Level 3 (IV)
Receives: Biological: ALD403
ALD403 Dose Level 4ExperimentalALD403 Dose Level 4 (IV)
Receives: Biological: ALD403
PlaceboPlacebo comparatorPlacebo (IV)
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 75% Migraine Responder Rate

    Participants with an average reduction in migraine days of at least 75% over Weeks 1 to 12, as compared with baseline.

    Measured: 12 Weeks

Secondary outcomes (19)
  1. 50% Migraine Responder Rate

    Participants with an average reduction in migraine days of at least 50% over Weeks 1 to 12, as compared with baseline

    Measured: Weeks 1-12

  2. 50% Headache Responder Rate

    Participants with an average reduction in headache days of at least 50% over Weeks 1 to 12, as compared with baseline

    Measured: Weeks 1-12

  3. 100% Headache Responder Rate

    Participants with an average reduction in headache days of at least 100% over Weeks 1 to 12, as compared with baseline

    Measured: Weeks 1-12

  4. 100% Migraine Responder Rate

    Participants with an average reduction in migraine days of at least 100% over Weeks 1 to 12, as compared with baseline

    Measured: Weeks 1-12

  5. The Change From Baseline in Monthly Headache Days, Weeks 1-12

    Monthly headache days, as measured by eDiary. 4-weekly intervals averaged across weeks 1-12.

    Measured: Weeks 1-12

  6. The Change From Baseline in Monthly Migraine Days, Weeks 1-12

    Monthly migraine days, as measured by eDiary. 4-weekly intervals averaged across weeks 1-12.

    Measured: Weeks 1-12

  7. Change From Baseline in Percentage of Severe Migraines

    The change from baseline in percentage of migraines that are classified as severe over Weeks 1-12

    Measured: Weeks 1-12

  8. Change From Baseline in Percentage of Severe Headaches

    The change from baseline in percentage of headaches that are classified as severe over Weeks 9-12

    Measured: Weeks 9-12

  9. The Change From Baseline to Week 12 in HIT-6 Total Score

    The HIT-6 measures the impact of headache on the participant's functional health and well-being in 6 domains: pain; role functioning (ability to carry out usual activities); social functioning; energy or fatigue; cognition; and emotional distress assessed over the prior 12-week period. The total possible scores range from 36 (no impact) to 78 (worst impact). A score of 60 or above is labeled as "severe".

    Measured: Baseline to 12

  10. Percent Change From Baseline in Headache Days

    Monthly headache days, as measured by eDiary. 4-weekly intervals averaged across weeks 1-12.

    Measured: Weeks 1-12

  11. Percent Change From Baseline in Migraine Days

    Monthly migraine days, as measured by eDiary. 4-weekly intervals averaged across weeks 1-12.

    Measured: Weeks 1-12

  12. Time to First Migraine After Dosing

    The median number of days after dosing a participant had the next migraine using the eDiary as the recall method

    Measured: Baseline to Week 49 (End of Study)

  13. Change From Baseline in Monthly Migraine Attacks, Weeks 1-12

    The number of monthly migraine attacks summarized over Weeks 1-12. A migraine attack is defined as 1 continuously recorded migraine. One attack may result in multiple migraine days

    Measured: Weeks 1-12

  14. Change From Baseline in Monthly Headache Episodes, Weeks 1-12

    The number of monthly headache episodes as summarized over Weeks 1-12. A headache episode is defined as 1 continuously recorded headache. One episode may result in multiple headache days

    Measured: Weeks 1-12

  15. Change From Baseline in Monthly Migraine Hours, Weeks 1-12

    Migraine hours are the sum of the duration of migraines within 4 week intervals, and the average 4 week duration within 12 week intervals.

    Measured: Weeks 1-12

  16. Change From Baseline in Monthly Headache Hours, Weeks 1-12

    Headache hours are the sum of the duration of headaches within 4 week intervals, and the average 4 week duration within 12 week intervals.

    Measured: Weeks 1-12

  17. Change From Baseline to Weeks 9-12 in Percentage of Migraines With Use of Acute Medication

    The percent of migraines with acute medication usage. Participants with no migraines will be included with a rate of zero.

    Measured: Weeks 9-12

  18. Change From Baseline to Weeks 9-12 in Percentage of Headaches With Use of Acute Medication

    The percent of headaches with acute medication usage. Participants with no headaches will be included with a rate of zero.

    Measured: Weeks 9-12

  19. Baseline and Change From Baseline in Short Form Health Survey (SF-36, Version 2.0) at Week 12

    The SF-36 is a health survey containing 36 questions consisting of eight scaled scores to measure quality of life over the past 4 weeks (range: 0=worst to 100=best). Increases from baseline indicate improvement.

    Measured: Baseline to Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Oct 2014 (estimated)
  2. Study startOct 2014
  3. Primary completionMar 2016
  4. Study completionNov 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
665 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02275117
Sponsor's protocol ID
ALD403-CLIN-005
Status last verified
Mar 2020
First submitted
20 Oct 2014
Last updated
8 Apr 2020
Data monitoring committee
No

Publications

  • Smith TR, Spierings ELH, Cady R, Hirman J, Ettrup A, Shen V. Cardiovascular outcomes in adults with migraine treated with eptinezumab for migraine prevention: pooled data from four randomized, double-blind, placebo-controlled studies. J Headache Pain. 2021 Nov 25;22(1):143. doi: 10.1186/s10194-021-01360-1.

    PubMed 34823467
  • Smith TR, Spierings ELH, Cady R, Hirman J, Schaeffler B, Shen V, Sperling B, Brevig T, Josiassen MK, Brunner E, Honeywell L, Mehta L. Safety and tolerability of eptinezumab in patients with migraine: a pooled analysis of 5 clinical trials. J Headache Pain. 2021 Mar 30;22(1):16. doi: 10.1186/s10194-021-01227-5.

    PubMed 33781209
  • Dodick DW, Lipton RB, Silberstein S, Goadsby PJ, Biondi D, Hirman J, Cady R, Smith J. Eptinezumab for prevention of chronic migraine: A randomized phase 2b clinical trial. Cephalalgia. 2019 Aug;39(9):1075-1085. doi: 10.1177/0333102419858355. Epub 2019 Jun 24.

    PubMed 31234642

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ALD403 in people with Migraine Disorders, run by Alder Biopharmaceuticals, Inc. at 92 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 92 sites in United States, Australia, Georgia, New Zealand. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Mar 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

75% Migraine Responder Rate (time frame: 12 Weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02275117, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Apr 2020.

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