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.
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
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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
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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
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Orlando, Florida, 32801
Research Site
Orlando, Florida, 32806
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Philadelphia, Pennsylvania, 19107
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Phoenix, Arizona, 85027
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Portland, Oregon, 97239
Research Site
Prairie Village, Kansas, 66206
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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
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
Georgia3 sites
Research Site
Tbilisi, 0112
Research Site
Tbilisi, 0160
Research Site
Tbilisi, 0186
New Zealand3 sites
Research Site
Auckland, 8963
Research Site
Christchurch, 2856
Research Site
Hamilton, 3204
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.
- Conditions
- Migraine Disorders
- 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 group | Role | What they receive |
|---|---|---|
| ALD403 Dose Level 1 | Experimental | ALD403 Dose Level 1 (IV) Receives: Biological: ALD403 |
| ALD403 Dose Level 2 | Experimental | ALD403 Dose Level 2 (IV) Receives: Biological: ALD403 |
| ALD403 Dose Level 3 | Experimental | ALD403 Dose Level 3 (IV) Receives: Biological: ALD403 |
| ALD403 Dose Level 4 | Experimental | ALD403 Dose Level 4 (IV) Receives: Biological: ALD403 |
| Placebo | Placebo comparator | Placebo (IV) Receives: Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
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
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
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
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
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
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
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
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
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
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
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
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)
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
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
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
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
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
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
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.
- First posted27 Oct 2014 (estimated)
- Study startOct 2014
- Primary completionMar 2016
- Study completionNov 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Migraine DisordersStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Alder Biopharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jeff TL Smith, MD, Study director, Alder Biopharmaceuticals, Inc.
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 34823467Smith 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 33781209Dodick 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
Study at a glance
From the registry record, last updated by the sponsor on 8 Apr 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT02275117
- Acronym / sponsor ID
- ALD403-CLIN-005
- Conditions
- Migraine Disorders
- Keywords
- Migraine Disorders, ALD403
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 665 participants (actual)
- Lead sponsor
- Alder Biopharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- Oct 2014
- Primary completion
- Mar 2016 (actual)
- Study completion
- Nov 2016 (actual)
- First posted
- 27 Oct 2014 (estimated)
- Results
- Posted 30 Mar 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess ALD403 in the prevention of migraine headache in chronic migraineurs.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| ALD403 Dose Level 1 | Experimental | Biological: ALD403ALD403 Dose Level 1 (IV) |
| ALD403 Dose Level 2 | Experimental | Biological: ALD403ALD403 Dose Level 2 (IV) |
| ALD403 Dose Level 3 | Experimental | Biological: ALD403ALD403 Dose Level 3 (IV) |
| ALD403 Dose Level 4 | Experimental | Biological: ALD403ALD403 Dose Level 4 (IV) |
| Placebo | Placebo comparator | Biological: PlaceboPlacebo (IV) |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- 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
Key exclusion criteria (8 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ALD403Also: Eptinezumab-jjmr, Vyepti | Biological | ALD403 Dose Level 1, ALD403 Dose Level 2, ALD403 Dose Level 3, ALD403 Dose Level 4 |
| Placebo | Biological | Placebo |
Primary outcome
75% Migraine Responder Rate
Time frame: 12 Weeks
Participants with an average reduction in migraine days of at least 75% over Weeks 1 to 12, as compared with baseline.
19 secondary outcomes
50% Migraine Responder Rate
Time frame: Weeks 1-12
50% Headache Responder Rate
Time frame: Weeks 1-12
100% Headache Responder Rate
Time frame: Weeks 1-12
100% Migraine Responder Rate
Time frame: Weeks 1-12
The Change From Baseline in Monthly Headache Days, Weeks 1-12
Time frame: Weeks 1-12
The Change From Baseline in Monthly Migraine Days, Weeks 1-12
Time frame: Weeks 1-12
Change From Baseline in Percentage of Severe Migraines
Time frame: Weeks 1-12
Change From Baseline in Percentage of Severe Headaches
Time frame: Weeks 9-12
The Change From Baseline to Week 12 in HIT-6 Total Score
Time frame: Baseline to 12
Percent Change From Baseline in Headache Days
Time frame: Weeks 1-12
Percent Change From Baseline in Migraine Days
Time frame: Weeks 1-12
Time to First Migraine After Dosing
Time frame: Baseline to Week 49 (End of Study)
Change From Baseline in Monthly Migraine Attacks, Weeks 1-12
Time frame: Weeks 1-12
Change From Baseline in Monthly Headache Episodes, Weeks 1-12
Time frame: Weeks 1-12
Change From Baseline in Monthly Migraine Hours, Weeks 1-12
Time frame: Weeks 1-12
Change From Baseline in Monthly Headache Hours, Weeks 1-12
Time frame: Weeks 1-12
Change From Baseline to Weeks 9-12 in Percentage of Migraines With Use of Acute Medication
Time frame: Weeks 9-12
Change From Baseline to Weeks 9-12 in Percentage of Headaches With Use of Acute Medication
Time frame: Weeks 9-12
Baseline and Change From Baseline in Short Form Health Survey (SF-36, Version 2.0) at Week 12
Time frame: Baseline to Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Apr 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34823467Smith 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.
- Derived from this study: PubMed 33781209Smith 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.
- Derived from this study: PubMed 31234642Dodick 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.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jeff TL Smith, MD study director
Alder Biopharmaceuticals, Inc.
92 sites in 4 countries: see every site and its status.
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.