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Chronic Cluster HeadachePhase 3CHRONICLENCT05064397

A 1-year Trial to Inform About Long-term Exposure to Eptinezumab in Participants With Chronic Cluster Headache (cCH)

A Phase 3 study testing Eptinezumab in people with Chronic Cluster Headache, run by H. Lundbeck A/S at 31 sites in 9 countries.

Completed

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

Official record
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Trial summary

The main goal of this trial is to inform about long-term safety and tolerability of eptinezumab in participants with chronic cluster headache. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Chronic Cluster Headache
What is being tested?
Eptinezumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
131 participants
Where
31 sitesin 9 countries
Study dates
17 Sep 2021to 29 Jun 2023
Phase
Phase 3
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The participant has a diagnosis of cCH as defined by International Headache Society (IHS) International Classification of Headache Disorders third edition (ICHD-3) classification with a history of cCH of at least 12 months prior to the Screening Visit.
  • The participant has a medical history of onset of cluster headache at ≤50 years of age.
  • The participant has an adequately documented record of previous abortive, transitional and preventive medication use for cCH, for at least 12 months prior to the Screening Visit.
  • The participant is able to distinguish cluster headache attacks from other headaches (such as tension-type headaches, migraine).

Who cannot join

  • The participant has experienced failure on a previous treatment targeting the calcitonin gene-related peptide (CGRP) pathway (anti-CGRP monoclonal antibodies [mAbs] and gepants).
  • The participant has confounding and clinically significant pain syndromes (for example, fibromyalgia, complex regional pain syndrome).
  • The participant has a history or diagnosis of chronic tension-type headache, hypnic headache, hemicrania continua, new daily persistent headache, chronic migraine or unusual migraine subtypes such as hemiplegic migraine (sporadic and familial), recurrent painful ophthalmoplegic neuropathy, migraine with neurological accompaniments that are not typical of migraine aura (diplopia, altered consciousness, or longer than 1 hour).
  • Participants with 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 Visit.
  • The participant has attempted suicide or is, at Screening Visit, at significant risk of suicide.
  • 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.

Trial locations and contacts

31 sites in 9 countries.

31 sites in 9 countries

France6 sites
  • Hôpital Pierre Wertheimer

    Bron, Rhône, 69677

  • Hôpital Roger Salengro

    Lille, Nord, 59037

  • Hôpital de la Timone

    Marseille, Provence-Alpes-Côte d'Azur Region, 13005

  • Hôpital Cimiez

    Nice, Côte-d'Or, 91179 - 06003

  • Hôpital Lariboisière

    Paris, Île-de-France Region, 75010

  • Centre Hospitalier Universitaire de Saint-Étienne

    Saint-Priest-en-Jarez, Rhône, 42055

Other trials in France

United States5 sites
  • Dent Neurologic Institute - Amherst

    Amherst, New York, 14226

  • Michigan Headache and Neurological Institute

    Ann Arbor, Michigan, 48104-5131

  • Cleveland Clinic - Neurological Institute

    Cleveland, Ohio, 44195

  • Thomas Jefferson University Hospital - Center City Campus

    Philadelphia, Pennsylvania, 19107

  • New England Institute for Neurology and Headache

    Stamford, Connecticut, 06905

Other trials in United States

Italy5 sites
  • IRCCS Istituto Delle Scienze Neurologiche di Bologna

    Bologna, 40123

  • Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Fondazione Istituto Neurologico Car...

    Milan, Milan, 20133

  • Fondazione Mondino - Istituto Neurologico Nazionale a Carattere Scientifico IRCCS

    Pavia, 27100

  • Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - San Raffaele Pisana

    Rome, Roma, 00163

  • Ospedale Molinette - Clinica Neurologica II - Centro Cefalee

    Turin, 10126

Other trials in Italy

Spain5 sites
  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035

  • Hospital Universitario Marques de Valdecilla

    Santander, Cantabria, 39008

  • Hospital Universitario Virgen del Rocío

    Seville, 41013

  • Hospital Clínico Universitario de Valencia

    Valencia, 46010

  • Hospital Clínico Universitario de Valladolid

    Valladolid, 47010

Other trials in Spain

Denmark2 sites
  • Rigshospitalet Glostrup

    Glostrup Municipality, Capital Region, 2600

  • Hospitalsenhed Midt og Regionshospitalet Viborg

    Viborg, Central Jutland, 8800

Other trials in Denmark

Finland2 sites
  • Terveystalo Ruoholahti

    Helsinki, Southern Finland, 00180

  • Terveystalo Turku Pulssi

    Turku, Western Finland, 20100

Other trials in Finland

Germany2 sites
  • Charité Campus Mitte

    Berlin, 10117

  • Kopfschmerzzentrum Frankfurt

    Frankfurt am Main, Hesse, 65929

Other trials in Germany

Netherlands2 sites
  • Brain Research Center - Amsterdam

    Amsterdam, North Holland, 1081 GN

  • Canisius-Wilhelmina Ziekenhuis

    Nijmegen, Gelderland, 6532 SZ

Other trials in Netherlands

United Kingdom2 sites
  • The Walton Centre NHS Foundation Trust

    Liverpool, England, L9 7LJ

  • King's College Hospital NHS Foundation Trust

    London, England, SE5 9RS

Other trials in United Kingdom

About this study

Official title: Interventional, Open-label, Fixed-dose Multiple Administration Study to Evaluate Long-term Treatment With Eptinezumab in Patients With Chronic Cluster Headache

The main goal of this trial is to inform about long-term safety and tolerability of eptinezumab in participants with chronic cluster headache.

Read the detailed description

The participants who take part in this trial will be asked to stay in the trial for about a year. The participants will be asked to visit the trial site 7 times during the trial. In between trial site visits, they will have scheduled phone calls with the trial site staff. They will also be asked to keep track of their cluster headaches at home with a headache diary.

Being tested
Eptinezumab
Medical subject headings
Cluster Headache

What participants receive

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

  • EptinezumabDrug

    Also called Vyepti

    Eptinezumab will be administered per schedule specified in the arm description.

Study groups in NCT05064397
Study groupRoleWhat they receive
EptinezumabExperimentalParticipants will receive 4 intravenous (IV) infusions with eptinezumab at Baseline (Day 0) and at the end of Weeks 12, 24, and 36.
Receives: Drug: Eptinezumab

What is being measured

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

  1. Number of Participants With Treatment-emergent Adverse Events (AEs)

    A treatment-emergent AE was defined as any on-treatment untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A summary of non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

    Measured: From the day of first dose of study drug (Baseline [Week 0]) up to Week 56

Secondary outcomes (28)
  1. Conversion From Chronic Cluster Headache (cCH) to Episodic Cluster Headache (eCH): Number of Participants With No Cluster Headache (CH) Attacks for ≥3 Consecutive Months (≥12 Consecutive Weeks)

    Participants counted as converting from cCH to eCH if they had no CH attacks for at least 3 months.

    Measured: Week 1 to Week 48

  2. Change From Baseline in Weekly Number of Times an Abortive Therapy (Oxygen and/or Triptans) Was Used

    Abortive therapy was defined as oxygen and/or triptans, where it counted as 2 times if oxygen and triptans were used for the same attack.

    Measured: Baseline (Week 0), Weeks 1, 2, 3, 4, 13, 14, 15, 16, 25, 26, 27, 28, 37, 38, 39, 40

  3. Change From Baseline in Weekly Number of Times An Abortive Therapy (Oxygen) Was Used

    Measured: Baseline (Week 0), Weeks 1, 2, 3, 4, 13, 14, 15, 16, 25, 26, 27, 28, 37, 38, 39, 40

  4. Change From Baseline in Weekly Number of Times An Abortive Therapy (Triptans) Were Used

    Measured: Baseline (Week 0), Weeks 1, 2, 3, 4, 13, 14, 15, 16, 25, 26, 27, 28, 37, 38, 39, 40

  5. Change From Baseline in the Average Number of Weekly Attacks

    The participant completed a CH eDiary, daily, and record for each day/week whether he/she had any CH attacks.

    Measured: Baseline (Week 0), Weeks 1, 2, 3, 4, 13, 14, 15, 16, 25, 26, 27, 28, 37, 38, 39, 40

  6. Change From Baseline in the Number of Weekly Attacks

    The average of the estimated change from baseline in the number of weekly attacks across the first 4 weeks after the infusion is shown.

    Measured: Baseline (Week 0), Weeks 1-4

  7. Change From Baseline in the Number of Weekly Attacks

    The average of the estimated change from baseline in the number of weekly attacks across the first 2 weeks after the infusion is shown.

    Measured: Baseline (Week 0), Weeks 1-2

  8. Change From Baseline in the Number of Monthly Attacks

    The average of the estimated change from baseline in the number of monthly attacks across the first 12 months after the infusion is shown.

    Measured: Baseline (Week 0), Months 1-12

  9. Change From Baseline in the Average Attack Related Daily Pain (Including Days With no Attacks), as Assessed Using the 5-point Self-rating Pain Severity Scale

    The severity of pain for each attack was rated on an ordinal scale that ranged from 0 to 4 with higher scores indicating more headache pain (headache pain ratings: 0 = none/barely any pain; 1 = mild; 2 = moderate; 3 = severe; 4 = excruciating).

    Measured: Baseline (Week 0), Weeks 1, 2, 3, 4, 13, 14, 15, 16, 25, 26, 27, 28, 37, 38, 39, 40

  10. Response: Number of Participants With ≥30% Reduction From Baseline in Number of Weekly Attacks

    Measured: Baseline (Week 0), Weeks 1, 2, 3, 4, 13, 14, 15, 16, 25, 26, 27, 28, 37, 38, 39, 40

  11. Response: Number of Participants With ≥50% Reduction From Baseline in Number of Weekly Attacks

    Measured: Baseline (Week 0), Weeks 1, 2, 3, 4, 13, 14, 15, 16, 25, 26, 27, 28, 37, 38, 39, 40

  12. Response: Number of Participants With ≥75% Reduction From Baseline in Number of Weekly Attacks

    Measured: Baseline (Week 0), Weeks 1, 2, 3, 4, 13, 14, 15, 16, 25, 26, 27, 28, 37, 38, 39, 40

  13. cCH Remission: Number of Participants With No Cluster Headache Attacks For ≥1 Month (>=4 Consecutive Weeks)

    Participants counted as being in remission if they had no cluster headache attacks for at least 1 month.

    Measured: Week 1 to Week 48

  14. cCH Remission: Number of Participants With No Cluster Headache Attacks For ≥1 Month (>=4 Consecutive Weeks Between the First and Second Infusion)

    Measured: Week 1 to Week 12

  15. cCH Remission: Number of Participants With No Cluster Headache Attacks For ≥1 Month (>=4 Consecutive Weeks Between the Second and Third Infusion)

    Measured: Week 13 to Week 24

  16. cCH Remission: Number of Participants With No Cluster Headache Attacks For ≥1 Month (>=4 Consecutive Weeks Between the Third and Fourth Infusion)

    Measured: Week 25 to Week 36

  17. cCH Remission: Number of Participants With No Cluster Headache Attacks For ≥1 Month (>=4 Consecutive Weeks Within the First 12 Weeks After the Fourth Infusion)

    Measured: Week 37 to Week 48

  18. Number of Participants Who Received a Transitional Therapy During the Treatment Period

    Transitional treatments were defined as greater occipital nerve (GON) block or oral steroids.

    Measured: Week 1 to Week 48

  19. Patient Global Impression of Change (PGIC) Score

    The PGIC is a patient-reported measure of improvement in pain sensation and quality of life scored on a scale from 1 (very much improved) to 7 (very much worse). Lower scores indicate better health status.

    Measured: Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48

  20. Change From Baseline in Sleep Impact Scale (SIS) Domain Scores Over the Time

    The SIS is a patient-reported clinical outcome assessment used to assess quality of life resulting from sleep disturbance. The SIS questionnaire includes 35 items belonging to 7 domains to assess sleep impact on: daily activities; emotional well-being; emotional impact; energy/fatigue; social well-being; mental fatigue; and satisfaction with sleep. Each item, for 6 out of the 7 domains, is rated on a 5-point scale ranging from 1 (always or all of the time) to 5 (never or none of the time), whereas satisfaction with sleep is rated on a 5-point scale ranging from 1 (very satisfied) to 5 (very dissatisfied). Each domain yields a score ranging from 0 to 100, which is presented here. A higher score for Daily Activities, Emotional Well-being, Emotional Impact, Energy/Fatigue, Social Well-being, and Mental Fatigue indicates better quality of life. A lower score for Satisfaction with Sleep indicates a higher quality of life.

    Measured: Baseline (Week 0), Weeks 4, 12, 16, 24, 28, 36, 40, 48

  21. Change From Baseline in EuroQol 5-Dimension 5-Level (EQ-5D-5L) Score at Weeks 4, 16, 28, 40 and 48

    The EQ-5D-5L is a patient-reported assessment designed to measure the participant's well-being. It consists of 5 descriptive items (mobility, self-care, usual activities, pain/discomfort, and depression/anxiety). Each descriptive item is rated on a 5-point index ranging from 1 (no problems) to 5 (extreme problems).

    Measured: Baseline (Week 0), Weeks 4, 16, 28, 40, 48

  22. Change From Baseline in the EQ-5D-5L Visual Analog Scale (VAS) Score at Weeks 4, 16, 28, 40 and 48

    The EQ-5D-5L VAS is a participant-reported assessment designed to measure the participant's well-being and ranges from 0 (worst imaginable health state) to 100 (best imaginable health state).

    Measured: Baseline (Week 0), Weeks 4, 16, 28, 40, 48

  23. Change From Baseline in the Work Productivity Activity Impairment: General Health Second Version (WPAI:GH2.0) Sub-Scores (Absenteeism, Presenteeism, Work Productivity Loss, Activity Impairment) at Weeks 4, 16, 28, 40 and 48

    The WPAI:GH2.0 is a patient self-rated clinical outcome assessment designed to provide a quantitative measure of the work productivity and activity impairment due to a health condition. The WPAI:GH2.0 assesses activities over the preceding 7 days and consists of 6 items: 1 item assesses employment (yes/no); 3 items assess the number of hours worked, the number of hours missed from work due to the participant's condition, or due to other reasons; and 2 visual numerical scales assess how much the participant's condition affects his/her productivity at work and his/her ability to complete normal daily activities. Each item (Absenteeism, Presenteeism, Work Productivity Loss, Activity Impairment) was calculated into an impairment percentage ranging from 0 to 100%, with higher numbers indicating greater impairment and less productivity (i.e. worse outcomes). Change from baseline for each item is shown here.

    Measured: Baseline (Week 0), Weeks 4, 16, 28, 40, 48

  24. Health Care Resource Utilization - Number of Visits to a Family Doctor/General Practitioner

    Number of participants who visited a family doctor/general practitioner has been reported.

    Measured: Baseline (Week 0), Weeks 4, 16, 28, 40, 48

  25. Health Care Resource Utilization - Number of Visits to a Specialist

    Number of participants who visited a specialist has been reported.

    Measured: Baseline (Week 0), Weeks 4, 16, 28, 40, 48

  26. Health Care Resource Utilization - Number of Emergency Department Visits Due to Cluster Headache

    Number of participants who visited an emergency department due to CH has been reported.

    Measured: Baseline (Week 0), Weeks 4, 16, 28, 40, 48

  27. Health Care Resource Utilization - Number of Hospital Admissions Due to Cluster Headache

    Number of participants admitted to the hospital due to CH has been reported.

    Measured: Baseline (Week 0), Weeks 4, 16, 28, 40, 48

  28. Health Care Resource Utilization - Total Number of Overnight Hospital Stays Due to Cluster Headache

    Number of participants who had overnight hospital stays due to CH has been reported.

    Measured: Baseline (Week 0), Weeks 4, 16, 28, 40, 48

Timeline

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

  1. First posted1 Oct 2021
  2. Study start17 Sep 2021
  3. Primary completion29 Jun 2023
  4. Study completion29 Jun 2023

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
131 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05064397
Sponsor's protocol ID
19385A
Acronym
CHRONICLE
Status last verified
Jul 2024
First submitted
22 Sep 2021
Last updated
6 Aug 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Tassorelli C, Jensen RH, Goadsby PJ, Charles AC, Tepper SJ, Snoer AH, Josiassen MK, Linander CB, Ettrup A, Sperling B, Boneva N. Long-term safety, tolerability, and efficacy of eptinezumab in chronic cluster headache (CHRONICLE): an open-label safety trial. Lancet Neurol. 2025 May;24(5):429-440. doi: 10.1016/S1474-4422(25)00065-1.

    PubMed 40252664

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Eptinezumab in people with Chronic Cluster Headache, run by H. Lundbeck A/S at 31 sites in 9 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 4 inclusion and 7 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 6 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in France, United States, Italy, Spain, Denmark and 4 more countries. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 6 Aug 2024). 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?

Number of Participants With Treatment-emergent Adverse Events (AEs) (time frame: From the day of first dose of study drug (Baseline [Week 0]) up to Week 56). 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 NCT05064397, which also lists 1 linked publication.

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 6 Aug 2024.

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