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A Study With Lu AG09222 in Adults With Migraine Who Have Not Been Helped by Prior Preventive Treatments

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT05133323
Recruitment Status : Completed
First Posted : November 24, 2021
Results First Posted : February 8, 2024
Last Update Posted : March 13, 2024
Sponsor:
Information provided by (Responsible Party):
H. Lundbeck A/S

Brief Summary:

Researchers are trying to learn whether a drug called Lu AG09222 can help prevent migraine headaches for people who have not been helped by other treatments that are used to prevent migraines.

People who join this trial have tried 2 to 4 other medications to prevent their migraines, but these medications have not helped them.

When the trial is over, researchers will use this information to find out if the number of migraine days decreased more for the participants who got either dose of Lu AG09222 than for the participants who got the placebo.


Condition or disease Intervention/treatment Phase
Migraine Drug: Lu AG09222 Drug: Placebo Phase 2

Detailed Description:
Participants will be randomly allocated to one of 3 treatment groups: Lu AG09222 high dose, Lu AG09222 low dose, or placebo, in a ratio of 2:1:2.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 237 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Prevention
Official Title: Interventional, Randomized, Double-blind, Parallel-group, Placebo-controlled Study of Lu AG09222 for the Prevention of Migraine in Patients With Unsuccessful Prior Preventive Treatments
Actual Study Start Date : November 11, 2021
Actual Primary Completion Date : January 19, 2023
Actual Study Completion Date : March 16, 2023

Resource links provided by the National Library of Medicine

MedlinePlus Genetics related topics: Migraine
MedlinePlus related topics: Headache Migraine

Arm Intervention/treatment
Experimental: Lu AG09222 High Dose
Participants will receive a single high dose of Lu AG09222 by intravenous (IV) infusion.
Drug: Lu AG09222
Lu AG09222 will be administered per schedule specified in the arm.

Experimental: Lu AG09222 Low Dose
Participants will receive a single low dose of Lu AG09222 by IV infusion.
Drug: Lu AG09222
Lu AG09222 will be administered per schedule specified in the arm.

Placebo Comparator: Placebo
Participants will receive a single dose of placebo matching to Lu AG09222 by IV infusion.
Drug: Placebo
Placebo matching to Lu AG09222 will be administered per schedule specified in the arm.




Primary Outcome Measures :
  1. Change From Baseline in the Number of Monthly Migraine Days (MMDs) [ Time Frame: Baseline, Week 4 ]

    The Migraine Day definition was based on the International Headache Society (IHS) guidelines for controlled trials of preventive treatment of chronic migraine and episodic migraine in adults. A Migraine Day was defined as a day with a headache that:

    • lasts ≥4 hours and meets International Classification of Headache Disorders Third Edition (ICHD-3) guidelines criteria C and D for migraine without aura
    • or lasts ≥30 minutes and where the participant had an aura with the headache (migraine with aura),
    • or lasts ≥30 minutes and meets two of the three ICHD-3 criteria B (without the condition on 72 hours), C and D for migraine without aura (probable migraine),
    • or a day with a headache that is successfully treated with a triptan, ergotamine, or other migraine-specific acute medication


Secondary Outcome Measures :
  1. Percentage of Participants With ≥50% Reduction From Baseline in MMDs [ Time Frame: Baseline, Week 4 ]

    The Migraine Day definition was based on the International Headache Society (IHS) guidelines for controlled trials of preventive treatment of chronic migraine and episodic migraine in adults. A Migraine Day was defined as a day with a headache that:

    • lasts ≥4 hours and meets International Classification of Headache Disorders Third Edition (ICHD-3) guidelines criteria C and D for migraine without aura
    • or lasts ≥30 minutes and where the participant had an aura with the headache (migraine with aura),
    • or lasts ≥30 minutes and meets two of the three ICHD-3 criteria B (without the condition on 72 hours), C and D for migraine without aura (probable migraine),
    • or a day with a headache that is successfully treated with a triptan, ergotamine, or other migraine-specific acute medication

  2. Change From Baseline in the Number of Monthly Headache Days (MHDs) [ Time Frame: Baseline, Week 4 ]
    A Headache Day was defined as a day with a headache that lasted ≥30 minutes or that meets the definition of a Migraine Day.



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Key Inclusion Criteria:

  • The participant has a diagnosis of migraine as defined by International Classification of Headache Disorders Third Edition (ICHD-3) guidelines confirmed at the Screening Visit.
  • The participant has 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 documented evidence of treatment failure in the past 10 years of at least 2 to 4 (maximum) different migraine preventive medications.

Key Exclusion Criteria:

  • The participant has been previously dosed with an anti-pituitary adenylate cyclase-activating polypeptide (anti-PACAP) ligand-targeting antibody.
  • The participant has confounding and clinically significant pain syndromes.
  • The participant has a diagnosis of acute or active temporomandibular disorder.
  • The participant has a history or diagnosis of confounding headaches.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05133323


Locations
Show Show 28 study locations
Sponsors and Collaborators
H. Lundbeck A/S
Investigators
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Study Director: Email contact via H. Lundbeck A/S H. Lundbeck A/S
  Study Documents (Full-Text)

Documents provided by H. Lundbeck A/S:
Study Protocol  [PDF] July 11, 2022
Statistical Analysis Plan  [PDF] March 29, 2023

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Responsible Party: H. Lundbeck A/S
ClinicalTrials.gov Identifier: NCT05133323    
Other Study ID Numbers: 19678A
First Posted: November 24, 2021    Key Record Dates
Results First Posted: February 8, 2024
Last Update Posted: March 13, 2024
Last Verified: March 2024

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Migraine Disorders
Headache Disorders, Primary
Headache Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases