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Active, not recruitingNCT03432286REBUILD-1Updated Jan 26, 2026

A Study of Galcanezumab (LY2951742) in Participants 6 to 17 Years of Age With Episodic Migraine

A Phase 3 interventional study of Galcanezumab and Placebo in Episodic Migraine, sponsored by Eli Lilly and Company. Active, not recruiting at 73 sites in 10 countries. Open to participants aged 6 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-01-26.

Sponsored by Eli Lilly and Company · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
533
Allocation
Randomized
Ages
6 Years to 17 Years
Sex
All
01

Study summary

The main purpose of this study is to evaulate the efficacy and safety of galcanezumab in participants 6 to 17 years of age for the preventive treatment of episodic migraine. The primary objective is to demonstrate the superiority of galcanezumab versus placebo in the reduction of monthly migraine headache days across the 3-month double-blind treatment period.

Read the detailed description

The study has two parts which enroll separately from each other such that participants may choose to participate in either but not both: the main study and a study addendum.

  • The main study includes a 3-month, randomized, double-blind treatment period in which participants receive either galcanezumab or placebo, followed by a 9-month open-label extension in which all participants receive galcanezumab.
  • The study addendum is a stand-alone study of galcanezumab pharmacokinetics and safety in a group of participants separate from those in the main study. The study addendum includes a 5-month evaluation period after a single injection of galcanezumab, followed by a 9-month open-label extension.
02

Conditions studied

  • Episodic Migraine

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Keywords

  • pediatric
  • children
  • prevention
  • prophylaxis
  • headache
  • pediatric migraine
03

Who can participate

Ages eligible
6 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Have a diagnosis of migraine with or without aura as defined by the IHS ICHD-3 guidelines (1.1 or 1.2 according to ICHD-3 [2018]), with a history of migraine headaches of at least 6 months prior to screening.

Exclusion criteria

Exclusion Criteria:

  • Participants who are taking, or are expected to take, therapeutic antibodies during the course of the study (adalimumab, infliximab, trastuzumab, bevacizumab, etc.). Prior use of therapeutic antibodies is allowed if that use was more than 12 months prior to baseline.
  • Known hypersensitivity to monoclonal antibodies or other therapeutic proteins, or to galcanezumab or its excipients.
  • Current use or prior exposure to galcanezumab, another CGRP antibody, or CGRP receptor antibody, including those who have previously completed or withdrawn from this study or any other study investigating a CGRP antibody.
  • History of IHS ICHD-3 diagnosis of new daily persistent headache, cluster headache or migraine subtypes including hemiplegic (sporadic or familial) migraine and migraine with brainstem aura (previously basilar-type migraine).
  • History of significant head or neck injury within 6 months prior to screening; or traumatic head injury at any time that is associated with significant change in the quality or frequency of their headaches, including new onset of migraine following traumatic head injury.
  • Participants with a known history of intracranial tumors or developmental malformations including Chiari malformations.
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
533 participants (actual)

Study arms

  • Experimental
    Galcanezumab

    Galcanezumab administered by SQ injection. Participants may be eligible for optional open-label extension at the end of the double-blind period.

    Drug: Galcanezumab

  • Placebo comparator
    Placebo

    Placebo administered by SQ injection. Participants may be eligible for optional open-label extension at the end of the double-blind period.

    Drug: Placebo

Interventions

  • DrugGalcanezumab

    Administered SQ

    Also known as: LY2951742

  • DrugPlacebo

    Administered SQ

05

What researchers measure

Primary outcomes

  1. Change from Baseline in the Number of Monthly Migraine Headache Days

    Change from baseline in the number of monthly migraine headache days

    Time frame: Baseline, 3 Months

Secondary outcomes

  1. Percentage of Participants with Reduction from Baseline ≥50%, ≥75% and 100% in Monthly Migraine Headache Days

    Percentage of participants with reduction from baseline ≥50%, ≥75% and 100% in monthly migraine headache days

    Time frame: 3 Months

  2. Change from Baseline in the Number of Monthly Migraine Headache Days with Nausea and/or Vomiting

    Change from baseline in the number of monthly migraine headache days with nausea and/or vomiting

    Time frame: Baseline, 3 Months

  3. Change from Baseline in the Number of Monthly Migraine Headache Days with Photophobia and Phonophobia

    Change from baseline in the number of monthly migraine headache days with photophobia and phonophobia

    Time frame: Baseline, 3 Months

  4. Change from Baseline in the Number of Monthly Migraine Headaches with Prodromal Symptoms

    Change from baseline in the number of monthly migraine headaches with prodromal symptoms

    Time frame: Baseline, 3 Months

  5. Change from Baseline in the Number of Migraine Headache Days on which Acute Headache Medication is Taken

    Change from baseline in the number of migraine headache days on which acute headache medication is taken

    Time frame: Baseline, 3 Months

  6. Patient Global Impression-Improvement (PGI-I) Rating

    PGI-I rating

    Time frame: Month 1 to Month 3

  7. Change from Baseline in the Severity of Remaining Migraine Headaches per Month

    Change from baseline in the severity of remaining migraine headaches per month

    Time frame: Baseline, 3 Months

  8. Change from Baseline in the Number of Monthly Headache Days

    Change from baseline in the number of monthly headache days

    Time frame: Baseline, 3 Months

  9. Change from Baseline on the Pediatric Quality of Life Inventory (PedsQL) Total Score

    Change from Baseline on the PedsQL total score

    Time frame: Baseline, 3 Months

  10. Change from Baseline on the Pediatric Migraine Disability Assessment Test (PedMIDAS) Total Score

    Change from baseline on the PedMIDAS total score

    Time frame: Baseline, 3 Months

  11. Percentage of Participants with Suicidal Ideation and Behaviors Assessed by the Columbia Suicide Severity Rating Scale (C-SSRS) Score

    Percentage of Participants with Suicidal Ideation and Behaviors Assessed by the C-SSRS Score

    Time frame: Baseline through 3 Months

  12. Pharmacokinetics (PK): Serum Concentration of Galcanezumab

    PK: Serum concentration of galcanezumab

    Time frame: Baseline through 3 Months

  13. Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)

    Plasma concentration of CGRP

    Time frame: Baseline through 3 Months

  14. Percentage of Participants Developing Anti-Drug Antibodies

    Percentage of participants developing anti-drug antibodies

    Time frame: Baseline through 3 Months

  15. Percentage of Participants who Initiate Migraine Prevention Medication in the Post-Treatment Follow-Up Phase

    Percentage of participants who initiate migraine prevention medication in the post-treatment follow-up phase

    Time frame: 16 Months

06

Study locations

73 sites
  • Rehabilitation & Neurological Services
    Huntsville, Alabama 35805, United States
  • 21st Century Neurology, a Division of Xenoscience, Inc.
    Phoenix, Arizona 85004, United States
  • Phoenix Children's Hospital
    Phoenix, Arizona 85016, United States
  • Center for Neurosciences
    Tucson, Arizona 85718, United States
  • Miller Children's & Women's Hospital Long Beach
    Long Beach, California 90806, United States
  • Wr-McCr, Llc
    San Diego, California 92108, United States
  • Children's Hospital Colorado
    Aurora, Colorado 80045, United States
  • Clinical Neuroscience Solutions, Inc. dba CNS Healthcare
    Jacksonville, Florida 32256, United States
  • University of Miami Don Suffer Clinical Research Building
    Miami, Florida 33136, United States
  • Ezy Medical Research
    Miami Lakes, Florida 33015, United States
  • Clinical Neuroscience Solutions
    Orlando, Florida 32801, United States
  • Avanza Medical Research Center
    Pensacola, Florida 32503, United States
  • USF Health
    Tampa, Florida 33612, United States
  • Premiere Research Institute at Palm Beach Neurology
    West Palm Beach, Florida 33407, United States
  • Clinical Integrative Research Center of Atlanta, LLC
    Atlanta, Georgia 30328, United States
  • Meridian Clinical Research, LLC
    Savannah, Georgia 31406, United States
  • Medical Research Partners
    Ammon, Idaho 83406, United States
  • Elite Clinical Trials
    Blackfoot, Idaho 83221, United States
  • Northwest Clinical Trials
    Boise, Idaho 83704, United States
  • Inpatient Pharmacy
    Hoffman Estates, Illinois 60169, United States
  • University of Kentucky Chandler Medical Center
    Lexington, Kentucky 40536, United States
  • Pharmasite Research, Inc.
    Baltimore, Maryland 21208, United States
  • Boston Clinical Trials
    Boston, Massachusetts 02131, United States
  • MedVadis Research Corporation
    Waltham, Massachusetts 02451, United States
  • Minneapolis Clinic of Neurology - Burnsville Office
    Burnsville, Minnesota 55337, United States
  • Children Mercy Pediatric Clinical Research Unit
    Kansas City, Missouri 64108, United States
  • Dent Neurologic Institute
    Amherst, New York 14226, United States
  • Cohen Children's Northwell Health Physician Partners - Pediatric Neurology
    New Hyde Park, New York 11042, United States
  • Velocity Clinical Research at Raleigh Neurology
    Raleigh, North Carolina 27607, United States
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
  • Providence Health & Services
    Portland, Oregon 97225, United States
  • UPMC Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania 15224, United States
  • Office 18
    Pittsburgh, Pennsylvania 15236, United States
  • Velocity Clinical Research, Providence
    East Greenwich, Rhode Island 02818, United States
  • Tribe Clinical Research, LLC
    Greenville, South Carolina 29607, United States
  • Pain and Headache Centers of Texas
    Houston, Texas 77054, United States
  • Northwest Clinical Research Center
    Bellevue, Washington 98007, United States
  • Seattle Children's Hospital
    Seattle, Washington 98105, United States
  • Sanos Clinic - Nordjylland
    Aalborg, 9362, Denmark
  • Herlev and Gentofte Hospital
    Copenhagen, 2730, Denmark
  • Praxis Dr. Astrid Gendolla
    Essen, 45133, Germany
  • Mangala Hospital & Mangala Kidney Foundation
    Mangalore, 575003, India
  • Getwell Hospital and Research Institute
    Nagpur, 440012, India
  • Central India Cardiology and Research Institute
    Nagpur, 440015, India
  • All India Institute of Medical Sciences (AIIMS) - Nagpur
    Nagpur, 441108, India
  • G.B. Pant Institute of Postgraduate Medical Education & Research
    New Delhi, 110002, India
  • All India Institute of Medical Sciences
    New Delhi, 110029, India
  • Sir Ganga Ram Hospital
    New Delhi, 110060, India
  • Medipoint Hospitals Pvt. Ltd.
    Pune, 411007, India
  • IRCCS Istituto Neurologico Carlo Besta
    Milan, 20133, Italy
  • Ospedale Pediatrico Bambino Gesù
    Roma, 00165, Italy
  • Policlinico Umberto I
    Roma, 161, Italy
  • Konan Hospital
    Kobe, 658-0064, Japan
  • Umenotsuji Clinic
    Kochi, 780-8011, Japan
  • Tatsuoka Neurology Clinic
    Kyoto, 600-8811, Japan
  • Yamaguchi Clinic
    Nishinomiya, 663-8204, Japan
  • Tominaga Hospital
    Osaka, 556-0017, Japan
  • Sendai Headache and Neurology Clinic
    Sendai, 982-0014, Japan
  • Tokyo Medical University Hospital
    Shinjuku-ku, 160-0023, Japan
  • Tokyo Headache Clinic
    Tokyo, 151-0051, Japan
  • Centro de Investigacion Medica Aguascalientes (CIMA)
    Aguascalientes, 20116, Mexico
  • Operadora Unidad de Investigación en Salud de Chihuahua S.A. de C.V.
    Chihuahua City, 31203, Mexico
  • Hospital Civil Fray Antonio Alcalde
    Guadalajara, 44280, Mexico
  • PanAmerican Clinical Research - Guadalajara
    Guadalajara, 44670, Mexico
  • Clinica De Enfermedades Cronicas y Procedimientos Especiales
    Morelia, 58249, Mexico
  • Isala, locatie Zwolle
    Zwolle, 8025 AB, Netherlands
  • Dr. Samuel Sanchez PSC
    Caguas, 727, Puerto Rico
  • Ponce Medical School Foundation Inc.
    Ponce, 00716, Puerto Rico
  • Hospital Universitari Vall d'Hebron
    Barcelona, 8035, Spain
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, 8041, Spain
  • Hospital Universitario Virgen Del Rocio
    Seville, 41013, Spain
  • Hospital Clinico de Valencia
    Valencia, 46010, Spain
  • Hospital Clínico Universitario de Valladolid
    Valladolid, 47005, Spain
07

References and documents

Individual participant data

Plan to share: Yes — Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Supporting information: Study protocol, Sap, Csr

08

Registry details

Key details

Study ID
NCT03432286
Lead sponsor
Eli Lilly and Company
Responsible party
Sponsor
First posted
Feb 14, 2018
Start date
Mar 14, 2018
Primary completion
Nov 14, 2025
Completion
Nov 2026 (estimated)
Last update
Jan 26, 2026

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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