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CompletedNCT03963232PERSISTUpdated Mar 28, 2023Results posted

A Study of Galcanezumab (LY2951742) in Participants With Episodic Migraine

A Phase 3 interventional study of Galcanezumab and Placebo in Episodic Migraine, sponsored by Eli Lilly and Company. Completed at 40 sites in 3 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-03-28.

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

Phase
Phase 3
Study type
Interventional
Enrollment
520
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The reason for this study is to see if the drug galcanezumab is safe and effective in participants with episodic migraine. The study will last about 53 weeks and may include up to 12 visits.

02

Conditions studied

  • Episodic Migraine

Browse trials for

Keywords

  • prevention
  • prophylactic
03

In context

Migraine Disorders

1,528 studies on the registry are indexed under Migraine Disorders; 299 are open to participants now.

This study's enrollment of 520 is above the median of 80 across 1,175 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.

Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants must have a diagnosis of migraine as defined by International Headache Society (IHS) International Classification of Headache Disorders (ICHD)-3 (1.1 or 1.2) (ICHD-3 2018) with a history of migraine of at least 1 year prior to screening and migraine onset prior to age 50
  • Prior to screening, participants must have a history of 4-14 migraine headache days and at least 2 migraine attacks per month on average within the past 3 months

Exclusion criteria

Exclusion Criteria:

  • Are currently enrolled in any other clinical trial involving an investigational product or any other type of medical research judged not to be scientifically or medically compatible with this study
  • Current use or prior exposure to galcanezumab or another calcitonin gene-related peptide (CGRP) antibody, including those who have previously completed or withdrawn from this study or any other study investigating a CGRP antibody
  • Participants who are taking, or are expected to take, therapeutic antibodies during the course of the study (for example, adalimumab, infliximab, trastuzumab, bevacizumab, etc.)
  • Known hypersensitivity to multiple drugs, monoclonal antibodies or other therapeutic proteins, or to galcanezumab
  • Women who are pregnant or nursing
  • History of chronic migraine, daily persistent headache, cluster headache, medication overuse headache, migraine with brainstem aura, or hemiplegic migraine
05

Study design

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

Study arms

  • Placebo comparator
    Placebo

    * Double-blind treatment phase: Participants received placebo once per month subcutaneously (SC) for 3 months. * Open-label treatment phase: After completion of double-blind phase, participants could enter open-label treatment phase where they received 240 milligram (mg) loading dose of galcanezumab SC (2 injections of 120 mg) in the first month followed by 120 mg per month for 2 months. * Follow-up phase: After completion or discontinuation from double-blind or open-label treatment phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.

    Drug: Placebo

  • Experimental
    Galcanezumab 120 mg

    * Double-blind treatment phase: Participants received 240 mg loading dose of galcanezumab SC (2 injections of 120 mg) in the first month followed by 120 mg per month for 2 months. * Open-label treatment phase: After completion of double-blind phase, participants could enter open-label treatment phase where they continued to receive 120 mg galcanezumab SC per month for 3 months. * Follow-up phase: After completion or discontinuation from double-blind or open-label treatment phases, participants entered follow-up phase where they were observed for 4 months. No treatments administered.

    Drug: Galcanezumab

Interventions

  • DrugGalcanezumab

    Administered SC

    Also known as: LY2951742

  • DrugPlacebo

    Administered SC

06

What researchers measure

Primary outcomes

  1. Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHDs) During the Double-blind Treatment Phase.

    MHD is a calendar day on which a migraine or probable migraine (a headache missing 1 of the migraine features) occurred. Per International Headache Society \[IHS\] International Classification of Headache Disorders 3rd edition \[ICHD-3\], migraine is defined as a headache, with or without aura, of ≥30 minutes duration with the following required features (A) At least 2 of the following headache characteristics: Unilateral location; Pulsatile quality; Moderate or severe pain intensity; Aggravation by or causing avoidance of routine physical activity (B) During headache at least 1 of the following: Nausea and/or vomiting; Photophobia and phonophobia. Overall mean is derived from the average of months 1 to 3 with Least square (LS) mean change calculated using mixed model repeat measures (MMRM) model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

    Time frame: Baseline, 3 Months

Secondary outcomes

  1. Overall Mean Percentage of Participants With ≥30%, ≥50%, ≥75%, 100% Reduction From Baseline in Monthly Migraine Headache Days (MHDs) During the Double-blind Treatment Phase.

    Participant having: * 30% or greater reduction in the total number of MHDs relative to baseline in a 30-day period is considered to have 30% response rate to treatment or "30% responder." * 50% or greater reduction in the total number of MHDs relative to baseline in a 30-day period is considered to have 50% response rate to treatment or "50% responder." * 75% or greater reduction in the total number of MHDs relative to baseline in a 30-day period is considered to have 75% response rate to treatment or "75% responder." * 100% reduction in the total number of MHDs relative to baseline in a 30-day period is considered to have 100% response rate to treatment or "100% responder." Overall mean is derived from the average of months 1 to 3 using generalized linear mixed model (GLIMMIX) with the fixed categorical effects of treatment, month, and treatment-by-month interaction, as well as the continuous, fixed covariate of baseline value.

    Time frame: 3 Months

  2. Overall Mean Change From Baseline in the Role Function-Restrictive Domain Score of the Migraine-Specific Quality-of-Life Questionnaire Version 2.1 (MSQ v2.1) During the Double-blind Treatment Phase.

    MSQ v2.1 is a self-administered instrument that was developed to address physical, emotional limitations of specific concern to individuals with migraine. It consists of 14 items that address 3 domains: Role Function-Restrictive (items 1-7), Role Function- Preventive (items 8-11) and Emotional Function (items 12-14). All item responses ranges from 1 (none of the time) to 6 (all of the time). Total raw scores for each domain is the sum of the raw scores of each item in that domain. After the total raw score is computed for each domain, they are transformed to a 0-100 scale with higher scores indicating a better health status \& a positive change in scores reflecting functional improvement. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

    Time frame: Baseline, 3 Months

  3. Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days Requiring Medication for the Acute Treatment of Headache During the Double-blind Treatment Phase.

    Number of monthly migraine headache days requiring medication for the acute treatment of headache is defined as the number of calendar days in a 30-day period on which migraine or probable migraine occurs and acute medication is used. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

    Time frame: Baseline, 3 Months

  4. Overall Mean Change From Baseline in the Number of Monthly Headache Days During the Double-blind Treatment Phase.

    Number of monthly headache days is the number of calendar days in a 30-day period on which a headache occurs. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

    Time frame: Baseline, 3 Months

  5. Percentage of Participants Who Maintain 50% Response Criteria During the Double-blind Treatment Phase.

    Percentage of participants who maintained 50% response rate to treatment in all 3 months of the double-blind treatment phase.

    Time frame: Month 1 to Month 3

  6. Overall Mean Change From Baseline in Number of Monthly Migraine Attacks During the Double-blind Treatment Phase.

    Number of monthly migraine attacks is the number of sets of consecutive days with migraine or probable migraine separated by at least one migraine-free day in a 30-day period day. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

    Time frame: Baseline, 3 Months

  7. Overall Mean Change From Baseline in Number of Monthly Migraine Headache Hours During the Double-blind Treatment Phase.

    Number of monthly migraine headache hours is the total number of headache hours in a 30-day period on days when a migraine or probable migraine occurs. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

    Time frame: Baseline, 3 Months

  8. Overall Mean Change From Baseline in Number of Monthly Headache Hours During the Double-blind Treatment Phase.

    Number of monthly headache hours is the total number of headache hours in a 30-day period on which a headache occurred. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

    Time frame: Baseline, 3 Months

  9. Overall Mean Change From Baseline in Severity of Migraine Headaches During the Double-blind Treatment Phase.

    Severity of Migraine Headache was measured on a headache severity scale ranging from 1 to 3 with 1=mild, 2=moderate, and 3=severe. The mean severity of migraine headache for each month will be calculated as: sum of severity of migraine headache days divided by number of migraine headache days. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

    Time frame: Baseline, 3 Months

  10. Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score at Month 3 During the Double-blind Treatment Phase.

    PGI-S is a 7-point scale that measures participants own global impression of their illness severity. The participant was instructed as follows: "Considering migraine as a chronic condition, how would you rate your level of illness?" Response options range from 1 ("normal, not at all ill") to 7 ("extremely ill"). LS mean change was calculated using analysis of variance (ANCOVA) model with fixed categorical effects of treatment, country, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

    Time frame: Baseline, Month 3

  11. Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score at Month 3 During the Double-blind Treatment Phase.

    The MIDAS was designed to quantify headache-related disability over a 3-month period. This instrument consists of 5 items that measures the impact that migraine headaches have on migraineurs' life, including days of work/school missed, days with productivity at work/school reduced to half or more, days with household work missed, days with productivity in household work reduced to half or more, and days missed family/social/leisure activities. Each item has a numeric response range from 0 to 90 days; if days are missed from work/school or household work they are not counted as days with reduced productivity at work/school or household work. The numeric responses are summed to produce a total score ranging from 0 to 270. A higher value is indicative of more disability. LS mean change was calculated using ANCOVA model with fixed categorical effects of treatment, country, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

    Time frame: Baseline, Month 3

  12. Percentage of Participants With Treatment Emergent Anti-Drug Antibodies (TE-ADA) During the Double-blind Treatment Phase.

    A TE-ADA evaluable participant is considered to be TE-ADA positive if the participant has at least one post baseline titer that is a 4-fold or greater increase in titer from baseline measurement. If baseline result is ADA Not Present, then the participant is TE ADA positive if there is at least one post baseline result of ADA Present with titer \>= 20.

    Time frame: Baseline to Month 3

  13. Pharmacokinetics (PK): Serum Concentration of Galcanezumab During the Double-blind Treatment Phase.

    PK: Serum concentration of galcanezumab

    Time frame: Month 3

07

Results

Posted Aug 19, 2022

Participant flow

The study was designed to be conducted in three phases: a 3-month double-blind treatment phase, an optional 3-month open-label treatment phase and a 4-month follow-up phase.

Double-Blind Treatment Phase
Participant flow — Double-Blind Treatment Phase
MilestonePlaceboGalcanezumab 120mg
Started259261
Received at least one dose of study drug259261
Completed242245
Not completed1716
Withdrew: Adverse event06
Withdrew: Protocol violation11
Withdrew: Pregnancy21
Withdrew: Withdrawal by subject135
Withdrew: Physician decision13
Open-Label Treatment Phase
Participant flow — Open-Label Treatment Phase
MilestonePlaceboGalcanezumab 120mg
Started241243
Completed234232
Not completed711
Withdrew: Adverse event12
Withdrew: Protocol violation02
Withdrew: Withdrawal by subject57
Withdrew: Pregnancy10
Follow-up Phase
Participant flow — Follow-up Phase
MilestonePlaceboGalcanezumab 120mg
Started243247
Entered from double-blind treatment phase711
Entered from open-label treatment phase236236
Completed236238
Not completed79
Withdrew: Withdrawal by subject75
Withdrew: Protocol violation02
Withdrew: Adverse event01
Withdrew: Lost to follow-up01

Outcome measures

PrimaryOverall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHDs) During the Double-blind Treatment Phase.

MHD is a calendar day on which a migraine or probable migraine (a headache missing 1 of the migraine features) occurred. Per International Headache Society \[IHS\] International Classification of Headache Disorders 3rd edition \[ICHD-3\], migraine is defined as a headache, with or without aura, of ≥30 minutes duration with the following required features (A) At least 2 of the following headache characteristics: Unilateral location; Pulsatile quality; Moderate or severe pain intensity; Aggravation by or causing avoidance of routine physical activity (B) During headache at least 1 of the following: Nausea and/or vomiting; Photophobia and phonophobia. Overall mean is derived from the average of months 1 to 3 with Least square (LS) mean change calculated using mixed model repeat measures (MMRM) model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

Time frame:
Baseline, 3 Months
Reported as:
Least squares mean · days per month
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHDs) During the Double-blind Treatment Phase.
days per monthPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHDs) During the Double-blind Treatment Phase.-1.99 ± 0.23-3.81 ± 0.23
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · Mixed Models Analysis · p = <.0001 · Ls mean difference: -1.82 · 95% CI -2.32 to -1.32
SecondaryOverall Mean Percentage of Participants With ≥30%, ≥50%, ≥75%, 100% Reduction From Baseline in Monthly Migraine Headache Days (MHDs) During the Double-blind Treatment Phase.

Participant having: * 30% or greater reduction in the total number of MHDs relative to baseline in a 30-day period is considered to have 30% response rate to treatment or "30% responder." * 50% or greater reduction in the total number of MHDs relative to baseline in a 30-day period is considered to have 50% response rate to treatment or "50% responder." * 75% or greater reduction in the total number of MHDs relative to baseline in a 30-day period is considered to have 75% response rate to treatment or "75% responder." * 100% reduction in the total number of MHDs relative to baseline in a 30-day period is considered to have 100% response rate to treatment or "100% responder." Overall mean is derived from the average of months 1 to 3 using generalized linear mixed model (GLIMMIX) with the fixed categorical effects of treatment, month, and treatment-by-month interaction, as well as the continuous, fixed covariate of baseline value.

Time frame:
3 Months
Reported as:
Mean · Percentage of participants
Overall Mean Percentage of Participants With ≥30%, ≥50%, ≥75%, 100% Reduction From Baseline in Monthly Migraine Headache Days (MHDs) During the Double-blind Treatment Phase.
Percentage of participantsPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
30% responder50.3 ± 2.473.0 ± 2.1
50% responder32.9 ± 2.354.9 ± 2.4
75% responder12.7 ± 1.629.2 ± 2.1
100% responder3.9 ± 0.911.9 ± 1.4
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · GLIMMIX · p = <.0001 · Odds ratio (or): 2.674 · 95% CI 2.010 to 3.557
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · GLIMMIX · p = <.0001 · Odds ratio (or): 2.481 · 95% CI 1.869 to 3.293
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · GLIMMIX · p = <.0001 · Odds ratio (or): 2.824 · 95% CI 2.007 to 3.972
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · GLIMMIX · p = <.0001 · Odds ratio (or): 3.309 · 95% CI 1.989 to 5.504
SecondaryOverall Mean Change From Baseline in the Role Function-Restrictive Domain Score of the Migraine-Specific Quality-of-Life Questionnaire Version 2.1 (MSQ v2.1) During the Double-blind Treatment Phase.

MSQ v2.1 is a self-administered instrument that was developed to address physical, emotional limitations of specific concern to individuals with migraine. It consists of 14 items that address 3 domains: Role Function-Restrictive (items 1-7), Role Function- Preventive (items 8-11) and Emotional Function (items 12-14). All item responses ranges from 1 (none of the time) to 6 (all of the time). Total raw scores for each domain is the sum of the raw scores of each item in that domain. After the total raw score is computed for each domain, they are transformed to a 0-100 scale with higher scores indicating a better health status \& a positive change in scores reflecting functional improvement. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

Time frame:
Baseline, 3 Months
Reported as:
Least squares mean · score on a scale
Overall Mean Change From Baseline in the Role Function-Restrictive Domain Score of the Migraine-Specific Quality-of-Life Questionnaire Version 2.1 (MSQ v2.1) During the Double-blind Treatment Phase.
score on a scalePlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Overall Mean Change From Baseline in the Role Function-Restrictive Domain Score of the Migraine-Specific Quality-of-Life Questionnaire Version 2.1 (MSQ v2.1) During the Double-blind Treatment Phase.13.94 ± 0.8821.01 ± 0.85
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · Mixed Models Analysis · p = <.0001 · Ls mean difference: 7.07 · 95% CI 5.20 to 8.95
SecondaryOverall Mean Change From Baseline in the Number of Monthly Migraine Headache Days Requiring Medication for the Acute Treatment of Headache During the Double-blind Treatment Phase.

Number of monthly migraine headache days requiring medication for the acute treatment of headache is defined as the number of calendar days in a 30-day period on which migraine or probable migraine occurs and acute medication is used. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

Time frame:
Baseline, 3 Months
Reported as:
Least squares mean · days per month
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days Requiring Medication for the Acute Treatment of Headache During the Double-blind Treatment Phase.
days per monthPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days Requiring Medication for the Acute Treatment of Headache During the Double-blind Treatment Phase.-0.71 ± 0.22-2.49 ± 0.22
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · Mixed Models Analysis · p = <.0001 · Ls mean difference: -1.78 · 95% CI -2.25 to -1.31
SecondaryOverall Mean Change From Baseline in the Number of Monthly Headache Days During the Double-blind Treatment Phase.

Number of monthly headache days is the number of calendar days in a 30-day period on which a headache occurs. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

Time frame:
Baseline, 3 Months
Reported as:
Least squares mean · days per month
Overall Mean Change From Baseline in the Number of Monthly Headache Days During the Double-blind Treatment Phase.
days per monthPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Overall Mean Change From Baseline in the Number of Monthly Headache Days During the Double-blind Treatment Phase.-2.09 ± 0.24-3.91 ± 0.24
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · Mixed Models Analysis · p = <.0001 · Ls mean difference: -1.82 · 95% CI -2.35 to -1.29
SecondaryPercentage of Participants Who Maintain 50% Response Criteria During the Double-blind Treatment Phase.

Percentage of participants who maintained 50% response rate to treatment in all 3 months of the double-blind treatment phase.

Time frame:
Month 1 to Month 3
Reported as:
Number · percentage of participants
Percentage of Participants Who Maintain 50% Response Criteria During the Double-blind Treatment Phase.
percentage of participantsPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Percentage of Participants Who Maintain 50% Response Criteria During the Double-blind Treatment Phase.12.429.6
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · Regression, Logistic · p = <.0001 · Odds ratio (or): 3.04 · 95% CI 1.92 to 4.81
SecondaryOverall Mean Change From Baseline in Number of Monthly Migraine Attacks During the Double-blind Treatment Phase.

Number of monthly migraine attacks is the number of sets of consecutive days with migraine or probable migraine separated by at least one migraine-free day in a 30-day period day. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

Time frame:
Baseline, 3 Months
Reported as:
Least squares mean · migraine attacks per month
Overall Mean Change From Baseline in Number of Monthly Migraine Attacks During the Double-blind Treatment Phase.
migraine attacks per monthPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Overall Mean Change From Baseline in Number of Monthly Migraine Attacks During the Double-blind Treatment Phase.-1.57 ± 0.12-2.46 ± 0.12
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · Mixed Models Analysis · p = <.0001 · Ls mean difference: -0.89 · 95% CI -1.15 to -0.62
SecondaryOverall Mean Change From Baseline in Number of Monthly Migraine Headache Hours During the Double-blind Treatment Phase.

Number of monthly migraine headache hours is the total number of headache hours in a 30-day period on days when a migraine or probable migraine occurs. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

Time frame:
Baseline, 3 Months
Reported as:
Least squares mean · hours per month
Overall Mean Change From Baseline in Number of Monthly Migraine Headache Hours During the Double-blind Treatment Phase.
hours per monthPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Overall Mean Change From Baseline in Number of Monthly Migraine Headache Hours During the Double-blind Treatment Phase.-12.83 ± 1.98-31.72 ± 1.96
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · Mixed Models Analysis · p = <.0001 · Ls mean difference: -18.88 · 95% CI -23.21 to -14.56
SecondaryOverall Mean Change From Baseline in Number of Monthly Headache Hours During the Double-blind Treatment Phase.

Number of monthly headache hours is the total number of headache hours in a 30-day period on which a headache occurred. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

Time frame:
Baseline, 3 Months
Reported as:
Least squares mean · hours per month
Overall Mean Change From Baseline in Number of Monthly Headache Hours During the Double-blind Treatment Phase.
hours per monthPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Overall Mean Change From Baseline in Number of Monthly Headache Hours During the Double-blind Treatment Phase.-12.94 ± 2.06-32.18 ± 2.03
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · Mixed Models Analysis · p = <.0001 · Ls mean difference: -19.24 · 95% CI -23.73 to -14.75
SecondaryOverall Mean Change From Baseline in Severity of Migraine Headaches During the Double-blind Treatment Phase.

Severity of Migraine Headache was measured on a headache severity scale ranging from 1 to 3 with 1=mild, 2=moderate, and 3=severe. The mean severity of migraine headache for each month will be calculated as: sum of severity of migraine headache days divided by number of migraine headache days. Overall mean is derived from the average of months 1 to 3 with LS mean change calculated using MMRM model with fixed categorical effects of treatment, country, month, and treatment-by-month interaction, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

Time frame:
Baseline, 3 Months
Reported as:
Least squares mean · score on a scale
Overall Mean Change From Baseline in Severity of Migraine Headaches During the Double-blind Treatment Phase.
score on a scalePlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Overall Mean Change From Baseline in Severity of Migraine Headaches During the Double-blind Treatment Phase.-0.03 ± 0.03-0.19 ± 0.03
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · Mixed Models Analysis · p = <.0001 · Ls mean difference: -0.16 · 95% CI -0.22 to -0.10
SecondaryMean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score at Month 3 During the Double-blind Treatment Phase.

PGI-S is a 7-point scale that measures participants own global impression of their illness severity. The participant was instructed as follows: "Considering migraine as a chronic condition, how would you rate your level of illness?" Response options range from 1 ("normal, not at all ill") to 7 ("extremely ill"). LS mean change was calculated using analysis of variance (ANCOVA) model with fixed categorical effects of treatment, country, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

Time frame:
Baseline, Month 3
Reported as:
Least squares mean · score on a scale
Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score at Month 3 During the Double-blind Treatment Phase.
score on a scalePlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score at Month 3 During the Double-blind Treatment Phase.-0.610 ± 0.0961-0.834 ± 0.0930
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · ANCOVA · p = 0.0284 · Ls mean difference: -0.224 · 95% CI -0.43 to -0.02
SecondaryMean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score at Month 3 During the Double-blind Treatment Phase.

The MIDAS was designed to quantify headache-related disability over a 3-month period. This instrument consists of 5 items that measures the impact that migraine headaches have on migraineurs' life, including days of work/school missed, days with productivity at work/school reduced to half or more, days with household work missed, days with productivity in household work reduced to half or more, and days missed family/social/leisure activities. Each item has a numeric response range from 0 to 90 days; if days are missed from work/school or household work they are not counted as days with reduced productivity at work/school or household work. The numeric responses are summed to produce a total score ranging from 0 to 270. A higher value is indicative of more disability. LS mean change was calculated using ANCOVA model with fixed categorical effects of treatment, country, and the continuous fixed covariates of baseline value and baseline value-by-visit interaction.

Time frame:
Baseline, Month 3
Reported as:
Least squares mean · score on a scale
Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score at Month 3 During the Double-blind Treatment Phase.
score on a scalePlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score at Month 3 During the Double-blind Treatment Phase.-10.181 ± 3.0597-22.610 ± 2.9582
Statistical analysis
  • Placebo - Double-Blind Treatment Phase vs Galcanezumab 120mg - Double-Blind Treatment Phase · ANCOVA · p = 0.0001 · Ls mean difference: -12.429 · 95% CI -18.81 to -6.05
SecondaryPercentage of Participants With Treatment Emergent Anti-Drug Antibodies (TE-ADA) During the Double-blind Treatment Phase.

A TE-ADA evaluable participant is considered to be TE-ADA positive if the participant has at least one post baseline titer that is a 4-fold or greater increase in titer from baseline measurement. If baseline result is ADA Not Present, then the participant is TE ADA positive if there is at least one post baseline result of ADA Present with titer \>= 20.

Time frame:
Baseline to Month 3
Reported as:
Number · percentage of participants
Percentage of Participants With Treatment Emergent Anti-Drug Antibodies (TE-ADA) During the Double-blind Treatment Phase.
percentage of participantsPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment Phase
Percentage of Participants With Treatment Emergent Anti-Drug Antibodies (TE-ADA) During the Double-blind Treatment Phase.1.29.3
SecondaryPharmacokinetics (PK): Serum Concentration of Galcanezumab During the Double-blind Treatment Phase.

PK: Serum concentration of galcanezumab

Time frame:
Month 3
Reported as:
Mean · Nanogram per milliliter (ng/mL)
Pharmacokinetics (PK): Serum Concentration of Galcanezumab During the Double-blind Treatment Phase.
Nanogram per milliliter (ng/mL)Galcanezumab 120mg - Double-Blind Treatment Phase
Pharmacokinetics (PK): Serum Concentration of Galcanezumab During the Double-blind Treatment Phase.14696 ± 5675

Adverse events

Collected over Baseline to Follow-up (Up To 10 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo - Double-Blind Treatment Phase0/259 (0%)3/259 (1.2%)29/259 (11.2%)
Galcanezumab 120mg - Double-Blind Treatment Phase0/261 (0%)2/261 (0.8%)32/261 (12.3%)
Placebo/Galcanezumab 120mg - Open-Label Treatment Phase0/241 (0%)9/241 (3.7%)12/241 (5%)
Galcanezumab 120mg/Galcanezumab 120mg - Open-Label Treatment Phase0/243 (0%)3/243 (1.2%)7/243 (2.9%)
Placebo - Follow-up0/7 (0%)0/7 (0%)0/7 (0%)
Galcanezumab 120mg - Follow-up0/11 (0%)0/11 (0%)0/11 (0%)
Placebo/Galcanezumab 120mg - Follow-up0/236 (0%)3/236 (1.3%)0/236 (0%)
Galcanezumab 120mg/Galcanezumab 120mg - Follow-up0/236 (0%)4/236 (1.7%)0/236 (0%)
Most frequent serious events
Showing 10 of 24
Most frequent serious events
EventPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment PhasePlacebo/Galcanezumab 120mg - Open-Label Treatment PhaseGalcanezumab 120mg/Galcanezumab 120mg - Open-Label Treatment PhasePlacebo - Follow-upGalcanezumab 120mg - Follow-upPlacebo/Galcanezumab 120mg - Follow-upGalcanezumab 120mg/Galcanezumab 120mg - Follow-up
Uterine polypReproductive system and breast disorders0/1960/1880/1801/1750/70/80/1770/173
Ectopic pregnancyPregnancy, puerperium and perinatal conditions0/1960/1881/1800/1750/70/80/1770/173
Abortion threatenedPregnancy, puerperium and perinatal conditions1/1960/1880/1800/1750/70/80/1770/173
Thymic cystBlood and lymphatic system disorders0/2590/2610/2410/2430/70/111/2360/236
UveitisEye disorders0/2590/2610/2410/2430/70/110/2361/236
AppendicitisInfections and infestations0/2590/2610/2410/2430/70/111/2360/236
MastitisInfections and infestations0/2590/2610/2410/2430/70/111/2360/236
PharyngitisInfections and infestations0/2590/2610/2410/2430/70/110/2361/236
MigraineNervous system disorders0/2590/2611/2410/2430/70/110/2361/236
Thoracic outlet syndromeNervous system disorders0/2590/2610/2410/2430/70/110/2361/236
Most frequent other events
Most frequent other events
EventPlacebo - Double-Blind Treatment PhaseGalcanezumab 120mg - Double-Blind Treatment PhasePlacebo/Galcanezumab 120mg - Open-Label Treatment PhaseGalcanezumab 120mg/Galcanezumab 120mg - Open-Label Treatment PhasePlacebo - Follow-upGalcanezumab 120mg - Follow-upPlacebo/Galcanezumab 120mg - Follow-upGalcanezumab 120mg/Galcanezumab 120mg - Follow-up
Injection site painGeneral disorders16/25919/2616/2410/2430/70/110/2360/236
Upper respiratory tract infectionInfections and infestations13/25914/2616/2417/2430/70/110/2360/236

Baseline characteristics

All randomized participants.

Age, Continuous
Age, Continuous(years)PlaceboGalcanezumab 120 mgTotal
Mean36.80 ± 9.8337.20 ± 9.3337.00 ± 9.57
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboGalcanezumab 120 mgTotal
Female196188384
Male6373136
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboGalcanezumab 120 mgTotal
American Indian or Alaska Native000
Asian239239478
Native Hawaiian or Other Pacific Islander000
Black or African American000
White202242
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)PlaceboGalcanezumab 120 mgTotal
China198198396
India414182
Russia202242
Monthly Migraine Headache Days (MHD)
Monthly Migraine Headache Days (MHD)(days per month)PlaceboGalcanezumab 120 mgTotal
Mean8.34 ± 2.708.16 ± 2.838.25 ± 2.76
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Study locations

40 sites
  • Xuanwu Hospital-Capital Medical University
    Beijing, Beijing 100053, China
  • Chinese PLA General Hospital
    Beijing, Beijing 100853, China
  • The First Affiliated Hospital Chongqing Medical University
    Chongqing, Chongqing 400016, China
  • Guangzhou First People's Hospital
    Guangzhou, Guangdong 510180, China
  • The Affiliated Hospital of Guiyang Medical College
    Guiyang, Guizhou 550004, China
  • The First Affiliated Hospital of Zhengzhou Universtiy
    Zhengzhou, Henan 450052, China
  • Tongji Hosp Tongji Med Col Huazhong Univ of Sci & Tech
    Wu Han, Hubei 430030, China
  • Wuhan Union Hospital
    Wuhan, Hubei 430022, China
  • Xiangya Hospital, Central South University
    Changsha, Hunan 410008, China
  • The First Affliated Hospital of Soochow University
    Suzhou, Jiangsu 215000, China
  • Affiliated Hospital of Jiangsu University
    Zhenjiang, Jiangsu 212000, China
  • Pingxiang People's Hospital
    Pingxiang, Jiangxi 337000, China
  • No.2 Hospital Affiliated to Jilin University
    Changchun City, Jilin 130041, China
  • Tianjin Huanhu Hospital
    Tianjin, Jinnan District 300350, China
  • Jiangsu Province Hospital
    Nanjing, Nanjing 210029, China
  • First Affiliated Hospital of Xi'an Jiaotong University
    Xi'an, Shaanxi 710061, China
  • Jinan Central Hospital
    Jinan, Shandong 250013, China
  • People's hospital of Rizhao
    Rizhao, Shandong 276826, China
  • Shanghai East Hospital
    Shanghai, Shanghai 20000, China
  • Zhongshan Hospital, Fudan University
    Shanghai, Shanghai 200032, China
  • HuaShan Hospital Affiliated To Fudan University
    Shanghai, Shanghai 20040, China
  • West China Hospital Sichuan University
    Cheng Du, Sichuan 610041, China
  • Tianjin Medical University General Hospital
    Tianjin, Tianjin 300052, China
  • First Affiliated Hospital of Kunming Medical University
    Kunming, Yunnan 650032, China
  • Zhejiang Hospital
    Hangzhou, Zhejiang 310013, China
  • Bao Tou Central Hospital
    Baotou, Zizhiqu 014040, China
  • All India Institute of Medical Sciences
    New Delhi, Delhi 110029, India
  • Sir Ganga Ram Hospital
    New Delhi, Delhi 110060, India
  • Apollo Hospitals International Ltd.
    Ahmedabad, Gujarat 382428, India
  • Artemis Hospital
    Gurgaon, Haryana 122001, India
  • Mangala Hospitals & Mangala Kidney Foundation
    Mangalore, Karnataka 575003, India
  • CHL - Apollo Hospital
    Indore, Madh Prad 452008, India
  • Getwell Hospital & Research Institute
    Nagpur, Maharashtra 440012, India
  • HCG Manavata Cancer Centre
    Nashik, Maharashtra 422001, India
  • Deenanath Mangeshkar Hospital & Research Centre
    Pune, Maharashtra 411004, India
  • Gobind Ballabh Pant Hospital
    New Delhi, 110002, India
  • First Moscow State Medical University n.a. Sechenov
    Moscow, 119991, Russian Federation
  • University Headache Clinic
    Moscow, 121467, Russian Federation
  • OOO "Medis"
    Nizhny Novgorod, 603137, Russian Federation
  • Academician I.P. Pavlov First St-Petersburg State Medical University
    St-Petersburg, 197022, Russian Federation
09

References and documents

Publications

  • Hu B, Li G, Li X, Wu S, Yu T, Li X, Zhao H, Jia Z, Zhuang J, Yu S. Galcanezumab in episodic migraine: the phase 3, randomized, double-blind, placebo-controlled PERSIST study. J Headache Pain. 2022 Jul 28;23(1):90. doi: 10.1186/s10194-022-01458-0. PubMed 35896988 ↗

Study documents

  • Study protocol · Jan 10, 2020
  • Statistical analysis plan · Aug 24, 2021

Documents are hosted by the registry — open the source record to download them.

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

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03963232
Lead sponsor
Eli Lilly and Company
Responsible party
Sponsor
First posted
May 24, 2019
Start date
Jul 30, 2019
Primary completion
Jul 27, 2021
Completion
Mar 11, 2022
Results posted
Aug 19, 2022
Last update
Mar 28, 2023

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

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

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