A Phase 4 interventional study of Erenumab in Migraine, sponsored by Amgen. Completed at 2 sites in 2 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2024-06-07.
Sponsored by Amgen · Phase 4, Interventional, and Treatment
To explore the relationship between clinical response to erenumab and genetic biomarkers
This is a phase 4 open-label study aiming to explore the relationship between clinical response to erenumab and genetic biomarkers.
Subjects with episodic or chronic migraine will be treated with Erenumab 70mg or 140mg for a 4-week baseline/screening period, followed by a 24-week treatment period.
Subjects will collect migraine-related parameters daily using an eDiary and blood samples will be collected for biomarker research. All analysis will be descriptive in nature.
1,528 studies on the registry are indexed under Migraine Disorders; 299 are open to participants now.
This study's enrollment of 1,406 is above the median of 80 across 1,175 interventional studies indexed under Migraine Disorders.
Browse Migraine Disorders studies →Amgen is the lead sponsor of 1,015 studies on the registry; 49 are open to participants now.
Of its 245 completed or terminated interventional studies of FDA-regulated products, 159 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Subjects are excluded from the study if any of the following criteria apply:
Disease Related
Prior/Concomitant Therapy
Prior/Concurrent Clinical Study Experience
Other Exclusions
Erenumab packed in a SureClick® Autoinjector Pen (AI)
Drug: Erenumab
Erenumab 70 mg or 140 mg packed in a SureClick® Autoinjector Pen (AI).
Also known as: AIMOVIG
Percentage of Participants Achieving at Least a 50% Reduction From Baseline in Mean MMDs Over Months 4, 5, and 6 in Relation to mPRS
A migraine day was defined as a calendar day (00:00 to 23:59) in which the participant reports any migraine headache or takes any triptan-based acute migraine-specific medication. At least a 50% reduction from Baseline in MMDs was determined if: (average number of migraine days per month during the last 3 months \[months 4, 5, and 6\] of the 24-week Open-label Treatment Period minus number of migraine days during the 4-week Baseline Period) / number of migraine days during the 4-week Baseline Period \* 100, was less than or equal to -50%.
Time frame: 4-week Baseline Period and the last 3 months (Months 4, 5, and 6) of the 24-week Open-label Treatment Period
A total of 1406 participants were enrolled in Denmark and Iceland between October 2020 and January 2023. As pre-specified, the primary objective of the study was to assess the relationship between migraine polygenic risk score (mPRS) and the reduction in mean monthly migraine days (MMD) after using erenumab, regardless of erenumab dose received.
| Milestone | Erenumab 70 mg/140 mg |
|---|---|
| Started | 1406 |
| Dose switch from baseline dose | 504 |
| Completed | 1353 |
| Not completed | 53 |
| Withdrew: Withdrawal by subject | 39 |
| Withdrew: Decision by sponsor | 2 |
| Withdrew: Lost to follow-up | 11 |
| Withdrew: Death | 1 |
A migraine day was defined as a calendar day (00:00 to 23:59) in which the participant reports any migraine headache or takes any triptan-based acute migraine-specific medication. At least a 50% reduction from Baseline in MMDs was determined if: (average number of migraine days per month during the last 3 months \[months 4, 5, and 6\] of the 24-week Open-label Treatment Period minus number of migraine days during the 4-week Baseline Period) / number of migraine days during the 4-week Baseline Period \* 100, was less than or equal to -50%.
| percentage of participants | Erenumab 70 mg/140 mg |
|---|---|
| Percentage of Participants Achieving at Least a 50% Reduction From Baseline in Mean MMDs Over Months 4, 5, and 6 in Relation to mPRS | 54.9 (52.22 to 57.56) |
Collected over Up to 24 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Erenumab 70 mg | 1/214 (0.5%) | 8/214 (3.7%) | 172/214 (80.4%) |
| Erenumab 70 mg Switch to 140 mg | 0/497 (0%) | 8/497 (1.6%) | 391/497 (78.7%) |
| Erenumab 140 mg Switch to 70 mg | 0/7 (0%) | 1/7 (14.3%) | 7/7 (100%) |
| Erenumab 140 mg | 0/688 (0%) | 14/688 (2%) | 417/688 (60.6%) |
| Event | Erenumab 70 mg | Erenumab 70 mg Switch to 140 mg | Erenumab 140 mg Switch to 70 mg | Erenumab 140 mg |
|---|---|---|---|---|
| Psychogenic seizureNervous system disorders | 0/214 | 0/497 | 1/7 | 0/688 |
| Pancreatitis haemorrhagicGastrointestinal disorders | 1/214 | 0/497 | 0/7 | 0/688 |
| AppendicitisInfections and infestations | 1/214 | 2/497 | 0/7 | 0/688 |
| COVID-19Infections and infestations | 1/214 | 1/497 | 0/7 | 0/688 |
| Ankle fractureInjury, poisoning and procedural complications | 1/214 | 0/497 | 0/7 | 0/688 |
| Spinal compression fractureInjury, poisoning and procedural complications | 1/214 | 0/497 | 0/7 | 0/688 |
| Abortion spontaneousPregnancy, puerperium and perinatal conditions | 1/214 | 0/497 | 0/7 | 1/688 |
| Suicide attemptPsychiatric disorders | 1/214 | 1/497 | 0/7 | 0/688 |
| AsthmaRespiratory, thoracic and mediastinal disorders | 1/214 | 0/497 | 0/7 | 0/688 |
| Sensory disturbanceNervous system disorders | 0/214 | 0/497 | 0/7 | 2/688 |
| Event | Erenumab 70 mg | Erenumab 70 mg Switch to 140 mg | Erenumab 140 mg Switch to 70 mg | Erenumab 140 mg |
|---|---|---|---|---|
| ConstipationGastrointestinal disorders | 92/214 | 193/497 | 5/7 | 280/688 |
| PruritusSkin and subcutaneous tissue disorders | 5/214 | 9/497 | 3/7 | 33/688 |
| COVID-19Infections and infestations | 49/214 | 103/497 | 1/7 | 57/688 |
| AlopeciaSkin and subcutaneous tissue disorders | 37/214 | 71/497 | 1/7 | 72/688 |
| Upper respiratory tract infectionInfections and infestations | 21/214 | 76/497 | 0/7 | 17/688 |
| Gastrooesophageal reflux diseaseGastrointestinal disorders | 7/214 | 2/497 | 1/7 | 7/688 |
| Irritable bowel syndromeGastrointestinal disorders | 0/214 | 1/497 | 1/7 | 1/688 |
| Injection site pruritusGeneral disorders | 1/214 | 7/497 | 1/7 | 2/688 |
| PyrexiaGeneral disorders | 4/214 | 6/497 | 1/7 | 5/688 |
| ConjunctivitisInfections and infestations | 0/214 | 1/497 | 1/7 | 2/688 |
Full Analysis Set (FAS): consisted of all participants who were enrolled in the study.
| Age, Continuous(years) | Erenumab 70 mg/140 mg |
|---|---|
| Mean | 42.5 ± 11.9 |
| Sex: Female, Male(Participants) | Erenumab 70 mg/140 mg |
|---|---|
| Female | 1228 |
| Male | 178 |
| Ethnicity (NIH/OMB)(Participants) | Erenumab 70 mg/140 mg |
|---|---|
| Hispanic or Latino | 22 |
| Not Hispanic or Latino | 1384 |
| Unknown or Not Reported | 0 |
| Race/Ethnicity, Customized(Participants) | Erenumab 70 mg/140 mg |
|---|---|
| American Indian or Alaska Native | 2 |
| Asian | 17 |
| Black or African American | 2 |
| Multiple | 9 |
| Native Hawaiian or Other Pacific Islander | 0 |
| White | 1353 |
| Other | 23 |
| MMDs During the Baseline Period(days / month) | Erenumab 70 mg/140 mg |
|---|---|
| Mean | 12.82 ± 5.92 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: No — There is not a plan to make IPD available
This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.
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