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CompletedNCT04265755INTERROGATEUpdated Jun 7, 2024Results posted

Biomarker and Genetic Predictors of Erenumab Treatment Response

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

Phase
Phase 4
Study type
Interventional
Enrollment
1,406
Allocation
Not applicable
Ages
18 Years to 99 Years
Sex
All
01

Study summary

To explore the relationship between clinical response to erenumab and genetic biomarkers

Read the detailed description

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.

02

Conditions studied

  • Migraine

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Keywords

  • Episodic and Chronic Migraine
  • Link between clinical response and biomarker
  • Phase 4
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 1,406 is above the median of 80 across 1,175 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

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.

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Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subject has provided informed consent prior to initiation of any study-specific activities/procedures
  • Age greater than or equal to 18 years upon entry into screening
  • History of migraine (with or without aura) for greater than or equal to 12 months before screening according to the International Headache Society (IHS) Classification ICHD-3 (Headache Classification Committee of the International Headache Society, 2018) based on medical records and/or patient self report
  • Greater than or equal to 4 headache days that meet criteria as migraine days per month on average across the 3 months before screening After baseline period
  • Must have demonstrated greater than or equal to 75% compliance in eDiary usage during baseline period

Exclusion criteria

Exclusion Criteria:

Subjects are excluded from the study if any of the following criteria apply:

Disease Related

  • Greater than 50 years of age at migraine onset
  • History of cluster headache or hemiplegic migraine headache
  • Inability to differentiate between migraine from other headaches. Other Medical Conditions
  • The subject is at risk of self-harm or harm to others as evidenced by past suicidal behaviour
  • History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion.

Prior/Concomitant Therapy

  • Previously received erenumab (Aimovig®)
  • Received an anti-CGRP monoclonal antibody within 3 months prior to the start of the baseline period
  • Initiation, discontinuation, or change of dosing of migraine prophylactic medications within 2 months prior to the start of the baseline period, during the baseline period or planned during the study.

Prior/Concurrent Clinical Study Experience

  • Currently receiving treatment in another investigational device or drug study, or less than 30 days or 5 half-lives since ending treatment on another investigational device or drug study (ies). Other investigational procedures while participating in this study are excluded.

Other Exclusions

  • Female subjects of childbearing potential with a positive pregnancy test assessed at screening or day 1 by a urine pregnancy test
  • Female subject is pregnant or breastfeeding or planning to become pregnant or breastfeed during treatment and for an additional 16 weeks after the last dose of investigational product
  • Female subjects of childbearing potential unwilling to use 1 acceptable method of effective contraception during treatment and for an additional 16 weeks after the last dose of investigational product
  • Evidence of current pregnancy or breastfeeding per subject self-report or medical records
  • Subject has known sensitivity to any of the products or components to be administered during dosing
  • Subject likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures (e.g, Clinical Outcome Assessments) to the best of the subject and investigator's knowledge
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1,406 participants (actual)

Study arms

  • Experimental
    Single arm

    Erenumab packed in a SureClick® Autoinjector Pen (AI)

    Drug: Erenumab

Interventions

  • DrugErenumab

    Erenumab 70 mg or 140 mg packed in a SureClick® Autoinjector Pen (AI).

    Also known as: AIMOVIG

06

What researchers measure

Primary outcomes

  1. 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

07

Results

Posted Jun 7, 2024

Participant flow

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.

Participant flow — Overall Study
MilestoneErenumab 70 mg/140 mg
Started1406
Dose switch from baseline dose504
Completed1353
Not completed53
Withdrew: Withdrawal by subject39
Withdrew: Decision by sponsor2
Withdrew: Lost to follow-up11
Withdrew: Death1

Outcome measures

PrimaryPercentage 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
Reported as:
Number · percentage of participants
Percentage of Participants Achieving at Least a 50% Reduction From Baseline in Mean MMDs Over Months 4, 5, and 6 in Relation to mPRS
percentage of participantsErenumab 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 mPRS54.9 (52.22 to 57.56)
Statistical analysis
  • Erenumab 70 mg/140 mg · Regression, Logistic · p = 0.86 · Odds ratio (or): 1.01 · 95% CI 0.90 to 1.13Based on a 1 standard deviation increase in mPRS.

Adverse events

Collected over Up to 24 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Erenumab 70 mg1/214 (0.5%)8/214 (3.7%)172/214 (80.4%)
Erenumab 70 mg Switch to 140 mg0/497 (0%)8/497 (1.6%)391/497 (78.7%)
Erenumab 140 mg Switch to 70 mg0/7 (0%)1/7 (14.3%)7/7 (100%)
Erenumab 140 mg0/688 (0%)14/688 (2%)417/688 (60.6%)
Most frequent serious events
Showing 10 of 30
Most frequent serious events
EventErenumab 70 mgErenumab 70 mg Switch to 140 mgErenumab 140 mg Switch to 70 mgErenumab 140 mg
Psychogenic seizureNervous system disorders0/2140/4971/70/688
Pancreatitis haemorrhagicGastrointestinal disorders1/2140/4970/70/688
AppendicitisInfections and infestations1/2142/4970/70/688
COVID-19Infections and infestations1/2141/4970/70/688
Ankle fractureInjury, poisoning and procedural complications1/2140/4970/70/688
Spinal compression fractureInjury, poisoning and procedural complications1/2140/4970/70/688
Abortion spontaneousPregnancy, puerperium and perinatal conditions1/2140/4970/71/688
Suicide attemptPsychiatric disorders1/2141/4970/70/688
AsthmaRespiratory, thoracic and mediastinal disorders1/2140/4970/70/688
Sensory disturbanceNervous system disorders0/2140/4970/72/688
Most frequent other events
Showing 10 of 22
Most frequent other events
EventErenumab 70 mgErenumab 70 mg Switch to 140 mgErenumab 140 mg Switch to 70 mgErenumab 140 mg
ConstipationGastrointestinal disorders92/214193/4975/7280/688
PruritusSkin and subcutaneous tissue disorders5/2149/4973/733/688
COVID-19Infections and infestations49/214103/4971/757/688
AlopeciaSkin and subcutaneous tissue disorders37/21471/4971/772/688
Upper respiratory tract infectionInfections and infestations21/21476/4970/717/688
Gastrooesophageal reflux diseaseGastrointestinal disorders7/2142/4971/77/688
Irritable bowel syndromeGastrointestinal disorders0/2141/4971/71/688
Injection site pruritusGeneral disorders1/2147/4971/72/688
PyrexiaGeneral disorders4/2146/4971/75/688
ConjunctivitisInfections and infestations0/2141/4971/72/688

Baseline characteristics

Full Analysis Set (FAS): consisted of all participants who were enrolled in the study.

Age, Continuous
Age, Continuous(years)Erenumab 70 mg/140 mg
Mean42.5 ± 11.9
Sex: Female, Male
Sex: Female, Male(Participants)Erenumab 70 mg/140 mg
Female1228
Male178
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Erenumab 70 mg/140 mg
Hispanic or Latino22
Not Hispanic or Latino1384
Unknown or Not Reported0
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Erenumab 70 mg/140 mg
American Indian or Alaska Native2
Asian17
Black or African American2
Multiple9
Native Hawaiian or Other Pacific Islander0
White1353
Other23
MMDs During the Baseline Period
MMDs During the Baseline Period(days / month)Erenumab 70 mg/140 mg
Mean12.82 ± 5.92
08

Study locations

2 sites
  • Glostrup Hospital
    Glostrup, 2600, Denmark
  • Thjonustumidstod Rannsoknaverkefna
    Reykjavik, 101, Iceland
09

References and documents

Study documents

  • Study protocol · Feb 23, 2022
  • Statistical analysis plan · Apr 20, 2023

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

Individual participant data

Plan to share: No — There is not a plan to make IPD available

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04265755
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Feb 12, 2020
Start date
Oct 26, 2020
Primary completion
Jan 18, 2023
Completion
Jan 18, 2023
Results posted
Jun 7, 2024
Last update
Jun 7, 2024

Study contacts

MD
study director · Amgen

Oversight

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

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