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WithdrawnNCT04334408Updated Feb 28, 2022

Safety and Efficacy of Fremanezumab for Migraine in Adult CADASIL

A Phase 2 interventional study of Fremanezumab and Placebo in Cadasil and Migraine, sponsored by Mayo Clinic. Withdrawn. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-02-28.

Sponsored by Mayo Clinic · Phase 2, Interventional, and Treatment

Why this study was withdrawn
Lack of funding to support the trial.
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Researchers are trying to find out more about the side effects of fremanezumab when treating patients with Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) for migraine headaches.

Read the detailed description

Subjects will receive 4 to 20 weeks of placebo injections followed by 12 weeks of monthly administered fremanezumab by subcutaneous injection (225 mg split four weeks apart for 12 weeks). Following completion of the 12 weeks of therapy, the participant will return to placebo for the washout period. Both the patient and the investigator will be blinded to the timing of transition to and from placebo and the transition to and from fremanezumab.

02

Conditions studied

  • Cadasil
  • Migraine
03

In context

CADASIL

33 studies on the registry are indexed under CADASIL; 18 are open to participants now.

Browse CADASIL studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,269 studies on the registry; 672 are open to participants now.

Of its 452 completed or terminated interventional studies of FDA-regulated products, 321 (71%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 to 70 years old
  • English speaking
  • Diagnosis of CADASIL confirmed by presence of a pathogenic NOTCH3 gene mutation
  • Diagnosis of migraine for at least 12 months and diagnosis of chronic migraine for at least 28 days according to the International Classification of Headache Disorders
  • MIDAS score of >10 points
  • Ability to provide written

Exclusion criteria

Exclusion Criteria

  • History of ischemic stroke within 4 weeks of screening assessment
  • Screening blood pressure >150 mm Hg
  • Use of onabotulinum toxin A 4 months prior to trial or other injectable/stimulatory/magnetic method of headache control
  • Use of opiates or barbiturates 4 days prior to trial
  • Patients with competing intracerebral pathology (e.g. history of intracerebral hemorrhage, multiple sclerosis)
  • Class III or IV congestive heart failure
  • History of myocardial infarction
  • History of coronary bypass surgery or coronary stenting
  • Pregnancy or breastfeeding
  • to undergoing brain MRI per standard clinical practice guidelines
  • Vulnerable populations, including incarcerated inmates, dementia, and inability to provide consent
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Subjects with CADASIL treatment intervention

    Subjects that have been diagnosed with both CADASIL and moderately to severely disabling migraine headaches will be treated with Fremanezumab injections.

    Drug: Fremanezumab · Drug: Placebo

  • Placebo comparator
    Subjects with CADASIL placebo intervention

    Subjects that have been diagnosed with both CADASIL and moderately to severely disabling migraine headaches will be treated with placebo injections.

    Drug: Fremanezumab · Drug: Placebo

Interventions

  • Subjects will receive a single dose total 225 mg (1 injection of 225 mg per 1.5 mL injection) followed by a single dose of 225 mg (1 1.5mL injection) at four week intervals. Both the subject and the investigator will be blinded to the timing of transition to and from placebo and the transition to and from fremanezumab.

    Also known as: Ajovy

  • DrugPlacebo

    Placebo injections during the run in and washout serves as the control condition. Both the subject and the investigator will be blinded to the timing of transition to and from placebo and the transition to and from fremanezumab.

06

What researchers measure

Primary outcomes

  1. Change in migraine-related disability

    Measured using the The Migraine Disability Assessment (MIDAS) questionnaire which is a brief, self-administered questionnaire designed to quantify headache-related disability over a 3 month period using number of days

    Time frame: Baseline, 2 week intervals up to 48 weeks

  2. Change in headache intensity

    Measured using Headache Impact Test (HIT)-6 scores with the answers being never, rarely, sometimes, very often or always and equating to 6, 8, 10, 11, and 13 points respectively. Each answer is summated to equal the final score.

    Time frame: Baseline, 2 week intervals up to 48 weeks

  3. Adverse events

    Number of adverse events reported

    Time frame: 48 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2021; primary completion for Dec 2024, 36 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 2, 2020
First posted
Apr 6, 2020
StartEst.
Dec 2021
Primary completionEst.
Dec 2024
CompletionEst.
Dec 2024
Last update
Feb 28, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 28, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04334408
Lead sponsor
Mayo Clinic
Responsible party
James F. Meschia (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Apr 6, 2020
Start date
Dec 2021 (estimated)
Primary completion
Dec 2024 (estimated)
Completion
Dec 2024 (estimated)
Last update
Feb 28, 2022

Study contacts

James F Meschia
principal investigator · Mayo Clinic

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Fremanezumab

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