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Active, not recruitingNCT04616326REBUILD-2Updated Feb 27, 2026

A Study of Galcanezumab (LY2951742) in Participants 12 to 17 Years of Age With Chronic Migraine

A Phase 3 interventional study of Galcanezumab and Placebo in Chronic Migraine, sponsored by Eli Lilly and Company. Active, not recruiting at 88 sites in 11 countries. Open to participants aged 12 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-02-27.

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

Phase
Phase 3
Study type
Interventional
Enrollment
312
Allocation
Randomized
Ages
12 Years to 17 Years
Sex
All
01

Study summary

The main purpose of this study is to evaluate the efficacy and safety of galcanezumab for the preventive treatment of chronic migraine in participants 12 to 17 years of age. 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 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. Enrollment in the European Union may also include participants 6 to 11 years of age.

02

Conditions studied

  • Chronic Migraine

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Keywords

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

In context

Headache

1,226 studies on the registry are indexed under Headache; 202 are open to participants now.

This study's enrollment of 312 is above the median of 60 across 918 interventional studies indexed under Headache.

Browse Headache 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
12 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Have a diagnosis of chronic migraine as defined by the IHS ICHD-3 guidelines (1.3 according to ICHD-3 [2018]), that is, a headache occurring on 15 or more days per month for at least the last 3 months, which has the features of migraine headache on at least 8 days per month.

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, except for antibodies to CGRP or its receptor, which are not allowed at any time prior to study entry.
  • Known hypersensitivity 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. Participant must also not have prior oral CGRP antagonist use within 30 days prior to baseline.
  • 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.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
312 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

06

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 ≥30%, ≥50%, ≥75% and 100% in Monthly Migraine Headache Days

    Percentage of Participants with Reduction from Baseline ≥30%, ≥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 Monthly Migraine Headache Days on Which Acute Headache Medication is Taken

    Change from Baseline in the Number of Monthly 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

07

Study locations

88 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
  • Children's Hospital Colorado
    Aurora, Colorado 80045, United States
  • Northwest Florida Clinical Research Group
    Gulf Breeze, Florida 32561, United States
  • Clinical Neuroscience Solutions, Inc. dba CNS Healthcare
    Jacksonville, Florida 32256, United States
  • Vitaly Clinical Research
    Miami, Florida 33125, United States
  • EMDA Clinical Research
    Miami, Florida 33126, United States
  • Bio-Medical Research LLC
    Miami, Florida 33144, United States
  • Allied Biomedical Research Institute
    Miami, Florida 33155, United States
  • Ezy Medical Research
    Miami Lakes, Florida 33015, United States
  • Wellness Clinical Research
    Miami Lakes, Florida 33016, United States
  • Avanza Medical Research Center
    Pensacola, Florida 32503, United States
  • D&H Tamarac Research Center
    Tamarac, Florida 33321, United States
  • Infinity Life Research Group
    Tamarac, Florida 33321, United States
  • USF Health
    Tampa, Florida 33612, United States
  • Palm Beach Research Center
    West Palm Beach, Florida 33409, United States
  • Medical Research Partners
    Ammon, Idaho 83406, United States
  • Northwest Clinical Trials
    Boise, Idaho 83704, United States
  • St. Alexius Medical Center
    Hoffman Estates, Illinois 60169, United States
  • Ascension Via Christi Research
    Wichita, Kansas 67214, United States
  • University of Kentucky Chandler Medical Center
    Lexington, Kentucky 40536, United States
  • Pharmasite Research, Inc.
    Baltimore, Maryland 21208, United States
  • MedVadis Research Corporation
    Waltham, Massachusetts 02451, United States
  • Minneapolis Clinic of Neurology - Burnsville Office
    Burnsville, Minnesota 55337, United States
  • Precise Research Centers
    Flowood, Mississippi 39232, United States
  • Proven Endpoints
    Ridgeland, Mississippi 39157, United States
  • Children Mercy Pediatric Clinical Research Unit
    Kansas City, Missouri 64108, United States
  • Saint Peter's University Hospital
    New Brunswick, New Jersey 08901, 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
  • Headache Center of Hope
    Cincinnati, Ohio 45236, United States
  • Providence Health & Services
    Portland, Oregon 97225, United States
  • UPMC Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania 15224, United States
  • Coastal Pediatric Research
    Charleston, South Carolina 29414, United States
  • Access Clinical Trials - Nashville
    Nashville, Tennessee 37203, United States
  • UT Southwestern Medical Center
    Dallas, Texas 75235, United States
  • Prime Clinical Research - Lewisville
    Lewisville, Texas 75067, United States
  • Medical Research Partners - Logan
    Logan, Utah 84341, 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
  • CHU d'Amiens-Picardie - Hôpital Sud
    Amiens, 80054, France
  • Bordeaux University Hospital - Pellegrin
    Bordeaux, 33076, France
  • Centre Hospitalier Intercommunal de Créteil
    Créteil, 94010, France
  • Centre Hospitalier Régional Universitaire de Lille - Hôpital Roger Salengro
    Lille, 59037, France
  • Assistance Publique Hôpitaux de Marseille - Hôpital de la Timone
    Marseille, 13385, France
  • Hôpital Armand Trousseau
    Paris, 75571, France
  • Praxis Dr. Astrid Gendolla
    Essen, 45133, Germany
  • Apollo Hospitals Ahmedabad
    Ahmedabad, 382428, India
  • Artemis hospital
    Gurugram, 122003, India
  • Atmaram Child Care
    Kanpur, 208011, India
  • 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
  • Department of Pediatrics
    Nagpur, 441108, India
  • G.B. Pant Institute of Postgraduate Medical Education & Research
    New Delhi, 110002, India
  • Sir Ganga Ram Hospital
    New Delhi, 110060, India
  • Medipoint Hospitals Pvt. Ltd.
    Pune, 411007, India
  • IRCCS Istituto Neurologico Carlo Besta
    Milan, 20133, Italy
  • Policlinico Umberto I
    Roma, 161, Italy
  • Neuroscience
    Roma, 165, Italy
  • Tanaka Neurosurgery&Headache Clinic
    Kagoshima, 892-0844, Japan
  • 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
  • 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
  • Hospital Infantil de Mexico Federico Gomez
    Mexico City, 6720, Mexico
  • Clinica De Enfermedades Cronicas y Procedimientos Especiales
    Morelia, 58249, Mexico
  • Isala, locatie Zwolle
    Zwolle, 8025 AB, Netherlands
  • Ponce Medical School Foundation Inc.
    Ponce, 00716, Puerto Rico
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, 8041, Spain
  • Hospital Universitari Vall d'Hebron
    Barcelona, Spain
  • Hospital Universitario Virgen Del Rocio
    Seville, 41013, Spain
  • Hospital Clinico de Valencia
    Valencia, 46010, Spain
  • Hospital Clínico Universitario de Valladolid
    Valladolid, 47005, Spain
08

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

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04616326
Lead sponsor
Eli Lilly and Company
Responsible party
Sponsor
First posted
Nov 4, 2020
Start date
Nov 25, 2020
Primary completion
Dec 10, 2025
Completion
Mar 2027 (estimated)
Last update
Feb 27, 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 Feb 2026. You cannot join it, but the record below documents what was studied.

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