ClinicalTrials.gg
RecruitingNCT05049057Updated Feb 22, 2024

Treatment of Acute PTH With a CGRP Receptor mAb in Military Service Members and Civilians With mTBI

A Phase 2 interventional study of Erenumab 140 Mg/mL Subcutaneous Solution and Placebo in Posttraumatic Headache and Mild Traumatic Brain Injury, sponsored by Henry M. Jackson Foundation for the Advancement of Military Medicine. Recruiting at 4 sites in United States. Open to participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2024-02-22.

Sponsored by Henry M. Jackson Foundation for the Advancement of Military Medicine · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Jul 2022; still recruiting 4 years 3 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
404
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

This study aims to assess the effect and safety of erenumab compared to placebo for the treatment of acute posttraumatic headache (PTH) in military service members and civilians with mild traumatic brain injury (mTBI).

Read the detailed description

Headache is recognized as one of the most common and disabling symptoms following head trauma. This study is designed to assess a calcitonin gene-related peptide (cGRP) monoclonal antibody (erenumab) for the preventive treatment of PTH based on the rationale that headache posttrauma is similar to migraine and is mediated by the activation of the trigeminal vascular system and subsequent release of cGRP. This study is a randomized, double-blind, placebo-controlled study to assess the safety, tolerability, and efficacy of erenumab 140 mg for the treatment of PTH in military service members and civilians with mTBI at military treatment facilities across the United States.

02

Conditions studied

  • Posttraumatic Headache
  • Mild Traumatic Brain Injury
03

In context

Post-Traumatic Headache

192 studies on the registry are indexed under Post-Traumatic Headache; 54 are open to participants now.

This study's planned enrollment of 404 is above the median of 44 across 169 interventional studies indexed under Post-Traumatic Headache.

Browse Post-Traumatic Headache studies →

Lead sponsor

Henry M. Jackson Foundation for the Advancement of Military Medicine is the lead sponsor of 86 studies on the registry; 18 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 2 (29%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 50 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

  • Male or female ≥18 and ≤50 years of age
  • mTBI from any cause including impact, rotational acceleration, blast, or a combination, has occurred within the prior 7 days
  • PTH has occurred within the prior 7 days
  • Able to provide
  • Likely to stay in the same geographical area for the duration of study
  • Has a personal health care provider for standard of care PTH and TBI, including education, diagnostic procedures including neuroimaging and treatment, as deemed clinically indicated by the health care provider

Exclusion criteria

Exclusion Criteria:

  • Sustained a moderate or severe TBI, rather than mTBI, indicated with at least 1 of the following associated with head injury:

    1. abnormal structural imaging
    2. loss of consciousness for >30 minutes
    3. alteration of consciousness/mental state for >24 hours 3. post-traumatic amnesia for >1 day
  • Participants with ongoing chronic migraine or other chronic daily headache disorders at the time of injury
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
404 participants (estimated)

Study arms

  • Experimental
    Active Drug

    Erenumab administered once monthly via two 70-mg subcutaneous injections at 3 time points over a 12-week period.

    Drug: Erenumab 140 Mg/mL Subcutaneous Solution

  • Placebo comparator
    Placebo

    Placebo administered once monthly via two subcutaneous injections at 3 time points over a 12-week period.

    Drug: Placebo

Interventions

  • DrugErenumab 140 Mg/mL Subcutaneous Solution

    Drug page: Erenumab

    Active erenumab delivered via subcutaneous injection.

    Also known as: Aimovig

  • DrugPlacebo

    Placebo delivered via subcutaneous injection.

06

What researchers measure

Primary outcomes

  1. Monthly Headache Days

    Effect of erenumab versus placebo on monthly headache days as measured by the daily headache diary

    Time frame: Week 8 to Week 12

Secondary outcomes

  1. Monthly Headache Days

    Effect of erenumab versus placebo on monthly headache days as measured by the daily headache diary

    Time frame: Week 0 to Week 12

  2. Monthly Headache Days

    Effect of erenumab versus placebo on monthly headache days as measured by the daily headache diary

    Time frame: Week 0 to Week 4

  3. Monthly Headache Days

    Effect of erenumab versus placebo on monthly headache days as measured by the daily headache diary

    Time frame: Week 0 to Week 8

  4. Adverse Events

    Number of adverse events reported in erenumab group compared to placebo

    Time frame: Week 0 to Week 12

  5. Return to Full Duty

    Time to return to full activity as measured by the daily headache diary

    Time frame: Week 0 to Week 12

  6. Concomitant Medications

    Monthly use of medications for acute headache treatment

    Time frame: Week 0 to Week 12

  7. Headache Days

    Monthly headache days after early acute versus late acute administration of erenumab compared to placebo

    Time frame: Week 0 to Week 12

  8. HPFID Activity

    Monthly impact on everyday activity scores as measured by the Headache Physical Function Impact Diary Domain 1

    Time frame: Week 0 to Week 12

  9. HPFID Physical Impairment

    Monthly impact on physical impairment scores as measured by the Headache Physical Function Impact Diary Domain 2

    Time frame: Week 0 to Week 12

  10. HIT-6

    Change from baseline in headache impact scores as measured by the Headache Impact Test

    Time frame: Week 0 to Week 12

  11. PHQ-9

    Change from baseline in depressive symptoms after mTBI as measured by the self-report questionnaire, Patient Health Questionnaire-9, Total Score. Total scores range from a minimum of 0 to a maximum of 27, which are rated from minimal to severe levels of depression.

    Time frame: Week 0 to Week 12

  12. ISI

    Change from baseline in insomnia scores as measured by the Insomnia Severity Index

    Time frame: Week 0 to Week 12

Other outcomes

  1. MSQ

    Change from baseline in quality of life scores as measured by the Migraine-specific Quality of Life Questionnaire

    Time frame: Week 0 to Week 12

  2. ASC-12

    Change from baseline in frequency of allodynia symptoms as measured by the Allodynia Symptom Checklist

    Time frame: Week 0 to Week 12

  3. ANAM

    Change from baseline in neuropsychological functions as assessed by the Automated Neuropsychological Assessment Metrics

    Time frame: Week 0 to Week 12

  4. Function of Time

    Effect of erenumab compared to placebo as a function of time from mTBI to first dose of erenumab as measured by the daily headache diary

    Time frame: 0-24 hours, 24-72 hours, 72-144 hours

07

Study locations

2 of 4 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Identifier-free participant data sets will be shared with the Uniformed Services University Center for Neuroscience and Regenerative Medicine Data Repository. Identifier-free data sets may also be shared with the Federal Interagency Traumatic Brain Injury Research (FITBIR) Data Repository

Time frame: After study completion, data sets will be de-identified and shared with the repositories. De-identified data sets will be stored in the repositories indefinitely.

Access criteria: Access to the CNRM Data Repository will be determined b the CNRM Data Quality, Access, and Publication Committee. Investigators requesting access to the data will provide a list of investigators and collaborators who will have access to the data, documentation of Ethical Conduct of Research and Human Participants Protection Training, and documentation of Institutional Review Board Approval of the research project. Access to FITBIR will follow FITBIR Access Criteria.

Data sharing details ↗ · fitbir.nih.gov

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2022 (actual). Primary completion is estimated for May 2026, 46 months after the start.

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

Registered
Jul 26, 2021
First posted
Sep 17, 2021
StartActual
Jul 19, 2022
Primary completionEst.
May 19, 2026
CompletionEst.
May 19, 2027
Last update
Feb 22, 2024
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 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05049057
Lead sponsor
Henry M. Jackson Foundation for the Advancement of Military Medicine
Responsible party
Sponsor
First posted
Sep 17, 2021
Start date
Jul 19, 2022
Primary completion
May 19, 2026 (estimated)
Completion
May 19, 2027 (estimated)
Last update
Feb 22, 2024

Study contacts

Amy Guthrie, RN
Contact
amy.guthrie.ctr@usuhs.edu
202-924-2729
David L Brody, MD, PhD
principal investigator · Uniformed Services University of the Health Sciences

Oversight

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

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Studies of the drug tested here: Erenumab

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