CClinicalTrials.gg
Active, not recruitingNCT06625060MERANTIUpdated Sep 8, 2026

A Study to Evaluate IPN10200 Safety and Efficacy in the Prevention of Episodic or Chronic Migraine in Adults

A Phase 2 interventional study of Corabotase and Placebo in Episodic Migraine and Chronic Migraine, sponsored by Ipsen. Active, not recruiting at 162 sites in 14 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Ipsen · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
670
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

A migraine is a headache with severe throbbing pain or a pulsating sensation, usually on one side of the head. It is often accompanied by feeling or being sick and a sensitivity to bright lights and sound. Migraines are caused by a series of events when the brain gets stimulated or activated, which causes the release of chemicals that cause pain. Corabotase (also known as IPN10200) is a medication that stops the release of these chemical messengers.

Participants with episodic migraine (EM) or chronic migraine (CM) will be included in both Step 1 and Step 2. "Headache days" are when participants experience headaches that meet the criteria for a migraine or a headache without the additional migraine-specific symptoms. "Migraine days" occur when the headache displays clear migraine characteristics.

This study aims to determine:

  • The safety and efficacy of injecting Corabotase directly into the muscles of the head and neck to prevent EM and CM,
  • The right amount (dose) of Corabotase to inject at each point,
  • The total amount (dose) of Corabotase that provides the best balance between safety and efficacy preventing migraines.

Participants will need to complete a daily electronic migraine Diary (eDiary) and questionnaires throughout the study. The total study duration for a participant will be up to 44 weeks.

Read the detailed description

The study will consist of 3 periods:

  1. A 'screening period' to assess whether the participant can take part in the study.
  2. Step 1 is divided in two cohorts. The study will assess sequentially the safety of two doses of Corabotase, a lower dose in the cohort 1 and a higher dose in cohort 2. Participants will be administered with the study drug or placebo. The treatment is injected in muscles of the head, face and neck. The safety of participants is monitored throughout the 36 weeks at each cohort.
  3. Step 2: In this step, new eligible participants will be divided into two groups based on their diagnosis (EM or CM). These groups will then be randomly assigned to one of three intervention groups: Dose A, Dose B, or a placebo. The intervention will be given in a series of injections in muscles of the head, face and neck. Participants will be monitored for both efficacy and safety until they complete the Week 36 visit (the end of study).
02

Conditions studied

  • Episodic Migraine
  • Chronic Migraine
03

In context

Lead sponsor

Ipsen is the lead sponsor of 282 studies on the registry; 16 are open to participants now.

Of its 24 completed or terminated interventional studies of FDA-regulated products, 19 (79%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF. Participant has provided written informed consent and signed privacy/data protection documentation;
  2. Male or female ≥18 to 80 years of age at the time of signing the informed consent;
  3. Diagnosis of either EM or CM, per ICHD-3 criteria, for at least 12 months prior to the screening visit;
  4. Diagnosis of migraine at ≤50 years of age;
  5. Participants in the EM group: History of EM diagnosis and headache frequency (i.e. migraine and non-migraine headache): ≤14 headache days in the 4 weeks prior to randomisation on study Day 1 based on information recorded in the eDiary; migraine frequency: ≥6 migraine days in the 4 weeks prior to randomisation on study Day 1 based on information recorded in the eDiary;
  6. Participants in the CM group: History of CM diagnosis and headache frequency (i.e. migraine and non-migraine headache): ≥15 headache days in the 4 weeks prior to randomisation on study Day 1 based on information recorded in the eDiary; migraine frequency: ≥8 migraine days in the 4 weeks prior to randomisation on study Day 1 based on information recorded in the eDiary;
  7. Participant with a history of use of at least one preventive treatment for migraine.

Exclusion criteria

Exclusion Criteria:

  1. History or current diagnosis of migraine with brainstem aura, retinal migraine, complications of migraine, tension-type headache, trigeminal autonomic cephalalgias, hypnic headache, hemicrania continua or new daily persistent headache;
  2. Headache attributed to another disorder (e.g. secondary headaches), except medication overuse headache (MOH);
  3. Current uncontrolled psychiatric or psychological condition, or one that could confound assessment of headaches/migraines or interfere with study participation;
  4. Risk of self-harm or harm to others as evidenced by past suicidal behaviour or endorsing items 3, 4, or 5 on the C-SSRS at screening or Day 1.
  5. Participants presenting with a swallowing disorder of any origin which might be exacerbated by botulinum toxin treatment, such as:

    - Grade 3 or 4 on the Dysphagia Severity Scale (severe dysphagia) with swallowing difficulties and requiring a change in diet.

  6. Clinically relevant skin condition or infection that could interfere with injection of study intervention;
  7. Participant has any medical condition or situation that would make them unsuitable for participation in the study;
  8. Participant receiving more than one allowable concomitant migraine preventive treatment;
  9. Known history of an inadequate response to >4 medications prescribed for the prevention of migraine (2 of which have different mechanisms of action to botulinum toxin);
  10. Use of any of the following medications in the specified timeframe prior to the screening visit:

    • Botulinum toxin for migraine within 24 weeks (or for any other medical/aesthetic reason within 16 weeks);
    • Prior use of mAbs blocking CGRP pathway within 12 weeks for preventative treatment of migraine
    • Prior use of oral CGRP receptor antagonist (gepants) for preventative treatment of migraine within 2 weeks;
    • Anaesthetic or steroid injection in any region targeted for treatment with study medication within 4 weeks;
    • Use of cannabidiol or other types of cannabinoids within 30 days;
    • Use of medical device to treat migraine within 4 weeks (e.g. non-invasive neuromodulation therapies such as nerve stimulation (gammaCore), transcranial magnetic stimulation (cephaly), external trigeminal nerve stimulation, transcutaneous electrical nerve stimulation and peripheral neuroelectrical stimulation);
    • Use of other intervention to treat migraine that is assessed to interfere with study evaluations within 4 weeks (e.g. acupuncture in the head and neck region, cranial traction, nociceptive trigeminal inhibition, occipital nerve block treatments and dental splints for headache);
    • Use of opioids or barbiturates for more than 2 days/month within the last 4 weeks.
  11. Concurrent participation in another interventional clinical study (or within specified timeframe according to national or local legislation or requirements);
  12. Diagnosis of other significant pain disorders that could confound the assessment of headaches/migraines or interfere with study participation, including but not limited to chronic pain disorders such as fibromyalgia, chronic low back pain and complex regional pain syndrome;
  13. Pregnant women, nursing women, premenopausal women, or WOCBP (i.e. not surgically sterile or 1 year postmenopausal) not willing to practice an acceptable contraceptive method, at the beginning of the study and for a minimum of 12 weeks following the administration of study treatment;
  14. Male subjects who are not vasectomised and who have female partners of childbearing potential and are not willing to use condoms with spermicide for a minimum of 12 weeks following the initial double-blind administration of the treatment;
  15. History of alcohol or drug abuse within 5 years of the screening visit (excluding medication overuse for headache);
  16. Body mass index (BMI) ≥35 kg/m² at the screening visit;
  17. Known clinically significant hypersensitivity to any of the study drugs, excipients or materials used to administer the study drug;
  18. Patients who, in the clinician's judgment, are actively suicidal, and therefore, deemed to be at significant risk for suicide.
  19. A diagnosis of a neuromuscular disorder or respiratory disorder, such as myasthenia gravis, Lambert-Eaton syndrome or amyotrophic lateral sclerosis that in the opinion of the investigator would compromise the safety of the study participant.
05

Study design

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

Study arms

  • Experimental
    Step 1 - Cohort 1- Corabotase

    Participants will receive Corabotase dose A through injections at Day 1.

    Biological: Corabotase

  • Placebo comparator
    Step 1 - Cohort 1 - Placebo

    Participants will receive placebo through injections at Day 1.

    Other: Placebo

  • Experimental
    Step 1 - Cohort 2 - Corabotase

    Participants will receive Corabotase dose B through injections at Day 1.

    Biological: Corabotase

  • Placebo comparator
    Step 1 - Cohort 2 - Placebo

    Participants will receive placebo through injections at Day 1.

    Other: Placebo

  • Experimental
    Step 2- EM group Corabotase Dose A

    Dose A will be administered to the participants in a single treatment cycle.

    Biological: Corabotase dose A

  • Experimental
    Step 2- EM group Corabotase Dose B

    Dose B will be administered to the participants in a single treatment cycle

    Biological: Corabotase dose B

  • Placebo comparator
    Step 2- EM group placebo

    Placebo will be administered to the participants in a single treatment cycle

    Other: Placebo

  • Experimental
    Step 2- CM group Corabotase Dose A

    Dose A will be administered to the participants in a single treatment cycle

    Biological: Corabotase dose A

  • Experimental
    Step 2- CM group Corabotase Dose B

    Dose B will be administered to the participants in a single treatment cycle

    Biological: Corabotase dose B

  • Placebo comparator
    Step 2- CM group placebo

    Placebo will be administered to the participants in a single treatment cycle

    Other: Placebo

Interventions

  • BiologicalCorabotase

    Lyophilised powder

  • OtherPlacebo

    Excipients without active substance, Lyophilised powder

  • BiologicalCorabotase dose A

    Lyophilised powder

  • BiologicalCorabotase dose B

    Lyophilised powder

06

What researchers measure

Primary outcomes

  1. Percentage of participants experiencing any Adverse Event (AEs) including treatment emergent adverse events (TEAEs), serious adverse events (SAEs), adverse event of special interest (AESI) and AE leading to treatment discontinuation

    An Adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAE is an AE for which the start date is on or after the date that the intervention began.

    Time frame: For step 1: From baseline until end of study at Week 36

  2. Percentage of Participants with clinically significant changes from baseline in Laboratory Parameters

    Clinically significant change in laboratory parameters will be reported. The clinical significance will graded by the investigator.

    Time frame: For step 1: At all timepoints post injection until Week 36

  3. Percentage of Participants With Clinically Significant Changes from baseline in Vital Signs

    Clinically significant changes in vital signs will be reported. The clinical significance will be graded by the investigator.

    Time frame: For step 1: At all timepoints post injection until Week 36

  4. Percentage of participants with clinically significant change from baseline in facial examination

    Clinically significant changes in facial examination and focused neurological/physical examinations will be reported. The clinical significance will be graded by the investigator.

    Time frame: For step 1: At all timepoints post injection until Week 36

  5. Percentage of participants with clinically significant change from baseline in 12-lead Electrocardiogram (ECG) readings

    Time frame: For step 1: At all timepoints post injection until Week 36

  6. Treatment-emergence of suicidal ideation/suicidal behaviour

    It will be assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) questionnaire that consists of 2 subscales: 1. Ideation severity subscale: questions answered yes/no, severity of ideation scored 1-5 with 5 being most severe 2. Intensity of ideation subscale : scores range from 2-25 with higher scores indicating more severe intensity of ideation.

    Time frame: For step 1: At all timepoints post injection until Week 36

  7. Percentage of participants with Binding antibodies to IPN10200

    Time frame: For step 1: At baseline, Week 4, Week 12 and Week 36.

  8. Percentage of participants with neutralising antibodies to IPN10200

    Time frame: For step 1: At baseline, Week 4, Week 12 and Week 36.

  9. Change from baseline in the number of Monthly migraine days (MMD)s

    Time frame: For step 2: At Week 12 (Weeks 9-12).

Secondary outcomes

  1. Change from baseline in the number of MMD

    Time frame: For Step 1 and step 2: From Week 1 to Week 36.

  2. Change from baseline in the number of Monthly Headache Days (MHD)

    Time frame: For Step 1 and step 2: From Week 1 to Week 36

  3. Change from baseline in the number of moderate/severe MHD

    Time frame: For Step 1 and step 2: From Week 1 to Week 36

  4. Migraine prevention response

    Migraine prevention response is assessed using two thresholds: by a reduction from baseline of either ≥50% or ≥75% in MMD

    Time frame: For Step 1 and step 2: From Week 1 to Week 36

  5. Headache prevention response

    Assessed using two thresholds: by a reduction from baseline of either ≥50% or ≥ 75% in MHD

    Time frame: For Step 1 and step 2: From Week 1 to Week 36.

  6. Change from baseline in the number of days per 4 week period of acute medication use for migraine relief.

    An acute medication use day is defined as any day on which a participant reports, per eDiary, the intake of allowed medication(s) for the acute treatment of migraine.

    Time frame: For Step 1 and step 2: From Week 1 to Week 36.

  7. The use of acute migraine medication (yes or no)

    The use of acute migraine medication will be recorded in the daily eDiary.

    Time frame: For Step 1 and step 2: From Week 1 to Week 36.

  8. Percentage of participants with Binding antibodies to IPN10200

    Time frame: For step 2 : At baseline, Week 4, Week 12 , Week 24 and Week 36.

  9. Percentage of participants with neutralising antibodies to IPN10200

    Time frame: For step 2 : At baseline, Week 4, Week 12 , Week 24 and Week 36.

07

Study locations

162 sites
  • Central Research Associates
    Birmingham, Alabama 35205, United States
  • Rehabilitation & Neurological Services, LLC
    Huntsville, Alabama 35801, United States
  • MD First Research - Chandler - Neurology
    Chandler, Arizona 85224, United States
  • MD First Research - Chandler
    Chandler, Arizona 85286, United States
  • Axiom Research, LLC
    Apple Valley, California 92308, United States
  • Profound Research. LLC - NCSC
    Carlsbad, California 92011, United States
  • M3Wake -PRI Encino
    Encino, California 91316, United States
  • WR-PRI Encino
    Encino, California 91316, United States
  • Neuro-Pain Medical Center
    Fresno, California 93710, United States
  • Fullerton Neurological Center - Neurology
    Fullerton, California 92832, United States
  • Neurology Center of North Orange County
    Fullerton, California 92832, United States
  • Kaizen Brain Center
    La Jolla, California 92037, United States
  • Pharmacology Research Institute (PRI)
    Los Alamitos, California 90720, United States
  • Pharmacology Research Institute (PRI) - Los Alamitos/Long Beach
    Newport Beach, California 92660, United States
  • Profound Research, LLC
    Pasadena, California 91105, United States
  • Acclaim Clinical Research - Internal Medicine
    San Diego, California 92101, United States
  • Clinical Trials Management LLC
    Thousand Oaks, California 91360, United States
  • Alliance Clinical West Hills (Focus Clinical Research)
    West Hills, California 91307, United States
  • Advanced Neuroscience Research Center, LLC
    Fort Collins, Colorado 80501, United States
  • Advanced Neuroscience Research Center, LLC - Neurology
    Fort Collins, Colorado 80524, United States
  • New England Institute for Neurology and Headache (NEINH)/Medical Practice
    Stamford, Connecticut 06901, United States
  • Neurology Offices
    Boca Raton, Florida 33432, United States
  • AGA Clinical Trials
    Hialeah, Florida 33012, United States
  • M3 Wake Research/MSRA, LLC
    Lake City, Florida 32055, United States
  • M3 Wake Research/MSRA,LLC
    Lake City, Florida 32055, United States
  • Renstar Medical Research
    Ocala, Florida 34471, United States
  • Clinical Neuroscience Solutions, Inc.
    Orlando, Florida 32801, United States
  • Emerald Coast Center For Neurological Disorders
    Pensacola, Florida 32502, United States
  • Conquest Research
    Winter Park, Florida 32789, United States
  • NeuroTrials Research, Inc.
    Atlanta, Georgia 30309, United States
  • Crescent City Headache and Neurology Center, LLC
    Chalmette, Louisiana 70043, United States
  • Ochsner Health Center - Covington
    Covington, Louisiana 70433, United States
  • DelRicht Research
    New Orleans, Louisiana 70112, United States
  • DelRicht Research at Touro Medical Center
    New Orleans, Louisiana 70115, United States
  • LSU Healthcare Network Orthopedic & Sports Medicine
    New Orleans, Louisiana 70115, United States
  • MedStar Neurosciences and Rehabilitation Research Network
    Baltimore, Maryland 21218, United States
  • MedStar Neurosciences and Rehabilitation
    Baltimore, Maryland 21218, United States
  • MedStar Franklin Square Hospital Center
    Baltimore, Maryland 21237, United States
  • Medstar Franklin Square Medical Center
    Baltimore, Maryland 21237, United States
  • Neurology Center of NE,PC - Neurology
    Foxborough, Massachusetts 02035, United States
  • MedVadis Research
    Waltham, Massachusetts 02451, United States
  • Mass Institute of Clinical Research
    Westborough, Massachusetts 01581, United States
  • Michigan Head Pain & Neurological Institute - Neurology/Pain
    Ann Arbor, Michigan 48104, United States
  • Michigan Head Pain & Neurological Institute
    Ann Arbor, Michigan 48104, United States
  • Michigan Center of Medical Research
    Grand Blanc, Michigan 48439, United States
  • Minneapolis Clinic-Neurology
    Burnsville, Minnesota 55306, United States
  • Papillion Research Center/Avacare
    Papillion, Nebraska 68046, United States
  • Alliance Clinical Las Vegas (Excel Clinical Research) - Internal Medicine
    Las Vegas, Nevada 89101, United States
  • Integrative Clinical Trials, LLC
    Brooklyn, New York 11229, United States
  • Montefiore Medical Center: Headache Center
    The Bronx, New York 10461, United States
  • Upstate Clinical Research Associates - Research Center
    Williamsville, New York 14221, United States
  • Upstate Clinical Research Associates
    Williamsville, New York 14221, United States
  • UC Gardner Neuroscience Institute
    Cincinnati, Ohio 45219, United States
  • Neurology Diagnostics, Inc.
    Dayton, Ohio 45459, United States
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
  • Preferred Primary Care Physicians - Curry Hollow
    Pittsburgh, Pennsylvania 15236, United States
  • Clinical Neuroscience Solutions, Inc - Memphis
    Memphis, Tennessee 38119, United States
  • Clinical Neuroscience Solutions, Inc.
    Memphis, Tennessee 38119, United States
  • Zenos Clinical Research - Internal Medicine
    Dallas, Texas 75201, United States
  • Lone Star Neurology
    Frisco, Texas 75034, United States
  • Elevate Clinical Research - Houston
    Houston, Texas 77002, United States
  • Javara Inc. - Houston, TX
    Houston, Texas 77002, United States
  • Javara Inc. - New Caney, TX
    New Caney, Texas 77357, United States
  • J. Lewis Research-Site Number:8400053
    Salt Lake City, Utah 84101, United States
  • ChronicleBio
    West Valley City, Utah 84119, United States
  • Puget Sound Neurology - Neurology
    Tacoma, Washington 98409, United States
  • Marshall Health Clinical Research Center
    Huntington, West Virginia 25701, United States
  • Frontier Clinical Research, LLC - Kingwood
    Kingwood, West Virginia 26537, United States
  • The Alfred Hospital - Neurology
    Melbourne, Australia
  • Western Health - Neurology & Stroke Services
    Saint Albans, Australia
  • The Royal Melbourne Hospital - Neurology
    Victoria Park, Australia
  • Instituto de Neurologia de Curitiba
    Paraná, Brazil
  • Associação Hospitalar Moinhos de Vento
    Rio Grande, Brazil
  • A2Z Clinical
    São Paulo, Brazil
  • Hospital Alemao Oswaldo Cruz
    São Paulo, Brazil
  • Pseg Centro de Pesquisa Clínica S.A
    São Paulo, Brazil
  • CaRe Clinic - Calgary
    Calgary, Canada
  • University of Calgary Foothills Campus
    Calgary, Canada
  • Centre de Recherche Saint-Louis (Lévis) - Clinique Neuro-Lévis
    Lévis, Canada
  • Centre de Recherche Saint-Louis (Quebec) - Clinique Médicale Saint-Louis
    Québec, Canada
  • CaRe Clinic Red Deer
    Red Deer, Canada
  • Bluewater Clinical Research Group Inc.
    Sarnia, Canada
  • Pratia Brno s.r.o.
    Brno, Czechia
  • NEUROHK s.r.o.
    Choceň, Czechia
  • NeuropsychiatrieHK, s.r.o.
    Hradec Králové, Czechia
  • Fakultni nemocnice Ostrava - Neurologicka klinika
    Ostrava, Czechia
  • Pratia Pardubice a.s.
    Pardubice, Czechia
  • AXON clinical
    Prague, Czechia
  • DADO MEDICAL s.r.o.
    Prague, Czechia
  • CHU Amiens Sud-Centre Rech Clinique
    Amiens, France
  • Centre Hospitalier Regional Universtaire De Clermont-Ferrand - Neurologie
    Clermont-Ferrand, France
  • CHU de Nantes - Hôpital Laennec - Neurology
    Nantes, France
  • CHU Nimes - Hôpital Caremeau - Service de Neurologie
    Nîmes, France
  • Assistance Publique-Hopitaux de Paris (AP-HP) - Unite de Recherche Clinique Saint-Louis Lariboisere-Ferd Widal
    Paris, France
  • Ltd "Health"
    Batumi, Georgia
  • "Pineo Medical Ecosystem" LTD
    Tbilisi, Georgia
  • LTD "Israel-Georgian Medical Research Clinic Healthycore"
    Tbilisi, Georgia
  • LTD "Multiprofile Clinic Consilium Medulla"
    Tbilisi, Georgia
  • LTD New Hospitals - Neurology
    Tbilisi, Georgia
  • Ltd. S.Khechinashvili University Clinic
    Tbilisi, Georgia

Showing the first 100 of 162 sites across 14 countries.

08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of study participants.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06625060
Lead sponsor
Ipsen
Responsible party
Sponsor
First posted
Oct 3, 2024
Start date
Oct 10, 2024
Primary completion
Oct 31, 2027 (estimated)
Completion
Oct 31, 2027 (estimated)
Last update
Sep 8, 2026

Study contacts

Ipsen Medical Director
study director · Ipsen

Oversight

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

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