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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03096834
Registration number
NCT03096834
Ethics application status
Date submitted
17/03/2017
Date registered
30/03/2017
Titles & IDs
Public title
A Study Evaluating the Effectiveness of AMG 334 Injection in Preventing Migraines in Adults Having Failed Other Therapies
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Scientific title
A 12-week Double-blind, Randomized, Multicenter Study Comparing the Efficacy and Safety of Once Monthly Subcutaneous 140 mg AMG 334 Against Placebo in Adult Episodic Migraine Patients Who Have Failed 2-4 Prophylactic Treatments (LIBERTY)
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Secondary ID [1]
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2016-002211-18
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Secondary ID [2]
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CAMG334A2301
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Episodic Migraine
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Condition category
Condition code
Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - AMG334 (70 mg) Pre-Filled Syringe (PFS)
Treatment: Other - Placebo Pre-Filled Syringe (PFS)
Placebo comparator: Placebo DB - Matching placebo subcutaneous injections administered every 4 weeks during Double-Blind Epoch
Experimental: AMG334 140 mg DB - AMG334 70 mg subcutaneous injections (2) administered every 4 weeks during Double-Blind Epoch
Experimental: AMG334 140 mg DB cont on AMG334 140 mg - AMG334 70 mg subcutaneous injections (2) during DB continued on AMG334 140 mg in Open-Label Epoch
Experimental: Placebo in DB to AMG334 140 mg - Placebo in Double-Blind Epoch (DB) switched to AMG334 140 mg in Open-Label Epoch
Treatment: Other: AMG334 (70 mg) Pre-Filled Syringe (PFS)
Two injections of AMG 334 70 mg (equaling 140 mg total dose) will be administered via subcutaneous injection
Treatment: Other: Placebo Pre-Filled Syringe (PFS)
Subcutaneous injection of matching placebo
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percentage of Participants With at Least 50% Reduction From Baseline of Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment)
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Assessment method [1]
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A migraine day was defined as any calendar day in which the subject experienced a qualified migraine headache defined as: with/without aura, lasting = 30 minutes with at least 1 criteria: 1. = 2 of following pain features: unilateral, throbbing, moderate to severe or exacerbated with exercise/physical activity, 2. = 1 of the following symptoms: nausea and/or vomiting, photophobia and phonophobia. If a migraine-specific medication (ie, triptan or ergotamine) was taken during aura, or a headache, it was counted as a migraine day regardless of duration and pain features/associated symptoms.
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Timepoint [1]
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Baseline, Month 3 (last 4 weeks of treatment)
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Secondary outcome [1]
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Change From Baseline in Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment)
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Assessment method [1]
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A migraine day was defined as any calendar day in which the subject experienced a qualified migraine headache defined as: with/without aura, lasting = 30 minutes with at least 1 criteria: 1. = 2 of following pain features: unilateral, throbbing, moderate to severe or exacerbated with exercise/physical activity, 2. = 1 of the following symptoms: nausea and/or vomiting, photophobia and phonophobia. If a migraine-specific medication (ie, triptan or ergotamine) was taken during aura, or a headache, it was counted as a migraine day regardless of duration and pain features/associated symptoms.
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Timepoint [1]
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Baseline, Month 3 (last 4 weeks of treatment)
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Secondary outcome [2]
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Change From Baseline in Physical Impairment and Everyday Activities as Measured by the Migraine Physical Function Impact Diary (MPFID) at Month 3
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Assessment method [2]
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MPFID has 2 domains: Everyday Activities, which consisted of 7 items and Physical Impairment with 5 items using a 5-point scale. Scores were summed across each domain and were then transformed and used for analyses. Transforming MPFID domain scores ranged from 0-100, where higher scores were indicative of greater migraine impact (ie, higher burden)
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Timepoint [2]
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Baseline, Month 3 (last 4 weeks of treatment)
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Secondary outcome [3]
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Change in the Number of Monthly Acute Migraine-specific Medication Treatment Days at Month 3
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Assessment method [3]
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Number of days on which acute migraine-specific medications were used were recorded in eDiary between each monthly IP dose. Migraine-Specific medications included two categories of medications: triptan-based migraine medications and ergotamine-based migraine medications. Monthly migraine-specific medication use at baseline was the number of migraine-specific medication treatment days in the baseline period.
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Timepoint [3]
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Baseline, Month 3 (last 4 weeks of treatment)
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Secondary outcome [4]
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Percentage of Participants With a 75% Reduction From Baseline of Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment)
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Assessment method [4]
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A migraine day was defined as any calendar day in which the subject experienced a qualified migraine headache defined as: with/without aura, lasting = 30 minutes with at least 1 criteria: 1. = 2 of following pain features: unilateral, throbbing, moderate to severe or exacerbated with exercise/physical activity, 2. = 1 of the following symptoms: nausea and/or vomiting, photophobia and phonophobia. If a migraine-specific medication (ie, triptan or ergotamine) was taken during aura, or a headache, it was counted as a migraine day regardless of duration and pain features/associated symptoms.
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Timepoint [4]
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Baseline, Month 3 (last 4 weeks of treatment)
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Secondary outcome [5]
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Percentage of Participants With a 100% Reduction From Baseline of Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment)
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Assessment method [5]
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A migraine day was defined as any calendar day in which the subject experienced a qualified migraine headache defined as: with/without aura, lasting = 30 minutes with at least 1 criteria: 1. = 2 of following pain features: unilateral, throbbing, moderate to severe or exacerbated with exercise/physical activity, 2. = 1 of the following symptoms: nausea and/or vomiting, photophobia and phonophobia. If a migraine-specific medication (ie, triptan or ergotamine) was taken during aura, or a headache, it was counted as a migraine day regardless of duration and pain features/associated symptoms.
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Timepoint [5]
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Baseline, Month 3 (last 4 weeks of treatment)
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Secondary outcome [6]
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Number of Participants Who Developed Anti-AMG334 Antibodies
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Assessment method [6]
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Blood samples for immunogenicity testing were collected for the measurement of anti-AMG334 binding antibodies.
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Timepoint [6]
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Baseline up to approximately 180 weeks
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Eligibility
Key inclusion criteria
* Documented history of migraine in the 12 months prior to screen
* 4-14 days per month of migraine symptoms
* >=80% diary compliance during the Baseline period
* Failure of previous migraine prophylactic treatments
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Minimum age
18
Years
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Maximum age
65
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* >50 years old at migraine onset
* Pregnant or nursing
* History of cluster or hemiplegic headache
* Evidence of seizure or psychiatric disorder
* Score of over 19 on Beck Depression Inventory-2
* Active chronic pain syndrome
* Cardiac or hepatic disease
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
20/03/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
28/01/2021
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Sample size
Target
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Accrual to date
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Final
246
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Novartis Investigative Site - Heidelberg
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Recruitment postcode(s) [1]
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3084 - Heidelberg
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Recruitment outside Australia
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Austria
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Innsbruck
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Austria
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Vienna
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Belgium
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Brussel
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Belgium
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Gent
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Belgium
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Hasselt
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Belgium
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Leuven
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Czechia
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CZE
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Czechia
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Czech Republic
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Czechia
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Praha 4
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Denmark
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Glostrup
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Finland
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Helsinki
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Finland
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Turku
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Lille Cedex
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France
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Marseille Cedex 05
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France
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Nice
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Germany
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Berlin
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Germany
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Bielefeld
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Germany
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Essen
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Germany
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Hamburg
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Germany
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Kiel
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Germany
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Leipzig
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Germany
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Muenchen
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Germany
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Tübingen
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Germany
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Wiesbaden
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GR
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Glyfada
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Maroussi
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Italy
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BO
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Italy
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FI
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Italy
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RM
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Italy
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Milano
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Italy
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Catalunya
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Madrid
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Zaragoza
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Lund
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Stockholm
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Uppsala
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Vallingby
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Switzerland
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Bad Zurzach
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Switzerland
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Lausanne
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Switzerland
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Zollikon
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East Sussex
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Novartis Pharmaceuticals
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to determine if AMG 334 is effective in treating migraines in patients who have failed other preventive migraine treatments.
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Trial website
https://clinicaltrials.gov/study/NCT03096834
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Trial related presentations / publications
Lampl C, Kraus V, Lehner K, Loop B, Chehrenama M, Maczynska Z, Ritter S, Klatt J, Snellman J. Safety and tolerability of erenumab in individuals with episodic or chronic migraine across age groups: a pooled analysis of placebo-controlled trials. J Headache Pain. 2022 Aug 18;23(1):104. doi: 10.1186/s10194-022-01470-4. Ferrari MD, Reuter U, Goadsby PJ, Paiva da Silva Lima G, Mondal S, Wen S, Tenenbaum N, Pandhi S, Lanteri-Minet M, Stites T. Two-year efficacy and safety of erenumab in participants with episodic migraine and 2-4 prior preventive treatment failures: results from the LIBERTY study. J Neurol Neurosurg Psychiatry. 2022 Mar;93(3):254-262. doi: 10.1136/jnnp-2021-327480. Epub 2021 Nov 29. Goadsby PJ, Reuter U, Lanteri-Minet M, Paiva da Silva Lima G, Hours-Zesiger P, Fernandes C, Wen S, Tenenbaum N, Kataria A, Ferrari MD, Klatt J. Long-term Efficacy and Safety of Erenumab: Results From 64 Weeks of the LIBERTY Study. Neurology. 2021 May 31;96(22):e2724-e2735. doi: 10.1212/WNL.0000000000012029. Lanteri-Minet M, Goadsby PJ, Reuter U, Wen S, Hours-Zesiger P, Ferrari MD, Klatt J. Effect of erenumab on functional outcomes in patients with episodic migraine in whom 2-4 preventives were not useful: results from the LIBERTY study. J Neurol Neurosurg Psychiatry. 2021 May;92(5):466-472. doi: 10.1136/jnnp-2020-324396. Epub 2021 Jan 5. Reuter U, Goadsby PJ, Lanteri-Minet M, Wen S, Hours-Zesiger P, Ferrari MD, Klatt J. Efficacy and tolerability of erenumab in patients with episodic migraine in whom two-to-four previous preventive treatments were unsuccessful: a randomised, double-blind, placebo-controlled, phase 3b study. Lancet. 2018 Nov 24;392(10161):2280-2287. doi: 10.1016/S0140-6736(18)32534-0. Epub 2018 Oct 22.
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Public notes
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Contacts
Principal investigator
Name
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Novartis Pharmaceuticals
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Address
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Novartis Pharmaceuticals
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: http://www.clinicalstudydatarequest.com
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/34/NCT03096834/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/34/NCT03096834/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03096834