Clinical trial • Phase II • Neurology

MEDI0618 for Migraine | Episodic migraine

Phase II trial of MEDI0618 for Migraine | Episodic migraine.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Migraine | Episodic migraine
Trial Stage
Phase II
Drug Modality
Peptide/protein/enzyme

Key dates

Initial CTIS Submission Date
29-07-2024
First CTIS Authorization Date
19-11-2024

Trial design

Randomised, placebo to match medi0618 (placebo arm). dose and schedule not specified in the ctis metadata.-controlled Phase II trial in Poland, Denmark, Germany and others.

Randomised
Yes
Comparator
Placebo to match MEDI0618 (placebo arm). Dose and schedule not specified in the CTIS metadata.
Target Sample Size
772
Trial Duration For Participant
112

Eligibility

Recruits 772 CTIS metadata indicates isVulnerablePopulationSelected = true. Subject information and informed consent forms are provided for adult participants and specific materials for pregnant partners (examples: L1_SIS and ICF_Main, L1_SIS and ICF_Pregnancy, L1_SIS and ICF_Pregnant Partner). Consent is obtained from participants (adult participants); no assent procedures for minors are provided (study includes adults aged 18–70)..

Pregnancy Exclusion
Female participants who are not pregnant and do not plan to become pregnant during the study, are not lactating, or are of nonchildbearing potential. FOCBP who are sexually active with a non-sterilised male partner must use adequate contraception consisting of one highly effective method of contraception throughout the study. FOCBP must agree to comply with protocol specified guidance for safe administration of MEDI0618.
Vulnerable Population
CTIS metadata indicates isVulnerablePopulationSelected = true. Subject information and informed consent forms are provided for adult participants and specific materials for pregnant partners (examples: L1_SIS and ICF_Main, L1_SIS and ICF_Pregnancy, L1_SIS and ICF_Pregnant Partner). Consent is obtained from participants (adult participants); no assent procedures for minors are provided (study includes adults aged 18–70).

Inclusion criteria

  • {"criterion_text":"- 18 to 70 years of age\n- Weight ≥ 40 kg and BMI ≥ 18.0 kg/m2.\n- History of migraine headaches with or without aura, with migraine onset at ≤ 50 years of age and for at least 12 months prior to screening.\n- At least 12 MHDs over the last 3 months prior to screening.\n- Participants must fulfil the following criteria for migraine in prospectively collected baseline information during the 4 consecutive weeks of baseline migraine headache data collection prior to Day 1: (a) ≥ 4 and ≤ 14 MHDs per month. (b) On ≥ 4 days, fulfils any of the following criteria: (i) migraine without aura (ii) migraine with an aura symptom accompanied or followed by a headache within 60 minutes (iii) probable migraine (iv) recurrent attacks that do not match ICHD criteria for migraine but successfully respond to migraine-specific medication.\n- Participants who fulfil criteria for MOH are eligible for this study.\n- History of unsuccessful treatment with ≥ 2 small molecule migraine preventive treatments from different classes (a) aCGRP-N participants are eligible to receive an aCGRP therapy but must have not yet received aCGRP therapy at any time. (b) aCGRP-IR participants must have tried and have failed at least one aCGRP therapy.\n- Participants must be able to distinguish migraine headaches from tension-type headaches.\n- Female participants who are not pregnant and do not plan to become pregnant during the study, are not lactating, or are of nonchildbearing potential. FOCBP who are sexually active with a non-sterilised male partner must use adequate contraception consisting of one highly effective method of contraception throughout the study. FOCBP must agree to comply with protocol specified guidance for safe administration of MEDI0618."}

Exclusion criteria

  • {"criterion_text":"- 1. History of migraine sub-types including hemiplegic (sporadic or familial) migraine, ophthalmoplegic migraine, and basilar-type migraine\n- 15. Use of an intervention or device (eg, scheduled nerve block, transcranial magnetic stimulation) for treatment of migraine within 2 months of screening.\n- 16. Use of prescription or non-prescription, non-biologic drugs, including vitamins and herbal and dietary supplements, within 7 days or 5 half-lives (whichever is longer) prior to screening and throughout the study unless the medication will not interfere with the study procedures or compromise participant safety; the dose and regimen must have been stable for at least 3 months prior to screening and must remain stable throughout the study.\n- 18. Therapeutic vaccines are permitted during the study, but ideally, live attenuated vaccines should be administered > 30 days prior to randomisation and inactivated vaccinations (eg, inactive influenza, COVID-19) should be administered > 14 days prior to randomisation.\n- 17. Requires treatment with another biological therapeutic agent including IV immunoglobulin treatment during the course of the study. Prior use of therapeutic antibodies is allowed if that use was > 5 half-lives of the intervention or 3 months prior to screening, whichever is longer.\n- 2. History of headache other than migraine within 3 months prior to screening.\n- 3. History of severe or ongoing allergy/hypersensitivity reactions or history of hypersensitivity to immunisations or immunoglobulins.\n- 4. History of any significant psychiatric disorder which could be detrimental to participant safety or could compromise study data interpretation.\n- 5. Presence of any clinically significant illness, such as cardiovascular, neurologic (except for non-exclusionary headaches in participants with migraine), pulmonary, hepatic, renal, metabolic, gastrointestinal, urologic, immunologic, or endocrine disease or disorder which could be detrimental to participant safety or could compromise study data interpretation.\n- 6. History of cancer within 5 years of screening, or between screening and randomisation, with the exception of non-metastatic basal cell carcinoma of the skin, carcinoma in situ of the cervix, or non-progressive prostate cancer.\n- 7. Known history of drug or alcohol abuse within 1 year of screening or positive test for drugs of abuse or alcohol at screening or at Day -1.\n- 9. Congenital long or short QT syndrome.\n- 8. History of QT prolongation > 450 msec (> 470 msec for participants aged ≥ 65 years) associated with other medications that required discontinuation of that medication.\n- 19. Participation in another clinical study with an IP, including an experimental vaccine, or device, within 5 half-lives of the intervention or 3 months prior to screening, whichever is longer.\n- 10. History of arrhythmia (multifocal premature ventricular contractions, bigeminy, trigeminy, ventricular tachycardia), which is symptomatic or requires treatment, symptomatic or uncontrolled atrial fibrillation despite treatment, or asymptomatic sustained ventricular tachycardia. Participants with atrial fibrillation controlled by medication are permitted.\n- 20. Known hypersensitivity to MEDI0618 or any of the excipients of the product.\n- 11. Use of migraine preventive medications within 30 days or 5 half-lives (whichever is longer) prior to screening and throughout the study\n- 12. For aCGRP-N participants only: prior use of an aCGRP therapy.\n- 13. Use of opioids or barbiturate containing analgesic > 2 times/month on average in the 6 months prior to screening for the treatment of pain (opioid administration in an emergency setting may be an exception).\n- 14. Use of botulinum toxin for migraine or for any other medical or cosmetic reasons requiring injections in the head, face, or neck during the 4 months prior to screening."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change in number of MHDs from 4-week baseline to last 4 weeks of treatment period (Week 9 to Week 12)","definition_or_measurement_approach":"Change in number of migraine headache days (MHDs) from a prospectively collected 4-week baseline period to the last 4 weeks of the treatment period (Week 9 to Week 12)."}

Recruitment

Digital Remote Recruitment
Yes
Planned Sample Size
772
Recruitment Window Months
26
Consent Approach
Informed consent is obtained from each adult participant using subject information and informed consent forms (L1_SIS and ICF documents). Country- and language-specific ICFs are provided (examples: Polish, Danish, German, Dutch, Italian, Hungarian, Spanish, Czech and English versions are listed). Specific ICFs for pregnant partners are available. Consent is provided by the participant (adults aged 18–70); no assent procedures for minors are provided.

Methods

  • Online Outreach Text / digital adverts — country-specific online outreach materials are listed (e.g. 'K2_Recruitment material_Online Outreach Text_PL_Polish', 'K2_Recruitment material_Online Outreach Text_DE_German', 'K2_Recruitment Material_Online Outreach Text_ES_Spanish', 'K2_Recruitment material_Online Outreach Text_CZ_Czech', etc.), targeting potential participants with episodic migraine via online channels.
  • Study Overview Flipchart — site-facing flipchart materials for presenting study overview to potential participants (country-specific versions: PL, DK, DE, NL, IT, HU, ES, CZ).
  • Physician Fact Sheet / GP Letter — materials aimed at healthcare professionals to support referrals (examples: 'K2_Recruitment Material_Physician Fact Sheet_ES_Spanish', 'L1_GP Letter_IT_Italian').
  • Site-based recruitment materials — Thank You cards, Patient ID cards and local recruitment handouts (examples present for CZ and other countries).
  • K1 recruitment arrangements documents outlining recruitment and informed consent procedures (country-specific K1 files for DE, NL, IT, HU, CZ, PL, etc.).

Geography

Total Number Of Sites
40
Total Number Of Participants
477

Poland

Earliest CTIS Part Ii Submission Date
21-10-2024
Latest Decision Or Authorization Date
24-11-2024
Processing Time Days
34
Number Of Sites
10
Number Of Participants
133

Sites

Site Name
Pratia S.A.
Principal Investigator Name
Jarosław Szczygiel
Principal Investigator Email
jwszczygiel@gmail.com
Contact Person Name
Jarosław Szczygiel
Contact Person Email
jwszczygiel@gmail.com
Site Name
Specjalistyczne Gabinety Sp. z o.o.
Principal Investigator Name
Lucyna Horodecka-Wardęga
Principal Investigator Email
lhwardega@specjalistycznegabinety.pl
Contact Person Name
Lucyna Horodecka-Wardęga
Site Name
Mtz Clinical Research Powered By Pratia
Principal Investigator Name
Krystyna Gospodarczyk-Szot
Principal Investigator Email
badacz@pratia.com
Contact Person Name
Krystyna Gospodarczyk-Szot
Contact Person Email
badacz@pratia.com
Site Name
Centrum Medyczne Hcp Sp. z o.o.
Principal Investigator Name
Przemysław Osip
Principal Investigator Email
przemyslaw.osip@cmhcp.pl
Contact Person Name
Przemysław Osip
Contact Person Email
przemyslaw.osip@cmhcp.pl
Site Name
Futuremeds Sp. z o.o.
Principal Investigator Name
Karolina Porębska
Principal Investigator Email
karolina.porebska@futuremeds.com
Contact Person Name
Karolina Porębska
Site Name
Pratia S.A.
Principal Investigator Name
Józef Kościelniak
Principal Investigator Email
jozef.koscielniak@pratia.pl
Contact Person Name
Józef Kościelniak
Contact Person Email
jozef.koscielniak@pratia.pl
Site Name
Etg Neuroscience Sp. z o.o.
Principal Investigator Name
Aleksandra Karbowniczek
Principal Investigator Email
a.karbowniczek@neuroscience.com.pl
Contact Person Name
Aleksandra Karbowniczek
Site Name
Solumed Sp. z o.o. sp.k.
Principal Investigator Name
Olgierd Stefański
Principal Investigator Email
olgierd_stefanski@interia.pl
Contact Person Name
Olgierd Stefański
Contact Person Email
olgierd_stefanski@interia.pl
Site Name
Futuremeds Sp. z o.o.
Principal Investigator Name
Bartosz Otak
Principal Investigator Email
bartosz.otak@futuremeds.com
Contact Person Name
Bartosz Otak
Contact Person Email
bartosz.otak@futuremeds.com
Site Name
Centrum Medyczne HOPE Clinic Sebastian Szklener
Principal Investigator Name
Sebastian Szklener
Principal Investigator Email
sebastianszklener@gmail.com
Contact Person Name
Sebastian Szklener
Contact Person Email
sebastianszklener@gmail.com

Denmark

Earliest CTIS Part Ii Submission Date
08-11-2024
Latest Decision Or Authorization Date
19-11-2024
Processing Time Days
11
Number Of Sites
1
Number Of Participants
15

Sites

Site Name
Rigshospitalet
Department Name
Department of Neurology
Principal Investigator Name
Messoud Ashina
Principal Investigator Email
messoud.ashina@regionh.dk
Contact Person Name
Messoud Ashina
Contact Person Email
messoud.ashina@regionh.dk

Germany

Earliest CTIS Part Ii Submission Date
08-11-2024
Latest Decision Or Authorization Date
22-11-2024
Processing Time Days
14
Number Of Sites
6
Number Of Participants
61

Sites

Site Name
Charite Universitaetsmedizin Berlin KöR
Department Name
Klinik für Neurologie
Principal Investigator Name
Bianca Raffaelli
Principal Investigator Email
bianca.raffaelli@charite.de
Contact Person Name
Bianca Raffaelli
Contact Person Email
bianca.raffaelli@charite.de
Site Name
Universitaetsklinikum Essen AöR
Department Name
Klinik für Neurologie
Principal Investigator Name
Dagny Holle-Lee
Principal Investigator Email
dagny.holle-lee@uk-essen.de
Contact Person Name
Dagny Holle-Lee
Contact Person Email
dagny.holle-lee@uk-essen.de
Site Name
Technische Universitaet Dresden
Department Name
-
Principal Investigator Name
Gudrun Gossrau
Principal Investigator Email
gudrun.gossrau@ukdd.de
Contact Person Name
Gudrun Gossrau
Contact Person Email
gudrun.gossrau@ukdd.de
Site Name
Klinikum der Universitaet Muenchen AöR
Department Name
Neurologie Klinkum Grosshadern
Principal Investigator Name
Ruth Ruscheweyh
Principal Investigator Email
ruth.ruscheweyh@med.uni-muenchen.de
Contact Person Name
Ruth Ruscheweyh
Site Name
Kopfschmerzzentrum Frankfurt
Department Name
Interdisziplinäres Universitätsschmerzcentrum
Principal Investigator Name
Charly Gaul
Principal Investigator Email
c.gaul@kopfschmerz-frankfurt.de
Contact Person Name
Charly Gaul
Site Name
Pharmakologisches Studienzentrum Chemnitz GmbH
Principal Investigator Name
Ralf Bodenschatz
Contact Person Name
Ralf Bodenschatz

Netherlands

Earliest CTIS Part Ii Submission Date
22-10-2024
Latest Decision Or Authorization Date
21-11-2024
Processing Time Days
30
Number Of Sites
1
Number Of Participants
59

Sites

Site Name
Leids Universitair Medisch Centrum (LUMC)
Department Name
Neurology
Principal Investigator Name
Gisela.M Terwindt
Principal Investigator Email
G.M.Terwindt@lumc.nl
Contact Person Name
Gisela.M Terwindt
Contact Person Email
G.M.Terwindt@lumc.nl

Italy

Earliest CTIS Part Ii Submission Date
12-09-2024
Latest Decision Or Authorization Date
21-11-2024
Processing Time Days
70
Number Of Sites
4
Number Of Participants
62

Sites

Site Name
Ospedale San Raffaele S.r.l.
Department Name
Dipartimento di Neurobiologia
Principal Investigator Name
Massimo Filippi
Principal Investigator Email
filippi.massimo@unisr.it
Contact Person Name
Massimo Filippi
Contact Person Email
filippi.massimo@unisr.it
Site Name
Universita' Campus Bio-medico Di Roma
Department Name
HEADACHE UNIT, NEUROLOGY UNIT
Principal Investigator Name
Fabrizio Vernieri
Principal Investigator Email
f.vernieri@unicampus.it
Contact Person Name
Fabrizio Vernieri
Contact Person Email
f.vernieri@unicampus.it
Site Name
Fondazione Istituto Neurologico Nazionale Casimiro Mondino
Department Name
U.O. Neuroriabilitazione
Principal Investigator Name
Cristina Tassorelli
Principal Investigator Email
cristina.tassorelli@mondino.it
Contact Person Name
Cristina Tassorelli
Contact Person Email
cristina.tassorelli@mondino.it
Site Name
Irccs San Raffaele Roma S.r.l.
Department Name
Dipartimento di Neurologia -Unità per la cura e la ricerca su cefalee e dolore
Principal Investigator Name
Piero Barbanti
Principal Investigator Email
piero.barbanti@sanraffaele.it
Contact Person Name
Piero Barbanti
Contact Person Email
piero.barbanti@sanraffaele.it

Hungary

Earliest CTIS Part Ii Submission Date
01-10-2024
Latest Decision Or Authorization Date
22-11-2024
Processing Time Days
52
Number Of Sites
3
Number Of Participants
37

Sites

Site Name
Obudai Egeszseguegyi Centrum Kft.
Principal Investigator Name
Gyöngyi Szabó
Principal Investigator Email
gyongyi.szabo@oec.hu
Contact Person Name
Gyöngyi Szabó
Contact Person Email
gyongyi.szabo@oec.hu
Site Name
Obudai Egeszseguegyi Centrum Kft.
Principal Investigator Name
Lehel Finta
Principal Investigator Email
lehel.finta@oec.hu
Contact Person Name
Lehel Finta
Contact Person Email
lehel.finta@oec.hu
Site Name
S-Medicon Kft.
Principal Investigator Name
Mária Sátori
Principal Investigator Email
satori.maria@gmail.com
Contact Person Name
Mária Sátori
Contact Person Email
satori.maria@gmail.com

Spain

Earliest CTIS Part Ii Submission Date
30-09-2024
Latest Decision Or Authorization Date
21-11-2024
Processing Time Days
52
Number Of Sites
6
Number Of Participants
50

Sites

Site Name
Hospital Universitari Vall D Hebron
Department Name
Neurology
Principal Investigator Name
Patricia Pozo Rosich
Principal Investigator Email
patricia.pozo@vhir.org
Contact Person Name
Patricia Pozo Rosich
Contact Person Email
patricia.pozo@vhir.org
Site Name
Hospital Universitario La Paz
Department Name
Neurology
Principal Investigator Name
Javier Diaz de Teran Velasco
Principal Investigator Email
javierddt@gmail.com
Contact Person Name
Javier Diaz de Teran Velasco
Contact Person Email
javierddt@gmail.com
Site Name
Hospital Universitario De Badajoz
Department Name
Neurology
Principal Investigator Name
José Maria Ramirez-Moreno
Principal Investigator Email
josemaria.ramirez@salud-juntaex.es
Contact Person Name
José Maria Ramirez-Moreno
Site Name
Hospital Del Mar
Department Name
Neurology
Principal Investigator Name
Elisa Cuadrado Godia
Principal Investigator Email
ecuadrado@psmar.cat
Contact Person Name
Elisa Cuadrado Godia
Contact Person Email
ecuadrado@psmar.cat
Site Name
Hospital Clinico Universitario De Valencia
Department Name
Neurology
Principal Investigator Name
Maria Eugenia Bosca Blasco
Principal Investigator Email
maria.boscablasco@uchceu.es
Contact Person Name
Maria Eugenia Bosca Blasco
Contact Person Email
maria.boscablasco@uchceu.es
Site Name
Hospital Universitario Y Politecnico La Fe
Department Name
Neurology
Principal Investigator Name
Samuel Díaz Insa
Principal Investigator Email
sdiazinsa@yahoo.es
Contact Person Name
Samuel Díaz Insa
Contact Person Email
sdiazinsa@yahoo.es

Czechia

Earliest CTIS Part Ii Submission Date
26-08-2024
Latest Decision Or Authorization Date
20-11-2024
Processing Time Days
86
Number Of Sites
9
Number Of Participants
60

Sites

Site Name
Axon Clinical s.r.o.
Department Name
Neurology
Principal Investigator Name
Zuzana Matousova
Principal Investigator Email
zuzana.matousova@axon-clinical.com
Contact Person Name
Zuzana Matousova
Site Name
Brain-Soultherapy s.r.o.
Department Name
neurologicko-psychiatrická ambulance
Principal Investigator Name
Klaudia Vodickova-Borzova
Principal Investigator Email
cborzova@seznam.cz
Contact Person Name
Klaudia Vodickova-Borzova
Contact Person Email
cborzova@seznam.cz
Site Name
Institut Neuropsychiatricke Pece (INEP)
Department Name
Neurology x
Principal Investigator Name
Tomas Nezadal
Principal Investigator Email
nezadal@inep.cz
Contact Person Name
Tomas Nezadal
Contact Person Email
nezadal@inep.cz
Site Name
Vestra Clinics s.r.o.
Department Name
neurology
Principal Investigator Name
Ladislav Pazdera
Principal Investigator Email
pazdera@vestraclinics.org
Contact Person Name
Ladislav Pazdera
Contact Person Email
pazdera@vestraclinics.org
Site Name
Praglandia s.r.o.
Department Name
Neurology
Principal Investigator Name
Luisa Bartlova
Principal Investigator Email
l.bartl@praglandia.cz
Contact Person Name
Luisa Bartlova
Contact Person Email
l.bartl@praglandia.cz
Site Name
Clintrial s.r.o.
Department Name
Neurology
Principal Investigator Name
Miroslava Chylova
Principal Investigator Email
m.chylova@clintrial.cz
Contact Person Name
Miroslava Chylova
Contact Person Email
m.chylova@clintrial.cz
Site Name
Dado Medical s.r.o.
Department Name
Neurology
Principal Investigator Name
David Dolezil
Principal Investigator Email
research@dadomedical.cz
Contact Person Name
David Dolezil
Contact Person Email
research@dadomedical.cz
Site Name
Forbeli s.r.o.
Department Name
Neurology
Principal Investigator Name
Michal Bajacek
Principal Investigator Email
mbajacek@yahoo.co.uk
Contact Person Name
Michal Bajacek
Contact Person Email
mbajacek@yahoo.co.uk
Site Name
Praglandia s.r.o. (additional site)
Department Name
Neurology
Principal Investigator Name
Luisa Bartlova
Principal Investigator Email
l.bartl@praglandia.cz
Contact Person Name
Luisa Bartlova
Contact Person Email
l.bartl@praglandia.cz

Sponsor

Primary sponsor

Full Name
AbbVie Deutschland GmbH & Co. KG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Germany

Contract research organisations

Name
Fortrea Inc.
Responsibilities
Multiple sponsor duties (codes: 1,12,2,5,8) as listed in CTIS third party entries
Name
Perceptive Eclinical Limited
Responsibilities
Sponsor duties (code: 3) — eClinical services
Name
Drug Development Solutions Limited
Responsibilities
PK Lab

Third parties

  • {"country":"United Kingdom","full_name":"Drug Development Solutions Limited","duties_or_roles":"PK Lab","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Perceptive Eclinical Limited","duties_or_roles":"sponsorDuties code: 3","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Fortrea Inc.","duties_or_roles":"sponsorDuties codes: 1, 12, 2, 5, 8","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"Central ECG reader","organisation_type":"Industry"}
  • {"country":"Germany","full_name":"BioAgilytix Europe GmbH","duties_or_roles":"ADA Lab","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
MEDI0618
Active Substance
MEDI0618
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
Subcutaneous injection
Investigational Product Name
Placebo to match MEDI0618

Related trials

Other published trials that may interest you.