A study with eptinezumab in children and adolescents (6 to 17 years) with chronic or episodic migraine (REJOIN)

2022-502917-27-00 Protocol 19379A Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 7 Mar 2023 · Status Ongoing, recruiting · 4 EU/EEA countries · 26 sites · Protocol 19379A

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 734
Countries 4
Sites 26

Migraine

The main goal of the study is to assess the long-term safety of eptinezumab on children and adolescents ages 6 to 17 with chronic or episodic migraine.

Key facts

Sponsor
H. Lundbeck A/S
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
7 Mar 2023 → ongoing
Decision date (initial)
2024-05-13
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2022-502917-27-00
EudraCT number
2020-001649-38
ClinicalTrials.gov
NCT05164172

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis, Safety, Efficacy, Pharmacokinetic

The main goal of the study is to assess the long-term safety of eptinezumab on children and adolescents ages 6 to 17 with chronic or episodic migraine.

Conditions and MedDRA coding

Migraine

VersionLevelCodeTermSystem organ class
20.0 PT 10027599 Migraine 100000004852

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Open-label (dose-blinded) period
Participants originally randomized to 100 milligrams (mg) (weight adjusted) in the double-blind lead-in study (Study 19356A or Study 19357A) will continue on the same dose (100 mg, weight adjusted) in this open-label extension study. Participants randomized to the 300 mg dose (weight adjusted) in the double-blind lead-in study will continue on 300 mg (weight adjusted). Participants who were assigned to placebo in the double-blind lead-in study will be randomly allocated to one of the two treatment groups: eptinezumab 100 mg (weight adjusted) or eptinezumab 300 mg (weight adjusted) with a ratio of 1:1.
Not Applicable Double [{"id":185812,"code":2,"name":"Investigator"},{"id":185813,"code":1,"name":"Subject"}] Experimental: Eptinezumab 300 mg: Participants will receive 3 intravenous (IV) infusions of eptinezumab 300 mg (weight adjusted) at Weeks 0, 12, and 24.
Experimental: Eptinezumab 100 mg: Participants will receive 3 IV infusions of eptinezumab 100 mg (weight adjusted) at Weeks 0, 12, and 24.

Regulatory references

EMA paediatric investigation plan (PIP)
EMEA-002243-PIP01-17
Plan to share IPD
Yes
IPD plan description
Please visit www.lundbeck.com for information about our clinical data sharing policy and processes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. The patient must have completed Week 12 (completion) Visit of either Study 19356A (CM) or Study 19357A (EM) immediately prior to enrolment into this OLE study.

Exclusion criteria 2

  1. The patient has an adverse event or other safety concerns that are deemed related to double-blind treatment received in the lead-in study and is considered a potential safety risk by the investigator.
  2. During lead-in Study19356A or Study19357A: - participant experienced anaphylactic reaction or another severe and/or serious hypersensitivity reaction to the investigational medicinal product (IMP) infusion, as assessed by the investigator. - the participant had a serum alanine aminotransferase (ALT) or aspartate aminotransferase(AST) value >5 times the upper limit of the reference range that was confirmed by testing <2 weeks later. - the participant had a serum ALT or AST value >3times the upper limit of the reference range and a serum total bilirubin value >2times the upper limit of the reference range.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Number of Participants With Treatment Emergent Adverse Events

Secondary endpoints 4

  1. Free Eptinezumab Plasma Concentration
  2. Number of Participants With Specific Anti-Eptinezumab Antibodies (Anti-Drug Antibodies [ADA])
  3. Number of Participants With Specific Anti-Eptinezumab Antibodies for Neutralizing Activity (NAb)
  4. Change From Baseline in Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Score at Weeks 12, 24, and 36

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

VYEPTI 100 mg concentrate for solution for infusion

PRD9497347 · Product

Active substance
Eptinezumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
300 mg milligram(s)
Max total dose
300 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
N02CX — OTHER ANTIMIGRAINE PREPARATIONS
Marketing authorisation
EU/1/21/1599/001
MA holder
H. LUNDBECK A/S
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

H. Lundbeck A/S

Sponsor organisation
H. Lundbeck A/S
Address
Ottiliavej 9
City
Valby
Postcode
2500
Country
Denmark

Scientific contact point

Organisation
H. Lundbeck A/S
Contact name
Global Trial Lead

Public contact point

Organisation
H. Lundbeck A/S
Contact name
Global Trial Lead

Third parties 6

OrganisationCity, countryDuties
Clario
ORL-000004504
Lancy-Geneva, Switzerland Other
Scout Clinical
ORG-100042228
Dallas, United States Other
Pharmaceutical Product Development LLC
ORG-100016999
Highland Heights, United States Other
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
PPD Development LP
ORG-100011560
Wilmington, United States Code 10
PPD International Holdings LLC
ORG-100007655
Zaventem, Belgium Other

Locations

4 EU/EEA countries · 26 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruiting 51 8
Poland Ongoing, recruiting 134 7
Portugal Ongoing, recruiting 40 6
Spain Ongoing, recruiting 51 5
Rest of world
United States, Canada, Turkey, United Kingdom, Serbia, Argentina, Mexico
458

Investigational sites

Italy

8 sites · Ongoing, recruiting
Giannina Gaslini Institute For Scientific Hospitalization And Care
Neurologist, Via Gerolamo Gaslini 5, 16147, Genoa
Bambino Gesu Childrens Hospital
Neurologist, Piazza Sant'onofrio 4, 00165, Rome
IRCCS Foundation Istituto Neurologico Carlo Besta
Neurologist, Via Giovanni Celoria 11, 20133, Milan
Ospedale San Raffaele S.r.l.
Neurologist, Via Olgettina 60, 20132, Milan
Azienda Ospedaliero Universitaria Pisana
Neurologist, Via Roma 67, 56126, Pisa
Neurological Institute Foundation Casimiro Mondino
Neurology, Via Casimiro Mondino 2, 27100, Pavia
Azienda Ospedaliera Universitaria Meyer IRCCS
Neurologist, Viale Gaetano Pieraccini 24, 50139, Florence
Azienda Socio Sanitaria Locale N. 8 Di Cagliari
Neurologist, Via Edward Jenner 18, 09121, Cagliari

Poland

7 sites · Ongoing, recruiting
Mtz Clinical Research Powered By Pratia
N/A, Ul. Gładka 22, 02-172, Warsaw
MIGRE Polskie Centrum Leczenia Migreny Anna Gryglas-Dworak
N/A, ul. Łubinowa 12/7, 52-210, Wrocław
Etg Neuroscience Sp. z o.o.
N/A, Ul. Wynalazek 4, 02-677, Warsaw
Instytut Zdrowia Dr Boczarska-Jedynak Sp. z o.o. S.K.
N/A, Ul. Gen. Jaroslawa Dabrowskiego 4, 32-600, Oswiecim
Centrum Medyczne Plejady Magdalena Celinska Loewenhoff Michal Zolnowski sp.k.
N/A, Ul. Tadeusza Szafrana 5d / U2-U5, 30-363, Cracow
Athleticomed Sp. z o.o.
N/A, Ul. Fordonska 144, 85-752, Bydgoszcz
ETG Lublin Sp. z o.o.
ETG Lublin Poradnie Specjalistyczne, Ul. Wladyslawa Kunickiego 26a, 20-412, Lublin

Portugal

6 sites · Ongoing, recruiting
Unidade Local De Saude De Santo Antonio E.P.E.
Pediatria - Neuropediatria, Largo Da Maternidade De Julio Dinis 45, 4050-651, Porto
Unidade Local De Saude De Almada-Seixal E.P.E.
Pediatria, Avenida Torrado Da Silva, 2805-267, Almada
Unidade Local de Saude de Sao Joao E.P.E.
Departamento de Pediatria, Alameda Professor Hernani Monteiro, 4200-319, Porto
Unidade Local De Saude De Coimbra E.P.E.
Neuropediatria, Avenida Afonso Romao, 3000-602, Coimbra
Hospital Cuf Descobertas S.A.
Pediatria, Rua Mario Botas 1, 1998-018, Lisbon
CCAB Centro Clinico Academico Braga Associacao
Pediatria, Lugar De Sete Fontes S Victor, 4710-243, Braga

Spain

5 sites · Ongoing, recruiting
Hospital Universitari Vall D Hebron
Neurology, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
Hospital Alvaro Cunqueiro
Pediatrics, Estrada Clara Campoamor No 341, 36312, Vigo
University Hospital Virgen Del Rocio S.L.
Neurology Department, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Clinico San Carlos
Pediatrics, Calle Del Profesor Martin Lagos Sn, 28040, Madrid
Hospital Universitario Y Politecnico La Fe
Headache Unit, Avenida De Fernando Abril Martorell 106, 46026, Valencia

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2023-05-19 2023-06-15
Poland 2025-09-18 2025-10-02
Portugal 2024-03-18 2024-05-01
Spain 2023-03-07 2023-03-07

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 41 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_HLundbeck_ 19379A_Protocol_2022-502917-27-00_Public 3.1
Protocol (for publication) D4_HLundbeck_19379A_Patient Facing Materials Statement_Public 1.0
Recruitment arrangements (for publication) K1_19379A_Recruitment Procedure_IT_Public 1.0
Recruitment arrangements (for publication) K1_19379A_Recruitment-Arrangements_ES_Public 1.0
Recruitment arrangements (for publication) K1_19379A_Recruitment-Arrangements_PT_Public 1.0
Recruitment arrangements (for publication) K1_19379A_Recruitment-Arrangments_PL_Polish_Public 1.0
Subject information and informed consent form (for publication) L1_19379A_Assent 10-13_IT_Italian_ForPub 3.0
Subject information and informed consent form (for publication) L1_19379A_Assent 14-17_IT_Italian_ForPub 4.1
Subject information and informed consent form (for publication) L1_19379A_Assent 6-9_IT_Italian_ForPub 1.0
Subject information and informed consent form (for publication) L1_19379A_Assent_12-17_years_ICF_ES_Spanish_Public 4.0
Subject information and informed consent form (for publication) L1_19379A_Assent_13-17_years_PL_Polish_Public 4.0
Subject information and informed consent form (for publication) L1_19379A_Father_and_Newborn_FU_ICF_PL_Polish_Public 1.0
Subject information and informed consent form (for publication) L1_19379A_Father-of-Newborn-ICF_PT_Portuguese_Public 1.0
Subject information and informed consent form (for publication) L1_19379A_Main_ICF_OLE_PL_Polish_Public 3.0
Subject information and informed consent form (for publication) L1_19379A_Main-ICF_IT_Italian_ForPub 3.1
Subject information and informed consent form (for publication) L1_19379A_Main-ICF-AOM_PT_Portuguese_Public 3.0
Subject information and informed consent form (for publication) L1_19379A_Main-ICF-Parent-Guardian_PT_Portuguese_Public 2.0
Subject information and informed consent form (for publication) L1_19379A_Main-patient-18-years_ICF_ES_Spanish_Public 3.0
Subject information and informed consent form (for publication) L1_19379A_Newborn and Pregnancy Data-ICF_IT_Italian_ForPub 2.0
Subject information and informed consent form (for publication) L1_19379A_Newborn follow-up for Father-ICF_IT_Italian_ForPub 1.0
Subject information and informed consent form (for publication) L1_19379A_Newborn-Data_ICF_ES_Spanish_Public 2.0
Subject information and informed consent form (for publication) L1_19379A_Paediatric-Assent_6-11years_PT_Portuguese_Public 1.0
Subject information and informed consent form (for publication) L1_19379A_Paediatric-Information-10-12-years_PL_Polish_Public 3.0
Subject information and informed consent form (for publication) L1_19379A_Paediatric-Information-6-9-years_PL_Polish_Public 1.0
Subject information and informed consent form (for publication) L1_19379A_Parent_Legal-Rep_ICF_OLE_PL_Polish_Public 3.0
Subject information and informed consent form (for publication) L1_19379A_Parent-Guardian_ICF_ES_Spanish_Public 3.0
Subject information and informed consent form (for publication) L1_19379A_Parent-ICF_IT_Italian_ForPub 3.1
Subject information and informed consent form (for publication) L1_19379A_Patient reimbursement_IT_Italian_Public 1.0
Subject information and informed consent form (for publication) L1_19379A_Pregnant_Participant_and_Newborn_Data_FU_ICF_PL_Polish_Public 2.0
Subject information and informed consent form (for publication) L1_19379A_Pregnant-Participant-and-Newborn-Data-ICF_PT_Portuguese_Public 2.0
Subject information and informed consent form (for publication) L1_19379A_SC-ICF_PT_Portuguese_Public 1.4
Subject information and informed consent form (for publication) L1_19379A_Scout ICF_IT_Italian_Public 3.0
Subject information and informed consent form (for publication) L1_19379A_Scout_ICF_ES_Spanish_Public 1.4
Subject information and informed consent form (for publication) L1_19379A_Scout_ICF_PL_Polish_Public 1.0
Subject information and informed consent form (for publication) L1_19379A_Scout-Clinical-Pre-ICF Telephone Data Consent_PT_Portuguese_Public 1.2
Summary of Product Characteristics (SmPC) (for publication) E2_HLundbeck_19379A_SmPC_VYEPTI n/a
Synopsis of the protocol (for publication) D1_HLundbeck_19379A_Lay Protocol synopsis_2022-502917-27-00_PL_Public 1.0
Synopsis of the protocol (for publication) D1_HLundbeck_19379A_Layman Protocol Synopsis_2022-502917-27-00_ENG_Public 1.0
Synopsis of the protocol (for publication) D1_HLundbeck_19379A_Layman Protocol Synopsis_2022-502917-27-00_ITA_Public 1.0
Synopsis of the protocol (for publication) D1_HLundbeck_19379A_Layman Protocol Synopsis_2022-502917-27-00_POR_Public 1.0
Synopsis of the protocol (for publication) D1_HLundbeck_19379A_Layman Protocol Synopsis_2022-502917-27-00_SPA_Public 1.0

Application history

11 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-03-04 Portugal Acceptable
2024-04-05
2024-04-05
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-05-14 Portugal Acceptable
2024-04-05
2024-05-14
3 SUBSTANTIAL MODIFICATION SM-2 2024-07-18 Acceptable 2024-09-09
4 SUBSTANTIAL MODIFICATION SM-3 2024-07-18 Acceptable 2024-08-16
5 SUBSTANTIAL MODIFICATION SM-4 2024-08-06 Portugal Acceptable 2024-09-10
6 SUBSTANTIAL MODIFICATION SM-5 2024-11-20 Portugal Acceptable
2025-01-20
2025-01-20
7 SUBSEQUENT ADDITION OF MSC APP-7 2025-03-19 Acceptable
2025-01-20
2025-06-16
8 NON SUBSTANTIAL MODIFICATION NSM-2 2025-06-18 Portugal Acceptable
2025-01-20
2025-06-18
9 NON SUBSTANTIAL MODIFICATION NSM-3 2025-06-25 Acceptable
2025-01-20
2025-06-25
10 SUBSTANTIAL MODIFICATION SM-6 2025-07-04 Portugal Acceptable
2025-09-08
2025-09-08
11 SUBSTANTIAL MODIFICATION SM-7 2026-05-12 Acceptable 2026-05-15