Overview
Sponsor-declared trial summary
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
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | PT | 10027599 | Migraine | 100000004852 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 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
- 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
- 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.
- 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
- Number of Participants With Treatment Emergent Adverse Events
Secondary endpoints 4
- Free Eptinezumab Plasma Concentration
- Number of Participants With Specific Anti-Eptinezumab Antibodies (Anti-Drug Antibodies [ADA])
- Number of Participants With Specific Anti-Eptinezumab Antibodies for Neutralizing Activity (NAb)
- 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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |