Overview
Sponsor-declared trial summary
Migraine
The main purpose of this study is to evaluate the efficacy and safety of galcanezumab in participants 6 to 17 years of age for the preventive treatment of episodic migraine. The primary objective is to demonstrate the superiority of galcanezumab versus placebo in the reduction of monthly migraine headache days across t…
Key facts
- Sponsor
- Eli Lilly & Co.
- Participant type
- Pediatric, Patients
- Age range
- 0-17 years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nervous System Diseases [C10]
- Trial duration
- 12 Mar 2021 → ongoing
- Decision date (initial)
- 2023-11-20
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
External identifiers
- EU CT number
- 2023-505836-36-00
- EudraCT number
- 2017-004351-23
- WHO UTN
- U1111-1295-4759
- ClinicalTrials.gov
- NCT03432286
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Pharmacokinetic, Pharmacodynamic, Efficacy, Therapy, Safety
The main purpose of this study is to evaluate the efficacy and safety of galcanezumab in participants 6 to 17 years of age for the preventive treatment of episodic migraine. The primary objective is to demonstrate the superiority of galcanezumab versus placebo in the reduction of monthly migraine headache days across the 3-month double-blind treatment period.
Conditions and MedDRA coding
Migraine
Regulatory references
- EMA paediatric investigation plan (PIP)
- EMEA-001860-PIP03-16
- Plan to share IPD
- Yes
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 1
- Have a diagnosis of migraine with or without aura as defined by the IHS ICHD-3 guidelines (1.1 or 1.2 according to ICHD-3 [2018]) , with a history of migraine headaches of at least 6 months prior to screening
Exclusion criteria 6
- Participants who are taking, or are expected to take, therapeutic antibodies during the course of the study (adalimumab, infliximab,trastuzumab, bevacizumab, etc.). Prior use of therapeutic antibodies is allowed if that use was more than 12 months prior to baseline, except for antibodies to CGRP or its receptor, which are not allowed at any time prior to study entry.
- Known hypersensitivity to monoclonal antibodies or other therapeutic proteins, or to galcanezumab or its excipients.
- Current use or prior exposure to galcanezumab, another CGRP antibody, or CGRP receptor antibody, including those who have previously completed or withdrawn from this study or any other study investigating a CGRP antibody. Participants must also not have prior oral CGRP antagonist use within 30 days prior to baseline.
- History of IHS ICHD-3 diagnosis of new daily persistent headache, cluster headache or migraine subtypes including hemiplegic (sporadic or familial) migraine and migraine with brainstem aura (previously basilar-type migraine).
- History of significant head or neck injury within 6 months prior to screening; or traumatic head injury at any time that is associated with significant change in the quality or frequency of their headaches, including new onset of migraine following traumatic head injury.
- Participants with a known history of intracranial tumors or developmental malformations including Chiari malformations
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Change from baseline in the number of monthly migraine headache days
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
PRD3940530 · Product
- Active substance
- Galcanezumab
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SOLUTION FOR INJECTION
- Max daily dose
- 0 Other
- Max total dose
- 0 Other
- Max treatment duration
- 1 Day(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY
- Paediatric formulation
- No
- Orphan designation
- No
PRD10725757 · Product
- Active substance
- Galcanezumab
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SOLUTION FOR INJECTION
- Max daily dose
- 0 Other
- Max total dose
- 0 Other
- Max treatment duration
- 1 Day(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY LIMITED
- Paediatric formulation
- Yes
- Orphan designation
- No
Placebo 1
N/A · Product
- Other product name
- N/A
- Pharmaceutical form
- N/A
- ATC code
- N/A — N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Eli Lilly & Co.
- Sponsor organisation
- Eli Lilly & Co.
- Address
- 1 Lilly Corporate Center
- City
- Indianapolis
- Postcode
- 46285-0001
- Country
- United States
Scientific contact point
- Organisation
- Eli Lilly & Co.
- Contact name
- Lilly Clinical Trials information desk
Public contact point
- Organisation
- Eli Lilly & Co.
- Contact name
- Lilly Clinical Trials information desk
Third parties 10
| Organisation | City, country | Duties |
|---|---|---|
| Signant Health Global LLC ORG-100040604
|
Blue Bell, United States | Data management |
| IQVIA RDS (India) Private Limited ORG-100047036
|
Mumbai, India | Laboratory analysis |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | On site monitoring, Data management |
| Rebar Interactive LLC ORG-100045545
|
Austin, United States | Other |
| Macrostat (Shanghai) Clinical Research Co. Ltd. ORG-100048828
|
Shanghai, China | Code 10 |
| Q Squared Solutions LLC ORG-100043195
|
Durham, United States | Laboratory analysis |
| Praxis Communications LLC ORG-100045170
|
Buffalo, United States | Other |
| Labcorp Central Laboratory Services LP ORG-100032236
|
Indianapolis, United States | Laboratory analysis |
| RWS Life Sciences Inc. ORG-100042348
|
East Hartford, United States | Data management |
| Charles River Laboratories, Inc. ORL-000002654
|
Saint-Laurent Quebec, Canada | Laboratory analysis |
Locations
4 EU/EEA countries · 12 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Denmark | Ongoing, recruitment ended | 7 | 2 |
| Italy | Ongoing, recruitment ended | 22 | 4 |
| Netherlands | Ongoing, recruitment ended | 2 | 1 |
| Spain | Ongoing, recruitment ended | 33 | 5 |
| Rest of world
Japan, Mexico, United States, India
|
— | 236 | — |
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 |
|---|---|---|---|---|---|
| Denmark | 2021-04-06 | 2021-04-29 | 2025-07-31 | ||
| Italy | 2021-03-12 | 2021-03-26 | 2025-07-31 | ||
| Netherlands | 2022-09-23 | 2024-03-29 | 2025-07-31 | ||
| Spain | 2021-03-16 | 2021-05-12 | 2025-07-31 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 34 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | CGAS_Patient Documents Copyright Template_v1 | 1 |
| Protocol (for publication) | D1_Protocol 2023-505836-36-00_Redacted | i |
| Protocol (for publication) | D4-eCOA_Touch_SubjectFacing_ScreenReport_eCOA_SH_Italian | 2 |
| Protocol (for publication) | L3_Rationale for race ethnicity and DOB data collection_Redacted | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements _ | 1.0 |
| Recruitment arrangements (for publication) | K2_Other subject information material_ES_FamilyCaregiverBrochure | 1.0 |
| Recruitment arrangements (for publication) | K2_Other subject information material_ES_Patient Recruitment Brochure | 1.0 |
| Recruitment arrangements (for publication) | K2_Other subject information material_ES_Poster | 1.0 |
| Recruitment arrangements (for publication) | K2_Other subject information material_ES_Referral letter | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material for parent | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material for patient | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_age 16-17_Redacted | 2.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_age 6-11 | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_age12-15 | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent for older children | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent for younger children | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF for adults_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF for parents_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parental_Redacted | 2.1 |
| Subject information and informed consent form (for publication) | L2_eDiary user manual | 1 |
| Subject information and informed consent form (for publication) | L2_Galcanezumab_syringe user guide | 1 |
| Subject information and informed consent form (for publication) | L2_Notification Letter to EC_FP | N/A |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Confidentiality Notice | 3.0 |
| Subject information and informed consent form (for publication) | L2_Patient cards | 1.0 |
| Subject information and informed consent form (for publication) | L2_Patient Emergency Card | 1.0 |
| Subject information and informed consent form (for publication) | L2_Patient Training Video for Visit | 1 |
| Subject information and informed consent form (for publication) | L2_Supplemental information for parents_FP | 1.0 |
| Subject information and informed consent form (for publication) | L2_VisitGuide | 1 |
| Subject information and informed consent form (for publication) | L3_Rationale for race ethnicity and DOB data collection_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_EN_2023-505836-36-00_FP | i |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_ES_2023-505836-36-00_FP | i |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_IT_2023-505836-36-00_FP | i |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_NL_2023-505836-36-00_FP | i |
Application history
11 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-10-23 | Spain | Acceptable 2023-11-20
|
2023-11-20 |
| 2 | SUBSTANTIAL MODIFICATION | SM-3 | 2024-01-09 | Acceptable | 2024-03-28 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-4 | 2024-01-17 | Acceptable | 2024-03-22 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-01-18 | Acceptable | 2024-02-29 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-02-13 | Spain | Acceptable | 2024-02-26 |
| 6 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2024-09-30 | Spain | Acceptable | 2024-09-30 |
| 7 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2024-11-21 | Spain | Acceptable | 2024-11-21 |
| 8 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-02-04 | Acceptable | 2025-02-26 | |
| 9 | SUBSTANTIAL MODIFICATION | SM-6 | 2025-04-23 | Spain | Acceptable 2025-07-11
|
2025-07-14 |
| 10 | SUBSTANTIAL MODIFICATION | SM-7 | 2025-10-06 | Spain | Acceptable | 2025-11-05 |
| 11 | SUBSTANTIAL MODIFICATION | SM-8 | 2025-10-10 | Acceptable | 2025-10-22 |