A Study of Galcanezumab (LY2951742) in Participants 6 to 17 Years of Age With Episodic Migraine ( REBUILD-1 )

2023-505836-36-00 Protocol I5Q-MC-CGAS Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 12 Mar 2021 · Status Ongoing, recruitment ended · 4 EU/EEA countries · 12 sites · Protocol I5Q-MC-CGAS

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 300
Countries 4
Sites 12

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

  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

  1. 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.
  2. Known hypersensitivity to monoclonal antibodies or other therapeutic proteins, or to galcanezumab or its excipients.
  3. 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.
  4. 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).
  5. 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.
  6. 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

  1. Change from baseline in the number of monthly migraine headache days

Investigational products

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

Test 2

Galcanezumab

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

Galcanezumab

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

Placebo to match LY2951742

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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
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

Denmark

2 sites · Ongoing, recruitment ended
Herlev Hospital
N/A, Borgmester Ib Juuls Vej 1, 2730, Herlev
Sanos A/S
N/A, Borgergade 39, 9362, Gandrup

Italy

4 sites · Ongoing, recruitment ended
Bambino Gesu Childrens Hospital
Neuroscience, Piazza Sant'onofrio 4, 00165, Rome
IRCCS Foundation Istituto Neurologico Carlo Besta
Neuroalgologia - struttura semplice centro cefalee, Via Giovanni Celoria 11, 20133, Milan
Azienda Ospedaliera Universitaria Universita' Degli Studi Della Campania Luigi Vanvitelli
UOSD Neuropsichiatria Infantile, Via Sergio Pansini 5, 80131, Naples
Azienda Ospedaliero-Universitaria Policlinico Umberto I
N/A, Viale Del Policlinico 155, 00161, Rome

Netherlands

1 site · Ongoing, recruitment ended
Isala Klinieken Stichting
N/A, Dokter Van Heesweg 2, 8025 AB, Zwolle

Spain

5 sites · Ongoing, recruitment ended
Hospital Universitari Vall D Hebron
Neurology, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
University Hospital Virgen Del Rocio S.L.
Neurology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Clinico Universitario De Valencia
Neurology, Avenida Blasco Ibanez 17, 46010, Valencia
Hospital Clinico Universitario De Valladolid
Neurology, Avenida Ramon Y Cajal 3, 47003, Valladolid
Hospital De La Santa Creu I Sant Pau
Neurology, Carrer De San Quinti 89, 08041, Barcelona

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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