Efficacy and Safety of Erenumab in Pediatric Subjects With Chronic Migraine (OASIS(CM))
A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of Erenumab in Children (6 to < 12 Years) and Adolescents (12 to < 18 Years) With Chronic Migraine (OASIS PEDIATRIC [CM])
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Amgen Call Center
- Phone Number: 866-572-6436
- Email: medinfo@amgen.com
Study Locations
-
-
-
Brussels, Belgium, 1090
- Universitair Ziekenhuis Brussel
-
Mechelen, Belgium, 2800
- Algemeen Ziekenhuis Sint-Maarten
-
Saint-Nicolas, Belgium, 4420
- Docteur Simona Sava
-
-
-
-
Alberta
-
Edmonton, Alberta, Canada, T6G 1C9
- Stollery Childrens Hospital
-
-
Ontario
-
London, Ontario, Canada, N6A 4G5
- London Health Sciences Centre
-
Ottawa, Ontario, Canada, K1H 8L1
- Childrens Hospital of Eastern Ontario
-
Toronto, Ontario, Canada, M5G 1X8
- The Hospital for Sick Children
-
-
-
-
Antioquia
-
Medellín, Antioquia, Colombia, 050021
- Fundacion Centro de Investigacion Clinica
-
-
Cundinamarca
-
Bogota, Cundinamarca, Colombia, 111211
- Cafam
-
-
Santander Department
-
Bucaramanga, Santander Department, Colombia, 681017
- Fundacion cardiovascular de Colombia
-
-
-
-
-
Turku, Finland, 20100
- Terveystalo Pulssi
-
-
-
-
-
Berlin, Germany, 13353
- Charite - Universitaetsmedizin Berlin, Campus Virchow
-
Essen, Germany, 45147
- Universitaetsklinikum Essen
-
Kiel, Germany, 24149
- Schmerzklinik Kiel
-
Leipzig, Germany, 04107
- Arzneimittelforschung Leipzig GmbH
-
-
-
-
-
Balassagyarmat, Hungary, 2660
- Dr Kenessey Albert Korhaz - Rendelointezet
-
Budapest, Hungary, 1094
- Semmelweis Egyetem
-
Budapest, Hungary, 1027
- High Tech Medical Kft
-
Budapest, Hungary, 1026
- Dr Altmann Anna egyeni vallalkozo
-
Debrecen, Hungary, 4032
- Debreceni Egyetem Klinikai Kozpont
-
Miskolc, Hungary, 3526
- Borsod-Abaúj-Zemplén Vármegyei Központi Kórház És Egyetemi Oktatókórház
-
-
-
-
-
Milan, Italy, 20133
- Fondazione IRCCS Istituto Neurologico Carlo Besta
-
Palermo, Italy, 90134
- Azienda di Rilievo Nazionale e Alta Specializzazione Civico Di Cristina Benfratelli
-
Pavia, Italy, 27100
- Fondazione Istituto Neurologico Nazionale C Mondino IRCCS
-
Roma, Italy, 00165
- Irccs Ospedale Pediatrico Bambino Gesu
-
-
-
-
Aichi-ken
-
Nagoya, Aichi-ken, Japan, 451-0031
- Josai Kids Clinic
-
-
Ehime
-
Matsuyama, Ehime, Japan, 790-0925
- Medical Corporation Seikokai Takanoko Hospital
-
-
Hiroshima
-
Hiroshima, Hiroshima, Japan, 730-8518
- Hiroshima City Hiroshima Citizens Hospital
-
-
Hokkaido
-
Sapporo, Hokkaido, Japan, 060-0004
- Kitami Clinic
-
-
Hyōgo
-
Kobe, Hyōgo, Japan, 658-0064
- Konan Medical Center
-
-
Kumamoto
-
Kumamoto, Kumamoto, Japan, 862-8505
- Kumamoto City Hospital
-
-
Kyoto
-
Kyoto, Kyoto, Japan, 600-8811
- Tatsuoka Neurology Clinic
-
Kyoto, Kyoto, Japan, 605-0981
- Japanese Red Cross Kyoto Daiichi Hospital
-
-
Miyagi
-
Sendai, Miyagi, Japan, 982-0014
- Sendai Headache and Neurology Clinic
-
-
Osaka
-
Osaka, Osaka, Japan, 556-0017
- Tominaga Hospital
-
-
Saitama
-
Saitama-shi, Saitama, Japan, 338-8577
- Saitama Neuropsychiatric Institute
-
-
Tokyo
-
Shibuya-ku, Tokyo, Japan, 151-0051
- Tokyo Headache Clinic
-
Shinjuku-ku, Tokyo, Japan, 160-8582
- Keio University Hospital
-
Shinjuku-ku, Tokyo, Japan, 160-0023
- Tokyo Medical University Hospital
-
-
Yamaguchi
-
Hofu-shi, Yamaguchi, Japan, 747-0802
- Nagamitsu Clinic
-
-
Yamanashi
-
Kai-shi, Yamanashi, Japan, 400-0124
- Nagaseki Headache Clinic
-
-
-
-
-
Gdansk, Poland, 80-952
- Uniwersyteckie Centrum Kliniczne
-
Lodz, Poland, 93-338
- Instytut Centrum Zdrowia Matki Polki
-
Lublin, Poland, 20-701
- Centrum Medyczne Hope Clinic Sebastian Szklener
-
Lublin, Poland, 20-109
- Centrum Medyczne Luxmed Spzoo
-
Poznan, Poland, 61-731
- Clinical Research Center Spzoo Medic-R Spolka Komandytowa
-
Poznan, Poland, 60-355
- Uniwersytecki Szpital Kliniczny W Poznaniu
-
Warsaw, Poland, 01-018
- Dr Sękowska Leczenie Bólu
-
Warsaw, Poland, 02-121
- Next Stage Spzoo
-
Wroclaw, Poland, 52-210
- MIGRE Polskie Centrum Leczenia Migreny Anna Gryglas-Dworak
-
-
-
-
-
Dorado, Puerto Rico, 00646
- Puerto Rico Health and Wellness Institute
-
-
-
-
-
Moscow, Russia, 119571
- FSBI Russian Children Clinical Hospital of the MoH RF
-
Moscow, Russia, 125047
- LLC clinic Chaika
-
Novosibirsk, Russia, 630004
- LLC Sibneyromed
-
Saint Petersburg, Russia, 191025
- LLC Medical Technologies
-
-
-
-
-
Cardiff, United Kingdom, CF14 4XW
- Noahs Ark Childrens Hospital for Wales
-
Glasgow, United Kingdom, G51 4TF
- Royal Hospital for Children
-
Ilford, United Kingdom, IG1 4HP
- 4 Medical Clinical Solutions London
-
Liverpool, United Kingdom, L12 2AP
- Alder Hey Childrens Hospital
-
London, United Kingdom, WC1N 3JH
- Great Ormond Street Hospital for Children
-
London, United Kingdom, SE1 7EU
- Evelina Childrens Hospital
-
Manchester, United Kingdom, M27 8FF
- 4 Medical Clinical Solutions Manchester
-
Oxford, United Kingdom, OX3 9DU
- Oxford Childrens Hospital
-
-
-
-
California
-
San Diego, California, United States, 92108
- Paradigm Clinical Research Center Inc
-
-
Colorado
-
Aurora, Colorado, United States, 80045
- Childrens Hospital Colorado
-
Colorado Springs, Colorado, United States, 80907
- Colorado Springs Neurological Associates
-
-
Connecticut
-
Stamford, Connecticut, United States, 06905
- New England Institute for Clinical Research
-
-
District of Columbia
-
Washington D.C., District of Columbia, United States, 20010
- Childrens National Health System
-
-
Florida
-
Brandon, Florida, United States, 33511
- TrueBlue Clinical Research
-
Gulf Breeze, Florida, United States, 32561
- Northwest Florida Clinical Research Group Limited Liability Company
-
Miami, Florida, United States, 33155
- Nicklaus Childrens Hospital
-
Tampa, Florida, United States, 33609
- Pediatric Epilepsy and Neurology Specialists
-
West Palm Beach, Florida, United States, 33407
- Premiere Research Institute
-
-
Georgia
-
Atlanta, Georgia, United States, 30329
- Rare Disease Research Center Pediatrics
-
Savannah, Georgia, United States, 31405
- CenExel iResearch, LLC
-
-
Illinois
-
Chicago, Illinois, United States, 60611
- Northwestern University
-
Chicago, Illinois, United States, 60657
- Chicago Headache Center and Research Institute
-
-
Indiana
-
Indianapolis, Indiana, United States, 46256
- Josephson Wallack Munshower Neurology
-
-
Maryland
-
Baltimore, Maryland, United States, 21201
- University of Maryland, Baltimore
-
-
Massachusetts
-
Worcester, Massachusetts, United States, 14226
- New England Regional Headache Center Inc
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48104
- Michigan Head Pain and Neurological Institute
-
-
Minnesota
-
Plymouth, Minnesota, United States, 55441
- Clinical Research Institute Inc
-
-
Missouri
-
Kansas City, Missouri, United States, 64108
- Childrens Mercy Hospital and Clinics
-
St Louis, Missouri, United States, 63141
- Mercy Research
-
-
Nebraska
-
Hastings, Nebraska, United States, 68901
- Meridian Clinical Research LLC
-
-
New York
-
Amherst, New York, United States, 14226
- Dent Neurosciences Research Center
-
New York, New York, United States, 10032
- Columbia University Irving Medical Center
-
New York, New York, United States, 10001
- Modern Migraine MD
-
-
Ohio
-
Cincinnati, Ohio, United States, 45229
- Cincinnati Childrens Hospital Medical Center
-
Cleveland, Ohio, United States, 44195
- Cleveland Clinic Foundation
-
Columbus, Ohio, United States, 43205
- Nationwide Childrens Hospital
-
-
Oregon
-
Portland, Oregon, United States, 97239
- Oregon Health and Science University
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19104
- Childrens Hospital of Philadelphia
-
Pittsburgh, Pennsylvania, United States, 15236
- Preferred Primary Care Physicians, Inc
-
-
South Carolina
-
Summerville, South Carolina, United States, 29486
- Palmetto Gastroenterology Clinical Research, LLC
-
-
Texas
-
Austin, Texas, United States, 78757
- Child Neurology Consultants of Austin
-
Burleson, Texas, United States, 76028
- Helios Clinical Research Inc
-
Frisco, Texas, United States, 75033
- Stryde Consulting LLC
-
-
Virginia
-
Norfolk, Virginia, United States, 23507
- Childrens Specialty Group
-
-
West Virginia
-
Crab Orchard, West Virginia, United States, 25827
- Vaught Neurological Services
-
-
Wisconsin
-
Marshfield, Wisconsin, United States, 54449
- Marshfield Clinic
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Children (6 to less than 12 years of age) or adolescent (12 to less than 18 years of age) at the time of signing, if developmentally appropriate, the formal assent to participate to the study.
- Participant's parent or legal representative has provided written informed consent before initiation of any study-specific activities/procedures.
- History of migraine (with or without aura) for ≥ 12 months before screening according to the IHS Classification ICHD-3 (Headache Classification Committee of the International Headache Society, 2013) ICHD-3 specifications for pediatric migraine (participants aged less than 18 years), should be considered for the diagnosis of migraine.
- History of ≥ 15 headache days per month of which ≥ 8 headache days were assessed by the participant as migraine days per month in each of the 3 months prior to screening.
- Migraine frequency: greater than or equal to 8 migraine days based on the eDiary data during the last 28 days of the baseline phase if more than 28 days in duration.
- Headache frequency of greater than or equal to 15 headache days based on the eDiary data during the last 28 days of the baseline phase if more than 28 days in duration.
- Demonstrated at least 80% compliance with the eDiary based on the last 28 days of the baseline period, if more than 28 days in duration (eg, completing eDiary items for at least 23 out of the last 28 days of the baseline phase).
Key Exclusion Criteria:
- History of cluster headache or hemiplegic migraine headache.
- Chronic migraine with continuous pain, in which the participant does not have any pain free periods (of any duration) during the 1 month prior to screening.
- No therapeutic response with greater than 3 medication categories for prophylactic treatment of migraine after an adequate therapeutic trial. No therapeutic response is defined as no reduction in headache frequency, duration, or severity after administration of the medication for at least 6 weeks at the generally-accepted therapeutic dose(s) based on the investigator's assessment.
- History of suicidal behavior or the participant is at risk of self-harm or harm to others.
- History of major psychiatric disorder. Participants with anxiety disorder and/or mild major depressive disorder (Patient Health Questionnaire Modified for Adolescents [PHQ-A] score 9 for adolescents or based on medical judgement of the investigator for children) are permitted in the study if they are considered by the investigator to be stable and are taking no more than 1 medication for each disorder. Participants must have been on a stable dose within the 3 months before the start of the baseline phase.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
|
Placebo matching dose for erenumab dose 1, 2 and 3.
|
|
Experimental: Dose Level 1
Participants will be randomized to one of two doses determined by their body weight at Day 1. Participants who enrolled under the original protocol or protocol amendment 1 will be identified as group 1.
Those enrolled under protocol amendment 2 will be identified as group 2.
|
Participants in the low body-weight group at day 1 and who are randomized to Dose Level 1 will receive this dose.
Other Names:
Participants in the low body-weight group at day 1 who are randomized to Dose Level 2 and participants in the high body-weight group at day 1 who are randomized to Dose Level 1 will receive this dose.
Other Names:
|
|
Experimental: Dose Level 2
Participants will be randomized to one of two doses determined by their body-weight at Day 1. Participants who enrolled under the original protocol or protocol amendment 1 will be identified as group 1.
Those enrolled under protocol amendment 2 will be identified as group 2.
|
Participants in the low body-weight group at day 1 who are randomized to Dose Level 2 and participants in the high body-weight group at day 1 who are randomized to Dose Level 1 will receive this dose.
Other Names:
Participants in the high body-weight group at day 1 who are randomized to Dose Level 2 will receive this dose.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline in MMDs
Time Frame: Baseline through week 12 of DBTP
|
To evaluate the effect of erenumab compared with placebo on the change in MMDs from baseline to week 9 through week 12 (month 3) of DBTP.
|
Baseline through week 12 of DBTP
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in monthly headache days from baseline
Time Frame: Baseline through week 12 of the DBTP
|
To evaluate the effect of erenumab compared with placebo on the change from baseline in monthly headache days to week 9 through week 12 (month 3) of DBTP.
|
Baseline through week 12 of the DBTP
|
|
Proportion of participants with at least 50% reduction in MMDs from baseline
Time Frame: Baseline through week 12 of the DBTP
|
To evaluate the effect of erenumab compared with placebo on the proportion of participants with at least 50% reduction in MMDs from baseline to week 9 through week 12 (month 3) of the DBTP.
|
Baseline through week 12 of the DBTP
|
|
Change in MMDs from baseline to the average of the first 3 months
Time Frame: Baseline through week 12 of the DBTP
|
To evaluate the effect of erenumab compared with placebo on the change in MMDs from baseline to the average of the first 3 months (week 1 through week 12) of the DBTP.
|
Baseline through week 12 of the DBTP
|
|
Change in monthly average severity of migraine attacks from baseline (measured with a visual analogue scale)
Time Frame: Baseline through week 12 of the double blind treatment phase
|
To evaluate the effect of erenumab compared with placebo on the change from baseline in monthly average severity of migraine attacks to week 9 through week 12 (month 3) of the DBTP.
This will be measured in an electronic diary (eDiary) with a visual analogue scale.
|
Baseline through week 12 of the double blind treatment phase
|
|
Change from baseline in migraine-related disability and productivity as assessed by the Pediatric Migraine Disability Assessment (PedMIDAS)
Time Frame: Baseline through week 12 of the DBTP
|
To evaluate the effect of erenumab compared with placebo on the change from baseline in migraine-related disability and productivity as measured by the modified PedMIDAS to week 9 through week 12 (month 3) of the DBTP.
|
Baseline through week 12 of the DBTP
|
|
Number of participants experiencing Treatment-emergent Adverse Events (TEAE)
Time Frame: Up to Week 83
|
TEAEs are any event that occurred after the participant received study treatment.
Any clinically significant changes in vital signs, electrocardiograms, and clinical laboratory tests that occurred after study treatment administration were recorded as TEAEs.
A serious TEAE is any untoward medical occurrence in a clinical study participant after first dose irrespective of a causal relationship with the study treatment(s) that resulted in death, was immediately life threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, a congenital anomaly/birth defect, or another medically important serious event.
|
Up to Week 83
|
|
Number of participants expressing C Terminal Telopeptide of Type 1 Collagen (CTX) Markers
Time Frame: Up to week 83
|
Up to week 83
|
|
|
Number of participants expressing Procollagen Type 1 N Propeptide (P1NP) Markers
Time Frame: Up to week 83
|
Up to week 83
|
|
|
Number of participants expressing Anti-erenumab antibodies
Time Frame: Up to week 83
|
Up to week 83
|
|
|
Change in growth and development rate as assessed by physical measuraments based on age-adjusted Z-scores for height and weight
Time Frame: Up to week 83
|
Up to week 83
|
|
|
Number of participants experiencing treatment-emergent suicidal ideation and behavior as assessed by the Columbia Suicide Severity Rating Scale (C-SSRS).
Time Frame: Up to week 83
|
Up to week 83
|
|
|
Group 1 only: Number of participants experiencing injection site pain as assessed by Face Pain Scale-revised (FPS-R)
Time Frame: Day 1 and week 20
|
Day 1 and week 20
|
|
|
Group 2 only: Number of participants experiencing injection site pain as assessed by FPS-R
Time Frame: Day 1 and week 8
|
Day 1 and week 8
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: MD, Amgen
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pain
- Neurologic Manifestations
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Headache Disorders, Primary
- Headache Disorders
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Migraine Disorders
- Headache
- Calcitonin Gene-Related Peptide Receptor Antagonists
- Immunologic Factors
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Sensory System Agents
- Analgesics
- erenumab
Other Study ID Numbers
Other Study ID Numbers
- 20160354
- 2023-504928-26 (EudraCT Number)
- EMEA-001664-PIP02-15 (Other Identifier: EMEA)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.