Evaluation of Galcanezumab in the Prevention of Episodic Migraine- the EVOLVE-1 Study (EVOLVE-1)

June 10, 2020 updated by: Eli Lilly and Company

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of LY2951742 in Patients With Episodic Migraine - the EVOLVE-1 Study

The main purpose of this study is to evaluate the efficacy of the study drug known as galcanezumab in participants with episodic migraine.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

862

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Brampton, Canada, L6T 0G1
        • For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
      • Kelowna, Canada, V1Y 1Z9
        • For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
      • Mississauga, Canada, L4Y 2N8
        • For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
      • Montreal, Canada, H3A 2B4
        • For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
      • Ottawa, Canada, K2G 6E2
        • For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
      • Sherbrooke, Canada, J1H1Z1
        • For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
      • Toronto, Canada, M9W 4L6
        • For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
      • Vancouver, Canada, V6Z 2E8
        • For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
      • Waterloo, Canada, N2J 1C4
        • For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
      • Manati, Puerto Rico, 00674
        • Office of Dr. Ruddy Guerra
      • Rio Piedras, Puerto Rico, 00923
        • NuFrontiers Clinical Research LLC
      • San Juan, Puerto Rico, 00909
        • GCM Medical Group PSC
      • San Juan, Puerto Rico, 00909
        • Clinical Research Puerto Rico, Inc.
      • San Juan, Puerto Rico, 00918
        • Instituto De Neurologia Dra. Ivonne Fraga
      • San Juan, Puerto Rico, 00926
        • Neuro GI Wellness Center
    • Arizona
      • Tucson, Arizona, United States, 85704
        • Territory Neurology & Research Institute
      • Tucson, Arizona, United States, 85741
        • Orange Grove Family Practice
    • Arkansas
      • Little Rock, Arkansas, United States, 72205
        • Arkansas Clinical Research
    • California
      • Carmichael, California, United States, 95608
        • Advanced Clinical Research
      • Encino, California, United States, 91316
        • Pharmacology Research Institute, Newport Beach
      • Encino, California, United States, 91436
        • Tooraj Joseph Raoof M.D., Inc.
      • Fullerton, California, United States, 92835
        • Fullerton Neurology and Headache Center
      • Imperial, California, United States, 92251
        • Sun Valley Research Center
      • Irvine, California, United States, 92618
        • Irvine Clinical Research Center
      • Los Alamitos, California, United States, 90720
        • Pharmacology Research Institute, Newport Beach
      • Newport Beach, California, United States, 92660
        • Pharmacology Research Institute, Newport Beach
      • Rancho Mirage, California, United States, 92270
        • Desert Valley Research
      • Redlands, California, United States, 92374
        • Anderson Clinical Research
      • San Diego, California, United States, 92108
        • Medical Center for Clinical Research
      • San Diego, California, United States, 92103
        • Artemis Institute for Clinical Research
    • Colorado
      • Boulder, Colorado, United States, 80301
        • Alpine Clinical Research Center
      • Colorado Springs, Colorado, United States, 80910
        • MCB Clinical Research Centers
      • Denver, Colorado, United States, 80218
        • Mile High Research Center
      • Englewood, Colorado, United States, 80113
        • Colorado Neurological Institute
      • Fort Collins, Colorado, United States, 80528
        • Advanced Neurosciences Research, Llc
    • Connecticut
      • Waterbury, Connecticut, United States, 06708
        • Chase Medical Research, LLC
    • Florida
      • Bradenton, Florida, United States, 34201
        • Meridien Research
      • Gainesville, Florida, United States, 32607
        • Sarkis Clinical Trials
      • New Port Richey, Florida, United States, 34652
        • Suncoast Clinical Research
      • Ocala, Florida, United States, 34471
        • Renstar Medical Research
      • Ocoee, Florida, United States, 34761
        • Sensible Healthcare
      • Orlando, Florida, United States, 32801
        • Psychiatric Inst of Florida-Clinical Neuroscience Solutions
      • Oviedo, Florida, United States, 32765
        • Compass Research
      • Port Orange, Florida, United States, 32129
        • Accord Clinical Research, LLC
      • Sarasota, Florida, United States, 34243
        • Roskamp Institute
      • Sunrise, Florida, United States, 33351
        • Infinity Clinical Reserach . LLC
      • West Palm Beach, Florida, United States, 33407
        • Premiere Research Institute at Palm Beach Neurology
    • Idaho
      • Meridian, Idaho, United States, 83642
        • Advanced Clinical Research LLC
    • Illinois
      • Blue Island, Illinois, United States, 60406
        • Healthcare Research Network - Blue Island
    • Indiana
      • Anderson, Indiana, United States, 46011
        • Community Clinical Research Center
      • Elwood, Indiana, United States, 46036
        • Investigative Clinical Research of Indiana, LLC
      • Indianapolis, Indiana, United States, 46260
        • Midwest Institute for Clinical Research
      • Newburgh, Indiana, United States, 47630
        • Deaconess Clinic Inc
    • Iowa
      • West Des Moines, Iowa, United States, 50265
        • Integrated Clinical Trial Services, Inc.
    • Kansas
      • Prairie Village, Kansas, United States, 66206
        • Phoenix Medical Research, Inc
    • Kentucky
      • Edgewood, Kentucky, United States, 41017
        • Otri-Med Corporation
      • Louisville, Kentucky, United States, 40213
        • L-MARC Research Center
    • Maryland
      • Baltimore, Maryland, United States, 21208
        • Pharmasite Research Inc
    • Massachusetts
      • Boston, Massachusetts, United States, 02131
        • Boston Clinical Trials Inc
    • Michigan
      • Ann Arbor, Michigan, United States, 48104
        • Michigan Head, Pain and Neurological Institute
    • Minnesota
      • Minneapolis, Minnesota, United States, 55402
        • Clinical Research Institute
    • Missouri
      • Springfield, Missouri, United States, 65807
        • Clinvest
    • New Hampshire
      • Nashua, New Hampshire, United States, 03060
        • Healthy Perspectives Innovative Mental Health Services, PL
    • New Mexico
      • Albuquerque, New Mexico, United States, 87102
        • Albuquerque Clinical Trials
    • New York
      • Amherst, New York, United States, 14226
        • Dent Neurological Institute
      • Manlius, New York, United States, 13104
        • Central New York Clinical Research
      • New York, New York, United States, 10016
        • NYU Langone
      • New York, New York, United States, 10168
        • Fieve Clincial Services
      • Rochester, New York, United States, 14609
        • Rochester Clinical Research, Inc.
    • North Carolina
      • Charlotte, North Carolina, United States, 28210
        • Metrolina Neurological Associates, PA
      • Greensboro, North Carolina, United States, 27405
        • Headache Wellness Center
    • Ohio
      • Cleveland, Ohio, United States, 44122
        • Rapid Medical Research Inc
      • Toledo, Ohio, United States, 43614
        • Medical College of Ohio at Toledo
    • Oklahoma
      • Tulsa, Oklahoma, United States, 74135
        • Healthcare Research Consultant
    • Oregon
      • Portland, Oregon, United States, 97210
        • Summit Research Network Inc
    • Pennsylvania
      • Allentown, Pennsylvania, United States, 18104
        • Lehigh Center for Clinical Research
      • Pittsburgh, Pennsylvania, United States, 15236
        • Preferred Primary Care Physicians
      • Willow Grove, Pennsylvania, United States, 19090
        • Abington Neurological Associates
    • Rhode Island
      • Warwick, Rhode Island, United States, 02886
        • Omega Medical Research
    • South Carolina
      • Charleston, South Carolina, United States, 29406
        • Clinical Trials of South Carolina
      • Columbia, South Carolina, United States, 29203
        • 8 Medical Park
    • Tennessee
      • Chattanooga, Tennessee, United States, 37421
        • ClinSearch
      • Knoxville, Tennessee, United States, 37920
        • University of Tennessee Medical Center
      • Nashville, Tennessee, United States, 37203
        • Clinical Research Associates
    • Texas
      • Austin, Texas, United States, 78731
        • FutureSearch Trials
      • Hurst, Texas, United States, 76054
        • Protenium Clinical Research
      • San Antonio, Texas, United States, 78229
        • Clinical Trials of Texas, Inc.
      • San Antonio, Texas, United States, 78229
        • Radiant Research - San Antonio
    • Utah
      • West Jordan, Utah, United States, 84088
        • Advanced Clinical Research
    • Virginia
      • Charlottesville, Virginia, United States, 22911
        • Charlottesville Medical Research
      • Norfolk, Virginia, United States, 23507
        • Clinical Research Associates of Tidewater
      • Richmond, Virginia, United States, 23294
        • National Clinical Research - Richmond
    • Washington
      • Spokane, Washington, United States, 99202
        • Premier Clinical Research
      • Vancouver, Washington, United States, 98664
        • Vancouver Clinic
    • Wisconsin
      • Kenosha, Wisconsin, United States, 53142
        • Clinical Investigation Specialists Inc

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Have a diagnosis of episodic migraine as defined by International Headache Society (IHS) International Classification of Headache Disorders (ICHD)-3 beta guidelines (1.1 or 1.2) (ICHD-3 2013), with a history of migraine headaches of at least 1 year prior to screening, migraine onset prior to age 50 and MONTHLY frequency of 4-14 Migraine Headache Days (MHD).

Exclusion Criteria:

  • Are currently enrolled in or have participated within the last 30 days or within 5 half-lives (whichever is longer) in a clinical trial involving an investigational product.
  • Current use or prior exposure to Galcanezumab or another CGRP antibody.
  • Known hypersensitivity to multiple drugs, monoclonal antibodies or other therapeutic proteins, or to Galcanezumab.
  • History of persistent daily headache, cluster headache or migraine subtypes including hemiplegic (sporadic or familial) migraine, ophthalmoplegic migraine, and migraine with brainstem aura (basilar-type migraine) defined by IHS ICHD-3 beta.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Galcanezumab 240mg
Galcanezumab 240mg given by SC injection once a month for 6 months.
Administered SC
Other Names:
  • LY2951742
Placebo Comparator: Placebo
Placebo given by SC injection once a month for 6 months.
Administered SC
Experimental: Galcanezumab 120mg
Galcanezumab given by subcutaneous (SC) injection at 120mg dose once a month for 6 months. Participants received a loading dose of 240mg (2 injections of 120mg each) was administered at visit 3 only.
Administered SC
Other Names:
  • LY2951742

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days
Time Frame: Baseline, Month 1 through Month 6

Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred.

Migraine Headache : A headache, with or without aura, of ≥30 minutes duration with both of the following required features (A and B):

A) At least 2 of the following headache characteristics: Unilateral location; Pulsatile quality; Moderate or severe pain intensity; Aggravation by or causing avoidance of routine physical activity; AND B) During headache at least one of the following: Nausea and/or vomiting; Photophobia and phonophobia;

Overall mean is derived from the average of months 1 to 6 from mixed model repeated measures (MMRM) model. Least Square (LS) mean was calculated using mixed model repeated measures (MMRM) model with treatment, pooled country, month, and treatment by month, baseline, and baseline by month as fixed effects.

Baseline, Month 1 through Month 6

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Overall Mean Change From Baseline in Headache Hours
Time Frame: Baseline, Month 1 through Month 6
Headache Hours is calculated as the total number of headache hours on which a headache occurred. Overall mean is derived from the average of months 1 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month and baseline MHD category.
Baseline, Month 1 through Month 6
Percentage of Participants Developing Anti-drug Antibodies (ADA) to Galcanezumab
Time Frame: Month 1 through Month 6
Treatment emergent (TE) ADA evaluable participant is considered to be TE ADA+ if the subject has at least one post-baseline titer that is a 4-fold or greater increase in titer from baseline measurement. If baseline result is ADA Not Present, then the participant is TE ADA+ if there is at least one post-baseline result of ADA present with titer >= 1: 20.
Month 1 through Month 6
Pharmacokinetics (PK): Serum Concentrations of Galcanezumab
Time Frame: Month 6
Pharmacokinetics (PK): Serum Concentrations of Galcanezumab.
Month 6
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP)
Time Frame: Month 6
Plasma Concentration of Calcitonin Gene-Related Peptide (CGRP).
Month 6
Mean Percentage of Participants With Reduction From Baseline ≥50%, ≥75% and 100% in Monthly Migraine Headache Days
Time Frame: Baseline, Month 1 through Month 6

Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred.

Mean is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, baseline.

Baseline, Month 1 through Month 6
Mean Change From Baseline in the Migraine-Specific Quality of Life Questionnaire (MSQ) Version 2.1 (v2.1) Role Function Restrictive Domain
Time Frame: Baseline, Month 4 through Month 6

MSQ v2.1 was developed to address physical & emotional limitations of specific concern to individuals with migraine.

It consists of 14 items that address 3 domains:(1) Role Function-Restrictive (items 1-7);(2) Role Function- Preventive (items 8-11);&(3) Emotional Function (items 12-14).Response options range from "none of the time" (value 1) to "all of the time" (value 6), & are reverse-recoded (value 6 to 1) before the domain scores are calculated.Total raw scores for each domain is the sum of the final item value for all of the items in that domain.After the total raw score is computed for each domain, they are transformed to a 0-100 scale with higher scores indicating a better health status & a positive change in scores reflecting functional improvement.

Mean is derived from the average of months 4 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline by month & baseline MHD category as fixed factors.

Baseline, Month 4 through Month 6
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days Requiring Medication for the Acute Treatment of Migraine or Headache
Time Frame: Baseline, Month 1 through Month 6

Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred.

Overall mean is derived from the average of months 1 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed effects.

Baseline, Month 1 through Month 6
Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Rating
Time Frame: Baseline, Month 4 through Month 6
The PGI-S scale is a patient-rated instrument that measures patients own global impression of their illness severity. The patient was instructed as follows: "Considering migraine as a chronic condition, how would you rate your level of illness?" Response options were from 1 ("normal, not at all ill") to 7 ("extremely ill"). Mean is derived from the average of months 4 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed factors.
Baseline, Month 4 through Month 6
Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score
Time Frame: Baseline, Month 6

The MIDAS is a participant-rated scale which was designed to quantify headache-related disability over a 3-month period. This instrument consists of five items that reflect the number of days reported as missing or with reduced productivity at work or home, and the number of days of missed social events. Each item has a numeric response range from 0 to 90 days, if days are missed from work or home they are not counted as days with reduced productivity at work or home. The numeric responses are summed to produce a total score ranging from 0 to 270, in which a higher value is indicative of more disability.

LSMean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed factors.

Baseline, Month 6

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 30, 2015

Primary Completion (Actual)

March 22, 2017

Study Completion (Actual)

August 9, 2018

Study Registration Dates

First Submitted

November 23, 2015

First Submitted That Met QC Criteria

November 23, 2015

First Posted (Estimate)

November 25, 2015

Study Record Updates

Last Update Posted (Actual)

June 17, 2020

Last Update Submitted That Met QC Criteria

June 10, 2020

Last Verified

June 1, 2020

More Information

Terms related to this study

Other Study ID Numbers

  • 15767
  • I5Q-MC-CGAG (Other Identifier: Eli Lilly and Company)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Yes

IPD Plan Description

Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

IPD Sharing Time Frame

Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.

IPD Sharing Access Criteria

A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.

IPD Sharing Supporting Information Type

  • Study Protocol
  • Statistical Analysis Plan (SAP)
  • Clinical Study Report (CSR)

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.

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