A Study of Galcanezumab (LY2951742) in Adults With Treatment-Resistant Migraine (CONQUER)

June 19, 2020 updated by: Eli Lilly and Company

A Randomized, Double-Blind, Placebo-Controlled Study of Galcanezumab in Adults With Treatment-Resistant Migraine - the CONQUER Study

The purpose of this study is to assess the safety and efficacy of galcanezumab in people with treatment-resistant episodic or chronic migraine.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

463

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

      • Brugge, Belgium, 8000
        • Algemeen Ziekenhuis St Jan Brugge
      • Brussel, Belgium, 1090
        • Universitair Ziekenhuis Brussel
      • Gent, Belgium, B-9000
        • Universitair Ziekenhuis Gent
    • British Columbia
      • Kelowna, British Columbia, Canada, V1Y 1Z9
        • Okanagan Clinical Trials
    • Ontario
      • Brampton, Ontario, Canada, L6T 0G1
        • Aggarwal and associates Ltd
    • Quebec
      • Sherbrooke, Quebec, Canada, J1H 1Z1
        • DIEX Recherche Sherbrooke, Inc
      • Brno, Czechia, 616 00
        • Neurologicka ambulance, Neurologie Brno s.r.o.
      • Kladno, Czechia, 27201
        • Brain-Soultherapy s.r.o
      • Praha 2, Czechia, 120 00
        • DADO MEDICAL, s.r.o.
      • Praha 6, Czechia, 160 00
        • Neurologicka ordinace
      • Praha 8, Czechia, 18600
        • Institut Neuropsychiatricke pece
    • Hl. M. Praha
      • Praha 10, Hl. M. Praha, Czechia, 100 00
        • CLINTRIAL, s.r.o.
      • Nice, France, 06000
        • Hôpital de Cimiez
      • Saint Etienne Cedex 2, France, 42000
        • CHU St Etienne Hôpital Nord
    • Cedex
      • Lille, Cedex, France, 59037
        • CHRU de Lille- Hópital Roger Salengro
      • Berlin, Germany, 10117
        • Charite Universitatsmedizin Berlin
      • Essen, Germany, 45147
        • Universitatsklinikum Essen
    • Hessen
      • Kassel, Hessen, Germany, 34121
        • DRK-Kliniken Nordhessen
    • Nordrhein-Westfalen
      • Bochum, Nordrhein-Westfalen, Germany, 44787
        • Praxis Dr. Philipp Stude
    • Thüringen
      • Jena, Thüringen, Germany, 07747
        • Universitätsklinikum Jena
      • Budapest, Hungary, 1083
        • SE Neurologiai Klinika
      • Budapest, Hungary, 1145
        • Országos Idegtudományi Intézet
    • Komarom-Esztergom
      • Esztergom, Komarom-Esztergom, Hungary, 2500
        • Valeomed Kft.
      • Hiroshima, Japan, 730-0031
        • Doi Clinic Internal Medicine Neurology
      • Kagoshima, Japan, 892-0844
        • Tanaka Neurosurgical Clinic
      • Kyoto, Japan, 600-8811
        • Tatsuoka Neurology Clinic
      • Oita, Japan, 870-0831
        • Ooba Clinic for Neurosurgery & Headache
      • Osaka, Japan, 5560017
        • Tominaga Hospital
    • Hokkaido
      • Sapporo, Hokkaido, Japan, 003-0003
        • Higashi Sapporo Neurology and Neurosurgery Clinic
    • Kochi
      • Kochi-Shi, Kochi, Japan, 780-0051
        • Medical corporation Shinmatsudakai Atago Hospital
    • Miyagi
      • Sendai, Miyagi, Japan, 982-0014
        • Sendai Headache and Neurology Clinic
    • Osaka
      • Toyonaka-shi, Osaka, Japan, 560-0012
        • Takase Internal Medicine Clinic
    • Tochigi
      • Shimotsuga-Gun, Tochigi, Japan, 321 0293
        • Dokkyo Medical University Hospital
    • Tokyo
      • Shinjuku-ku, Tokyo, Japan, 160-0017
        • Fukuuchi Pain Clinic
    • Tottori
      • Tottori-shi, Tottori, Japan, 680-0045
        • Shimoda Neurology Clinic
      • Seoul, Korea, Republic of, 03080
        • Seoul National University Hospital
      • Seoul, Korea, Republic of, 01830
        • Nowon Eulji Medical Center, Eulji University
      • Seoul, Korea, Republic of, 03181
        • Kangbuk Samsung Hosp
      • Seoul, Korea, Republic of, 120-792
        • Severance Hospital Yonsei University Health System
      • Zwolle, Netherlands, 8025 AB
        • Isala Klinieken
    • Gelderland
      • Nijmegen, Gelderland, Netherlands, 6532 SZ
        • Canisius-Wilhelmina Ziekenhuis
      • San Juan, Puerto Rico, 00918
        • Instituto De Neurologia Dra. Ivonne Fraga
      • Barcelona, Spain, 08035
        • Hospital Universitari Vall d'Hebron
      • Valencia, Spain, 46010
        • Hospital Clínico Universitario de Valencia
      • Valencia, Spain, 46026
        • Hospital Universitario La Fe de Valencia
      • Valladolid, Spain, 47010
        • Hospital Clínico Universitario de Valladolid
    • Barcelona
      • L'Hospitalet de Llobregat, Barcelona, Spain, 08907
        • Hospital Universitari de Bellvitge
    • Cantabria
      • Santander, Cantabria, Spain, 39008
        • Hospital Universitario Marques de Valdecilla
      • London, United Kingdom, SE1 7EH
        • St Thomas's Hospital
    • East Yorkshire
      • Hull, East Yorkshire, United Kingdom, HU3 2JZ
        • Hull Royal Infirmary
    • Greater London
      • London, Greater London, United Kingdom, SE5 9RS
        • Kings College Hospital
    • Arizona
      • Phoenix, Arizona, United States, 85004
        • 21st Century Neurology
    • California
      • San Diego, California, United States, 92108
        • Medical Center for Clinical Research
    • Florida
      • Ocoee, Florida, United States, 34761
        • Sensible Healthcare
      • Tampa, Florida, United States, 33612
        • University of South Florida
      • Wesley Chapel, Florida, United States, 33544
        • Renstar Medical Research
    • Massachusetts
      • Boston, Massachusetts, United States, 02131
        • Boston Clinical Trials
    • Michigan
      • Ann Arbor, Michigan, United States, 48104
        • Michigan Head, Pain and Neurological Institute
    • Minnesota
      • Minneapolis, Minnesota, United States, 55402
        • Clinical Research Institute
    • New Hampshire
      • Nashua, New Hampshire, United States, 03060
        • Healthy Perspectives Innovative Mental Health Services, PL
    • New Jersey
      • Toms River, New Jersey, United States, 08755
        • Bio Behavioral Health
    • New Mexico
      • Albuquerque, New Mexico, United States, 87102
        • Albuquerque Clinical Trials
    • New York
      • Rochester, New York, United States, 14609
        • Rochester Clinical Research, Inc.
    • North Carolina
      • Greensboro, North Carolina, United States, 27408
        • PharmQuest
    • Pennsylvania
      • Allentown, Pennsylvania, United States, 18104
        • Lehigh Center for Clinical Research
    • South Carolina
      • Mount Pleasant, South Carolina, United States, 29464
        • Coastal Carolina Research Center, Inc.
    • Utah
      • Salt Lake City, Utah, United States, 84109
        • Foothill Family Clinic
    • Virginia
      • Newport News, Virginia, United States, 23606
        • Health Research of Hampton Roads Inc
    • Washington
      • Bellevue, Washington, United States, 98007-4209
        • Northwest Clinical Research Center

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

16 years to 73 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Have a diagnosis of migraine or chronic migraine.
  • History of migraine headaches at least 1 year prior to screening, with onset prior to age 50.
  • History of at least 4 migraine headache days and at, with at least 1 headache-free day per month on average within the past 3 months.
  • Have documentation of 2 to 4 migraine preventive medication category failures due to inadequate efficacy or tolerability, in the past 10 years.

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 calcitonin gene-related peptide (CGRP) antibody.
  • 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).
  • Pregnant or nursing.

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
Placebo Comparator: Placebo
Placebo administered SC.
Administered SC.
Experimental: Galcanezumab
Galcanezumab administered subcutaneously (SC).
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 3

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 3 from mixed model repeated measures (MMRM) model. Least square (LS) Mean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, and baseline by month as fixed effects.

Baseline, Month 1 through Month 3

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days in Participants With Episodic Migraine
Time Frame: Baseline, Month 1 through Month 3

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 3 from MMRM model. Least square (LS) Mean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, and baseline by month as fixed effects.

Baseline, Month 1 through Month 3
Percentage of Participants With ≥50% Reduction From Baseline in Monthly Migraine Headache Days
Time Frame: Baseline, Month 1 through Month 3

MHD: A calendar day on which a migraine headache or probable migraine headache occurred.

Overall mean percentage across months 1 through 3 of patients with at least a 50% reduction in monthly MHDs from baseline using a categorical pseudo likelihood-based repeated measures model for binary responder indicator with fixed, categorical effects of treatment, month, treatment by month, and continuous, fixed covariate of baseline monthly MHD.

Baseline, Month 1 through Month 3
Percentage of Participants With Episodic Migraine With ≥50% Reduction From Baseline in Monthly Migraine Headache Days
Time Frame: Baseline, Month 1 through Month 3

MHD: A calendar day on which a migraine headache or probable migraine headache occurred.

Overall mean percentage across months 1 through 3 of patients with at least a 50% reduction in monthly MHDs from baseline using a categorical pseudo likelihood-based repeated measures model for binary responder indicator with fixed, categorical effects of treatment, month, treatment by month, and continuous, fixed covariate of baseline monthly MHD.

Baseline, Month 1 through Month 3
Mean Change From Baseline in the Role Function-Restrictive Domain Score of the Migraine-Specific Quality of Life Questionnaire Version 2.1 (MSQ v2.1)
Time Frame: Baseline, Month 3
MSQ v2.1 is a health status instrument, with a 4-week recall period, developed to address physical and emotional limitations of specific concern to individuals with migraine. Addressing the impact of migraine on work or daily activities, relationships with family & friends, leisure time, productivity, concentration, energy, tiredness & feelings. 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.
Baseline, Month 3
Mean Change From Baseline in the Role Function-Restrictive Domain Score of the Migraine-Specific Quality of Life Questionnaire Version 2.1 (MSQ v2.1) in Participants With Episodic Migraine
Time Frame: Baseline, Month 3
MSQ v2.1 is a health status instrument, with a 4-week recall period, developed to address physical and emotional limitations of specific concern to individuals with migraine. Addressing the impact of migraine on work or daily activities, relationships with family & friends, leisure time, productivity, concentration, energy, tiredness & feelings. 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.
Baseline, Month 3
Percentage of Participants With Episodic Migraine With ≥75% Reduction From Baseline in Monthly Migraine Headache Days
Time Frame: Baseline, Month 1 through Month 3

MHD: A calendar day on which a migraine headache or probable migraine headache occurred.

Overall mean percentage across months 1 through 3 of patients with at least a 75% reduction in monthly MHDs from baseline using a categorical pseudo likelihood-based repeated measures model for binary responder indicator with fixed, categorical effects of treatment, month, treatment by month, and continuous, fixed covariate of baseline monthly MHD.

Baseline, Month 1 through Month 3
Percentage of Participants With Episodic Migraine With 100% Reduction From Baseline in Monthly Migraine Headache Days
Time Frame: Baseline, Month 1 through Month 3

MHD: A calendar day on which a migraine headache or probable migraine headache occurred.

Overall mean percentage across months 1 through 3 of patients with 100% reduction in monthly MHDs from baseline using a categorical pseudo likelihood-based repeated measures model for binary responder indicator with fixed, categorical effects of treatment, month, treatment by month, and continuous, fixed covariate of baseline monthly MHD.

Baseline, Month 1 through Month 3
Percentage of Participants With ≥75% Reduction From Baseline in Monthly Migraine Headache Days
Time Frame: Baseline, Month 1 through Month 3

MHD: A calendar day on which a migraine headache or probable migraine headache occurred.

Overall mean percentage across months 1 through 3 of patients with at least a 75% reduction in monthly MHDs from baseline using a categorical pseudo likelihood-based repeated measures model for binary responder indicator with fixed, categorical effects of treatment, month, treatment by month, and continuous, fixed covariate of baseline monthly MHD.

Baseline, Month 1 through Month 3
Percentage of Participants With 100% Reduction From Baseline in Monthly Migraine Headache Days
Time Frame: Baseline, Month 1 through Month 3

MHD: A calendar day on which a migraine headache or probable migraine headache occurred.

Overall mean percentage across months 1 through 3 of patients with 100% reduction in monthly MHDs from baseline using a categorical pseudo likelihood-based repeated measures model for binary responder indicator with fixed, categorical effects of treatment, month, treatment by month, and continuous, fixed covariate of baseline monthly MHD.

Baseline, Month 1 through Month 3
Overall Mean Change From Baseline in the Number of Monthly Days With Acute Headache Medication Use
Time Frame: Baseline, Month 1 through Month 3
Overall mean is derived from the average of months 1 to 3 from Mixed model repeated measures (MMRM) model. Least square (LS) Mean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, and baseline by month as fixed effects.
Baseline, Month 1 through Month 3
Overall Mean Change From Baseline in the Number of Monthly Headache Days
Time Frame: Baseline, Month 1 through Month 3

Headache Day: A calendar day on which any type of headache occurred (including migraine, probable migraine, and non-migraine headache).

Overall mean is derived from the average of months 1 to 3 from MMRM model. Least square (LS) Mean was calculated using MMRM model with treatment, pooled country, month, treatment by month, baseline, and baseline by month as fixed effects.

Baseline, Month 1 through Month 3
Mean Change From Baseline in the Migraine Disability Assessment Test (MIDAS) Total Score
Time Frame: Baseline, Month 3
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 missed 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. LS mean was calculated using analysis of covariance (ANCOVA) with last observation carried forward (LOCF), with baseline, pooled country, baseline migraine frequency category, and treatment as fixed effects.
Baseline, Month 3
Mean Change From Baseline in the 4-item Migraine Interictal Burden Scale (MIBS-4)
Time Frame: Baseline, Month 3
MIBS-4 is a self-administered scale that measures the burden related to headache in the time between attacks. The instrument consists of 4 items that address disruption at work and school, diminished family and social life, difficulty planning, and emotional difficulty. The questionnaire specifically asks about the effect of the disease over the past 4 weeks on days without a headache attack. Response options include: don't know/not applicable (0), never (0), rarely (1), some of the time (2), much of the time (3), or most or all of the time (3). Each responses associated numerical score are summed across all 4 items resulting in a total score ranging from 0 to 12, and the level of interictal burden being categorized into the following: 0 for none, 1-2 mild, 3-4 moderate, and >5 severe. LS mean was calculated using MMRM model with fixed effects of treatment, pooled country, baseline migraine frequency category, month, treatment by month as fixed effects.
Baseline, Month 3
Mean Change From Baseline in the Work Productivity and Activity Impairment Questionnaire (WPAI)
Time Frame: Baseline, Month 3
The WPAI Questionnaire is a patient-reported instrument developed to measure the impact on work productivity and regular activities attributable to a specific health problem (migraine). Recall period is the past 7 days. It contains 6 items that measure: 1) employment status, 2) hours missed from work due to the specific health problem, 3) hours missed from work for other reasons, 4) hours actually worked, 5) degree health affected productivity while working, and 6) degree health affected productivity in regular unpaid activities. Four scores are calculated from the responses to these 6 items: absenteeism, presenteeism, work productivity loss, and activity impairment. Scores are calculated as impairment percentages (0-100%), with higher numbers indicating greater impairment and less productivity, i.e, worse outcomes. LS mean was calculated using ANCOVA with LOCF with baseline, pooled country, baseline migraine frequency category, and treatment as fixed effects.
Baseline, Month 3
Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S)
Time Frame: Baseline, Month 3
The PGI-S is a patient-rated instrument that measures illness severity. For this study, the patient was instructed as follows: "Considering migraine as a chronic condition, how would you rate your level of illness?" The PGI-S includes a range of possible responses, from 1 ("normal, not at all ill") to 7 ("extremely ill"). LS mean was calculated using ANCOVA with LOCF with baseline, pooled country, baseline migraine frequency category, and treatment as fixed effects.
Baseline, Month 3
Mean Change From Baseline in the European Quality of Life Questionnaire 5 Dimensions 5 Levels (EQ-5D-5L) - Health State Index (US)
Time Frame: Baseline, Month 3
EQ-5D-5L is a 2-part questionnaire that assesses general health status for 'today'. The first part is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive the health state index scores using country-specific algorithms, with scores ranging from less than 0 (where zero is a health state equivalent to death; negative values are valued as worse than dead) to 1 (perfect health). Index values were calculated using the US algorithm (-0.109 to 1). A higher score indicates better health state. LS mean was calculated using ANCOVA with LOCF with baseline, pooled country, baseline migraine frequency category, and treatment as fixed effects.
Baseline, Month 3
Mean Change From Baseline in the European Quality of Life Questionnaire 5 Dimensions 5 Levels (EQ-5D-5L) - Health State Index (UK)
Time Frame: Baseline, Month 3
EQ-5D-5L is a 2-part questionnaire that assesses general health status for 'today'. The first part is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive the health state index scores using country-specific algorithms, with scores ranging from less than 0 (where zero is a health state equivalent to death; negative values are valued as worse than dead) to 1 (perfect health). Index values were calculated using the UK algorithm (-0.594 to 1). LS mean was calculated using ANCOVA with LOCF with baseline, pooled country, baseline migraine frequency category, and treatment as fixed effects.
Baseline, Month 3
Mean Change From Baseline in the European Quality of Life Questionnaire 5 Dimensions 5 Levels (EQ-5D-5L) - VAS Score
Time Frame: Baseline, Month 3
EQ-5D-5L is a 2-part questionnaire that assesses general health status 'today'. . The second part is assessed using a visual analog scale (VAS) on which the patient rates their perceived health state, ranging from 0 (the worst health you can imagine) to 100 (the best health you can imagine). LS mean was calculated using ANCOVA with LOCF with baseline, pooled country, baseline migraine frequency category, and treatment as fixed effects.
Baseline, Month 3

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)

July 31, 2018

Primary Completion (Actual)

June 19, 2019

Study Completion (Actual)

September 19, 2019

Study Registration Dates

First Submitted

June 6, 2018

First Submitted That Met QC Criteria

June 6, 2018

First Posted (Actual)

June 18, 2018

Study Record Updates

Last Update Posted (Actual)

July 8, 2020

Last Update Submitted That Met QC Criteria

June 19, 2020

Last Verified

October 1, 2019

More Information

Terms related to this study

Other Study ID Numbers

  • 16670
  • I5Q-MC-CGAW (Other Identifier: Eli Lilly and Company)
  • 2018-000600-42 (EudraCT Number)

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)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

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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