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NCT Number: NCT04965675

A Study With Eptinezumab in Adolescents (12-17 Years) With Chronic Migraine

To find out if eptinezumab is better than placebo (normal saline solution) in lowering the number of days with migraine in young people ages 12 to 17 with chronic migraine.

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Key information

Age range

12 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Hospital Privado de La Comunidad, Mar del Plata, Buenos Aires, Argentina

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About this study

The study includes a single intravenous (IV) infusion of the study drug and consists of a screening period (4 weeks), a double-blind, placebo-controlled period (12 weeks), and a safety follow-up period (8 weeks). Participants confirmed eligible will be randomized (1:1:1) to receive a single IV infusion of either eptinezumab 300 milligrams (mg) dose (weight adjusted; targeting adult exposure after 300 mg IV), eptinezumab 100 mg (weight adjusted; targeting adult exposure after 100 mg IV), or placebo at randomization visit. The doses will be adjusted for the participant's body weight.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • The participant has a diagnosis of migraine (with or without aura) as defined by International Classification of Headache Disorders 3 (ICHD-3) guidelines with history of chronic migraine, of at least 6 months prior to the screening visit.
  • During the 28-day screening period, the participant must adequately complete the headache eDiary on at least 23 of the 28 days following the screening visit.
  • During the 28-day screening period, the participant must have ≥15 to ≤26 headache days, of which at least 8 are migraine days as documented in the eDiary.

Exclusion criteria

  • The participant has previously been randomised in this study and exposed to eptinezumab.
  • The participant has been exposed to any monoclonal antibody treatment (including exposure in a study) <6 months prior to the screening visit.
  • The participant has been exposed to another calcitonin gene-related peptide (CGRP) antibody (including exposure in a study investigating a CGRP antibody) <6 months prior to the screening visit.
  • The participant has a history or diagnosis of complicated migraine (ICHD-3 version, 2018), chronic tension-type headache, hypnic headache, cluster headache, hemicrania continua, new daily persistent headache, or unusual migraine subtypes such as hemiplegic migraine (sporadic and familial), migraine with brainstem aura, ophthalmoplegic migraine, or migraine with neurological accompaniments that are not typical of migraine aura (diplopia, altered consciousness, or long duration; for example >60 minutes).

Treatment and study plan

Eptinezumab

Drug

Eptinezumab will be administered per dose and schedule specified in the arm.

Other names: Vyepti

Placebo

Drug

Placebo matching to eptinezumab will be administered per schedule specified in the arm.

Primary outcomes

  1. Change From Baseline in Monthly Migraine Days (MMDs) Averaged Over Weeks 1-12

    Time frame: Baseline, Weeks 1-12

Secondary outcomes

  1. Percentage of Participants With 50% Reduction From Baseline in MMDs Averaged Over Weeks 1-12

    Time frame: Baseline up to Weeks 1-12

  2. Percentage of Participants With Migraine on the Day After Dosing (Day 1)

    Time frame: Day 1

  3. Change From Baseline in MMDs With Use of Acute Medication Averaged Over Weeks 1-12

    Time frame: Baseline, Weeks 1-12

  4. Percentage of Participants With 75% Reduction From Baseline in MMDs Averaged Over Weeks 1-12

    Time frame: Baseline up to Weeks 1-12

  5. Percentage of Participants With 75% Reduction From Baseline in MMDs Averaged Over Weeks 1-4

    Time frame: Baseline up to Weeks 1-4

  6. Percentage of Participants With 50% Reduction From Baseline in MMDs Averaged Over Weeks 1-4

    Time frame: Baseline up to Weeks 1-4

  7. Change From Baseline in Monthly Headache Days Averaged Over Weeks 1-12

    Time frame: Baseline, Weeks 1-12

  8. Change From Baseline in Rate of Migraines With Severe Pain Intensity Averaged Over Weeks 1-12

    Time frame: Baseline, Weeks 1-12

  9. Change From Baseline in Days With Use of Acute Medication Averaged Over Weeks 1-12

    Time frame: Baseline, Weeks 1-12

  10. Change From Baseline in Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Score Averaged Over Weeks 1-12

    Time frame: Baseline, Weeks 1-12

  11. Free Eptinezumab Plasma Concentration

    Time frame: Randomization ( pre-dose [Week 0]), Week 8, Week 12, and safety follow up visit (Week 20)

  12. Number of Participants With Specific Anti-Eptinezumab Antibodies (Anti-Drug Antibodies [ADA])

    Time frame: From randomization (Week 0) up to Week 20

  13. Number of Participants With Specific Anti-Eptinezumab Antibodies for Neutralizing Activity (NAb)

    Time frame: From randomization (Week 0) up to Week 20

Study contacts

Contact information is provided by the study sponsor or research team.

Email contact via H. Lundbeck A/S

CONTACT

[email protected]

+45 36301311

Sponsors and collaborators

Lead sponsor

H. Lundbeck A/S

Industry

Registry information

Official study title

Interventional, Randomized, Double-blind, Parallel-group, Placebo-controlled Study to Evaluate the Efficacy and Safety of IV Eptinezumab in Adolescents (12-17 Years) for the Preventive Treatment of Chronic Migraine

Acronym: PROSPECT-2

Important dates

Study start
2021
Primary completion
2026
Study completion
2026
First posted
Jul 16, 2021
Registry last updated
Jul 14, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.