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A Study Comparing the Efficacy and Safety of Fremanezumab (TEV-48125) for the Prevention of Chronic Cluster Headache (CCH)

Primary Purpose

Chronic Cluster Headache

Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Fremanezumab
Placebo
Sponsored by
Teva Branded Pharmaceutical Products R&D, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Cluster Headache

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The participant has a history of CCH according to the International Classification of Headache Disorders - 3 beta criteria (Headache Classification Committee of the International Headache Society [IHS] 2013) for greater than or equal to (≥)12 months prior to screening.
  • The participant has a total body weight of ≥45 kilograms (kg) (99 pounds [lbs]).
  • The participant is in good health in the opinion of the Investigator.
  • Women of childbearing potential (WOCBP) whose male partners are potentially fertile (that is, no vasectomy) must use highly effective birth control methods for the duration of the study.
  • Men must be sterile, or if they are potentially fertile/reproductively competent (not surgically [for example, vasectomy] or congenitally sterile) and their female partners are of childbearing potential, must agree to use, together with their female partners, acceptable birth control.
  • If a participant is receiving Botox, it should be in a stable dose regimen, which is considered as having ≥2 cycles of Botox prior to screening. The participant should not receive Botox during the run-in period up to the evaluation period (12 weeks) where the primary endpoint is evaluated.

    • Additional criteria apply, please contact the Investigator for more information.

Exclusion Criteria:

  • The participant has used systemic steroids for any medical reason (including treatment of the current cluster headache (CH) cycle within less than or equal to (≤)7 days prior to screening. The participant has used an intervention/device (for example, scheduled nerve blocks) for headache during the 4 weeks prior to screening.
  • The participant has clinically significant hematological, renal, endocrine, immunologic, pulmonary, gastrointestinal, genitourinary, cardiovascular, neurologic, hepatic, or ocular disease at the discretion of the Investigator.
  • The participant has evidence or medical history of clinically significant psychiatric issues determined at the discretion of the Investigator.
  • The participant has a past or current history of cancer or malignant tumor in the past 5 years, except for appropriately treated non-melanoma skin carcinoma.
  • The participant is pregnant or lactating.
  • The participant has a history of hypersensitivity reactions to injected proteins, including monoclonal antibodies.
  • The participant has participated in a clinical study of a monoclonal antibody within 3 months or 5 half-lives before administration of the first dose of the investigational medicinal product (IMP), whichever is longer, unless it is known that the participant received placebo during the study.
  • The participant has a history of prior exposure to a monoclonal antibody targeting the calcitonin gene-related peptide (CGRP) pathway (AMG 334, ALD304, LY2951742, or fremanezumab). If participant has participated in a clinical study with any of these monoclonal antibodies, it has to be confirmed that the participant received placebo in order to be eligible for this study.
  • The participant is an employee of the sponsor/participating study center who is directly involved in the study or is the relative of such an employee.
  • The participant has an active implant for neurostimulation used in the treatment of CH.
  • The participant is a member of a vulnerable population (for example, people kept in detention).
  • The participant has a history of alcohol abuse prior to screening and/or drug abuse that in the Investigator's opinion could interfere with the study evaluations or the participant's safety.

    • Additional criteria apply, please contact the Investigator for more information.

Sites / Locations

  • Teva Investigational Site 13834
  • Teva Investigational Site 13819
  • Teva Investigational Site 13811
  • Teva Investigational Site 13823
  • Teva Investigational Site 13837
  • Teva Investigational Site 13814
  • Teva Investigational Site 13836
  • Teva Investigational Site 13813
  • Teva Investigational Site 13821
  • Teva Investigational Site 13812
  • Teva Investigational Site 13810
  • Teva Investigational Site 13815
  • Teva Investigational Site 13829
  • Teva Investigational Site 13830
  • Teva Investigational Site 13840
  • Teva Investigational Site 34222
  • Teva Investigational Site 13833
  • Teva Investigational Site 13826
  • Teva Investigational Site 13818
  • Teva Investigational Site 13835
  • Teva Investigational Site 13832
  • Teva Investigational Site 13831
  • Teva Investigational Site 13820
  • Teva Investigational Site 13827
  • Teva Investigational Site 13816
  • Teva Investigational Site 13817
  • Teva Investigational Site 13809
  • Teva Investigational Site 13839
  • Teva Investigational Site 13825
  • Teva Investigational Site 13824
  • Teva Investigational Site 13841
  • Teva Investigational Site 13822
  • Teva Investigational Site 78120
  • Teva Investigational Site 78118
  • Teva Investigational Site 78123
  • Teva Investigational Site 78122
  • Teva Investigational Site 78121
  • Teva Investigational Site 11132
  • Teva Investigational Site 11130
  • Teva Investigational Site 11131
  • Teva Investigational Site 40030
  • Teva Investigational Site 40031
  • Teva Investigational Site 40029
  • Teva Investigational Site 32666
  • Teva Investigational Site 32667
  • Teva Investigational Site 32660
  • Teva Investigational Site 32665
  • Teva Investigational Site 32662
  • Teva Investigational Site 32661
  • Teva Investigational Site 32663
  • Teva Investigational Site 80124
  • Teva Investigational Site 80122
  • Teva Investigational Site 80125
  • Teva Investigational Site 80121
  • Teva Investigational Site 80123
  • Teva Investigational Site 80120
  • Teva Investigational Site 80127
  • Teva Investigational Site 80126
  • Teva Investigational Site 30190
  • Teva Investigational Site 30192
  • Teva Investigational Site 30194
  • Teva Investigational Site 30193
  • Teva Investigational Site 30191
  • Teva Investigational Site 30189
  • Teva Investigational Site 38118
  • Teva Investigational Site 38119
  • Teva Investigational Site 38117
  • Teva Investigational Site 53380
  • Teva Investigational Site 53383
  • Teva Investigational Site 53379
  • Teva Investigational Site 53382
  • Teva Investigational Site 53381
  • Teva Investigational Site 31211
  • Teva Investigational Site 31214
  • Teva Investigational Site 31213
  • Teva Investigational Site 31212
  • Teva Investigational Site 31215
  • Teva Investigational Site 42047
  • Teva Investigational Site 42045
  • Teva Investigational Site 34224
  • Teva Investigational Site 34220
  • Teva Investigational Site 34223
  • Teva Investigational Site 34221

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Experimental

Arm Label

Placebo

Fremanezumab 675/225/225 mg

Fremanezumab 900/225/225 mg

Arm Description

Participants received placebo via an approximately 1-hour intravenous infusion and as 3 subcutaneous injections at Week 0 followed by placebo administered as single subcutaneous injections at Weeks 4 and 8.

Participants received placebo via an approximately 1-hour intravenous infusion and fremanezumab at 675 milligrams (mg) as 3 subcutaneous injections (225 mg/1.5 milliliters [mL]) at Week 0 followed by fremanezumab at 225 mg administered as single subcutaneous injections (225 mg/1.5 mL) at Weeks 4 and 8.

Participants received fremanezumab at 900 mg via an approximately 1-hour intravenous infusion and placebo administered as 3 subcutaneous injections at Week 0 followed by fremanezumab at 225 mg administered as single subcutaneous injections (225 mg/1.5 mL) at Weeks 4 and 8.

Outcomes

Primary Outcome Measures

Mean Change From Baseline in the Overall Monthly Average Number of CH Attacks Up to Week 12
A CH attack was defined as a severe or very severe unilateral orbital, supraorbital, and/or temporal pain lasting 15 to 180 minutes with either or both of the following 2 categories: 1) at least 1 of the following symptoms or signs, ipsilateral to the headache: -conjunctival injection and/or lacrimation; -nasal congestion and/or rhinorrhea; -eyelid edema; -forehead and facial sweating; -forehead and facial flushing; -sensation of fullness in the ear; -miosis and/or ptosis. 2) a sense of restlessness or agitation. Least Squares (LS) mean calculated using analysis of covariance (ANCOVA) model with baseline preventive medication use (yes or no), sex, region (United States [US]/Canada or other), and treatment as fixed effects and the baseline number of CH attacks as a covariate. Change from baseline in the overall monthly average number of CH attacks during the 12-week period after administration of the first dose of study drug (based on Week 0 to 12 data) is reported.

Secondary Outcome Measures

Percentage of Participants With a ≥50% Reduction From Baseline in the Monthly Average Number of CH Attacks Up to Week 12
A CH attack was defined as a severe or very severe unilateral orbital, supraorbital, and/or temporal pain lasting 15 to 180 minutes with either or both of the following 2 categories: 1) at least 1 of the following symptoms or signs, ipsilateral to the headache: -conjunctival injection and/or lacrimation; -nasal congestion and/or rhinorrhea; -eyelid edema; -forehead and facial sweating; -forehead and facial flushing; -sensation of fullness in the ear; -miosis and/or ptosis. 2) a sense of restlessness or agitation.
Mean Change From Baseline in the Monthly Average Number of CH Attacks at Week 4 and Week 12
A CH attack was defined as a severe or very severe unilateral orbital, supraorbital, and/or temporal pain lasting 15 to 180 minutes with either or both of the following 2 categories: 1) ≥1 of the following symptoms or signs, ipsilateral to the headache: -conjunctival injection and/or lacrimation; -nasal congestion and/or rhinorrhea; -eyelid edema; -forehead and facial sweating; -forehead and facial flushing; -sensation of fullness in the ear; -miosis and/or ptosis. 2) a sense of restlessness or agitation. Mean change from baseline in monthly average number of CH attacks during 4-week period after administration of first dose of study drug (based on Week 0 to 4 data) and during 4-week period after administration of third dose of study drug (based on Week 8 to 12 data) is reported.
Mean Change From Baseline in the Overall Weekly Average Number of Days With Use of Cluster-Specific Acute Headache Medications (Triptans and Ergot Compounds) Up to Week 12
A maximum of 2 concomitant preventive medications for CH were allowed during the study. Participants must have been on a stable dose and regimen of the concomitant medication for at least 2 weeks before screening and throughout the study. Baseline data and the mean change from baseline in the overall weekly average number of days with the use of cluster-specific acute headache medications (triptans and ergot compounds) during the 12-week period after administration of the first dose of study drug (based on Week 0 to 12 data) is reported.
Mean Change From Baseline in the Weekly Average Number of Days Oxygen Was Used to Treat CCH Up to Week 12
Baseline data and the mean change from baseline in the overall weekly average number of days oxygen was used to treat CCH during the 12-week period after administration of the first dose of study drug (based on Week 0 to 12 data) is reported.
Number of Participants Who Perceived Improvement of CH-Associated Pain From Baseline as Measured by the Patient-Perceived Satisfactory Improvement (PPSI) Scale at Weeks 1, 4, 8, and 12
The PPSI assessment was developed to measure pain intensity and was adjusted for CH symptoms improvement. Participants marked the level of CH-associated pain and indicated if pain is "1=much worse," "2=moderately worse," "3=slightly worse," "4=unchanged," "5=slightly improved," "6=moderately improved," or "7=much improved" compared with 4 weeks prior. PPSI was defined as the change in pain that corresponds with a minimal rating of "5=slightly improved." Data at Week 1 was recorded on Day 7 in the electronic diary device at home. Week 12 data also included assessment at the early withdrawal visit for participants who discontinued the study early.
Number of Participants With Adverse Events (AEs)
An AE was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the Investigator on a scale of mild, moderate and severe, with severe as an AE that prevents usual activities. Relationship of AE to treatment was determined by the Investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent the previously listed serious outcomes. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Potentially Clinically Significant Laboratory (Serum Chemistry, Hematology, and Urinalysis) Abnormal Results
Serum chemistry, hematology, urinalysis laboratory tests with potentially clinically significant abnormal findings included: Alanine Aminotransferase (units/liter [U/L]) ≥3*upper limit of normal (ULN); Aspartate Aminotransferase (U/L) ≥3*ULN; Bilirubin (Total) ≥34.2 micromole/liter (umol/L); Blood Urea Nitrogen ≥10.71 millimole (mmol)/L; Creatinine ≥177 umol/L; Gamma Glutamyl Transferase (U/L) ≥3*ULN; hemoglobin less than (<)115 grams (g)/L (males) or less than or equal to (≤)95 g/L (females); leukocytes ≥20*10^9/L or ≤3*10^9/L; Eosinophils/Leukocytes ≥10%; Hematocrit <0.37 L/L (males) and <0.32 L/L (females); platelets ≥700*10^9/L or ≤75*10^9/L; blood ≥2 unit increase from baseline; urine glucose (milligrams/decilitre [mg/dL]) ≥2 U increase from baseline; ketones (mg/dL) ≥2 U increase from baseline; urine protein (mg/dL) ≥2 U increase from baseline. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Shift From Baseline to Endpoint in Coagulation Laboratory Test Results
Coagulation parameters included: prothrombin time (PT) (seconds) and prothrombin international normalized ratio (INR). Shifts represented as Baseline - endpoint value (last observed post-baseline value). Shifts from baseline to endpoint were summarized using participant counts grouped into three categories: - Low (below normal range) - Normal (within the normal range of 9.4 to 12.5 seconds) - High (above normal range). Missing PT and prothrombin INR shift data are also presented. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Potentially Clinically Significant Abnormal Vital Signs Values
Potentially clinically significant abnormal vital signs findings included: pulse rate ≤50 beats/minute (bpm) and decrease of ≥15 bpm, or ≥120 bpm and increase of ≥15 bpm; systolic blood pressure ≤90 millimeters of mercury (mmHg) and decrease of ≥20 mmHg, or ≥180 mmHg and increase of ≥20 mmHg; diastolic blood pressure ≤50 mmHg and decrease of ≥15 mmHg, or ≥105 mmHg and increase of ≥15 mmHg; respiratory rate <10 breaths/minute; and body temperature ≥38.3 degrees centigrade and change of ≥1.1 degrees centigrade. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Shift From Baseline to Endpoint (Last Assessment) in Electrocardiogram (ECG) Parameters
ECG parameters included: heart rate, PR interval, QRS interval, QT interval corrected using the Fridericia formula (QTcF), QT interval corrected using the Bazett's formula (QTcB) and RR interval. Shifts represented as Baseline - endpoint value (last observed post-baseline value). Abnormal NCS indicated an abnormal but not clinically significant finding. Abnormal CS indicated an abnormal and clinically significant finding. Missing ECG shift data are also presented. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Injection Site Reactions
Number of participants who reported treatment-emergent injection site reactions are summarized. Preferred terms from Medical Dictionary for Regulatory Activities (MedDRA) version 18.1 were offered without a threshold applied. Injection site reactions included injection site erythema, induration, pain, haemorrhage, bruising, hypersensitivity, swelling, rash, and flushing. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With Suicidal Ideation and Suicidal Behavior as Assessed by the Electronic Columbia Suicide Severity Rating Scale (eC-SSRS)
eC-SSRS is a questionnaire to assess suicidal ideation and suicidal behavior. Suicidal behavior was defined as a "yes" answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation was defined as a "yes" answer to any one of 5 suicidal ideation questions: wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent, any self-injurious behavior with no suicidal intent.

Full Information

First Posted
November 11, 2016
Last Updated
November 5, 2021
Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02964338
Brief Title
A Study Comparing the Efficacy and Safety of Fremanezumab (TEV-48125) for the Prevention of Chronic Cluster Headache (CCH)
Official Title
A Multicenter, Randomized, Double-Blind, Double-Dummy, Placebo-Controlled, Parallel-Group Study Comparing the Efficacy and Safety of 2 Dose Regimens (Intravenous/Subcutaneous and Subcutaneous) of TEV-48125 Versus Placebo for the Prevention of Chronic Cluster Headache
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Terminated
Why Stopped
Futility analysis revealed that the primary endpoint is unlikely to be met. There were no safety concerns observed with fremanezumab treatment in the trial.
Study Start Date
January 17, 2017 (Actual)
Primary Completion Date
July 18, 2018 (Actual)
Study Completion Date
July 18, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the current study is to evaluate the efficacy and safety of Fremanezumab (TEV-48125), in the prevention of CCH in adult participants.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Cluster Headache

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
259 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants received placebo via an approximately 1-hour intravenous infusion and as 3 subcutaneous injections at Week 0 followed by placebo administered as single subcutaneous injections at Weeks 4 and 8.
Arm Title
Fremanezumab 675/225/225 mg
Arm Type
Experimental
Arm Description
Participants received placebo via an approximately 1-hour intravenous infusion and fremanezumab at 675 milligrams (mg) as 3 subcutaneous injections (225 mg/1.5 milliliters [mL]) at Week 0 followed by fremanezumab at 225 mg administered as single subcutaneous injections (225 mg/1.5 mL) at Weeks 4 and 8.
Arm Title
Fremanezumab 900/225/225 mg
Arm Type
Experimental
Arm Description
Participants received fremanezumab at 900 mg via an approximately 1-hour intravenous infusion and placebo administered as 3 subcutaneous injections at Week 0 followed by fremanezumab at 225 mg administered as single subcutaneous injections (225 mg/1.5 mL) at Weeks 4 and 8.
Intervention Type
Drug
Intervention Name(s)
Fremanezumab
Other Intervention Name(s)
TEV-48125
Intervention Description
Fremanezumab will be administered as per the dose and schedule specified in the respective arms.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo matching to fremanezumab will be administered as per the schedule specified in the respective arms.
Primary Outcome Measure Information:
Title
Mean Change From Baseline in the Overall Monthly Average Number of CH Attacks Up to Week 12
Description
A CH attack was defined as a severe or very severe unilateral orbital, supraorbital, and/or temporal pain lasting 15 to 180 minutes with either or both of the following 2 categories: 1) at least 1 of the following symptoms or signs, ipsilateral to the headache: -conjunctival injection and/or lacrimation; -nasal congestion and/or rhinorrhea; -eyelid edema; -forehead and facial sweating; -forehead and facial flushing; -sensation of fullness in the ear; -miosis and/or ptosis. 2) a sense of restlessness or agitation. Least Squares (LS) mean calculated using analysis of covariance (ANCOVA) model with baseline preventive medication use (yes or no), sex, region (United States [US]/Canada or other), and treatment as fixed effects and the baseline number of CH attacks as a covariate. Change from baseline in the overall monthly average number of CH attacks during the 12-week period after administration of the first dose of study drug (based on Week 0 to 12 data) is reported.
Time Frame
Baseline Period (from at least Week -4 to Week 0), Up to Week 12
Secondary Outcome Measure Information:
Title
Percentage of Participants With a ≥50% Reduction From Baseline in the Monthly Average Number of CH Attacks Up to Week 12
Description
A CH attack was defined as a severe or very severe unilateral orbital, supraorbital, and/or temporal pain lasting 15 to 180 minutes with either or both of the following 2 categories: 1) at least 1 of the following symptoms or signs, ipsilateral to the headache: -conjunctival injection and/or lacrimation; -nasal congestion and/or rhinorrhea; -eyelid edema; -forehead and facial sweating; -forehead and facial flushing; -sensation of fullness in the ear; -miosis and/or ptosis. 2) a sense of restlessness or agitation.
Time Frame
Baseline Period (from at least Week -4 to Week 0) up to Week 12
Title
Mean Change From Baseline in the Monthly Average Number of CH Attacks at Week 4 and Week 12
Description
A CH attack was defined as a severe or very severe unilateral orbital, supraorbital, and/or temporal pain lasting 15 to 180 minutes with either or both of the following 2 categories: 1) ≥1 of the following symptoms or signs, ipsilateral to the headache: -conjunctival injection and/or lacrimation; -nasal congestion and/or rhinorrhea; -eyelid edema; -forehead and facial sweating; -forehead and facial flushing; -sensation of fullness in the ear; -miosis and/or ptosis. 2) a sense of restlessness or agitation. Mean change from baseline in monthly average number of CH attacks during 4-week period after administration of first dose of study drug (based on Week 0 to 4 data) and during 4-week period after administration of third dose of study drug (based on Week 8 to 12 data) is reported.
Time Frame
Baseline Period (from at least Week -4 to Week 0), Week 4 and Week 12
Title
Mean Change From Baseline in the Overall Weekly Average Number of Days With Use of Cluster-Specific Acute Headache Medications (Triptans and Ergot Compounds) Up to Week 12
Description
A maximum of 2 concomitant preventive medications for CH were allowed during the study. Participants must have been on a stable dose and regimen of the concomitant medication for at least 2 weeks before screening and throughout the study. Baseline data and the mean change from baseline in the overall weekly average number of days with the use of cluster-specific acute headache medications (triptans and ergot compounds) during the 12-week period after administration of the first dose of study drug (based on Week 0 to 12 data) is reported.
Time Frame
Baseline Period (from at least Week -4 to Week 0), Up to Week 12
Title
Mean Change From Baseline in the Weekly Average Number of Days Oxygen Was Used to Treat CCH Up to Week 12
Description
Baseline data and the mean change from baseline in the overall weekly average number of days oxygen was used to treat CCH during the 12-week period after administration of the first dose of study drug (based on Week 0 to 12 data) is reported.
Time Frame
Baseline Period (from at least Week -4 to Week 0), Up to Week 12
Title
Number of Participants Who Perceived Improvement of CH-Associated Pain From Baseline as Measured by the Patient-Perceived Satisfactory Improvement (PPSI) Scale at Weeks 1, 4, 8, and 12
Description
The PPSI assessment was developed to measure pain intensity and was adjusted for CH symptoms improvement. Participants marked the level of CH-associated pain and indicated if pain is "1=much worse," "2=moderately worse," "3=slightly worse," "4=unchanged," "5=slightly improved," "6=moderately improved," or "7=much improved" compared with 4 weeks prior. PPSI was defined as the change in pain that corresponds with a minimal rating of "5=slightly improved." Data at Week 1 was recorded on Day 7 in the electronic diary device at home. Week 12 data also included assessment at the early withdrawal visit for participants who discontinued the study early.
Time Frame
Baseline and Weeks 1, 4, 8, and 12
Title
Number of Participants With Adverse Events (AEs)
Description
An AE was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the Investigator on a scale of mild, moderate and severe, with severe as an AE that prevents usual activities. Relationship of AE to treatment was determined by the Investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent the previously listed serious outcomes. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Time Frame
Baseline up to Week 12
Title
Number of Participants With Potentially Clinically Significant Laboratory (Serum Chemistry, Hematology, and Urinalysis) Abnormal Results
Description
Serum chemistry, hematology, urinalysis laboratory tests with potentially clinically significant abnormal findings included: Alanine Aminotransferase (units/liter [U/L]) ≥3*upper limit of normal (ULN); Aspartate Aminotransferase (U/L) ≥3*ULN; Bilirubin (Total) ≥34.2 micromole/liter (umol/L); Blood Urea Nitrogen ≥10.71 millimole (mmol)/L; Creatinine ≥177 umol/L; Gamma Glutamyl Transferase (U/L) ≥3*ULN; hemoglobin less than (<)115 grams (g)/L (males) or less than or equal to (≤)95 g/L (females); leukocytes ≥20*10^9/L or ≤3*10^9/L; Eosinophils/Leukocytes ≥10%; Hematocrit <0.37 L/L (males) and <0.32 L/L (females); platelets ≥700*10^9/L or ≤75*10^9/L; blood ≥2 unit increase from baseline; urine glucose (milligrams/decilitre [mg/dL]) ≥2 U increase from baseline; ketones (mg/dL) ≥2 U increase from baseline; urine protein (mg/dL) ≥2 U increase from baseline. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Time Frame
Baseline up to Week 12
Title
Number of Participants With Shift From Baseline to Endpoint in Coagulation Laboratory Test Results
Description
Coagulation parameters included: prothrombin time (PT) (seconds) and prothrombin international normalized ratio (INR). Shifts represented as Baseline - endpoint value (last observed post-baseline value). Shifts from baseline to endpoint were summarized using participant counts grouped into three categories: - Low (below normal range) - Normal (within the normal range of 9.4 to 12.5 seconds) - High (above normal range). Missing PT and prothrombin INR shift data are also presented. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Time Frame
Baseline up to Week 12
Title
Number of Participants With Potentially Clinically Significant Abnormal Vital Signs Values
Description
Potentially clinically significant abnormal vital signs findings included: pulse rate ≤50 beats/minute (bpm) and decrease of ≥15 bpm, or ≥120 bpm and increase of ≥15 bpm; systolic blood pressure ≤90 millimeters of mercury (mmHg) and decrease of ≥20 mmHg, or ≥180 mmHg and increase of ≥20 mmHg; diastolic blood pressure ≤50 mmHg and decrease of ≥15 mmHg, or ≥105 mmHg and increase of ≥15 mmHg; respiratory rate <10 breaths/minute; and body temperature ≥38.3 degrees centigrade and change of ≥1.1 degrees centigrade. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Time Frame
Baseline up to Week 12
Title
Number of Participants With Shift From Baseline to Endpoint (Last Assessment) in Electrocardiogram (ECG) Parameters
Description
ECG parameters included: heart rate, PR interval, QRS interval, QT interval corrected using the Fridericia formula (QTcF), QT interval corrected using the Bazett's formula (QTcB) and RR interval. Shifts represented as Baseline - endpoint value (last observed post-baseline value). Abnormal NCS indicated an abnormal but not clinically significant finding. Abnormal CS indicated an abnormal and clinically significant finding. Missing ECG shift data are also presented. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Time Frame
Baseline to Week 12
Title
Number of Participants With Injection Site Reactions
Description
Number of participants who reported treatment-emergent injection site reactions are summarized. Preferred terms from Medical Dictionary for Regulatory Activities (MedDRA) version 18.1 were offered without a threshold applied. Injection site reactions included injection site erythema, induration, pain, haemorrhage, bruising, hypersensitivity, swelling, rash, and flushing. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Time Frame
Baseline up to Week 12
Title
Number of Participants With Suicidal Ideation and Suicidal Behavior as Assessed by the Electronic Columbia Suicide Severity Rating Scale (eC-SSRS)
Description
eC-SSRS is a questionnaire to assess suicidal ideation and suicidal behavior. Suicidal behavior was defined as a "yes" answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation was defined as a "yes" answer to any one of 5 suicidal ideation questions: wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent, any self-injurious behavior with no suicidal intent.
Time Frame
Baseline up to Week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The participant has a history of CCH according to the International Classification of Headache Disorders - 3 beta criteria (Headache Classification Committee of the International Headache Society [IHS] 2013) for greater than or equal to (≥)12 months prior to screening. The participant has a total body weight of ≥45 kilograms (kg) (99 pounds [lbs]). The participant is in good health in the opinion of the Investigator. Women of childbearing potential (WOCBP) whose male partners are potentially fertile (that is, no vasectomy) must use highly effective birth control methods for the duration of the study. Men must be sterile, or if they are potentially fertile/reproductively competent (not surgically [for example, vasectomy] or congenitally sterile) and their female partners are of childbearing potential, must agree to use, together with their female partners, acceptable birth control. If a participant is receiving Botox, it should be in a stable dose regimen, which is considered as having ≥2 cycles of Botox prior to screening. The participant should not receive Botox during the run-in period up to the evaluation period (12 weeks) where the primary endpoint is evaluated. Additional criteria apply, please contact the Investigator for more information. Exclusion Criteria: The participant has used systemic steroids for any medical reason (including treatment of the current cluster headache (CH) cycle within less than or equal to (≤)7 days prior to screening. The participant has used an intervention/device (for example, scheduled nerve blocks) for headache during the 4 weeks prior to screening. The participant has clinically significant hematological, renal, endocrine, immunologic, pulmonary, gastrointestinal, genitourinary, cardiovascular, neurologic, hepatic, or ocular disease at the discretion of the Investigator. The participant has evidence or medical history of clinically significant psychiatric issues determined at the discretion of the Investigator. The participant has a past or current history of cancer or malignant tumor in the past 5 years, except for appropriately treated non-melanoma skin carcinoma. The participant is pregnant or lactating. The participant has a history of hypersensitivity reactions to injected proteins, including monoclonal antibodies. The participant has participated in a clinical study of a monoclonal antibody within 3 months or 5 half-lives before administration of the first dose of the investigational medicinal product (IMP), whichever is longer, unless it is known that the participant received placebo during the study. The participant has a history of prior exposure to a monoclonal antibody targeting the calcitonin gene-related peptide (CGRP) pathway (AMG 334, ALD304, LY2951742, or fremanezumab). If participant has participated in a clinical study with any of these monoclonal antibodies, it has to be confirmed that the participant received placebo in order to be eligible for this study. The participant is an employee of the sponsor/participating study center who is directly involved in the study or is the relative of such an employee. The participant has an active implant for neurostimulation used in the treatment of CH. The participant is a member of a vulnerable population (for example, people kept in detention). The participant has a history of alcohol abuse prior to screening and/or drug abuse that in the Investigator's opinion could interfere with the study evaluations or the participant's safety. Additional criteria apply, please contact the Investigator for more information.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Teva Medical Expert, MD
Organizational Affiliation
Teva Branded Pharmaceutical Products R&D, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Teva Investigational Site 13834
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
Teva Investigational Site 13819
City
Canoga Park
State/Province
California
ZIP/Postal Code
91303
Country
United States
Facility Name
Teva Investigational Site 13811
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
Teva Investigational Site 13823
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Teva Investigational Site 13837
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Teva Investigational Site 13814
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80918
Country
United States
Facility Name
Teva Investigational Site 13836
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Facility Name
Teva Investigational Site 13813
City
Englewood
State/Province
Colorado
ZIP/Postal Code
80113
Country
United States
Facility Name
Teva Investigational Site 13821
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510-2483
Country
United States
Facility Name
Teva Investigational Site 13812
City
Stamford
State/Province
Connecticut
ZIP/Postal Code
06905
Country
United States
Facility Name
Teva Investigational Site 13810
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32607
Country
United States
Facility Name
Teva Investigational Site 13815
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Teva Investigational Site 13829
City
Ormond Beach
State/Province
Florida
ZIP/Postal Code
32174
Country
United States
Facility Name
Teva Investigational Site 13830
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33709
Country
United States
Facility Name
Teva Investigational Site 13840
City
Tampa
State/Province
Florida
ZIP/Postal Code
33634
Country
United States
Facility Name
Teva Investigational Site 34222
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30901
Country
United States
Facility Name
Teva Investigational Site 13833
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
Facility Name
Teva Investigational Site 13826
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60614
Country
United States
Facility Name
Teva Investigational Site 13818
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48104
Country
United States
Facility Name
Teva Investigational Site 13835
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89106
Country
United States
Facility Name
Teva Investigational Site 13832
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89113
Country
United States
Facility Name
Teva Investigational Site 13831
City
Lebanon
State/Province
New Hampshire
ZIP/Postal Code
03756
Country
United States
Facility Name
Teva Investigational Site 13820
City
Princeton
State/Province
New Jersey
ZIP/Postal Code
08540
Country
United States
Facility Name
Teva Investigational Site 13827
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87102
Country
United States
Facility Name
Teva Investigational Site 13816
City
Amherst
State/Province
New York
ZIP/Postal Code
14226
Country
United States
Facility Name
Teva Investigational Site 13817
City
New York
State/Province
New York
ZIP/Postal Code
10019
Country
United States
Facility Name
Teva Investigational Site 13809
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27607
Country
United States
Facility Name
Teva Investigational Site 13839
City
Salisbury
State/Province
North Carolina
ZIP/Postal Code
28144
Country
United States
Facility Name
Teva Investigational Site 13825
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Teva Investigational Site 13824
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Teva Investigational Site 13841
City
Richmond
State/Province
Texas
ZIP/Postal Code
77307
Country
United States
Facility Name
Teva Investigational Site 13822
City
Virginia Beach
State/Province
Virginia
ZIP/Postal Code
23454
Country
United States
Facility Name
Teva Investigational Site 78120
City
Auchenflower
ZIP/Postal Code
4066
Country
Australia
Facility Name
Teva Investigational Site 78118
City
Clayton
ZIP/Postal Code
3168
Country
Australia
Facility Name
Teva Investigational Site 78123
City
Melbourne
ZIP/Postal Code
3004
Country
Australia
Facility Name
Teva Investigational Site 78122
City
Parkville
ZIP/Postal Code
3050
Country
Australia
Facility Name
Teva Investigational Site 78121
City
Randwick
ZIP/Postal Code
2031
Country
Australia
Facility Name
Teva Investigational Site 11132
City
Newmarket
State/Province
Ontario
ZIP/Postal Code
L3Y5G8
Country
Canada
Facility Name
Teva Investigational Site 11130
City
Calgary
ZIP/Postal Code
T3M 1M4
Country
Canada
Facility Name
Teva Investigational Site 11131
City
Toronto
ZIP/Postal Code
H3A 2B4
Country
Canada
Facility Name
Teva Investigational Site 40030
City
Helsinki
ZIP/Postal Code
00180
Country
Finland
Facility Name
Teva Investigational Site 40031
City
Oulu
ZIP/Postal Code
90100
Country
Finland
Facility Name
Teva Investigational Site 40029
City
Turku
ZIP/Postal Code
20100
Country
Finland
Facility Name
Teva Investigational Site 32666
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Teva Investigational Site 32667
City
Bochum
ZIP/Postal Code
44787
Country
Germany
Facility Name
Teva Investigational Site 32660
City
Essen
ZIP/Postal Code
45147
Country
Germany
Facility Name
Teva Investigational Site 32665
City
Hamburg
ZIP/Postal Code
20246
Country
Germany
Facility Name
Teva Investigational Site 32662
City
Kiel
ZIP/Postal Code
24149
Country
Germany
Facility Name
Teva Investigational Site 32661
City
Konigstein im Taunus
ZIP/Postal Code
61462
Country
Germany
Facility Name
Teva Investigational Site 32663
City
Rostock
ZIP/Postal Code
18147
Country
Germany
Facility Name
Teva Investigational Site 80124
City
Ashkelon
ZIP/Postal Code
7830604
Country
Israel
Facility Name
Teva Investigational Site 80122
City
Hadera
ZIP/Postal Code
3810101
Country
Israel
Facility Name
Teva Investigational Site 80125
City
Holon
ZIP/Postal Code
58100
Country
Israel
Facility Name
Teva Investigational Site 80121
City
Jerusalem
ZIP/Postal Code
9112001
Country
Israel
Facility Name
Teva Investigational Site 80123
City
Netanya
ZIP/Postal Code
4244916
Country
Israel
Facility Name
Teva Investigational Site 80120
City
Ramat Gan
ZIP/Postal Code
5265601
Country
Israel
Facility Name
Teva Investigational Site 80127
City
Tel Aviv
ZIP/Postal Code
64239
Country
Israel
Facility Name
Teva Investigational Site 80126
City
Tel-Aviv
ZIP/Postal Code
6812509
Country
Israel
Facility Name
Teva Investigational Site 30190
City
Milan
ZIP/Postal Code
20133
Country
Italy
Facility Name
Teva Investigational Site 30192
City
Modena
ZIP/Postal Code
41124
Country
Italy
Facility Name
Teva Investigational Site 30194
City
Napoli
ZIP/Postal Code
80131
Country
Italy
Facility Name
Teva Investigational Site 30193
City
Pavia
ZIP/Postal Code
27100
Country
Italy
Facility Name
Teva Investigational Site 30191
City
Rome
ZIP/Postal Code
00161
Country
Italy
Facility Name
Teva Investigational Site 30189
City
Rome
ZIP/Postal Code
163
Country
Italy
Facility Name
Teva Investigational Site 38118
City
Leiden
ZIP/Postal Code
2333 ZA
Country
Netherlands
Facility Name
Teva Investigational Site 38119
City
Nijmegen
ZIP/Postal Code
6532 SZ
Country
Netherlands
Facility Name
Teva Investigational Site 38117
City
Zwolle
ZIP/Postal Code
8025 AB
Country
Netherlands
Facility Name
Teva Investigational Site 53380
City
Bialystok
ZIP/Postal Code
15-402
Country
Poland
Facility Name
Teva Investigational Site 53383
City
Krakow
ZIP/Postal Code
31-505
Country
Poland
Facility Name
Teva Investigational Site 53379
City
Krakow
ZIP/Postal Code
33-332
Country
Poland
Facility Name
Teva Investigational Site 53382
City
Lodz
ZIP/Postal Code
90-338
Country
Poland
Facility Name
Teva Investigational Site 53381
City
Szczecin
ZIP/Postal Code
70-111
Country
Poland
Facility Name
Teva Investigational Site 31211
City
Galdakao.
ZIP/Postal Code
48960
Country
Spain
Facility Name
Teva Investigational Site 31214
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Facility Name
Teva Investigational Site 31213
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Facility Name
Teva Investigational Site 31212
City
Valladolid
ZIP/Postal Code
47003
Country
Spain
Facility Name
Teva Investigational Site 31215
City
Zaragoza
ZIP/Postal Code
50009
Country
Spain
Facility Name
Teva Investigational Site 42047
City
Huddinge
ZIP/Postal Code
141 86
Country
Sweden
Facility Name
Teva Investigational Site 42045
City
Vallingby
ZIP/Postal Code
162 68
Country
Sweden
Facility Name
Teva Investigational Site 34224
City
Glasgow
ZIP/Postal Code
G51 4TF
Country
United Kingdom
Facility Name
Teva Investigational Site 34220
City
London
ZIP/Postal Code
W6 8RF
Country
United Kingdom
Facility Name
Teva Investigational Site 34223
City
London
ZIP/Postal Code
WC1N 3BG
Country
United Kingdom
Facility Name
Teva Investigational Site 34221
City
Oxford
ZIP/Postal Code
OX2 6HE
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Study Comparing the Efficacy and Safety of Fremanezumab (TEV-48125) for the Prevention of Chronic Cluster Headache (CCH)

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