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A Study to Explore the Long-Term Safety and Efficacy of Fremanezumab (TEV-48125) for the Prevention of Cluster Headache (ENFORCE)

Primary Purpose

Cluster Headache

Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Fremanezumab
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 Cluster Headache

Eligibility Criteria

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

Inclusion Criteria:

  • The participant completes either the Phase 3 pivotal study for ECH (Study TV48125-CNS-30056) or the Phase 3 pivotal study for CCH (Study TV48125-CNS-30057) without important protocol deviations related to participant safety and participant compliance.
  • Prior to 15 June 2018, participants from the ECH study and the CCH study were enrolled. After 15 June 2018, only participants who participated in the ECH study (Study TV48125-CNS-30056) will be enrolled for active treatment.
  • In addition, participants who do not complete the pivotal efficacy studies, and participants who complete the pivotal efficacy studies but will not continue treatment during this long-term safety study, will be offered to enroll in this study for the purpose of evaluating ADAs, and safety (adverse events and concomitant medications) approximately 7.5 months after administration of the last dose of the IMP.

    • Additional criteria apply, please contact the investigator for more information

Exclusion Criteria:

  • Any finding that, in the judgment of the investigator, is a clinically significant abnormality, including serum chemistry, hematology, coagulation, and urinalysis test values (abnormal tests may be repeated for confirmation)

    • 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 13842
  • Teva Investigational Site 13840
  • 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 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 34222
  • Teva Investigational Site 34223
  • Teva Investigational Site 34220
  • Teva Investigational Site 34221

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Fremanezumab 225 mg Monthly

Fremanezumab 675/225 mg Monthly

Fremanezumab 675 mg Quarterly

Arm Description

Participants with ECH or CCH who received fremanezumab at 900 mg intravenous (IV) infusion at Week 0 and fremanezumab at 225 mg subcutaneous (SC) injection at Weeks 4 and 8, respectively in the pivotal study TV48125-CNS-30056 or TV48125-CNS-30057, and participants with CCH who received fremanezumab at 675 mg SC injection at Week 0 and placebo SC injection at Weeks 4 and 8, respectively in the pivotal study TV48125-CNS-30057; will receive fremanezumab at 225 mg SC injection monthly (approximately every 4 weeks, administered as single SC injection of fremanezumab at 225 mg [225 mg/1.5 milliliter {mL}] at Week 0 and 36; and 2 placebo SC injections at Weeks 0, 12, 24, and 36 for blinding in participants rolled over from Study TV48125-CNS-30056; fremanezumab at 225 mg as a single SC injection (225 mg/1.5 mL) at Week 0, 12, 24, and 36; 2 SC injections of placebo at Week 0 for blinding in participants rolled over from Study TV48125-CNS-30057) through Week 36 in this study.

Participants with CCH who received placebo IV infusion and SC injection at Week 0 and placebo SC injection at Weeks 4 and 8, respectively in the pivotal study TV48125-CNS-30057; will receive fremanezumab 675 mg SC injection as loading dose (administered as 3 SC injections of fremanezumab at 225 mg [225 mg/1.5 mL] at Week 0) followed by monthly (approximately every 4 weeks) fremanezumab at 225 mg SC injection (administered as single SC injection of fremanezumab at 225 mg [225 mg/1.5 mL] at Weeks 12, 24, and 36) through Week 36.

Participants with ECH who received fremanezumab at 675 mg SC injection at Week 0 and placebo SC injection at Weeks 4 and 8, respectively in the pivotal study; or placebo IV infusion and SC injection at Week 0 and placebo SC injection at Weeks 4 and 8, respectively in the pivotal study TV48125-CNS-30056; will receive fremanezumab at 675 mg SC injection quarterly (approximately every 12 weeks, administered as 3 SC injections of fremanezumab at 225 mg [225 mg/1.5 mL] at Weeks 0 an 36; and single placebo SC injections at Weeks 4, 8, 16, 20, 28, and 32 for blinding) through Week 36.

Outcomes

Primary Outcome Measures

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. 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. Baseline refers to the baseline values from the pivotal studies.
Number of Participants With Potentially Clinically Significant Abnormal Laboratory Results: Serum Chemistry
Serum chemistry tests with potentially clinically significant abnormal findings included: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), lactate dehydrogenase (LDH) each ≥3*upper limit of normal (ULN); Blood urea nitrogen (BUN) ≥10.71 millimole (mmol)/L; Bilirubin (Total) ≥34.2 micromole/liter (umol/L); and Creatinine ≥177 umol/L. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Number of Participants With Potentially Clinically Significant Abnormal Laboratory Results: Hematology
Hematology tests with potentially clinically significant abnormal findings included: hemoglobin less than or equal to (≤)115 grams (g)/L (males) or ≤95 g/L (females), leukocytes count ≥20*10^9/L or ≤3*10^9/L, eosinophils ≥10%, hematocrit <0.37 L/L (males) and <0.32 L/L (females), platelets count ≥700*10^9/L or ≤75*10^9/L, absolute neutrophil count (ANC) ≤1*10^9/L. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Number of Participants With Potentially Clinically Significant Abnormal Laboratory Results: Urinalysis
Urinalysis laboratory tests with potentially clinically significant abnormal findings included: haemoglobin, urine glucose, ketones, urine total protein each ≥2 unit (U) increase from baseline. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Number of Participants With Shift From Baseline to Endpoint (Last Assessment) 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. Baseline refers to the baseline values from the pivotal studies.
Number of Participants With Potentially Clinically Significant Abnormal Vital Signs Values
Potentially clinically significant abnormal vital signs findings included: Pulse rate ≥120 beats per minute (bpm) and increase from baseline of ≥15 bpm, or ≤50 bpm and decrease from baseline of ≥15 bpm; Systolic blood pressure ≤90 millimeters of mercury (mmHg) and decrease from baseline of ≥20 mmHg, or ≥180 mmHg and increase from baseline of ≥20 mmHg; Diastolic blood pressure ≤50 mmHg and decrease from baseline of ≥15 mmHg, or ≥105 mmHg and increase from baseline of ≥15 mmHg; Temperature >38.3 degrees celsius (°C). A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
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. Baseline refers to the baseline values from the pivotal studies.
Number of Participants With Abnormal Physical Examination Findings
A complete physical examination included the following organ systems: general appearance; head, eyes, ears, nose, and throat; chest and lungs; heart; abdomen; musculoskeletal; skin; lymph nodes; and neurological. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
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, rash, warmth, and pruritus. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Number of Participants With Hypersensitivity/Anaphylaxis Reactions
A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Number of Participants Who Received Concomitant Medications
Concomitant medications included: agents acting on the renin-angiotensin system, all other therapeutic products (homeopathic), allergens, analgesics, anesthetics, anti-parkinson drugs, antianemic preparations, antibacterials, antibiotics and chemotherapeutics for dermatological use, antidiarrheals, intestinal antiinflammatory/antiinfective agents, antiemetic, antiepileptics, antifungals for dermatologiocal use, antigout preparations, antihemorrhagics, antihistamines for systemic use, antihypertensives, antiinflammatory and antirheumatic products, antimycotics for systemic use, antipruritics, antipsoriatics, antivirals for systemic use, beta blocking agents, blood substitutes and perfusion solutions, cardiac therapy, corticosteroids, cough and cold preparations, diagnostic radiopharmaceuticals, diuretics, thyroid therapy, urologicals, vaccines, psycoleptics, psycoanaleptics, ophthalmologicals, muscle relaxants, drugs used in diabetes. Baseline refers to values from the pivotal studies.
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. Baseline refers to the baseline values from the pivotal studies.

Secondary Outcome Measures

Full Information

First Posted
March 23, 2017
Last Updated
November 6, 2021
Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03107052
Brief Title
A Study to Explore the Long-Term Safety and Efficacy of Fremanezumab (TEV-48125) for the Prevention of Cluster Headache
Acronym
ENFORCE
Official Title
A Multicenter, Double-Blind, Double-Dummy Study to Explore the Long-Term Safety and Efficacy of TEV-48125 for the Prevention of Cluster Headache
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Terminated
Why Stopped
The study was terminated after the episodic cluster study was terminated due to a pre specified futility analyses
Study Start Date
April 27, 2017 (Actual)
Primary Completion Date
June 11, 2019 (Actual)
Study Completion Date
June 11, 2019 (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
This is a 68-week study to evaluate the long-term safety and efficacy of fremanezumab in participants with cluster headache (CH). Participants who complete the pivotal studies TV48125-CNS-30056 (NCT02945046) and TV48125-CNS-30057 (NCT02964338) and enroll into the current study will visit the investigational center for investigational medicinal product (IMP) administration, safety and efficacy assessments, and blood and urine collections for pharmacokinetics, immunogenicity (anti-drug antibodies [ADAs]), and biomarker analyses. Participants will return to the investigational center for a follow-up visit to evaluate ADAs, fremanezumab concentrations, biomarkers, and safety (adverse events and concomitant medications) approximately 7.5 months after the last dose of IMP.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Fremanezumab 225 mg Monthly
Arm Type
Experimental
Arm Description
Participants with ECH or CCH who received fremanezumab at 900 mg intravenous (IV) infusion at Week 0 and fremanezumab at 225 mg subcutaneous (SC) injection at Weeks 4 and 8, respectively in the pivotal study TV48125-CNS-30056 or TV48125-CNS-30057, and participants with CCH who received fremanezumab at 675 mg SC injection at Week 0 and placebo SC injection at Weeks 4 and 8, respectively in the pivotal study TV48125-CNS-30057; will receive fremanezumab at 225 mg SC injection monthly (approximately every 4 weeks, administered as single SC injection of fremanezumab at 225 mg [225 mg/1.5 milliliter {mL}] at Week 0 and 36; and 2 placebo SC injections at Weeks 0, 12, 24, and 36 for blinding in participants rolled over from Study TV48125-CNS-30056; fremanezumab at 225 mg as a single SC injection (225 mg/1.5 mL) at Week 0, 12, 24, and 36; 2 SC injections of placebo at Week 0 for blinding in participants rolled over from Study TV48125-CNS-30057) through Week 36 in this study.
Arm Title
Fremanezumab 675/225 mg Monthly
Arm Type
Experimental
Arm Description
Participants with CCH who received placebo IV infusion and SC injection at Week 0 and placebo SC injection at Weeks 4 and 8, respectively in the pivotal study TV48125-CNS-30057; will receive fremanezumab 675 mg SC injection as loading dose (administered as 3 SC injections of fremanezumab at 225 mg [225 mg/1.5 mL] at Week 0) followed by monthly (approximately every 4 weeks) fremanezumab at 225 mg SC injection (administered as single SC injection of fremanezumab at 225 mg [225 mg/1.5 mL] at Weeks 12, 24, and 36) through Week 36.
Arm Title
Fremanezumab 675 mg Quarterly
Arm Type
Experimental
Arm Description
Participants with ECH who received fremanezumab at 675 mg SC injection at Week 0 and placebo SC injection at Weeks 4 and 8, respectively in the pivotal study; or placebo IV infusion and SC injection at Week 0 and placebo SC injection at Weeks 4 and 8, respectively in the pivotal study TV48125-CNS-30056; will receive fremanezumab at 675 mg SC injection quarterly (approximately every 12 weeks, administered as 3 SC injections of fremanezumab at 225 mg [225 mg/1.5 mL] at Weeks 0 an 36; and single placebo SC injections at Weeks 4, 8, 16, 20, 28, and 32 for blinding) through Week 36.
Intervention Type
Drug
Intervention Name(s)
Fremanezumab
Other Intervention Name(s)
TEV-48125
Intervention Description
Fremanezumab
Primary Outcome Measure Information:
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. 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. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to follow-up (Week 68)
Title
Number of Participants With Potentially Clinically Significant Abnormal Laboratory Results: Serum Chemistry
Description
Serum chemistry tests with potentially clinically significant abnormal findings included: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), lactate dehydrogenase (LDH) each ≥3*upper limit of normal (ULN); Blood urea nitrogen (BUN) ≥10.71 millimole (mmol)/L; Bilirubin (Total) ≥34.2 micromole/liter (umol/L); and Creatinine ≥177 umol/L. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to end of treatment (Week 40)
Title
Number of Participants With Potentially Clinically Significant Abnormal Laboratory Results: Hematology
Description
Hematology tests with potentially clinically significant abnormal findings included: hemoglobin less than or equal to (≤)115 grams (g)/L (males) or ≤95 g/L (females), leukocytes count ≥20*10^9/L or ≤3*10^9/L, eosinophils ≥10%, hematocrit <0.37 L/L (males) and <0.32 L/L (females), platelets count ≥700*10^9/L or ≤75*10^9/L, absolute neutrophil count (ANC) ≤1*10^9/L. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to end of treatment (Week 40)
Title
Number of Participants With Potentially Clinically Significant Abnormal Laboratory Results: Urinalysis
Description
Urinalysis laboratory tests with potentially clinically significant abnormal findings included: haemoglobin, urine glucose, ketones, urine total protein each ≥2 unit (U) increase from baseline. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to end of treatment (Week 40)
Title
Number of Participants With Shift From Baseline to Endpoint (Last Assessment) 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. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to end of treatment (Week 40)
Title
Number of Participants With Potentially Clinically Significant Abnormal Vital Signs Values
Description
Potentially clinically significant abnormal vital signs findings included: Pulse rate ≥120 beats per minute (bpm) and increase from baseline of ≥15 bpm, or ≤50 bpm and decrease from baseline of ≥15 bpm; Systolic blood pressure ≤90 millimeters of mercury (mmHg) and decrease from baseline of ≥20 mmHg, or ≥180 mmHg and increase from baseline of ≥20 mmHg; Diastolic blood pressure ≤50 mmHg and decrease from baseline of ≥15 mmHg, or ≥105 mmHg and increase from baseline of ≥15 mmHg; Temperature >38.3 degrees celsius (°C). A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to follow-up (Week 68)
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. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to follow-up (Week 68)
Title
Number of Participants With Abnormal Physical Examination Findings
Description
A complete physical examination included the following organ systems: general appearance; head, eyes, ears, nose, and throat; chest and lungs; heart; abdomen; musculoskeletal; skin; lymph nodes; and neurological. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to follow-up (Week 68)
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, rash, warmth, and pruritus. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to Week 36
Title
Number of Participants With Hypersensitivity/Anaphylaxis Reactions
Description
A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to Week 36
Title
Number of Participants Who Received Concomitant Medications
Description
Concomitant medications included: agents acting on the renin-angiotensin system, all other therapeutic products (homeopathic), allergens, analgesics, anesthetics, anti-parkinson drugs, antianemic preparations, antibacterials, antibiotics and chemotherapeutics for dermatological use, antidiarrheals, intestinal antiinflammatory/antiinfective agents, antiemetic, antiepileptics, antifungals for dermatologiocal use, antigout preparations, antihemorrhagics, antihistamines for systemic use, antihypertensives, antiinflammatory and antirheumatic products, antimycotics for systemic use, antipruritics, antipsoriatics, antivirals for systemic use, beta blocking agents, blood substitutes and perfusion solutions, cardiac therapy, corticosteroids, cough and cold preparations, diagnostic radiopharmaceuticals, diuretics, thyroid therapy, urologicals, vaccines, psycoleptics, psycoanaleptics, ophthalmologicals, muscle relaxants, drugs used in diabetes. Baseline refers to values from the pivotal studies.
Time Frame
Baseline up to follow-up (Week 68)
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. Baseline refers to the baseline values from the pivotal studies.
Time Frame
Baseline up to follow-up (Week 68)

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 completes either the Phase 3 pivotal study for ECH (Study TV48125-CNS-30056) or the Phase 3 pivotal study for CCH (Study TV48125-CNS-30057) without important protocol deviations related to participant safety and participant compliance. Prior to 15 June 2018, participants from the ECH study and the CCH study were enrolled. After 15 June 2018, only participants who participated in the ECH study (Study TV48125-CNS-30056) will be enrolled for active treatment. In addition, participants who do not complete the pivotal efficacy studies, and participants who complete the pivotal efficacy studies but will not continue treatment during this long-term safety study, will be offered to enroll in this study for the purpose of evaluating ADAs, and safety (adverse events and concomitant medications) approximately 7.5 months after administration of the last dose of the IMP. Additional criteria apply, please contact the investigator for more information Exclusion Criteria: Any finding that, in the judgment of the investigator, is a clinically significant abnormality, including serum chemistry, hematology, coagulation, and urinalysis test values (abnormal tests may be repeated for confirmation) 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 13842
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
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 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
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
00163
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 34222
City
Liverpool
ZIP/Postal Code
L9 7LJ
Country
United Kingdom
Facility Name
Teva Investigational Site 34223
City
London
ZIP/Postal Code
SE1 9RT
Country
United Kingdom
Facility Name
Teva Investigational Site 34220
City
London
ZIP/Postal Code
W6 8RF
Country
United Kingdom
Facility Name
Teva Investigational Site 34221
City
Oxford
ZIP/Postal Code
OX3 9DU
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

A Study to Explore the Long-Term Safety and Efficacy of Fremanezumab (TEV-48125) for the Prevention of Cluster Headache

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