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Safety, Efficacy and Pharmacokinetics of ALD403

Primary Purpose

Migraine

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ALD403
Placebo
Sponsored by
Alder Biopharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine focused on measuring Migraine Disorders, Phase 1, ALD403

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria

  • Diagnosis of migraine at ≤ 50 years of age (ICHD-II, 2004 Section 1)
  • History of migraine ≥ 12 months with

    • ≥ 5 and ≤ 14 migraine days in each 28 day period in the 3 months prior to screening
    • use of acute migraine medications ≤ 14 days per 28 day period and, within those days, ≤ 10 days of triptan use per 28 day period in the 3 months prior to screening and the 28 day period of completion of eDiary prior to randomization
  • Women of child-bearing potential and males with partners of child-bearing potential must agree to use adequate contraception (oral or injectable [depot] estrogen, and/or progestogen, or selective estrogen receptor modulator contraceptive therapeutic, intrauterine contraceptive device, or double barrier method [e.g., condom and diaphragm or spermicidal gel]). Non-childbearing potential is defined as post-menopausal for at least 1 year or surgical sterilization or hysterectomy at least 3 months before screening
  • Any hormonal therapy (e.g., oral contraceptives, hormone replacement therapy) use is stable and ongoing for at least 3 months prior to screening and during the 28 day period from screening to randomization
  • Agree not to post any personal medical data related to the trial or information related to the trial on any website or social media site (e.g., Facebook, Twitter) until the trial has been completed

Exclusion Criteria

  • Confounding pain syndromes including fibromyalgia, chronic musculoskeletal (e.g., low back pain), psychiatric conditions, dementia, or major neurological disorders other than migraine that interfere with the participation in the trial
  • Diagnosis of complicated migraine, chronic tension-type headache, hypnic headache, hemicrania continua, new daily persistent headache, basilar, hemiplegic, or familial hemiplegic migraine
  • Regular use (greater than 7 days) of prophylactic headache medication (any preventive medication or supplement with evidence of efficacy from at least 1 placebo-controlled trial) within 3 months, or onabotulinumtoxin A within 6 months prior to screening or during the 28 day period prior to randomization
  • Cardiac surgery or cardiac symptoms within 3 months of screening and during the 28 day period prior to randomization
  • Suspected or diagnosis of hypertension with or without antihypertensive treatment
  • Any ongoing co-morbidity that in the opinion of the Investigator will interfere with the participation in the trial
  • Body Mass Index (BMI) > 39 at screening
  • Pregnant, breast-feeding, or planning to become pregnant during the trial
  • Patients who have used opioids > 5 days for the treatment of pain in more than 2 of the 6 months prior to screening or in the 28 day period prior to randomization

Sites / Locations

  • Premiere Research
  • ACT Trials
  • Collaborative Neuroscience Network, Inc.
  • Medical Center for Clinical Research
  • San Francisco Clinical Research
  • CA Medical Clinic for Headache
  • Diablo Clinical Research, Inc.
  • MD Clinical
  • Miami Research
  • Segal Institute for Clinical Research
  • Palm Beach Research Center
  • Boston Clinical Trials
  • MedVadis Research
  • Michigan Headache & Neurological Institute
  • Clinvest
  • SPRI
  • Rochester Clinical Research, Inc.
  • Wake Research
  • Community Research
  • Coastal Carolina Research Center
  • ClinSearch
  • Neurology Associates of Arlington
  • Premiere Research
  • CRI Lifetree
  • Tidewater Integrated Medical Research
  • Seattle Women's: Health, Research, Gynecology

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ALD403

Saline

Arm Description

Single IV Dose on Day 0

Single IV infusion on Day 0

Outcomes

Primary Outcome Measures

Safety of ALD403: laboratory variables, ECG and adverse events
Physical Examination Vital signs 12-lead ECG (electrocardiogram) Clinical laboratory tests (hematology, chemistry) Number of participants with Adverse Events

Secondary Outcome Measures

Evaluation of Pharmacokinetics of ALD403
Cmax - maximum plasma concentration Tmax - Time to achieve maximum plasma concentration AUC - Area under the plasma concentration-time curve T1/2 - Elimination half-life Vz - Volume of distribution CL - Clearance Bioavailability Plasma levels of unbound ALD403
Efficacy of ALD403
Change in frequency of migraine days compared to baseline Responder rate Migraine hours Migraine episodes Migraine severity Use of acute migraine medications

Full Information

First Posted
January 17, 2013
Last Updated
January 6, 2016
Sponsor
Alder Biopharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01772524
Brief Title
Safety, Efficacy and Pharmacokinetics of ALD403
Official Title
A Parallel Group, Double-Blind, Randomized, Placebo Controlled Phase 1b Trial to Evaluate the Safety, Pharmacokinetics, and Efficacy of a Single Dose of ALD403 Administered Intravenously in Patients With Frequent Episodic Migraines
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
January 2013 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
February 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alder Biopharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the safety, pharmacokinetics and efficacy of a single dose of ALD403 in the prevention of migraine headache in frequent episodic migraineurs for 24 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine
Keywords
Migraine Disorders, Phase 1, ALD403

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
163 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ALD403
Arm Type
Experimental
Arm Description
Single IV Dose on Day 0
Arm Title
Saline
Arm Type
Placebo Comparator
Arm Description
Single IV infusion on Day 0
Intervention Type
Biological
Intervention Name(s)
ALD403
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Safety of ALD403: laboratory variables, ECG and adverse events
Description
Physical Examination Vital signs 12-lead ECG (electrocardiogram) Clinical laboratory tests (hematology, chemistry) Number of participants with Adverse Events
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Evaluation of Pharmacokinetics of ALD403
Description
Cmax - maximum plasma concentration Tmax - Time to achieve maximum plasma concentration AUC - Area under the plasma concentration-time curve T1/2 - Elimination half-life Vz - Volume of distribution CL - Clearance Bioavailability Plasma levels of unbound ALD403
Time Frame
24 weeks
Title
Efficacy of ALD403
Description
Change in frequency of migraine days compared to baseline Responder rate Migraine hours Migraine episodes Migraine severity Use of acute migraine medications
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Diagnosis of migraine at ≤ 50 years of age (ICHD-II, 2004 Section 1) History of migraine ≥ 12 months with ≥ 5 and ≤ 14 migraine days in each 28 day period in the 3 months prior to screening use of acute migraine medications ≤ 14 days per 28 day period and, within those days, ≤ 10 days of triptan use per 28 day period in the 3 months prior to screening and the 28 day period of completion of eDiary prior to randomization Women of child-bearing potential and males with partners of child-bearing potential must agree to use adequate contraception (oral or injectable [depot] estrogen, and/or progestogen, or selective estrogen receptor modulator contraceptive therapeutic, intrauterine contraceptive device, or double barrier method [e.g., condom and diaphragm or spermicidal gel]). Non-childbearing potential is defined as post-menopausal for at least 1 year or surgical sterilization or hysterectomy at least 3 months before screening Any hormonal therapy (e.g., oral contraceptives, hormone replacement therapy) use is stable and ongoing for at least 3 months prior to screening and during the 28 day period from screening to randomization Agree not to post any personal medical data related to the trial or information related to the trial on any website or social media site (e.g., Facebook, Twitter) until the trial has been completed Exclusion Criteria Confounding pain syndromes including fibromyalgia, chronic musculoskeletal (e.g., low back pain), psychiatric conditions, dementia, or major neurological disorders other than migraine that interfere with the participation in the trial Diagnosis of complicated migraine, chronic tension-type headache, hypnic headache, hemicrania continua, new daily persistent headache, basilar, hemiplegic, or familial hemiplegic migraine Regular use (greater than 7 days) of prophylactic headache medication (any preventive medication or supplement with evidence of efficacy from at least 1 placebo-controlled trial) within 3 months, or onabotulinumtoxin A within 6 months prior to screening or during the 28 day period prior to randomization Cardiac surgery or cardiac symptoms within 3 months of screening and during the 28 day period prior to randomization Suspected or diagnosis of hypertension with or without antihypertensive treatment Any ongoing co-morbidity that in the opinion of the Investigator will interfere with the participation in the trial Body Mass Index (BMI) > 39 at screening Pregnant, breast-feeding, or planning to become pregnant during the trial Patients who have used opioids > 5 days for the treatment of pain in more than 2 of the 6 months prior to screening or in the 28 day period prior to randomization
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeff Smith, MD
Organizational Affiliation
Alder Biopharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Premiere Research
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85027
Country
United States
Facility Name
ACT Trials
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Collaborative Neuroscience Network, Inc.
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Facility Name
Medical Center for Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
San Francisco Clinical Research
City
San Francisco
State/Province
California
ZIP/Postal Code
94109
Country
United States
Facility Name
CA Medical Clinic for Headache
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
Diablo Clinical Research, Inc.
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
Facility Name
MD Clinical
City
Hallandale Beach
State/Province
Florida
ZIP/Postal Code
33009
Country
United States
Facility Name
Miami Research
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Segal Institute for Clinical Research
City
North Miami
State/Province
Florida
ZIP/Postal Code
33161
Country
United States
Facility Name
Palm Beach Research Center
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33409
Country
United States
Facility Name
Boston Clinical Trials
City
Roslindale
State/Province
Massachusetts
ZIP/Postal Code
02131
Country
United States
Facility Name
MedVadis Research
City
Watertown
State/Province
Massachusetts
ZIP/Postal Code
02472
Country
United States
Facility Name
Michigan Headache & Neurological Institute
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48104
Country
United States
Facility Name
Clinvest
City
Springfield
State/Province
Missouri
ZIP/Postal Code
65807
Country
United States
Facility Name
SPRI
City
Brooklyn
State/Province
New York
ZIP/Postal Code
11235
Country
United States
Facility Name
Rochester Clinical Research, Inc.
City
Rochester
State/Province
New York
ZIP/Postal Code
14609
Country
United States
Facility Name
Wake Research
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
Facility Name
Community Research
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45255
Country
United States
Facility Name
Coastal Carolina Research Center
City
Mt. Pleasant
State/Province
South Carolina
ZIP/Postal Code
29464
Country
United States
Facility Name
ClinSearch
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37421
Country
United States
Facility Name
Neurology Associates of Arlington
City
Arlington
State/Province
Texas
ZIP/Postal Code
76017
Country
United States
Facility Name
Premiere Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
CRI Lifetree
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84106
Country
United States
Facility Name
Tidewater Integrated Medical Research
City
Virginia Beach
State/Province
Virginia
ZIP/Postal Code
23454
Country
United States
Facility Name
Seattle Women's: Health, Research, Gynecology
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
34823467
Citation
Smith TR, Spierings ELH, Cady R, Hirman J, Ettrup A, Shen V. Cardiovascular outcomes in adults with migraine treated with eptinezumab for migraine prevention: pooled data from four randomized, double-blind, placebo-controlled studies. J Headache Pain. 2021 Nov 25;22(1):143. doi: 10.1186/s10194-021-01360-1.
Results Reference
derived
PubMed Identifier
33781209
Citation
Smith TR, Spierings ELH, Cady R, Hirman J, Schaeffler B, Shen V, Sperling B, Brevig T, Josiassen MK, Brunner E, Honeywell L, Mehta L. Safety and tolerability of eptinezumab in patients with migraine: a pooled analysis of 5 clinical trials. J Headache Pain. 2021 Mar 30;22(1):16. doi: 10.1186/s10194-021-01227-5. Erratum In: J Headache Pain. 2021 May 25;22(1):46.
Results Reference
derived
PubMed Identifier
25297013
Citation
Dodick DW, Goadsby PJ, Silberstein SD, Lipton RB, Olesen J, Ashina M, Wilks K, Kudrow D, Kroll R, Kohrman B, Bargar R, Hirman J, Smith J; ALD403 study investigators. Safety and efficacy of ALD403, an antibody to calcitonin gene-related peptide, for the prevention of frequent episodic migraine: a randomised, double-blind, placebo-controlled, exploratory phase 2 trial. Lancet Neurol. 2014 Nov;13(11):1100-1107. doi: 10.1016/S1474-4422(14)70209-1. Epub 2014 Oct 5.
Results Reference
derived

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Safety, Efficacy and Pharmacokinetics of ALD403

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