E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10027599 |
E.1.2 | Term | Migraine |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The main goal of the study is to assess the long-term safety of eptinezumab in children and adolescents ages 6 to 17 with chronic or episodic migraine.
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Valutare la sicurezza a lungo termine di eptinezumab somministrato per via endovenosa (EV) in pazienti pediatrici di età compresa tra 6 e 17 anni, affetti da emicrania cronica o sporadica |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- The participant must have completed Week12 (completion) visit of either Study19356A (CM) or Study19357A (EM) immediately prior to enrolment into this OLE study. |
Il partecipante deve aver completato la visita Week 12 (visita di completamento) degli studi 19356A (CM) oppure 19357A (EM) immediatamente prima di essere arruolato in questo studio OLE. |
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E.4 | Principal exclusion criteria |
- The participant has an adverse event or other safety concerns that are deemed related to double-blind treatment received in the lead-in study and is considered a potential safety risk by the investigator.
- During lead-in Study19356A or Study19357A: * participant experienced ananaphylactic reaction or another severe and/or serious hypersensitivity reaction to the investigational medicinal product (IMP) infusion, as assessed by the investigator
* the participant had a serum alanine aminotransferase (ALT) or aspartate aminotransferase(AST) value >5 times the upper limit of the reference range that was confirmed by testing <2 weeks later.
* the participant had a serum ALT or AST value >3times the upper limit of the reference range and a serum total bilirubin value >2times the upper limit of the reference range. |
- Il partecipante ha avuto un evento avverso o altri problemi di sicurezza che si presume siano collegati al trattamento ricevuto nello studio principale e questo viene considerato come un fattore di rischio dallo sperimentatore.
- Durante gli studi 19356A e 19357A:
il partecipante ha avuto reazioni anafilattiche o un altro tipo di reazioni o ipersensitività gravi all'infusione del farmaco in studio, come riscontrato dallo sperimentatore
il partecipante ha avuto un valore di ALT o AST >5 volte il limite superiore del range di riferimento e questo dato è stato confermato da un test effettuato <2 settimane dopo
il partecipante ha avuto un valore di ALT o AST >3 volte il limite superiore del range di riferimento e un valore totale di bilirubina serica >2 volte il limite superiore del range di riferimento |
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Number of Participants With Treatment Emergent Adverse Events |
1 . Numero di partecipanti che mostrano eventi avversi dovuti al trattamento |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1. Time Frame: Baseline up to Week 44 |
1. Dal basale fino alla settimana 44 |
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E.5.2 | Secondary end point(s) |
1. Free Eptinezumab Plasma Concentration
2. Number of Participants With Specific Anti-Eptinezumab Antibodies (Anti-Drug Antibodies [ADA])
3. Number of Participants With Specific Anti-Eptinezumab Antibodies for Neutralizing Activity (NAb)
4. Change From Baseline in Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Score at Weeks 12, 24, and 36
5. Change From Baseline in Monthly Headache Days Averaged Over Weeks 1-12
6. Change From Baseline in Monthly Migraine Days Averaged Over Weeks 1-12
7. Change From Baseline in Rate of Migraines With Severe Pain Intensity Averaged Over Weeks 1-12 |
1. Concentrazione nel plasma di Eptinezumab libero 2. Numero di partecipanti con anticorpi anti-Eptinezumab (ADA) 3. Numero di partecipanti con anticorpi anti-Eptinezumab ad attività neutralizzante (NAb) 4. Cambio del punteggio, rispetto al livello basale, nel questionario PedMIDAS alle settimane 12, 24 e 36 5. Cambio rispetto al basale nella media dei giorni con episodi di mal di testa nel corso delle prime 12 settimane 6. Cambio rispetto al basale nella media dei giorni con episodi di emicranea nel corso delle prime 12 settimane 7. Cambio rispetto al basale nel tasso di emicranee con alta intensità del dolore nel corso delle prime 12 settimane |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. Time Frame: Baseline, Weeks 8, 12, 24, 36, and 44 2. Time Frame: Baseline (Week 0), Weeks 8, 12, 24, 36, and 44 3. Time Frame: Baseline (Week 0), Weeks 8, 12, 24, 36, and 44 4. Time Frame: Baseline, Weeks 12, 24, and 36 5. Time Frame: Baseline, Weeks 1-12 6. Time Frame: Baseline, Weeks 1-12 7. Time Frame: Baseline, Weeks 1-12 |
1. Intervallo: basale, settimane 8, 12, 24, 36 e 44 2. Intervallo: basale (settimana 0), settimane 8, 12, 24, 36 e 44 3. Intervallo: basale (settimana 0), settimane 8, 12, 24, 36 e 44 4. Intervallo: basale, settimane 12, 24 e 36 5. Intervallo: basale, settimane 1-12 6. Intervallo: basale, settimane 1-12 7. Intervallo: basale, settimane 1-12 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 8 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 16 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Canada |
Mexico |
United States |
Spain |
Italy |
Portugal |
Turkey |
United Kingdom |
Serbia |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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The end of the study for an individual patient is defined as the last scheduled procedure shown in Panel 2. The overall end of the study is defined as the last scheduled procedure shown in Panel 2 for the last patient in the study globally. |
La fine dello studio per un singolo paziente viene definita come l'ultima procedura prevista come mostrato nel Pannello 2. La fine dello studio al livello globale viene definita come l'ultima procedura prevista per l'ultimo paziente, come mostrato nel Pannello 2. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |