Efficacy and Tolerability of Erenumab in the Prophylactic Treatment of Persistent Post-Traumatic Headache

Last updated: February 7, 2020
Sponsor: Danish Headache Center
Overall Status: Completed

Phase

2

Condition

Migraine (Pediatric)

Pain

Chronic Pain

Treatment

N/A

Clinical Study ID

NCT03974360
2018-003943-46
  • Ages 18-65
  • All Genders

Study Summary

An exploratory open-label study of PPTH patients to study the efficacy and tolerability of erenumab in the prophylactic treatment of persistent headache attributed to mild traumatic injury to the head. Approximately 100 subjects will be included to erenumab 140 mg. Patients who have participated in study with prior provocation (Ethics Committee of the Capital Region of Denmark (H-1801147 and H-18050498) and who have consented to be contacted will primarily be included. The study will begin February 2019 and is expected to last one year. Patients responding to advertisement (see add) will be contacted by phone.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Men and women between 18 - 65 years who suffer from PPTH following a concussion / mildtraumatic brain injury more than 12 months ago.

  • Fertile women must use safe contraceptives and present with a negative u-HCG on theexperimental day. Safe contraceptives are defined as intra-uterine devices,contraceptive pills or implants and surgical sterilization.

Exclusion

Exclusion Criteria:

  • Pre-trauma primary headache disorders, including tension-type headache > 1 days/months

  • Medication-overuse headache

  • Whiplash injury

  • Cardiovascular disease of any kind, including cerebrovascular disease

  • Hypertension on the experimental day (systolic blood pressure > 150 mmHg and/ordiastolic blood pressure > 100 mmHg)

  • Hypotension on the experimental day (systolic blood pressure < 90 mmHg and/ordiastolic blood pressure < 50 mmHg)

  • Pre-trauma psychiatric disorder of any kind - unless effectively treated

  • Anamnestic or clinical symptoms of any kind that are deemed relevant for studyparticipation by the physician who examines the patient

  • Pregnant or breastfeeding, or is a female expecting to conceive during the study,

  • including through 4 weeks after the last dose of erenumab

  • Female subject of childbearing potential who is unwilling to use an acceptable

  • Method of effective contraception during treatment through 4 weeks after the last doseof erenumab. Acceptable methods of effective birth control include not havingintercourse (true abstinence, when this is in line with the preferred and usuallifestyle of the subject), hormonal birth control methods (pills, shots/injections,implants, or patches), intrauterine devices, surgical contraceptive methods (vasectomywith medical assessment of the surgical success of this procedure or bilateral tuballigation), or two barrier methods (each partner must use one barrier method) withspermicide - males must use a condom with spermicide; females must choose either adiaphragm with spermicide, OR cervical cap with spermicide, OR contraceptive spongewith spermicide. Female subjects not of childbearing potential are defined as anyfemale who: is post-menopausal by history, defined as:

  • Age ≥ 55 years with cessation of menses for 12 or more months, OR

  • Age < 55 years but no spontaneous menses for at least 2 years, OR

  • Age < 55 years and spontaneous menses within the past 1 year, but currentlyamenorrheic (eg, spontaneous or secondary to hysterectomy), AND withpostmenopausal gonadotropin levels (luteinizing hormone and follicle-stimulatinghormone levels > 40 IU/L) or postmenopausal estradiol levels (< 5 ng/dL) oraccording to the definition of "postmenopausal range" for the laboratoryinvolved. OR

  • Underwent bilateral oophorectomy OR

  • Underwent hysterectomy OR

  • Underwent bilateral salpingectomy

  • Known sensitivity to any component of erenumab

  • Previously randomized into an erenumab study

  • Member of investigational site staff or relative of the investigator

  • Unlikely to be able to complete all protocol required study visits or procedures,and/or to comply with all required study procedures to the best of the subject's andinvestigator's knowledge

Study Design

Total Participants: 100
Study Start date:
April 05, 2019
Estimated Completion Date:
December 31, 2019

Study Description

The reasons and justification of choosing an open-label design are the following:

  1. To date, there are no evidence for prophylactic drugs treating post-traumatic headache. Post-traumatic headache patients are notoriously known to be refractory to prophylactic treatment and have usually tried several prophylactic drugs such as amitriptylin, which is recommended as a prophylactic drug in migraine and chronic tension-type headache, and other drugs developed for the treatment of primary headache disorders. First step is therefore to show if there is an effect at all following erenumab treatment in these refractory PPTH patients.

  2. The refractory nature of PPTH will lower the bias that could occur through placebo effects.

  3. The treatment period is also quite long, and the endpoint is assessed in the last month of treatment, which will also minimize a placebo effect.

  4. Furthermore, this relatively small exploratory open label study is needed to show if there is an effect of erenumab in post-traumatic headache at all and what this effect is, before initiating larger multicenter double-blind studies in this patient group.

Connect with a study center

  • Danish Headache Center

    Glostrup, Copenhagen 2600
    Denmark

    Site Not Available

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