Evidence map›Paper›PMID 31952501›Full record

ArticleBMC neurology2020

Safety and tolerability of monthly galcanezumab injections in patients with migraine: integrated results from migraine clinical studies.

Mark E Bangs, David Kudrow, Shufang Wang, Tina M Oakes, Gisela M Terwindt, Delphine Magis, Laura Yunes-Medina, Virginia L Stauffer

Erratum issued 5 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 5 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02163993 phase2completednot on this map

A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Study of Galcanezumab in Patients With Episodic Migraine

TypeinterventionalSponsorEli Lilly and CompanyRan2014 to 2018Enrolled414ConditionsMigraine HeadacheArmsGalcanezumab, Placebo
NCT02614183 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of LY2951742 in Patients With Episodic Migraine - the EVOLVE-1 Study

TypeinterventionalSponsorEli Lilly and CompanyRan2015 to 2018Enrolled862ConditionsMigraineArmsGalcanezumab, Placebo
NCT02614196 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of LY2951742 in Patients With Episodic Migraine - the EVOLVE-2 Study

TypeinterventionalSponsorEli Lilly and CompanyRan2015 to 2018Enrolled986ConditionsMigraineArmsGalcanezumab, Placebo
NCT02614261 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of LY2951742 in Patients With Chronic Migraine - the REGAIN Study

TypeinterventionalSponsorEli Lilly and CompanyRan2015 to 2021Enrolled1,117ConditionsChronic MigraineArmsGalcanezumab, Placebo
NCT02614287 phase3completednot on this map

A Phase 3, Long-Term, Open-Label Safety Study of LY2951742 in Patients With Migraine

TypeinterventionalSponsorEli Lilly and CompanyRan2015 to 2018Enrolled270ConditionsMigraineArmsGalcanezumab
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Evidence-based review and frontiers of migraine therapy.Neurogastroenterology and motility · 2025
    Review
  6. Review
  7. Article
  8. Migraine and Its Treatment from the Medicinal Chemistry Perspective.ACS pharmacology & translational science · 2024
    Review
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Mark E BangsEli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46285, USA.
David KudrowCalifornia Medical Clinic for Headache, Santa Monica, CA, USA.
Shufang WangEli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46285, USA.
Tina M OakesEli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46285, USA.
Gisela M TerwindtLeiden University Medical Center, Leiden, The Netherlands.
Delphine MagisNeurology Dept and Pain Clinic (CMTD), CHR East Belgium, Verviers, Belgium.
Laura Yunes-MedinaEli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46285, USA.
Virginia L StaufferEli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46285, USA. vstauffer@lilly.com.
Eli Lilly (United States) · USCalifornia Medical Clinic for Headache · USCHR Verviers · BELeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGalcanezumab, a humanized monoclonal antibody that selectively binds to calcitonin gene-related peptide, has demonstrated a significant reduction in monthly migraine headache days in phase 2 and 3 trials. In these analyses, we aimed to evaluate the safety and tolerability of galcanezumab compared with placebo for prevention of episodic or chronic migraine.

methodsData were integrated from three double-blind clinical studies for the up to 6-month galcanezumab exposure group (N = 1435), and from five clinical studies for the up to 1-year all-galcanezumab exposure group (N = 2276). Patients received a monthly 120 mg subcutaneous injection of galcanezumab (with a 240 mg loading dose in month 1), 240 mg galcanezumab, or placebo. Outcomes measured were treatment-emergent adverse events (TEAEs), serious AEs (SAEs), and discontinuation due to AEs (DCAEs). Laboratory results, vital signs, electrocardiogram (ECG), suicidal ideation and behavior results were evaluated.

resultsTEAEs that occurred more frequently in galcanezumab-treated patients included injection site pain, injection site reactions excluding pain, constipation, vertigo, and pruritus. The proportion of DCAEs among galcanezumab-treated patients ranged between 1.8 and 3.0%, and differed from placebo group for galcanezumab 240 mg (P < 0.05). Fewer than 2.0% of patients in either galcanezumab dose-group compared with 1.0% of placebo-treated patients reported a SAE. There were no clinically meaningful differences between galcanezumab and placebo in laboratory measures, vital signs including blood pressure, ECGs, cardiovascular-related AEs, or suicidal ideation and behavior.

conclusionsGalcanezumab demonstrated a favorable safety and tolerability profile for up to 1 year of treatment for the prevention of migraine.

trial registrationClinical Trials CGAB = NCT02163993, EVOLVE-1 = NCT02614183, EVOLVE-2 = NCT02614196, REGAIN = NCT02614261, and CGAJ = NCT02614287. All were first posted on 25 November 2015, except CGAB posted on 16 June 2014, and before enrolling the first patient.

Indexed as

Randomized Controlled Trials as TopicAdultAntibodies, Monoclonal, HumanizedDouble-Blind MethodFemaleHumansMaleMiddle AgedMigraine DisordersTreatment OutcomeAntibodies, Monoclonal, HumanizedgalcanezumabCGRPGalcanezumabMigraineSafetyTolerability

Identifiers

PMID31952501
PMCPMC6966798
OpenAlexW3005012287

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.