Evidence map›Paper›PMID 37597868›Full record

Trial reportBMJ open2023

Long-term efficacy and safety of erenumab in Japanese patients with episodic and chronic migraine: results from a 28-week open-label treatment period of a randomised trial.

Koichi Hirata, Takao Takeshima, Fumihiko Sakai, Yotaro Numachi, Ryuji Yoshida, Reija Koukakis, Miki Hasebe, Daishi Yui, Gabriel Paiva da Silva Lima, Sunfa Cheng

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03812224 (A Phase 3 Japanese Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Erenumab in Migraine Prevention), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT03812224 phase3completednot on this map

A Phase 3 Japanese Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Erenumab in Migraine Prevention

TypeinterventionalSponsorAmgenRan2019 to 2020Enrolled261ConditionsMigraineArmsErenumab, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Koichi HirataDepartment of Neurology, Dokkyo Ika Daigaku, Shimotsuga-gun, Japan.
Takao TakeshimaHeadache Center, Department of Neurology, Tominaga Hospital, Osaka, Japan.
Fumihiko SakaiSaitama International Headache Center, Saitama Neuropsychiatric Institute, Saitama, Japan.
Yotaro NumachiResearch & Development, Amgen KK, Minato-ku, Japan.
Ryuji YoshidaResearch & Development, Amgen KK, Minato-ku, Japan.
Reija KoukakisBiostatistics, Amgen Ltd Uxbridge, Uxbridge, UK.
Miki HasebeResearch & Development, Amgen KK, Minato-ku, Japan.
Daishi YuiResearch & Development, Amgen KK, Minato-ku, Japan.
Gabriel Paiva da Silva LimaGlobal Development, Amgen Inc, Thousand Oaks, California, USA.ORCID 0000-0001-8073-719X
Sunfa ChengGlobal Development, Amgen Inc, Thousand Oaks, California, USA sunfac@amgen.com.ORCID 0000-0001-8305-3068

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the 1-year efficacy and safety of once-monthly erenumab 70 mg following a 24-week double-blind treatment period (DBTP) of a phase III randomised study of Japanese patients with episodic migraine (EM) or chronic migraine (CM).

designMulticentre open-label study.

settingA total of 41 centres in Japan.

participantsPatients completing the DBTP continued into the 28-week open-label treatment period (OLTP). 254 of 261 (97.3%) randomised patients continued into the OLTP; 244 (93.5%) completed treatment.

interventionsOnce-monthly subcutaneous erenumab 70 mg.

main outcome measuresChanges from baseline in monthly migraine days (MMD) and monthly acute migraine-specific medication treatment days (MSMD) reported via patient eDiary; proportion of ≥50% and ≥75% responders in MMD reduction from baseline; incidence and exposure-adjusted incidence of treatment-emergent adverse events (TEAEs).

resultsAt week 24 of the DBTP, the mean (SE) change from baseline in MMD for the erenumab group was -3.8 (0.4) days (EM, -3.0 (0.4); CM, -5.2 (0.8)); in MSMD, -2.6 (0.4) days (EM, -2.1 (0.4); CM, -3.4 (0.7)). At the end of the OLTP (52 weeks postbaseline), the mean (SE) change from baseline in MMD was -4.7 (0.3) days (EM, -3.4 (0.3); CM, -6.9 (0.6)); in MSMD, -3.3 (0.3) days (EM, -2.4 (0.3); CM, -4.6 (0.5)). The proportion of ≥50% responders for MMD reduction in the erenumab group was 34.1% at week 24; 44.4% at week 52. The exposure-adjusted incidence of TEAEs was 219.7 per 100 patient-years during the OLTP (DBTP, 251.0 for the erenumab group). The most common TEAEs during the OLTP were nasopharyngitis, constipation and influenza. No new safety concerns were identified.

conclusionsErenumab treatment was associated with reduced migraine frequency in Japanese patients with EM or CM for up to 1 year. Overall safety results from the OLTP were consistent with DBTP results. TRIAL REGISTRATION NUMBER: NCT03812224.

Indexed as

Antibodies, Monoclonal, HumanizedMigraine DisordersEast Asian PeopleHumansAntibodies, Monoclonal, HumanizederenumabAdult neurologyClinical trialsMigraineNeurological painNEUROLOGY

Identifiers

PMID37597868
PMCPMC10441051

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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.