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NCT02959177

A Study of LY2951742 (Galcanezumab) in Japanese Participants With Episodic Migraine

Completed Phase 2 Results posted Last updated 27 April 2021
What this trial tests

Phase 2 trial testing Galcanezumab in Migraine in 459 participants. Completed in 18 January 2019.

Timeline
9 November 2016
Primary endpoint
18 January 2019
18 January 2019

Quick facts

Lead sponsorEli Lilly and Company
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment459
Start date9 November 2016
Primary completion18 January 2019
Estimated completion18 January 2019
Sites47 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Eli Lilly and Company — full company profile →

Who can join

Adults 18 to 65, any sex, with Migraine. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Overall Mean Change From Baseline in the Number of Monthly Migraine Headache Days (MHD) Primary · Baseline, Month 1 through Month 6

Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred. Migraine Headache : A headache, with or without aura, of ≥30 minutes duration with both of the following required features (A and B): A) At least 2 of the following headache characteristics: Unilateral location; Pulsatile quality; Moderate or severe pain intensity; Aggravation by or causing avoidance of routine physical activity; AND B) During headache at least one of the following: Nausea and/or vomiting; Photophobia and phonophobia; The overall mean is derived from the average of

GroupValue95% CI
120 mg Galcanezumab-3.60-4.25 – -2.96
240 mg Galcanezumab-3.36-4.01 – -2.71
Placebo-0.59-1.05 – -0.14
Percentage of Participants With a 50% or Greater Reduction From Baseline in Monthly Migraine Headache Days Secondary · Baseline, Month 1 through Month 6

Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred. A 50% responder in a particular month is any participant who has a ≥50% reduction from baseline in the monthly number of migraine headache attacks in a 30-day interval. It is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, and baseline MHD category as fixed factors.

GroupValue95% CI
120 mg Galcanezumab49.8± 3.4
240 mg Galcanezumab48.2± 3.5
Placebo20.3± 2.0
Percentage of Participants With a 75% or Greater Reduction From Baseline in Monthly Migraine Headache Days Secondary · Baseline, Month 1 through Month 6

Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred. A 75% responder in a particular month is any participant who has a ≥75% reduction from baseline in the monthly number of migraine headache attacks in a 30-day interval. It is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, and baseline MHD category as fixed factors.

GroupValue95% CI
120 mg Galcanezumab25.5± 2.8
240 mg Galcanezumab25.0± 2.8
Placebo9.6± 1.3
Percentage of Participants With a 100% Reduction From Baseline in Monthly Migraine Headache Days Secondary · Baseline, Month 1 through Month 6

Migraine Headache Day (MHD): A calendar day on which a migraine headache or probable migraine headache occurred. A 100% responder in a particular month is any participant who has a 100% reduction from baseline in the monthly number of migraine headache attacks in a 30-day interval. It is derived from the average of months 1 to 6 from generalized linear mixed model repeated measures. Mean percentages of participants were calculated with a generalized linear mixed model repeated measures method with treatment, month and treatment by month, and baseline MHD category as fixed factors.

GroupValue95% CI
120 mg Galcanezumab9.0± 1.5
240 mg Galcanezumab8.1± 1.5
Placebo2.8± 0.6
Overall Mean Change From Baseline on the Migraine-Specific Quality (MSQ) of Life Questionnaire Secondary · Baseline, Month 4 through Month 6

MSQ version 2.1 is a health status instrument consists of 14 items addressing 3 domains:(1)Role Function-Restrictive (items 1-7);(2)Role Function- Preventive (items 8-11);\&(3)Emotional Function (items 12-14).Response options range from "none of the time" (value 1) to "all of the time" (value 6), \& are reverse-recoded (value 6 to 1) before the domain scores are calculated. Total raw scores for each domain is the sum of the final item value for all of the items in that domain. After total raw score is computed for each domain \& total score, they are transformed to a 0-100 scale with higher sc

GroupValue95% CI
120 mg Galcanezumab17.1315.10 – 19.15
240 mg Galcanezumab15.9113.89 – 17.93
Placebo10.128.70 – 11.55
Overall Mean Change From Baseline in Number of Migraine Headache Days With Acute Medication Use Secondary · Baseline, Month 1 through Month 6

Migraine Headache Day (MHD) with Acute Medication Use: Calendar days on which migraine or probable migraine occurs, requiring acute medication. The overall mean is derived from the average of months 1 to 6 from MMRM model. LSMean was calculated using MMRM model with treatment, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed effects.

GroupValue95% CI
120 mg Galcanezumab-3.02-3.60 – -2.43
240 mg Galcanezumab-2.81-3.40 – -2.23
Placebo-0.12-0.53 – 0.30
Mean Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score Secondary · Baseline, Month 4 through Month 6

The PGI-S scale is a patient-rated instrument that measures patients own global impression of their illness severity. The patient was instructed as follows: "Considering migraine as a chronic condition, how would you rate your level of illness?" Response options were from 1 ("normal, not at all ill") to 7 ("extremely ill"). Mean is derived from the average of months 4 to 6 from MMRM model. Least square mean (LSM) was calculated using an MMRM model with treatment, month, treatment by month, baseline, baseline by month, and baseline MHD category as fixed effects.

GroupValue95% CI
120 mg Galcanezumab-0.25-0.40 – -0.10
240 mg Galcanezumab-0.41-0.56 – -0.25
Placebo-0.15-0.26 – -0.04
Overall Mean Change From Baseline in Headache Hours Secondary · Baseline, Month 1 through Month 6

Headache Hours is calculated as the total number of headache hours on which a headache occurred. Overall mean is derived from the average of months 1 to 6 from MMRM model. LSMean was calculated using the MMRM model with treatment, month, treatment by month, baseline, baseline by month and baseline MHD category.

GroupValue95% CI
120 mg Galcanezumab-14.56-18.10 – -11.01
240 mg Galcanezumab-16.46-20.02 – -12.90
Placebo-2.73-5.25 – -0.22
Mean Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score Secondary · Baseline, Month 6

The MIDAS is a participant-rated scale which was designed to quantify headache-related disability over a 3-month period. This instrument consists of five items that reflect the number of days reported as missing or with reduced productivity at work or home, and the number of days of missed social events. Each item has a numeric response range from 0 to 90 days, if days are missed from work or home they are not counted as days with reduced productivity at work or home. The numeric responses are summed to produce a total score ranging from 0 to 270, in which a higher value is indicative of more

GroupValue95% CI
120 mg Galcanezumab-7.06-9.67 – -4.44
240 mg Galcanezumab-5.13-7.69 – -2.58
Placebo-2.16-3.96 – -0.36
Percentage of Participants With Positive Responses on Patient Satisfaction With Medication Questionnaire-Modified (PSMQ-M) Secondary · Month 6

The PSMQ-M is a self-rated scale which measures participants level of satisfaction with study medication.The scale has been modified for use in this study, assessing 3 items related to the clinical trial treatment over the past 4 weeks: satisfaction, preference, and side effects. Satisfaction responses range from "very unsatisfied" to "very satisfied" with the current treatment. Preference compares the current study medication to previous medications, with responses from "much rather prefer my previous medication" to "much rather prefer the medication administered to me during the study"

Satisfaction: Very satisfied
GroupValue95% CI
120 mg Galcanezumab35.58
240 mg Galcanezumab44.14
Placebo7.56
Satisfaction: Somewhat satisfied
GroupValue95% CI
120 mg Galcanezumab26.92
240 mg Galcanezumab23.42
Placebo27.11
Side effects: Much less side effects
GroupValue95% CI
120 mg Galcanezumab35.58
240 mg Galcanezumab28.83
Placebo24.89
Side effects: Less side effects
GroupValue95% CI
120 mg Galcanezumab22.12
240 mg Galcanezumab33.33
Placebo25.78
Preference: Prefer study medication
GroupValue95% CI
120 mg Galcanezumab40.38
240 mg Galcanezumab34.23
Placebo28.00
Preference: Much Prefer study medication
GroupValue95% CI
120 mg Galcanezumab22.12
240 mg Galcanezumab27.03
Placebo3.11
Number of Participants With Suicidal Ideations Collected by Columbia - Suicide Severity Rating Scale (C-SSRS) Secondary · Month 1 through Month 6

C-SSRS captures the occurrence, severity, and frequency of suicide-related thoughts during the assessment period. The scale includes suggested questions to solicit the type of information needed to determine if a suicide-related thoughts occurred. Some questions are binary responses (yes/no) and some are on a scale of 1 (low severity) to 5 (high severity). Suicidal ideation (SI): a "yes" answer to any of 5 suicidal ideation questions: wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with any methods without intent to act, active suicidal ideation with some inten

Wish to be dead
GroupValue95% CI
120 mg Galcanezumab1
240 mg Galcanezumab0
Placebo0
Non-specific active suicidal thoughts
GroupValue95% CI
120 mg Galcanezumab0
240 mg Galcanezumab0
Placebo0
Active SI with no intent
GroupValue95% CI
120 mg Galcanezumab0
240 mg Galcanezumab0
Placebo0
Active SI with some intent
GroupValue95% CI
120 mg Galcanezumab0
240 mg Galcanezumab0
Placebo0
Active SI with specific plan and intent
GroupValue95% CI
120 mg Galcanezumab0
240 mg Galcanezumab0
Placebo0
Number of Participants With Suicidal Behaviors Assessed by Columbia - Suicide Severity Rating Scale (C-SSRS) Secondary · Month 1 through Month 6

C -SSRS captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior is defined as a "yes" answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation is defined as a "yes" answer to any one of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation.

Preparatory acts or behavior
GroupValue95% CI
120 mg Galcanezumab0
240 mg Galcanezumab0
Placebo0
Aborted attempt
GroupValue95% CI
120 mg Galcanezumab0
240 mg Galcanezumab0
Placebo0
Non-fatal suicide attempt
GroupValue95% CI
120 mg Galcanezumab0
240 mg Galcanezumab0
Placebo0
Completed suicide
GroupValue95% CI
120 mg Galcanezumab0
240 mg Galcanezumab0
Placebo0

Adverse events — posted to ClinicalTrials.gov

Time frame: 10 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment Phase Placebo
Serious: 0/230 (0%)
Deaths: 0/230
Treatment Phase 120 mg Galcanezumab
Serious: 3/115 (3%)
Deaths: 0/115
Treatment Phase 240 mg Galcanezumab
Serious: 1/114 (1%)
Deaths: 0/114
Follow-up Phase Placebo
Serious: 1/100 (1%)
Deaths: 0/100
Follow-up 120 mg Galcanezumab
Serious: 0/52 (0%)
Deaths: 0/52
Follow-up Phase 240 mg Galcanezumab
Serious: 0/52 (0%)
Deaths: 0/52

Serious adverse events (5 terms)

ReactionSystemTreatment Phase PlaceboTreatment Phase 120 mg Gal…Treatment Phase 240 mg Gal…Follow-up Phase PlaceboFollow-up 120 mg Galcanezu…Follow-up Phase 240 mg Gal…
Sudden hearing lossEar and labyrinth disorders
Tooth impactedGastrointestinal disorders
PneumoniaInfections and infestations
Meniscus injuryInjury, poisoning and procedural complications
Nasal septum deviationRespiratory, thoracic and mediastinal disorders
Other adverse events (248 terms — click to expand)

ReactionSystemTreatment Phase PlaceboTreatment Phase 120 mg Gal…Treatment Phase 240 mg Gal…Follow-up Phase PlaceboFollow-up 120 mg Galcanezu…Follow-up Phase 240 mg Gal…
NasopharyngitisInfections and infestations
Injection site erythemaGeneral disorders
Injection site pruritusGeneral disorders
Injection site swellingGeneral disorders
InfluenzaInfections and infestations
PharyngitisInfections and infestations
Abdominal pain upperGastrointestinal disorders
Injection site painGeneral disorders
Dental cariesGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
GastroenteritisInfections and infestations
UrticariaSkin and subcutaneous tissue disorders
Back painMusculoskeletal and connective tissue disorders
ToothacheGastrointestinal disorders
ConstipationGastrointestinal disorders
GastritisGastrointestinal disorders
Injection site bruisingGeneral disorders
SinusitisInfections and infestations
ContusionInjury, poisoning and procedural complications
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
TinnitusEar and labyrinth disorders
NauseaGastrointestinal disorders
Injection site indurationGeneral disorders
Injection site inflammationGeneral disorders
Injection site rashGeneral disorders
BronchitisInfections and infestations
CystitisInfections and infestations
HordeolumInfections and infestations
Thermal burnInjury, poisoning and procedural complications
ArthralgiaMusculoskeletal and connective tissue disorders
Migraine without auraNervous system disorders
InsomniaPsychiatric disorders
AsthmaRespiratory, thoracic and mediastinal disorders
AcneSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
Sudden hearing lossEar and labyrinth disorders
CataractEye disorders
Conjunctivitis allergicEye disorders
Dry eyeEye disorders
Abdominal discomfortGastrointestinal disorders

Most-reported serious reactions: Sudden hearing loss, Tooth impacted, Pneumonia, Meniscus injury, Nasal septum deviation.

Data from ClinicalTrials.gov NCT02959177 adverse events section.

Sponsor's own description

The main purpose of this study is to determine the efficacy of the study drug Galcanezumab in Japanese participants with episodic migraine.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Efficacy and Safety of Monoclonal Antibody Against Calcitonin Gene-Related Peptide or Its Receptor for Migraine: A Systematic Review and Network Meta-analysis.
    Wang X, Chen Y, Song J, You C. · · 2021 · cited 35× · PMID 33867991 · DOI 10.3389/fphar.2021.649143
  2. Calcitonin Gene-Related Peptide (CGRP)-Targeted Monoclonal Antibodies and Antagonists in Migraine: Current Evidence and Rationale.
    Cohen F, Yuan H, Silberstein SD. · · 2022 · cited 28× · PMID 35476215 · DOI 10.1007/s40259-022-00530-0
  3. The Arrival of Anti-CGRP Monoclonal Antibodies in Migraine.
    Cohen F, Yuan H, DePoy EMG, Silberstein SD. · · 2022 · cited 28× · PMID 35426060 · DOI 10.1007/s13311-022-01230-x
  4. Migraine-Specific Quality-of-Life Questionnaire (MSQ) Version 2.1 Score Improvement in Japanese Patients with Episodic Migraine by Galcanezumab Treatment: Japan Phase 2 Study.
    Shibata M, Nakamura T, Ozeki A, Ueda K, et al · · 2020 · cited 12× · PMID 33408512 · DOI 10.2147/jpr.s287781
  5. Early Onset and Maintenance Effect of Galcanezumab in Japanese Patients with Episodic Migraine.
    Igarashi H, Shibata M, Ozeki A, Day KA, et al · · 2021 · cited 9× · PMID 34815708 · DOI 10.2147/jpr.s326905
  6. Galcanezumab Effects on Migraine Severity and Symptoms in Japanese Patients with Episodic Migraine: Secondary Analysis of a Phase 2 Randomized Trial.
    Igarashi H, Shibata M, Ozeki A, Matsumura T. · · 2023 · cited 7× · PMID 36266558 · DOI 10.1007/s40120-022-00410-3
  7. Once-monthly galcanezumab for the prevention of migraine in adults: an evidence-based descriptive review and potential place in therapy.
    Lupi C, Guerzoni S, Negro A, Benemei S. · · 2019 · cited 7× · PMID 31043785 · DOI 10.2147/tcrm.s159690
  8. Increased infection risk in patients on preventive CGRP-targeting therapies- a meta-analysis and clinical effect assessment.
    Straburzyński M, Kopyt D, Marschollek K, Błaszczyk B, et al · · 2025 · cited 5× · PMID 40281424 · DOI 10.1186/s10194-025-02040-0

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