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NCT02959190

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

Completed Phase 3 Results posted Last updated 29 September 2020
What this trial tests

Phase 3 trial testing Galcanezumab in Migraine in 311 participants. Completed in 10 August 2019.

Timeline
7 February 2017
Primary endpoint
10 August 2019
10 August 2019

Quick facts

Lead sponsorEli Lilly and Company
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment311
Start date7 February 2017
Primary completion10 August 2019
Estimated completion10 August 2019
Sites44 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.

Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) Primary · Up To 16 Months

A TEAE started on or after the date and time of the first dose of study drug administered in this study, or started prior to the study drug administration but worsened after the study drug started. Clinically significant events were defined as SAEs and other non-serious adverse events (AEs). A summary of SAEs and other non-serious AEs is located in the Reported Adverse Events module.

Any TEAE
GroupValue95% CI
120mg/120mg Galcanezumab - EM54
240mg/240mg Galcanezumab - EM56
Placebo/ 120mg Galcanezumab - EM54
Placebo/ 240mg Galcanezumab - EM61
120mg Galcanezumab - CM31
240mg Galcanezumab - CM29
Any SAE
GroupValue95% CI
120mg/120mg Galcanezumab - EM2
240mg/240mg Galcanezumab - EM0
Placebo/ 120mg Galcanezumab - EM2
Placebo/ 240mg Galcanezumab - EM2
120mg Galcanezumab - CM1
240mg Galcanezumab - CM2
Pharmacokinetics (PK): Serum Concentration of Galcanezumab Secondary · Month 12: Predose

Serum Concentration of Galcanezumab at month 12 is reported.

GroupValue95% CI
120mg/120mg Galcanezumab - EM21100± 6120
240mg/240mg Galcanezumab - EM46000± 15300
Placebo/ 120mg Galcanezumab - EM21000± 7290
Placebo/ 240mg Galcanezumab - EM42200± 12400
120mg Galcanezumab - CM20100± 8550
240mg Galcanezumab - CM39600± 13600
Pharmacodynamics (PD): Plasma Concentration of Total Calcitonin Gene-Related Peptide (CGRP) Secondary · Month 12: Predose

Plasma Concentration of total CGRP at month 12 is reported.

GroupValue95% CI
120mg/120mg Galcanezumab - EM4.51± 1.26
240mg/240mg Galcanezumab - EM5.87± 1.45
Placebo/ 120mg Galcanezumab - EM4.69± 1.45
Placebo/ 240mg Galcanezumab - EM5.59± 1.45
120mg Galcanezumab - CM4.37± 1.40
240mg Galcanezumab - CM5.19± 1.52
Percentage of Participants Developing Anti-Drug Antibodies (ADA) Secondary · Month 0, 1, 2, 3, 6, 9, 12 and 16: Predose; Month 0 and 14 days Postdose

Treatment emergent ADA will be defined as any of the following: A negative baseline result and a positive post-baseline ADA result with a titer ≥20. This is also called treatment-induced ADA. A positive baseline result and a positive post-baseline ADA result with a ≥4-fold increase in titers (for example, baseline titer of 10 increasing to ≥40 post-baseline). This is called treatment-boosted ADA.

GroupValue95% CI
120mg/120mg Galcanezumab - EM12.07
240mg/240mg Galcanezumab - EM9.68
Placebo/ 120mg Galcanezumab - EM16.13
Placebo/ 240mg Galcanezumab - EM10.94
120mg Galcanezumab - CM12.50
240mg Galcanezumab - CM18.18
Mean Change From Baseline in the Number of Migraine Headache Days (MHDs) Secondary · Baseline, Month 12

Migraine Headache Day (MHD):A calendar day on which a migraine headache or probable migraine headache occurred. Migraine Headache (EM Participants): 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. Migraine Headache (CM Particip

GroupValue95% CI
120mg/120mg Galcanezumab - EM-1.82± 2.96
240mg/240mg Galcanezumab - EM-1.49± 4.11
Placebo/ 120mg Galcanezumab - EM-4.29± 4.07
Placebo/ 240mg Galcanezumab - EM-3.23± 5.81
120mg Galcanezumab - CM-9.44± 6.16
240mg Galcanezumab - CM-8.97± 8.06
Mean Change From Baseline in the Number of Headache Days (HDs) Secondary · Baseline, Month 12

A headache day is calendar day on which any type of headache occurs,(including migraine headache, probable migraine headache, and non-migraine headache).

GroupValue95% CI
120mg/120mg Galcanezumab - EM-2.37± 3.62
240mg/240mg Galcanezumab - EM-1.75± 4.57
Placebo/ 120mg Galcanezumab - EM-5.04± 4.71
Placebo/ 240mg Galcanezumab - EM-4.00± 5.14
120mg Galcanezumab - CM-9.30± 6.83
240mg Galcanezumab - CM-9.42± 8.37
Percentage of Participants With Meeting Criteria for Reductions From Baseline Greater Than or Equal to (≥) 50% in Number of Migraine Headache Days Secondary · Month 12

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.

GroupValue95% CI
120mg/120mg Galcanezumab - EM48.9
240mg/240mg Galcanezumab - EM45.7
Placebo/ 120mg Galcanezumab - EM52.7
Placebo/ 240mg Galcanezumab - EM46.4
120mg Galcanezumab - CM35.7
240mg Galcanezumab - CM51.9
Mean Change From Baseline in the Number of Monthly Migraine Headache Days Requiring Medication for the Acute Treatment of Migraine Headache Secondary · Baseline, Month 12

Migraine Headache Day (MHD) with Acute Medication Use: Calendar days on which migraine or probable migraine occurs, requiring acute medication.

GroupValue95% CI
120mg/120mg Galcanezumab - EM-1.40± 2.54
240mg/240mg Galcanezumab - EM-1.00± 3.59
Placebo/ 120mg Galcanezumab - EM-3.87± 3.84
Placebo/ 240mg Galcanezumab - EM-3.01± 5.76
120mg Galcanezumab - CM-8.36± 6.29
240mg Galcanezumab - CM-7.43± 7.89
Mean Change From Baseline in the Number of Monthly Migraine Headache Days or Headache Days Requiring Medication for the Acute Treatment of Migraine Headache or Headache Secondary · Baseline, Month 12

Monthly Migraine Headache Days or Headache Days Requiring Medication for the Acute Treatment of Migraine Headache or Headache: Calendar days on which headache, migraine or probable migraine occurs, requiring acute medication.

GroupValue95% CI
120mg/120mg Galcanezumab - EM-1.62± 3.21
240mg/240mg Galcanezumab - EM-1.17± 3.89
Placebo/ 120mg Galcanezumab - EM-4.47± 4.81
Placebo/ 240mg Galcanezumab - EM-3.43± 5.53
120mg Galcanezumab - CM-8.21± 6.84
240mg Galcanezumab - CM-7.48± 8.21
Change From Baseline in the Patient Global Impression of Severity (PGI-S) Score Secondary · Baseline, Month 12

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").

GroupValue95% CI
120mg/120mg Galcanezumab - EM-0.29± 0.76
240mg/240mg Galcanezumab - EM-0.04± 0.76
Placebo/ 120mg Galcanezumab - EM-0.02± 0.66
Placebo/ 240mg Galcanezumab - EM0.11± 0.77
120mg Galcanezumab - CM-0.07± 1.59
240mg Galcanezumab - CM-0.81± 1.14
Change From Baseline on the Migraine Disability Assessment Test (MIDAS) Total Score Secondary · Baseline, Month 12

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
120mg/120mg Galcanezumab - EM-0.38± 8.99
240mg/240mg Galcanezumab - EM-0.42± 15.94
Placebo/ 120mg Galcanezumab - EM-8.67± 17.39
Placebo/ 240mg Galcanezumab - EM-4.60± 12.77
120mg Galcanezumab - CM-20.71± 32.66
240mg Galcanezumab - CM-15.48± 32.26
Change From Baseline on the Migraine-Specific Quality of Life Questionnaire (MSQ) Version 2.1 Secondary · Baseline, Month 12

MSQ version 2.1 is a health status instrument,with a 4-week recall period,developed to address physical \& emotional limitations of specific concern to individuals with migraine.Addressing the impact of migraine on work or daily activities,relationships with family \& friends,leisure time,productivity,concentration, energy,tiredness \& feelings.It 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)

Total Score
GroupValue95% CI
120mg/120mg Galcanezumab - EM1.02± 8.68
240mg/240mg Galcanezumab - EM0.38± 11.97
Placebo/ 120mg Galcanezumab - EM7.51± 10.58
Placebo/ 240mg Galcanezumab - EM4.56± 11.22
120mg Galcanezumab - CM19.23± 12.57
240mg Galcanezumab - CM18.31± 15.67
Role Function-Restrictive Domain
GroupValue95% CI
120mg/120mg Galcanezumab - EM1.68± 9.77
240mg/240mg Galcanezumab - EM0.22± 13.75
Placebo/ 120mg Galcanezumab - EM8.77± 12.74
Placebo/ 240mg Galcanezumab - EM4.96± 12.60
120mg Galcanezumab - CM22.65± 15.08
240mg Galcanezumab - CM22.96± 17.69
Role Function-Preventive Domain
GroupValue95% CI
120mg/120mg Galcanezumab - EM0.09± 9.70
240mg/240mg Galcanezumab - EM0.75± 13.17
Placebo/ 120mg Galcanezumab - EM7.16± 10.18
Placebo/ 240mg Galcanezumab - EM3.77± 12.86
120mg Galcanezumab - CM15.89± 13.68
240mg Galcanezumab - CM13.52± 16.63
Emotional Function Domain
GroupValue95% CI
120mg/120mg Galcanezumab - EM0.71± 10.54
240mg/240mg Galcanezumab - EM0.25± 11.47
Placebo/ 120mg Galcanezumab - EM5.06± 11.47
Placebo/ 240mg Galcanezumab - EM4.68± 12.34
120mg Galcanezumab - CM15.71± 13.96
240mg Galcanezumab - CM13.83± 17.82

Adverse events — posted to ClinicalTrials.gov

Time frame: Up To 16 Months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

120mg/120mg Galcanezumab - Open-Label Treatment Phase (Ph) -EM
Serious: 2/58 (3%)
Deaths: 0/58
240mg/240mg Galcanezumab - Open-Label Treatment Ph-EM
Serious: 0/62 (0%)
Deaths: 0/62
Placebo/ 120mg Galcanezumab - Open-Label Treatment - EM
Serious: 2/62 (3%)
Deaths: 0/62
Placebo/ 240mg Galcanezumab - Open-Label Treatment-EM
Serious: 2/64 (3%)
Deaths: 0/64
120mg Galcanezumab - Open-Label Treatment Phase-CM
Serious: 1/32 (3%)
Deaths: 0/32
240mg Galcanezumab - Open-Label Treatment Phase-CM
Serious: 2/33 (6%)
Deaths: 0/33
120mg Galcanezumab - Post-Treatment Phase - EM
Serious: 2/117 (2%)
Deaths: 0/117
240mg Galcanezumab - Post-Treatment Phase - EM
Serious: 1/120 (1%)
Deaths: 0/120
120mg Galcanezumab - Post-Treatment Phase - CM
Serious: 1/32 (3%)
Deaths: 0/32
240mg Galcanezumab - Post-Treatment Phase - CM
Serious: 1/32 (3%)
Deaths: 0/32

Serious adverse events (10 terms)

ReactionSystem120mg/120mg Galcanezumab -…240mg/240mg Galcanezumab -…Placebo/ 120mg Galcanezuma…Placebo/ 240mg Galcanezuma…120mg Galcanezumab - Open-…240mg Galcanezumab - Open-…120mg Galcanezumab - Post-…240mg Galcanezumab - Post-…120mg Galcanezumab - Post-…240mg Galcanezumab - Post-…
Stress cardiomyopathyCardiac disorders
Cholangitis acuteHepatobiliary disorders
AppendicitisInfections and infestations
Pelvic inflammatory diseaseInfections and infestations
PneumoniaInfections and infestations
Ligament ruptureInjury, poisoning and procedural complications
Fracture malunionMusculoskeletal and connective tissue disorders
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine polypReproductive system and breast disorders
Other adverse events (315 terms — click to expand)

ReactionSystem120mg/120mg Galcanezumab -…240mg/240mg Galcanezumab -…Placebo/ 120mg Galcanezuma…Placebo/ 240mg Galcanezuma…120mg Galcanezumab - Open-…240mg Galcanezumab - Open-…120mg Galcanezumab - Post-…240mg Galcanezumab - Post-…120mg Galcanezumab - Post-…240mg Galcanezumab - Post-…
NasopharyngitisInfections and infestations
Injection site pruritusGeneral disorders
Injection site erythemaGeneral disorders
Injection site painGeneral disorders
InfluenzaInfections and infestations
Dental cariesGastrointestinal disorders
Injection site indurationGeneral disorders
Injection site swellingGeneral disorders
Abdominal pain upperGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
GastroenteritisInfections and infestations
Conjunctivitis allergicEye disorders
DiarrhoeaGastrointestinal disorders
CystitisInfections and infestations
GingivitisInfections and infestations
UrticariaSkin and subcutaneous tissue disorders
Conjunctival haemorrhageEye disorders
Abdominal painGastrointestinal disorders
GastritisGastrointestinal disorders
NauseaGastrointestinal disorders
ToothacheGastrointestinal disorders
Injection site rashGeneral disorders
WoundInjury, poisoning and procedural complications
DizzinessNervous system disorders
AsthmaRespiratory, thoracic and mediastinal disorders
EczemaSkin and subcutaneous tissue disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
Deafness neurosensoryEar and labyrinth disorders
VertigoEar and labyrinth disorders
Vertigo positionalEar and labyrinth disorders
AsthenopiaEye disorders
BlepharitisEye disorders
StomatitisGastrointestinal disorders
Injection site bruisingGeneral disorders
Injection site massGeneral disorders
Injection site reactionGeneral disorders
Injection site warmthGeneral disorders
MalaiseGeneral disorders
PyrexiaGeneral disorders

Most-reported serious reactions: Stress cardiomyopathy, Cholangitis acute, Appendicitis, Pelvic inflammatory disease, Pneumonia, Ligament rupture, Fracture malunion, Intervertebral disc protrusion.

Data from ClinicalTrials.gov NCT02959190 adverse events section.

Sponsor's own description

The main purpose of this study is to evaluate the safety and effectiveness of the study drug known as Galcanezumab in Japanese participants with migraine.

Publications & conference data

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

  1. A long-term open-label safety study of galcanezumab in Japanese patients with migraine.
    Hirata K, Takeshima T, Sakai F, Tatsuoka Y, et al · · 2021 · cited 14× · PMID 33393835 · DOI 10.1080/14740338.2021.1866536
  2. 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
  3. 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
  4. 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
  5. Clinical Evaluation After Discontinuation of Galcanezumab in Japanese Patients with Episodic and Chronic Migraine: Analysis of a Randomized, Placebo-Controlled Trial and Open-label Extension Study.
    Takeshima T, Doi H, Ooba S, Tanji Y, et al · · 2024 · cited 2× · PMID 38581615 · DOI 10.1007/s40120-024-00602-z
  6. Decoding the long-term safety of anti-CGRP (receptor) mAbs: a meta-analysis and systematic review.
    Hoehne CL, Overeem LH, Sanchez-Del-Rio M, Deligianni C, et al · · 2026 · cited 1× · PMID 41484941 · DOI 10.1186/s10194-025-02256-0

Verify or expand the search:

Other trials of Galcanezumab

Trials testing the same drug.

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Other Eli Lilly and Company trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02959190.

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