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Botulinum toxin type A Dose 1

Phase 3

Migraine Disorders | Monoclonal antibody | Neurology |AbbVie Inc.|Last Updated: Sep 5, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment1,509
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01662492A Study Using Botulinum Toxin Type A as Headache Prophylaxis in Adolescents With Chronic MigrainePHASE3 COMPLETED 125Oct 1, 2012Aug 1, 2016Sep 5, 201722 United States
NCT00168428A Study Using Botulinum Toxin Type A as Headache Prophylaxis for Migraine Patients With Frequent HeadachesPHASE3 COMPLETED 705Mar 1, 2006Aug 1, 2008Nov 18, 20136 United States, Canada +4
NCT00156910A Study Using Botulinum Toxin Type A as Headache Prophylaxis for Migraine Patients With Frequent HeadachesPHASE3 COMPLETED 679Feb 1, 2006Jul 1, 2008Nov 18, 20132 United States, Canada
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Study Endpoints
Primary Endpoints
Change From Baseline in the Frequency of Headache Days
Baseline, 12 Weeks

Change from baseline in the frequency of headache days during the 28-day period, ending with Week 12 in the Intent-to-Treat population. A headache day for a patient is defined as a calendar day with 1 or more total hours of headache as recorded by the patient in the electronic diary.

Change in Frequency of Headache Days
Baseline, Week 24

Mean change from baseline in frequency (number) of headache days during the 28 day period ending with Week 24. Headache day defined as a calendar day \[00:00 to 23:59\] for which the patient reported \>= 4 continuous hours of headache.

Change in Frequency of Headache Episodes
Baseline, Week 24

Mean change from baseline in frequency (number) of headache episodes during the 28 day period ending with Week 24. Headache episode defined as patient-reported headache with a start and stop time indicating that the pain lasted \>= 4 continuous hours.

Secondary Endpoints
Change From Baseline in the Frequency of Severe Headache Days
Baseline, 12 Weeks
Change From Baseline in the Total Cumulative Hours of Headache on Headache Days
Baseline, 12 Weeks
Percentage of Patients With ≥ 50% Decrease From Baseline in the Frequency of Headache Days
Baseline, 12 Weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Botulinum toxin type A Dose 1EXPERIMENTALBotulinum toxin type A Dose 1 intramuscular injections into specified muscles.
Botulinum toxin type A Dose 2EXPERIMENTALBotulinum toxin type A Dose 2 intramuscular injections into specified muscles.
Placebo (Normal Saline)PLACEBO_COMPARATORPlacebo (Normal Saline) intramuscular injections into specified muscles.
botulinum toxin Type AEXPERIMENTALTwo treatment sessions in the double-blind phase and three treatment sessions in the open-label extension phase. Total minimum dose is 155 U with 31 fixed-site, fixed dose injections across seven specific head/neck muscle areas with the total maximum dose of 195 U with 39 head/neck injections.
Placebo (saline)PLACEBO_COMPARATORTwo treatment sessions in the double-blind phase. Total minimum dose in 155 U with 31 fixed-site, fixed dose injections across seven specific head/neck muscle areas and the total maximum dose is 195 U with 39 head/neck injections.
Interventions
NameTypeDescription
Botulinum toxin type A Dose 1BIOLOGICALBotulinum toxin type A Dose 1 intramuscular injections into specified muscles.
Botulinum toxin type A Dose 2BIOLOGICALBotulinum toxin type A Dose 2 intramuscular injections into specified muscles.
Placebo (Normal Saline)DRUGPlacebo (Normal Saline) intramuscular injections into specified muscles.
Botulinum Toxin Type ABIOLOGICALTwo treatment sessions in the double-blind phase and three treatment sessions in the open-label phase. Total minimum dose is 155 U with 31 fixed-site, fixed dose injections across seven specific head/neck muscle areas with the total maximum dose of 195 U with 39 head/neck injections.
placebo (saline)OTHERTwo treatment sessions in the double-blind phase. Total minimum dose in 155 U with 31 fixed-site, fixed dose injections across seven specific head/neck muscle areas and the total maximum dose is 195 U with 39 head/neck injections.
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Eligibility Criteria
Age Range12 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites22

Inclusion Criteria: * Medical history of chronic migraine for at least 6 months * 15 or more headache days during a 4 week period Exclusion Criteria: * Previous use of any botulinum toxin of any serotype for any reason * Diagnosis of Myasthenia gravis, Eaton-Lambert Syndrome, Amyotrophic Lateral ...

Countries:United StatesCanadaCroatiaGermanySwitzerlandUnited Kingdom
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