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AMG334 Pre-Filled Syringe

Phase 3

Episodic Migraine | Monoclonal antibody | Neurology |Novartis AG|Last Updated: Mar 23, 2022

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_CONTROLLED
Total Trials1
Total Enrollment246
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03096834A Study Evaluating the Effectiveness of AMG 334 Injection in Preventing Migraines in Adults Having Failed Other TherapiesPHASE3 COMPLETED 246Mar 20, 2017Jan 28, 2021Mar 23, 202259 Australia, Austria +14
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Study Endpoints
Primary Endpoints
Percentage of Participants With at Least 50% Reduction From Baseline of Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment)
Baseline, Month 3 (last 4 weeks of treatment)

A migraine day was defined as any calendar day in which the subject experienced a qualified migraine headache defined as: with/without aura, lasting ≥ 30 minutes with at least 1 criteria: 1. ≥ 2 of following pain features: unilateral, throbbing, moderate to severe or exacerbated with exercise/physical activity, 2. ≥ 1 of the following symptoms: nausea and/or vomiting, photophobia and phonophobia. If a migraine-specific medication (ie, triptan or ergotamine) was taken during aura, or a headache, it was counted as a migraine day regardless of duration and pain features/associated symptoms.

Secondary Endpoints
Change From Baseline in Monthly Migraine Days (MMD) in the Last Month (Last 4 Weeks of Treatment)
Baseline, Month 3 (last 4 weeks of treatment)
Change From Baseline in Physical Impairment and Everyday Activities as Measured by the Migraine Physical Function Impact Diary (MPFID) at Month 3
Baseline, Month 3 (last 4 weeks of treatment)
Change in the Number of Monthly Acute Migraine-specific Medication Treatment Days at Month 3
Baseline, Month 3 (last 4 weeks of treatment)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Placebo DBPLACEBO_COMPARATORMatching placebo subcutaneous injections administered every 4 weeks during Double-Blind Epoch
AMG334 140 mg DBEXPERIMENTALAMG334 70 mg subcutaneous injections (2) administered every 4 weeks during Double-Blind Epoch
AMG334 140 mg DB cont on AMG334 140 mgEXPERIMENTALAMG334 70 mg subcutaneous injections (2) during DB continued on AMG334 140 mg in Open-Label Epoch
Placebo in DB to AMG334 140 mgEXPERIMENTALPlacebo in Double-Blind Epoch (DB) switched to AMG334 140 mg in Open-Label Epoch
Interventions
NameTypeDescription
AMG334 (70 mg) Pre-Filled Syringe (PFS)BIOLOGICALTwo injections of AMG 334 70 mg (equaling 140 mg total dose) will be administered via subcutaneous injection
Placebo Pre-Filled Syringe (PFS)BIOLOGICALSubcutaneous injection of matching placebo
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites59

Inclusion Criteria: * Documented history of migraine in the 12 months prior to screen * 4-14 days per month of migraine symptoms * \>=80% diary compliance during the Baseline period * Failure of previous migraine prophylactic treatments Exclusion Criteria: * \>50 years old at migraine onset * Pre...

Countries:AustraliaAustriaBelgiumCzechiaDenmarkFinlandFranceGermanyGreeceItalyNetherlandsNorwaySpainSwedenSwitzerlandUnited Kingdom
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