New migraine drug cuts headache hours in half for frequent sufferers
NCT ID NCT04252742
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested the drug erenumab in 512 adults who have frequent migraines (7 to 14 headache days per month) and had already tried at least one other preventive treatment that didn't work. The main goal was to see if erenumab could reduce the number of hours they spent with moderate or severe headache pain each month. Results showed that people taking erenumab had fewer headache hours compared to those on a placebo.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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512 people
The number who actually took part.
- Started
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Sep 2020
- Finished
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Oct 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key inclusion criteria include: * Age greater than or equal to 18 years upon entry into initial screening. * Documented history of migraine with or without aura according to the International Headache Society (IHS) International Classification of Headache Disorders, Third Edition (ICHD-III) for greater than or equal to 12 months. * Have high-frequency episodic migraine (HFEM): Defined as history of ≥ 7 to \< 15 migraine days and \< 15 headache days per month on average during the 3 months prior to screening. * History of ≥ 4 migraine attacks of at least moderate severity per month on average during the 3 months prior to screening. * History of treatment failure with at least 1 preventive treatment for migraine. Failure of preventive treatment for migraine is defined as treatment discontinuation due to lack of efficacy, adverse event, or general poor tolerability. * Regular use of an oral triptan (using only eletriptan, rizatriptan, sumatriptan, or zolmitriptan) for acute migraine treatment, and typically initiating acute treatment with an oral triptan on \> 50% of attacks of at least moderate pain intensity. Regular use is defined as ≥ 4 days of oral triptan use per month during the 3 months prior to screening. Key exclusion criteria include: * History of hemiplegic migraine, cluster headache, or other trigeminal autonomic cephalalgia. * Has any medical contraindication to the use of an oral triptan. * Previously treated with erenumab. * Previously treated with a gepant (small molecule calcitonin gene related peptide receptor \[CGRP-R\] antagonist) in a preventive fashion in a manner consistent with migraine prevention that either: 1. In the opinion of the investigator, did not offer any evidence of a therapeutic response or 2. Was discontinued for less than 12 weeks from the date of initial screening or 3. Was previously discontinued due to a known adverse drug reaction * Currently being treated with lasmiditan and/or a gepant in the acute setting. * No therapeutic response with greater than 4 of the defined medication categories after an adequate therapeutic trial. * Currently has a history of consistent excellent response to oral triptans, defined as achievement of pain-freedom in ≤ 1 hour for ≥ 50% of treated attacks of at least moderate pain intensity during the 3 months prior to screening. * Use of triptans administered via a non-oral (e.g. subcutaneous \[SC\] or intranasal delivery systems) or sublingual route at the time of screening, during the run-in and baseline periods, and throughout the study duration.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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American Clinical Research Institute LLC
Beavercreek, Ohio, 45432, United States
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AppleTreeClinics Network Spzoo
Lodz, 90-349, Poland
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Azienda Ospedaliera Universitaria Renato Dulbecco
Catanzaro, 88100, Italy
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Azienda Socio Sanitaria Teritoriale Spedali Civili di Brescia
Brescia, 25123, Italy
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Azienda della scienza di Torino
Torino, 10126, Italy
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Boston Clinical Trials
Boston, Massachusetts, 02131, United States
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Brain-soultherapy sro
Kladno, 272 01, Czechia
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Campus Neurologico Senior
Torres Vedras, 2560-280, Portugal
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Care Clinic Spzoo Care Clinic Centrum Medyczne
Katowice, 40-568, Poland
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Centro Hospitalar Universitario de Lisboa Norte, EPE - Hospital de Santa Maria
Lisbon, 1649-035, Portugal
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Centrum Badan Klinicznych PI-House Spzoo
Gdansk, 80-546, Poland
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Centrum Medyczne Oporow
Wroclaw, 52-416, Poland
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Chicago Headache Center and Research Institute
Chicago, Illinois, 60657, United States
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Clinica Universidad de Navarra
Pamplona, Navarre, 31008, Spain
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Clinical Research Institute, LLC
Los Angeles, California, 90048, United States
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Clinvest Research LLC
Springfield, Missouri, 65810, United States
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Dado Medical sro
Prague, 120 00, Czechia
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Dent Neurosciences Research Center
Amherst, New York, 14226, United States
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Denver Neurological Clinic
Denver, Colorado, 80210, United States
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FORBELI sro
Prague, 160 00, Czechia
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Fakultni nemocnice u svate Anny v Brne
Brno, 656 91, Czechia
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Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, 20133, Italy
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Fondazione Istituto Neurologico Nazionale C Mondino IRCCS
Pavia, 27100, Italy
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Forte Family Practice
Las Vegas, Nevada, 89103, United States
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FutureSearch Trials of Neurology
Austin, Texas, 78731, United States
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Gabinet Diagnostyki i Leczenia Osteoporozy Prof Wojciech Pluskiewicz
Gliwice, 44-100, Poland
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Heuer Medical Doctor Research LLC
Orlando, Florida, 32819, United States
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High Tech Medical Kft
Budapest, 1064, Hungary
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Hospital Clinico Universitario Lozano Blesa
Zaragoza, Aragon, 50009, Spain
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Hospital Clinico Universitario de Valencia
Valencia, Valencia, 46010, Spain
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Hospital Clinico Universitario de Valladolid
Valladolid, Castille and León, 47010, Spain
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Hospital Cuf Sintra
Sintra, 2710-204, Portugal
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Hospital Universitari Vall d Hebron
Barcelona, Catalonia, 08035, Spain
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Hospital Universitari i Politecnic La Fe
Valencia, Valencia, 46026, Spain
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Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008, Spain
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Hospital Universitario Virgen del Rocio
Seville, Andalusia, 41013, Spain
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Hospital da Luz, SA
Lisbon, 1500-650, Portugal
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IRCCS Ospedale San Raffaele
Milan, 20132, Italy
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IRCCS San Raffaele Pisana
Roma, 00163, Italy
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Institut Neuropsychiatricke pece
Prague, 186 00, Czechia
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Instytut Zdrowia Dr Boczarska-Jedynak Spzoo SpKom
Oświęcim, 32-600, Poland
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JEM Research Institute
Atlantis, Florida, 33462, United States
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Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216, United States
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Long Beach Clinical Trials Services Inc
Long Beach, California, 90806, United States
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M-Zdrowie
Lodz, 91-072, Poland
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Medical Center Excelsior OOD
Sofia, 1407, Bulgaria
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Medical Center New Rehabilitation Center EOOD
Stara Zagora, 6000, Bulgaria
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Mercy Health Research
St Louis, Missouri, 63141, United States
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Michigan Head Pain and Neurological Institute
Ann Arbor, Michigan, 48104, United States
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Migre Polskie Centrum Leczenia Migreny Anna Gryglas-Dworak
Wroclaw, 52-210, Poland
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Mountain Neurological Research Center
Basalt, Colorado, 81621, United States
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Multiprofile Hospital for Active Treatment in neurology and psychiatry Sveti Naum EAD
Sofia, 1113, Bulgaria
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NZOZ Neuromed M i M Nastaj Spolka Partnerska
Kraśnik, 23-210, Poland
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NZOZ Neuromed M i M Nastaj Spolka Partnerska
Lublin, 20-064, Poland
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Nashville Neuroscience Group
Nashville, Tennessee, 37203, United States
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NeuroMed Zlin sro
Zlín, 760 01, Czechia
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Neurologie Brno sro
Brno, 616 00, Czechia
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Neurology Associates of Ormond Beach
Ormond Beach, Florida, 32174, United States
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New England Regional Headache Center Inc
Worcester, Massachusetts, 14226, United States
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North Texas Institute of Neurology and Headache
Frisco, Texas, 75034, United States
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Obudai Egeszsegugyi Centrum Kft
Budapest, 1036, Hungary
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Obudai Egeszsegugyi Centrum Kft
Zalaegerszeg, 8900, Hungary
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Orszagos Mentalis, Ideggyogyaszati es Idegsebeszeti Intezet
Budapest, 1145, Hungary
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Ospedale Bellaria Carlo Alberto Pizzardi
Bologna, 40139, Italy
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Ospedale Policlinico San Martino IRCCS
Genoa, 16132, Italy
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Osrodek Badan Klinicznych Cromed
Poznan, 61-360, Poland
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Palmetto Clinical Trial Services
Greenville, South Carolina, 29615, United States
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Papillion Research Center
Papillion, Nebraska, 68046, United States
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Policlinico Universitario Campus Biomedico
Roma, 00128, Italy
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Poliklinika Chocen, Neurohk sro
Choceň, 565 01, Czechia
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Prywatny Gabinet Neurologiczny Iwona Rosciszewska-Zukowska
Rzeszów, 35-301, Poland
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Renstar Medical Research
Ocala, Florida, 34470, United States
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S-Medicon Kutatasi Centrum
Budapest, 1138, Hungary
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Saint Lukes Clinic
Meridian, Idaho, 83642, United States
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Spitalul Clinic Judetean de Urgenta Pius Brinzeu Timisoara
Timișoara, 700736, Romania
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Spitalul Universitar de Urgenta Bucuresti
Bucharest, 050098, Romania
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Spitalul Universitar de Urgenta Militar Central Dr. Carol Davila
Bucharest, 010825, Romania
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StudyMetrix Research
City of Saint Peters, Missouri, 63303, United States
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Summit Headache and Neurologic Institute
Englewood, Colorado, 80113, United States
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Summit Research Network
Portland, Oregon, 97210, United States
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University First Multiprofile Hospital for Active Treatment - Sofia Sveti Yoan Krastitel EAD
Sofia, 1154, Bulgaria
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University Multiprofile Hospital for Active Treatment - Dr Georgi Stranski EAD
Pleven, 5800, Bulgaria
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University Multiprofile Hospital for Active Treatment Alexandrovska EAD
Sofia, 1431, Bulgaria
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University Multiprofile Hospital for Active Treatment Sveti Georgi EAD
Plovdiv, 4001, Bulgaria
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University of Cincinnati
Cincinnati, Ohio, 45229, United States
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Uno Medical Trials Kft
Budapest, 1135, Hungary
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Visionary Investigators Network
Miami, Florida, 33133, United States
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Visionary Investigators Network
Pembroke Pines, Florida, 33026, United States
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Vistamed and Vertigo Sp z o o
Wroclaw, 53-149, Poland
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Vita Longa Spzoo
Katowice, 40-748, Poland
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