Could a monthly shot stop migraines in kids?
NCT ID NCT03836040
First seen Jun 24, 2026 · Last updated Jul 17, 2026 · Updated 3 times
Summary
This phase 3 study tests whether erenumab (Aimovig), a monthly injection already approved for adults, can prevent migraines in children aged 6 to 17 with episodic migraine. About 457 participants receive either the drug or a placebo for 3 months. The main goal is to see if the drug reduces the number of migraine days per month compared to placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Erenumab (Aimovig)
- What this could lead to
- If successful, this could provide a new preventive treatment option for children and teens with frequent migraines, reducing the number of headache days.
- What could go wrong
- This is a late-stage trial, but results are not yet published. The drug may not work as well in younger patients, and side effects like injection-site reactions or constipation are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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457 people
The number who actually took part.
- Started
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Jul 2019
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- 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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6 to 17 years
- 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.
* Inclusion Criteria * Children (6 to less than 12 years of age) or adolescent (12 to less than 18 years of age) at the time of signing, if developmentally appropriate, the formal assent to participate to the study. * Participant's parent or legal representative has provided written informed consent before initiation of any study-specific activities/procedures. * History of migraine (with or without aura) for greater than or equal to 12 months before screening according to the IHS Classification ICHD-3 (Headache Classification Committee of the International Headache Society, 2013) based on medical records and/or participant self-report or parents' or legal representative's report. * The following ICHD-3 specifications for pediatric migraine (participants aged less than 18 years), should be considered for the diagnosis of migraine: * Attacks may last 2 to 72 hours. * Migraine headache is more often bilateral than in adults; unilateral pain usually emerges in late adolescence or early adult life. * Migraine headache is usually frontotemporal. Occipital headache in children is rare and calls for diagnostic caution. * A subset of otherwise typical participants have facial location of pain, which is called 'facial migraine' in the literature; there is no evidence that these participants form a separate subgroup of migraine participants. * In young children, photophobia and phonophobia may be inferred from their behavior. * History of less than 15 headache days per month of which greater than or equal to 4 headache days were assessed by the participant as migraine days in each of the 3 months prior to screening (refer to Section 5.6 for definition of migraine day). * Criteria to be assessed prospectively during the 4-week baseline phase and confirmed before randomizing the participant into the DBTP: * Migraine frequency: greater than or equal 4 and less than 15 migraine days based on the eDiary data during the last 28 days of the baseline phase if greater than 28 days in duration * Headache frequency: less than 15 headache days based on the eDiary data during the last 28 days of the baseline phase if greater than 28 days in duration. * Demonstrated at least 80% compliance with the eDiary based on the last 28 days of the baseline period, if greater than 28 days in duration (eg, completing eDiary items for at least 23 out of the last 28 days of the baseline phase). * Exclusion Criteria • History of cluster headache or hemiplegic migraine headache. * No therapeutic response with greater than 2 of the following 10 medication categories for prophylactic treatment of migraine after an adequate therapeutic trial. These medication categories are: * Category 1: beta blockers (eg, propranolol, atenolol, bisoprolol, metoprolol, nadolol, nebivolol, pindolol, timolol) * Category 2: tricyclic antidepressants (eg, amitriptyline, nortriptyline, protriptyline) * Category 3: topiramate * Category 4: divalproex sodium, sodium valproate * Category 5: serotonin-norepinephrine reuptake inhibitors (eg, venlafaxine, desvenlafaxine, duloxetine, milnacipran) * Category 6: cyproheptadine * Category 7: flunarizine, cinnarizine * Category 8: botulinum toxin * Category 9: lisinopril/candesartan * Category 10: medications targeting the CGRP pathway. * No therapeutic response is defined as no reduction in headache frequency, duration, or severity after administration of the medication for at least 6 weeks at the generally-accepted therapeutic dose(s) based on the investigator's assessment. * The following scenarios do not constitute lack of therapeutic response: * Lack of sustained response to a medication. * Partial, suboptimal response to a medication. * Failure to tolerate a therapeutic dose. * Evidence of drug or alcohol abuse or dependence within 12 months before screening, based on medical records, participant self-report, or positive urine drug test performed during screening (with the exception of prescribed medications such as opioids or barbiturates). * Human immunodeficiency virus (HIV) infection by history. * History of seizure disorder or other significant neurological disorder other than migraine. Note: a single childhood febrile seizure is not exclusionary. * History of major psychiatric disorder (such as schizophrenia, schizoaffective disorder, bipolar disorder, obsessive-compulsive disorder, or pervasive developmental disorder), or current evidence of major depressive disorder based on a patient health questionnaire-9 modified for adolescents (PHQ-A) score greater than or equal to 10 at screening. Participants with anxiety disorder and/or mild major depressive disorder (with PHQ-A score ≤ 9) are permitted in the study if they are considered by the investigator to be stable and are taking no more than 1 medication for each disorder. Participant must have been on a stable dose within the 3 months before the start of the baseline phase. * Use of prohibited medication within 1 month before the start of the baseline phase and/or during the baseline phase. * Use of prohibited devices (such as stimulation devices) or procedures (such as acupuncture, biofeedback, relaxation techniques, or psychotherapy) with the goal of preventing migraines, within 3 months before the start of the baseline phase and/or during the baseline phase. * Participants receiving Cognitive Behavioral Therapy (CBT) are excluded unless they are on a stable, maintenance phase of a CBT program for migraine for at least 3 months before the start of the baseline phase. Participants undergoing CBT are considered on a stable, maintenance phase if they have undergone greater than or equal 6 weekly or biweekly sessions of CBT administered by adequately trained psychologists and who, for at least 3 months before the start of the baseline phase, only follow "booster" CBT sessions at a monthly, bimonthly or quarterly frequency. Note: Participants who have discontinued CBT within 3 months prior to the start of the baseline phase are eligible for the study provided that there is evidence of CBT failure/lack of efficacy prior to initial screening (per medical records or investigator's assessment). * Received botulinum toxin in the head and/or neck region within 4 months before the start of the baseline phase or during the baseline phase. * Received medication targeting the CGRP pathway within 4 months before the start of the baseline phase or during the baseline phase. * Taken the following for any indication in any month during the 2 months before the start of the baseline phase, or during the baseline phase: * Ergotamines or triptans on greater than or equal 10 days per month. * Simple analgesics (nonsteroidal anti-inflammatory drugs \[NSAIDs\], acetaminophen) on greater than or equal 15 days per month. * Opioid or butalbital-containing analgesics on greater than or equal 4 days per month. * Currently receiving treatment in another investigational device or drug study, or less than 90 days since ending treatment on another investigational device or drug study(ies). Other investigational procedures while participating in this study are excluded. * Participant has clinically significant vital signs, laboratory results, or ECG abnormality during screening that, in the opinion of the investigator, could pose a risk to participant safety or interfere with the study evaluation. * Hepatic disease by history or total bilirubin (TBL) greater than or equal 2.0 x upper limit of normal (ULN) or alanine transaminase (ALT) or aspartate aminotransferase (AST) greater than or equal 3.0 x ULN, as assessed by the central laboratory at initial screening. * Female participant is pregnant or breastfeeding or planning to become pregnant or breastfeed during the study and for an additional 16 weeks after the last dose of investigational product. (Females of childbearing potential should only be included in the study after a confirmed menstrual period and a negative highly sensitive urine and serum pregnancy test.) * Female participants of childbearing potential unwilling to use an acceptable method of effective contraception during treatment and for an additional 16 weeks after the last dose of investigational product. * Participant has known sensitivity to any of the products or components to be administered during dosing. * Participant likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures to the best of the participant's legal representative and investigator's knowledge. * History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to participant safety or interfere with the study evaluation, procedures or completion.
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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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4 Medical Clinical Solutions Manchester
Manchester, M27 8FF, United Kingdom
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Alder Hey Childrens Hospital
Liverpool, L12 2AP, United Kingdom
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Algemeen Ziekenhuis Sint-Maarten
Mechelen, 2800, Belgium
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Arzneimittelforschung Leipzig GmbH
Leipzig, 04107, Germany
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AthleticoMed
Bydgoszcz, 85-752, Poland
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Azienda di Rilievo Nazionale e Alta Specializzazione Civico Di Cristina Benfratelli
Palermo, 90134, Italy
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Borsod-Abauj-Zemplen Varmegyei Kozponti Korhaz es Egyetemi Oktatokorhaz
Miskolc, 3526, Hungary
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Cafam
Bogota, Cundinamarca, 111211, Colombia
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CenExel iResearch, LLC
Savannah, Georgia, 31405, United States
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Centrum Medyczne Hope Clinic Sebastian Szklener
Lublin, 20-701, Poland
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Centrum Medyczne Luxmed Spzoo
Lublin, 20-109, Poland
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Charite - Universitaetsmedizin Berlin, Campus Virchow
Berlin, 13353, Germany
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Chicago Headache Center and Research Institute
Chicago, Illinois, 60657, United States
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Child Neurology Consultants of Austin
Austin, Texas, 78757, United States
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Childrens Hospital Colorado
Aurora, Colorado, 80045, United States
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Childrens Hospital of Eastern Ontario
Ottawa, Ontario, K1H 8L1, Canada
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Childrens Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Childrens Mercy Hospital and Clinics
Kansas City, Missouri, 64108, United States
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Childrens National Health System
Washington D.C., District of Columbia, 20010, United States
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Childrens Specialty Group
Norfolk, Virginia, 23507, United States
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Cincinnati Childrens Hospital Medical Center
Cincinnati, Ohio, 45229, United States
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Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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Clinica Universidad de Navarra
Pamplona, Navarre, 31008, Spain
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Clinical Research Center Spzoo Medic-R Spolka Komandytowa
Poznan, 61-731, Poland
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Clinical Research Institute Inc
Minneapolis, Minnesota, 55402, United States
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Colorado Springs Neurological Associates
Colorado Springs, Colorado, 80907, United States
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Columbia University Irving Medical Center
New York, New York, 10032, United States
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Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032, Hungary
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Dent Neurosciences Research Center
Amherst, New York, 14226, United States
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Docteur Simona Sava
Saint-Nicolas, 4420, Belgium
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Dr Altmann Anna egyeni vallalkozo
Budapest, 1026, Hungary
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Dr Kenessey Albert Korhaz - Rendelointezet
Balassagyarmat, 2660, Hungary
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Dr Sekowska Leczenie Bolu
Warsaw, 01-018, Poland
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Evelina Childrens Hospital
London, SE1 7EU, United Kingdom
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FSBI Russian Children Clinical Hospital of the MoH RF
Moscow, 119571, Russia
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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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Fundacion Centro de Investigacion Clinica
Medellín, Antioquia, 050021, Colombia
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Fundacion Hospital Infantil Universitario De San Jose
Bogota, Cundinamarca, 111221, Colombia
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Fundacion cardiovascular de Colombia
Bucaramanga, Santander Department, 681017, Colombia
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Great Ormond Street Hospital for Children
London, WC1N 3JH, United Kingdom
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Helios Clinical Research Inc
Burleson, Texas, 76028, United States
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High Tech Medical Kft
Budapest, 1027, Hungary
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Hiroshima City Hiroshima Citizens Hospital
Hiroshima, Hiroshima, 730-8518, Japan
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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 Virgen del Rocio
Seville, Andalusia, 41013, Spain
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Hospital da Luz, SA
Lisbon, 1500-650, Portugal
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Hospital de la Santa Creu i Sant Pau
Barcelona, Catalonia, 08041, Spain
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IRCCS Ospedale Pediatrico Bambino Gesu
Roma, 00165, Italy
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Institucion Prestadora de Servicios de Salud Sociedad Médica Rionegro SA Somer SA
Rionegro, Antioquia, 054040, Colombia
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Instytut Centrum Zdrowia Matki Polki
Lodz, 93-338, Poland
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Ishikawa Clinic
Kyoto, Kyoto, 606-0851, Japan
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Japanese Red Cross Kyoto Daiichi Hospital
Kyoto, Kyoto, 605-0981, Japan
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Josai Kids Clinic
Nagoya, Aichi-ken, 451-0031, Japan
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Josephson Wallack Munshower Neurology
Indianapolis, Indiana, 46256, United States
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Keio University Hospital
Shinjuku-ku, Tokyo, 160-8582, Japan
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Kitami Clinic
Sapporo, Hokkaido, 060-0004, Japan
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Konan Medical Center
Kobe, Hyōgo, 658-0064, Japan
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Kopfwehzentrum Hirslanden
Zollikon, 8702, Switzerland
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Kumamoto City Hospital
Kumamoto, Kumamoto, 862-8505, Japan
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LLC Medical Technologies
Saint Petersburg, 191025, Russia
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LLC Sibneyromed
Novosibirsk, 630004, Russia
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LLC clinic Chaika
Moscow, 125047, Russia
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London Health Sciences Centre
London, Ontario, N6A 4G5, Canada
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Marshfield Clinic
Marshfield, Wisconsin, 54449, United States
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Medical Corporation Seikokai Takanoko Hospital
Matsuyama, Ehime, 790-0925, Japan
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Mercy 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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Modern Migraine MD
New York, New York, 10001, United States
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Nagamitsu Clinic
Hofu-shi, Yamaguchi, 747-0802, Japan
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Nagaseki Headache Clinic
Kai-shi, Yamanashi, 400-0124, Japan
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Nationwide Childrens Hospital
Columbus, Ohio, 43205, United States
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New England Institute for Clinical Research
Stamford, Connecticut, 06905, United States
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New England Regional Headache Center Inc
Worcester, Massachusetts, 14226, United States
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Next Stage Spzoo
Warsaw, 02-121, Poland
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Nicklaus Childrens Hospital
Miami, Florida, 33155, United States
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Noahs Ark Childrens Hospital for Wales
Cardiff, CF14 4XW, United Kingdom
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Northwest Florida Clinical Research Group Limited Liability Company
Gulf Breeze, Florida, 32561, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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Oregon Health and Science University
Portland, Oregon, 97239, United States
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Oxford Childrens Hospital
Oxford, OX3 9DU, United Kingdom
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Palmetto Gastroenterology Clinical Research, LLC
Summerville, South Carolina, 29486, United States
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Paradigm Clinical Research Center Inc
San Diego, California, 92108, United States
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Pediatric Epilepsy and Neurology Specialists
Tampa, Florida, 33609, United States
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Preferred Primary Care Physicians, Inc
Pittsburgh, Pennsylvania, 15236, United States
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Premiere Research Institute
West Palm Beach, Florida, 33407, United States
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Puerto Rico Health and Wellness Institute
Dorado, 00646, Puerto Rico
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Rare Disease Research Center Pediatrics
Atlanta, Georgia, 30329, United States
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Royal Hospital for Children
Glasgow, G51 4TF, United Kingdom
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Saitama Neuropsychiatric Institute
Saitama-shi, Saitama, 338-8577, Japan
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Schmerzklinik Kiel
Kiel, 24149, Germany
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Semmelweis Egyetem
Budapest, 1094, Hungary
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Sendai Headache and Neurology Clinic
Sendai, Miyagi, 982-0014, Japan
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Servicios de Salud Ips Suramericana Sas - Ips Sura Industriales
Medellín, Antioquia, 50021, Colombia
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Solano y Terront Servicios Medicos SAS - Unidad Integral de Endocrinologia Uniendo
Bogota, Cundinamarca, 110221, Colombia
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Stollery Childrens Hospital
Edmonton, Alberta, T6G 1C9, Canada
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Stryde Consulting LLC
Frisco, Texas, 75033, United States
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Tatsuoka Neurology Clinic
Kyoto, Kyoto, 600-8811, Japan
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Terveystalo Pulssi
Turku, 20100, Finland
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The Hospital For Sick Children
Toronto, Ontario, M5G 1X8, Canada
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Tokyo Medical University Hospital
Shinjuku-ku, Tokyo, 160-0023, Japan
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Tominaga Hospital
Osaka, Osaka, 556-0017, Japan
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TrueBlue Clinical Research
Tampa, Florida, 33612, United States
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Umenotsuji Clinic
Kochi, Kochi, 780-8011, Japan
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Unidade Local de Saude de Coimbra, EPE - Hospital Pediatrico de Coimbra
Coimbra, 3000-602, Portugal
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Unidade Local de Saude de Santa Maria, EPE - Hospital de Santa Maria
Lisbon, 1649-035, Portugal
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Unidade Local de Saude de Sao Jose, EPE - Hospital Dona Estefania
Lisbon, 1169-045, Portugal
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Universitaets-Kinderspital beider Basel
Basel, 4031, Switzerland
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Universitaetsklinikum Essen
Essen, 45147, Germany
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Universitaetsklinikum Greifswald
Greifswald, 17475, Germany
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Universitair Ziekenhuis Brussel
Brussels, 1090, Belgium
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University of Maryland, Baltimore
Baltimore, Maryland, 21201, United States
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Uniwersytecki Dzieciecy Szpital Kliniczny im Ludwika Zamenhofa w Bialymstoku
Bialystok, 15-274, Poland
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Uniwersytecki Szpital Kliniczny w Poznaniu
Poznan, 60-355, Poland
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Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952, Poland
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Vaught Neurological Services
Crab Orchard, West Virginia, 25827, United States
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Velocity Clinical Research, Inc
Grand Island, Nebraska, 68803, United States
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