New shot aims to cut migraine days in half
NCT ID NCT06602479
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 2 trial tests whether a new drug called MEDI0618 can safely reduce the number of migraine headache days in adults with episodic migraine. About 488 participants will receive either the drug or a placebo as a shot under the skin. The main goal is to see if the drug lowers migraine days compared to no treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- MEDI0618 (a drug given as a shot under the skin)
- What this could lead to
- If it works, this could provide a new option to prevent migraine headaches and reduce the number of migraine days per month.
- What could go wrong
- This is an early Phase 2 trial, so it may not show a clear benefit over placebo. Side effects are still being studied, and the drug may not work for everyone.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 488 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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May 2027
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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18 to 70 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: * 18 to 70 years of age * Weight ≥ 40 kg and BMI ≥ 18.0 kg/m2. * History of migraine headaches with or without aura, with migraine onset at ≤ 50 years of age and for at least 12 months prior to screening. * At least 12 MHDs over the last 3 months prior to screening. * Participants must fulfil the following criteria for migraine in prospectively collected baseline information during the 4 consecutive weeks of baseline migraine headache data collection prior to Day 1: (a) ≥ 4 and ≤ 14 MHDs per month. (b) On ≥ 4 days, fulfils any of the following criteria: (i) migraine without aura; (ii) migraine with an aura symptom accompanied or followed by a headache within 60 minutes; (iii) probable migraine; (iv) recurrent attacks that do not match ICHD criteria for migraine but successfully respond to migraine-specific medication. * Participants who fulfil criteria for MOH are eligible for this study. * History of unsuccessful treatment with ≥ 2 small molecule migraine preventive treatments from different classes (a) aCGRP-N participants are eligible to receive an aCGRP therapy but must have not yet received aCGRP therapy for acute or preventive treatment at any time. (b) aCGRP-IR participants must have tried and have failed at least one aCGRP therapy used for preventive treatment. * Participants must be able to distinguish migraine headaches from tension-type headaches. * Female participants who are not pregnant and do not plan to become pregnant during the study, are not lactating, or are of nonchildbearing potential. FOCBP who are sexually active with a non-sterilised male partner must use adequate contraception consisting of two highly effective methods of contraception throughout the study. FOCBP must agree to comply with protocol specified guidance for safe administration of MEDI0618. FOCBP must refrain from egg donation and in vitro fertilisation from the time of signing the ICF, throughout the study, and for 10 weeks after the last administration of investigational product (IP). Exclusion Criteria: * History of migraine sub-types including hemiplegic (sporadic or familial) migraine, ophthalmoplegic migraine, and basilar-type migraine * History of headache other than migraine within 3 months prior to screening. * History of severe or ongoing allergy/hypersensitivity reactions or history of hypersensitivity to immunisations or immunoglobulins. * History of any significant psychiatric disorder which could be detrimental to participant safety or could compromise study data interpretation. * Presence of any clinically significant illness, such as cardiovascular, neurologic (except for non-exclusionary headaches in participants with migraine), pulmonary, hepatic, renal, metabolic, gastrointestinal, urologic, immunologic, or endocrine disease or disorder. * History of cancer within 5 years of screening, or between screening and randomisation, with the exception of non-metastatic basal cell carcinoma of the skin, carcinoma in situ of the cervix, or non-progressive prostate cancer. * Known history of drug or alcohol abuse within 1 year of screening or positive test for drugs of abuse or alcohol at screening or at Day -1. * History of QT prolongation \> 450 msec (\> 470 msec for participants aged ≥ 65 years) associated with other medications that required discontinuation of that medication. * Congenital long or short QT syndrome. * History of arrhythmia (multifocal premature ventricular contractions, bigeminy, trigeminy, ventricular tachycardia), which is symptomatic or requires treatment, symptomatic or uncontrolled atrial fibrillation despite treatment, or asymptomatic sustained ventricular tachycardia. Participants with atrial fibrillation controlled by medication are permitted. * Use of migraine preventive medications within 30 days or 5 half-lives (whichever is longer) prior to screening and throughout the study * For aCGRP-N participants only: prior use of an aCGRP therapy for acute or preventive treatment. * Use of opioids or barbiturate containing analgesic \> 2 times/month on average in the 6 months prior to screening for the treatment of pain (opioid administration in an emergency setting may be an exception). * Use of botulinum toxin (e.g., Botox ®, Dysport®, Jeuveau™, Myobloc®, Xeomin®) for migraine or for any other medical or cosmetic reasons requiring injections in the head, face, or neck during the 4 months prior to screening. * Use of an intervention or device (eg, scheduled nerve block, transcranial magnetic stimulation) for treatment of migraine within 2 months of screening. * Use of prescription or non-prescription, non-biologic drugs, including vitamins and herbal and dietary supplements, within 7 days or 5 half-lives (whichever is longer) prior to screening and throughout the study unless the medication will not interfere with the study procedures or compromise participant safety; the dose and regimen must have been stable for at least 3 months prior to screening and must remain stable throughout the study. * Requires treatment with another biological therapeutic agent including IV immunoglobulin treatment during the course of the study. Prior use of therapeutic antibodies is allowed if that use was \> 5 half-lives of the intervention or 3 months prior to screening, whichever is longer. * Therapeutic vaccines are permitted during the study, but ideally, live attenuated vaccines should be administered \> 30 days prior to randomisation and inactivated vaccinations (eg, inactive influenza, COVID-19) should be administered \> 14 days prior to randomisation. * Participation in another clinical study with an IP, including an experimental vaccine, or device, within 5 half-lives of the intervention or 3 months prior to screening, whichever is longer. * Known hypersensitivity to MEDI0618 or any of the excipients of the product. Other protocol defined inclusion and exclusion criteria may apply.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
51 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Axon Clinical s.r.o.
RECRUITINGPrague, 150 00, Czechia
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BayCare Medical Group Neurology at St. Anthony's Hospital
NOT_YET_RECRUITINGSt. Petersburg, Florida, 33705, United States
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Brain-Soultherapy s.r.o.
NOT_YET_RECRUITINGKladno, 272 01, Czechia
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Centrum Medyczne HCP Sp. z o.o.
RECRUITINGPoznan, 61-485, Poland
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Centrum Medyczne Hope Clinic
NOT_YET_RECRUITINGLublin, 20-701, Poland
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Centrum Medyczne Pratia - Katowice
RECRUITINGKatowice, 40-081, Poland
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Centrum Medyczne Pratia Bydgoszcz
RECRUITINGBydgoszcz, 85-796, Poland
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Charite-Universitaetsmedizin Berlin - Campus Charite Mitte (CCM) - Klinik fuer Neurologie
NOT_YET_RECRUITINGBerlin, 10117, Germany
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Clinical Research Institute, LCC
RECRUITINGLos Angeles, California, 90048, United States
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Clintrial s.r.o.
NOT_YET_RECRUITINGPrague, 100 00, Czechia
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DADO Medical s.r.o.
RECRUITINGPrague, 120 00, Czechia
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European Trial Group (ETG) - Warszawa
RECRUITINGWarsaw, 02-677, Poland
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Fachuebergreifende Gemeinschaftspraxis Dr. med. Joachim Springub & Wolfgang Schwarz
NOT_YET_RECRUITINGWesterstede, 26655, Germany
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Florida Neurology - Lake Mary
NOT_YET_RECRUITINGLake Mary, Florida, 32746, United States
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Flourish - Birmingham
RECRUITINGBirmingham, Alabama, 35205, United States
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Flourish Research - Miami, LLC dba Flourish Research
RECRUITINGMiami, Florida, 33135, United States
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Forbeli s.r.o
RECRUITINGPrague, 160 00, Czechia
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FutureMeds Sp. z.o.o.
RECRUITINGKrakow, 31-501, Poland
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FutureMeds Warszawa Centrum
RECRUITINGWarsaw, 00-215, Poland
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FutureSearch Trials
RECRUITINGAustin, Texas, 78731, United States
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Homestead Associates in Research, Inc.
NOT_YET_RECRUITINGHomestead, Florida, 33033, United States
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Hospital Clinico Universitario de Valencia
RECRUITINGValencia, 46010, Spain
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Hospital Universitari Vall d'Hebron - Institut de Recerca (VHIR)
RECRUITINGBarcelona, 08035, Spain
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Hospital Universitari i Politècnic La Fe
RECRUITINGValencia, 46026, Spain
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Hospital Universitario La Paz
RECRUITINGMadrid, 28046, Spain
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Hospital Universitario de Badajoz
NOT_YET_RECRUITINGBadajoz, 06080, Spain
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Hospital del Mar
NOT_YET_RECRUITINGBarcelona, 08003, Spain
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IRCCS Fondazione Istituto Neurologico Nazionale Casimiro Mondino
NOT_YET_RECRUITINGPavia, 27100, Italy
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IRCCS Ospedale San Raffaele
NOT_YET_RECRUITINGMilan, 20132, Italy
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IRCCS San Raffaele Pisana
NOT_YET_RECRUITINGRoma, 00163, Italy
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Institut Neuropsychiatricke Pece (INEP)
RECRUITINGPrague, 186 00, Czechia
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Kopfschmerzzentrum Frankfurt
NOT_YET_RECRUITINGFrankfurt am Main, 65929, Germany
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MTZ Clinical Research Sp. z o.o.
RECRUITINGWarsaw, 02-172, Poland
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Modern Migraine, MD
WITHDRAWNNew York, New York, 10001, United States
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Norton Neuroscience Institute - Headache Clinic
WITHDRAWNLouisville, Kentucky, 40207, United States
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Obudai Egeszsegugyi Centrum - Dunaujvaros
NOT_YET_RECRUITINGDunaújváros, 2400, Hungary
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Palmetto Primary Care Physicians Division of Gastroenterology - Summerville
RECRUITINGSummerville, South Carolina, 29486, United States
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Pharmakologisches Studienzentrum Chemnitz GmbH
RECRUITINGChemnitz, 09111, Germany
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Policlinico Universitario Campus Bio-Medico
NOT_YET_RECRUITINGRoma, 00128, Italy
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Praglandia s.r.o.
RECRUITINGPrague, 150 00, Czechia
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Rigshospitalet (Copenhagen University Hospital) - Dansk Hovedpinecenter (Danish Headache Center)
NOT_YET_RECRUITINGGlostrup Municipality, 2600, Denmark
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S-Medicon Kft.
RECRUITINGBudapest, 1138, Hungary
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Santos Research Center, Corp - Tampa
RECRUITINGTampa, Florida, 33615, United States
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Solumed Centrum Medyczne
NOT_YET_RECRUITINGPoznan, 60-529, Poland
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Specjalistyczne Gabinety Sp. z o.o.
RECRUITINGKrakow, 30-539, Poland
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Tennessee Valley Neurological Associates PC
WITHDRAWNHuntsville, Alabama, 35801, United States
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The Mind+ Neurology Clinic
RECRUITINGMequon, Wisconsin, 53092, United States
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The Neurology Center of Southern California - Carlsbad Office
RECRUITINGLa Jolla, California, 92037, United States
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Universitätsklinikum Carl Gustav Carus Dresden
NOT_YET_RECRUITINGDresden, 01307, Germany
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Universitätsklinikum Essen
NOT_YET_RECRUITINGEssen, 45147, Germany
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Vaught Neurological Services, PLLC
NOT_YET_RECRUITINGCrab Orchard, West Virginia, 25827, United States
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Velocity Clinical Research, Providence (East Greenwich)
NOT_YET_RECRUITINGEast Greenwich, Rhode Island, 02818, United States
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Vestra Clinics s.r.o.
RECRUITINGRychnov nad Kněžnou, 266 55, Czechia
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Óbudai Egészségügyi Centrum
RECRUITINGBudapest, 1036, Hungary
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could your toothpaste be triggering migraines? trial puts it to the test
- Can sleep, neck pain, and fatigue explain Migraine's daily toll?
- Do Gender-Affirming hormones trigger headaches? thai survey probes the question
- Can a pill stop a migraine in two hours?
- Can tai chi or acupuncture rewire the migraine brain?
- Could a migraine injection also heal caregiver burnout?