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Table 1 Efficacy outcomes (efficacy population)

From: Eptinezumab for the prevention of chronic migraine: efficacy and safety through 24 weeks of treatment in the phase 3 PROMISE-2 (Prevention of migraine via intravenous ALD403 safety and efficacy–2) study

 

Weeks 1–12 (Dose 1)

Weeks 13–24 (Dose 2)

Eptinezumab 100 mg n = 356

Eptinezumab 300 mg n = 350

Placebo n = 366

Eptinezumab 100 mg n = 356

Eptinezumab 300 mg n = 350

Placebo n = 366

Monthly migraine daysa

 Actual

  Mean

8.5

7.9

10.5

8.0

7.3

10.0

 Change from baseline

  Mean

−7.7

−8.2

−5.6

−8.2

−8.8

−6.2

  Difference from placebo

−2.03

−2.60

 

− 1.98

−2.65

 

  95% CI

(−2.88, − 1.18)

(− 3.45, − 1.74)

 

(− 2.94, − 1.01)

(− 3.62, − 1.68)

 

≥50% migraine responder rate

 Patients, n (%)

205 (57.6)

215 (61.4)

144 (39.3)

217 (61.0)

224 (64.0)

161 (44.0)

 Difference from placebo

18.2

22.1

 

17.0

20.0

 

 95% CI

(11.1, 25.4)

(14.9, 29.2)

 

(9.8, 24.1)

(12.9, 27.2)

 

≥75% migraine responder rate

 Patients, n (%)

95 (26.7)

116 (33.1)

55 (15.0)

140 (39.3)

151 (43.1)

87 (23.8)

 Difference from placebo

11.7

18.1

 

15.6

19.4

 

 95% CI

(5.8, 17.5)

(12.0, 24.3)

 

(8.9, 22.2)

(12.6, 26.2)

 

100% migraine responder rateb

 Rate, %

10.8

15.1

5.1

17.8

20.8

9.3

 Difference from placebo

5.8

10.1

 

8.5

11.5

 

 95% CI

(2.9, 8.6)

(6.7, 13.4)

 

(4.5, 12.5)

(7.2, 15.7)

 

Monthly headache days

 Actual

  Mean

12.2 (6.68)

11.7 (6.96)

14.1 (6.38)

10.8 (7.42)

9.9 (7.44)

12.5 (7.25)

 Change from baseline

  Mean

−8.2 (5.78)

−8.8 (6.10)

−6.4 (5.99)

−9.6 (6.62)

−10.6 (6.83)

−8.1 (6.90)

  Difference from placebo

−1.7

−2.3

 

−1.5

−2.4

 

  95% CI

(−2.59, −0.87)

(−3.22, −1.44)

 

(−2.44, −0.47)

(−3.43, −1.42)

 

Acute migraine medication daysc

 Actual

  Mean

3.3 (4.84)

3.2 (4.71)

4.3 (5.67)

3.2 (4.94)

2.8 (4.49)

4.0 (5.59)

 Change from baseline

  Mean

−3.3 (4.89)

− 3.5 (4.62)

−1.9 (4.18)

−3.4 (5.14)

−3.9 (4.96)

−2.2 (4.73)

  Difference from placebo

−1.2

−1.4

 

−1.1

−1.7

 

  95% CI

(−1.66, −0.65)

(−1.88, −0.87)

 

(−1.86, −0.42)

(−2.44, −1.01)

 
  1. aThe estimated mean, mean difference from placebo, and 95% confidence interval are from an analysis of covariance model, with treatment as a factor and the stratification variables; baseline migraine days and preventive medication use as independent variables
  2. bCalculated as the average percentage of patients with 100% migraine response for any given 4-week study month during the respective dosing interval
  3. cDefined as a day with any triptan or ergot use as recorded in the eDiary
  4. Abbreviations: CI confidence interval, MHD monthly headache day, MMD monthly migraine day, SD standard deviation