A Study to Evaluate the Efficacy and Safety of Eptinezumab for the Prevention of Migraine in Participants That Are Not Helped by Previous Preventive Treatments
DELIVER
Interventional, Randomized, Double-blind, Parallel-group, Placebo-controlled Study With an Extension Period to Evaluate the Efficacy and Safety of Eptinezumab for the Prevention of Migraine in Patients With Unsuccessful Prior Preventive Treatments
1 other identifier
interventional
892
17 countries
138
Brief Summary
Evaluation of eptinezumab in the prevention of migraine in participants with unsuccessful prior preventive treatments.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jun 2020
138 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2020
CompletedFirst Submitted
Initial submission to the registry
June 3, 2020
CompletedFirst Posted
Study publicly available on registry
June 5, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 15, 2021
CompletedResults Posted
Study results publicly available
July 22, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
September 15, 2022
CompletedSeptember 29, 2023
September 1, 2023
1.1 years
June 3, 2020
June 16, 2022
September 8, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in the Number of Monthly Migraine Days (MMDs) Averaged Over Weeks 1 to 12
A migraine day was defined as any day the participant reported a headache that met criterion A, B, C, or D: Criterion A (all of the following criteria): lasted ≥4 hours, had ≥2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity; and was accompanied by ≥1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion B: lasted ≥30 minutes and the participant had an aura with the headache. Criterion C: lasted ≥30 minutes and met ≥2 of the following criteria: lasted ≥4 hours, had ≥2 of the following: unilateral location; pulsating quality; moderate or severe pain intensity; aggravation by, or causing avoidance of, routine physical activity, and was accompanied by ≥1 of the following: nausea; vomiting; photophobia and phonophobia. Criterion D: the participant took medication to treat the headache because he/she believed he/she was having a migraine.
Baseline, Weeks 1 - 12
Secondary Outcomes (40)
Percentage of Participants With ≥50% Reduction From Baseline in MMDs Averaged Over Weeks 1 to 12
Baseline to Weeks 1 - 12
Change From Baseline in the Number of MMDs Averaged Over Weeks 13 to 24
Baseline, Weeks 13 - 24
Percentage of Participants With ≥75% Reduction From Baseline in MMDs Averaged Over Weeks 1 to 12
Baseline to Weeks 1 - 12
Change From Baseline in the Headache Impact Test (HIT-6) Score at Week 12
Baseline, Week 12
Percentage of Participants With ≥50% Reduction From Baseline in MMDs Averaged Over Weeks 13 to 24
Baseline to Weeks 13 - 24
- +35 more secondary outcomes
Study Arms (3)
Placebo
PLACEBO COMPARATORParticipants will receive placebo matching to eptinezumab by IV infusion, every 12 weeks starting from Baseline (Day 0) through Week 24.
Eptinezumab 100 mg
EXPERIMENTALParticipants will receive eptinezumab 100 mg by IV infusion, every 12 weeks starting from Baseline (Day 0) through Week 24.
Eptinezumab 300 mg
EXPERIMENTALParticipants will receive eptinezumab 300 mg by IV infusion, every 12 weeks starting from Baseline (Day 0) through Week 24.
Interventions
Eptinezumab, concentrate for solution for infusion 100 mg/milliliter (mL)
Eligibility Criteria
You may qualify if:
- The participant has a diagnosis of migraine, with a history of chronic or episodic migraines of at least 12 months prior to the Screening Visit
- The participant has a migraine onset of ≤50 years of age.
- The participant has ≥4 migraine days per month for each month within the past 3 months prior to the Screening Visit.
- The participant has demonstrated compliance with the Headache eDiary by entry of data for at least 24 of the 28 days following the Screening Visit.
- The participant fulfils the following criteria for chronic migraine (CM) or episodic migraine (EM) in prospectively collected information in the eDiary during the screening period:
- For participants with CM: Migraine occurring on ≥8 days and headache occurring on \>14 days
- For participants with EM: Migraine occurring on ≥4 days and headache occurring on ≤14 days
- The participant has documented evidence of treatment failure (must be supported by medical record or by physician's confirmation specific to each treatment) in the past 10 years of 2-4 different migraine preventive medications.
- The participant has a history of either previous or active use of triptans for migraine.
You may not qualify if:
- The participant has experienced failure on a previous treatment targeting the calcitonin gene-related peptide (CGRP) pathway.
- The participant has confounding and clinically significant pain syndromes, (for example, fibromyalgia, chronic low back pain, complex regional pain syndrome).
- The participant has a diagnosis of acute or active temporomandibular disorder.
- The participant has a history or diagnosis of chronic tension-type headache, hypnic headache, cluster headache, hemicrania continua, new daily persistent headache, or unusual migraine subtypes such as hemiplegic migraine (sporadic and familial), ophthalmoplegic migraine, and migraine with neurological accompaniments that are not typical of migraine aura (diplopia, altered consciousness, or long duration).
- The participant has a psychiatric condition that is uncontrolled and/or untreated for a minimum of 6 months prior to the Screening Visit. Participants with a lifetime history of psychosis and/or mania in the last 5 years prior to the Screening Visit are excluded.
- The participant has a history of clinically significant cardiovascular disease or vascular ischaemia or thromboembolic events (for example, cerebrovascular accident, deep vein thrombosis, or pulmonary embolism).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- H. Lundbeck A/Slead
Study Sites (138)
Diablo Clinical Research
Walnut Creek, California, 94598, United States
Sarkis Clinical Trials - Gainesville
Gainesville, Florida, 32607, United States
Accel Research Sites - Maitland
Maitland, Florida, 32751, United States
Michigan Headache and Neurological Institute
Ann Arbor, Michigan, 48104-5131, United States
Clinical Research Institute Inc. - Minneapolis
Minneapolis, Minnesota, 55402, United States
Albuqerque Clinical Trials
Albuquerque, New Mexico, 87102, United States
Dent Neurologic Institute - Amherst
Amherst, New York, 14226, United States
Integrative Clinical Trials
Brooklyn, New York, 11229, United States
CTI Clinical Research Center
Cincinnati, Ohio, 45212, United States
Hometown Urgent Care & Occupational Health/Hometown Research - Huber Heights
Dayton, Ohio, 45424, United States
Lynn Health Science Institute - Oklahoma City
Oklahoma City, Oklahoma, 73112, United States
Clinical Neuroscience Solutions - Memphis
Memphis, Tennessee, 38119, United States
Northwest Clinical Research Center (NWCRC)
Bellevue, Washington, 98007, United States
Northwest Neurological
Spokane, Washington, 99202, United States
Universitair Ziekenhuis Brussel
Brussels, Brussels Capital, 1090, Belgium
Jessa Ziekenhuis - Campus Virga Jesse
Hasselt, Limburg, 3500, Belgium
Universitair Ziekenhuis Gent
Ghent, Oost-Vlaanderen, 9000, Belgium
Algemeen Ziekenhuis Sint-Jan Brugge-Oostende - Campus Sint-Jan
Bruges, West-Vlaanderen, 8000, Belgium
Multiprofile Hospital for Active Treatment in Neurology and Psychiatry Sveti Naum
Sofia, Sofia-Grad, 1113, Bulgaria
First Multiprofile Hospital for Active Treatment - Sofia
Sofia, Sofia-Grad, 1142, Bulgaria
Multiprofile Hospital for Active Treatment Heart and Brain EAD
Pleven, 5804, Bulgaria
Medical Center - Teodora EOOD
Rousse, 7012, Bulgaria
Acibadem City Clinic Tokuda Hospital
Sofia, 1407, Bulgaria
Medical Center Medica Plus
Veliko Tarnovo, 5006, Bulgaria
MUDr. Helena Hojdíkova s.r.o. Neurologicka Ambulance
Hradec Králové, Hradec Kralové, 500 03, Czechia
Vestra Clinics
Rychnov nad Kněžnou, Hradec Kralové, 516 01, Czechia
CCR Brno
Brno, Jihormoravsky Kraj, 602 00, Czechia
Fakultni nemocnice Ostrava
Ostrava-Poruba-Poruba, Moravian-Silesian, 708 52, Czechia
CCR Prague
Prague, Prague, 130 00, Czechia
Fakultní Thomayerova nemocnice
Prague, Prague, 140 59, Czechia
Neurologicka Ambulance - Forbeli
Prague, Prague, 160 00, Czechia
Neuropsychiatrie S.R.O.
Prague, Prague, 160 00, Czechia
Institut Neuropsychiatrické Péce
Prague, Prague, 186 00, Czechia
CCR Ostrava
Ostrava, Severomoravsky Kraj, 702 00, Czechia
Fakultní Nemocnice u sv. Anny v Brne
Brno, South Moravian, 656 91, Czechia
Nemocnice Jihlava
Jihlava, 586 01, Czechia
Neurosanatio s.r.o
Litomyšl, 57001, Czechia
Neurologie, MP-neuro s.r.o., poliklinika Modry pavilon
Slezská Ostrava, 710 00, Czechia
NeuroMed Zlín s.r.o.
Zlín, 760 01, Czechia
Rigshospitalet Glostrup
Glostrup Municipality, Capital Region, 2600, Denmark
Odense Universitetshospital
Odense, Region Syddanmark, 5000, Denmark
Sydvestjysk Sygehus - Esbjerg
Esbjerg, 6700, Denmark
Tampereen Yliopistollinen Sairaala
Tampere, Länsi-Suomen Lääni, 33520, Finland
Terveystalo Ruoholahti
Helsinki, Southern Finland, 00180, Finland
Terveystalo Turku Pulssi
Turku, Western Finland, 20100, Finland
Itä-Suomen Yliopisto - Kuopion Kampus
Kuopio, 70210, Finland
Terveystalo Tampere
Tampere, 33100, Finland
Hôpital Cimiez
Nice, Côte-d'Or, 91179 - 06003, France
Hôpital Charles-Nicolle
Rouen, Haute-Normandie, 76000, France
Hôpital Roger Salengro
Lille, Nord, 59037, France
Centre Hosptitalier Universitaire d'Angers
Angers, Pays de la Loire Region, 49 933, France
Assistance Publique Hôpitaux de Marseille
Marseille, Provence Alpes Cote D'Azure, 13 354, France
Hôpital Pierre Wertheimer
Bron, Rhone-Alps, 69500, France
Helsicore - Israeli-Georgian Medical Research Clinic
Tbilisi, K'alak'i T'bilisi, 0112, Georgia
LLC Todua Clinic
Tbilisi, K'alak'i T'bilisi, 0112, Georgia
Pineo Medical Ecosystem
Tbilisi, 0114, Georgia
Archangel Saint Michael Multiprofile Clinical Hospital
Tbilisi, 0159, Georgia
Aversi Clinic - Central Branch
Tbilisi, 0160, Georgia
Mediclub Georgia Medical
Tbilisi, 0160, Georgia
Jerarsi Clinic
Tbilisi, 0167, Georgia
Malkhaz Katsiashvili Multiprofile Emergency Center
Tbilisi, 0172, Georgia
Simon Khechinashvili University Hospital
Tbilisi, 0179, Georgia
Consilium Medulla Multiprofile Clinic
Tbilisi, 0186, Georgia
Neuroplus
Mannheim, Baden-Wurttemberg, 68163, Germany
MVZ Dr. Roth & Kollegen GbR
Ostfildern, Baden-Wurttemberg, 73760, Germany
NeuroConcept AG
Stuttgart, Baden-Wurttemberg, 70182, Germany
Praxis Dr. Steinwachs
Nuremberg, Bavaria, 90402, Germany
CTC North
Hamburg, Hamburg (Hansestadt), 20251, Germany
Synexus - Prüfzentrum Frankfurt/Main
Frankfurt am Main, Hesse, 60313, Germany
Migräne- und Kopfschmerzklinik Königstein
Königstein im Taunus, Hesse, 61462, Germany
Studienzentrum Nord West
Westerstede, Lower Saxony, 26655, Germany
Neurozentrum Bielefeld
Bielefeld, North Rhine-Westphalia, 33647, Germany
Neurologische Praxis Dr. Stude
Bochum, North Rhine-Westphalia, 44787, Germany
Praxis Astrid Gendolla
Essen, North Rhine-Westphalia, 45133, Germany
Universitätsklinikum Essen
Essen, North Rhine-Westphalia, 45147, Germany
Synexus - Leipzig
Leipzig, Saxony, 04103, Germany
Synexus Clinical Research - Berlin
Berlin, 12627, Germany
Neuropraxis München Süd
Unterhaching, 82008, Germany
Valeomed Diagnosztikai Kozpont
Esztergom, Komarom-Esztergom County, 2500, Hungary
Pest Megyei Flor Ferenc Korhaz
Kistarcsa, Pest County, 2143, Hungary
UNO Medical Trials Kft.
Budapest, 1152, Hungary
Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - San Raffaele Pisana
Rome, Roma, 00163, Italy
Universita Campus Bio-Medico di Roma
Roma, Rome, 00128, Italy
Azienda Ospedaliera - Universitaria Sant' Andrea
Roma, Rome, 00189, Italy
IRCCS Istituto Delle Scienze Neurologiche di Bologna
Bologna, 40139, Italy
Azienda Ospedaliero - Universitaria Careggi
Florence, 50139, Italy
Fondazione Mondino - Istituto Neurologico Nazionale a Carattere Scientifico IRCCS
Pavia, 27100, Italy
Centrum Medyczne Solumed
Poznan, Greater Poland Voivodeship, 60-529, Poland
Synexus - Poznan
Poznan, Greater Poland Voivodeship, 60-702, Poland
Centrum Medyczne Pratia - Bydgoszcz
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796, Poland
Pratia MCM Krakow
Krakow, Lesser Poland Voivodeship, 30-510, Poland
Specjalistyczne Gabinety Sp. z o.o.
Krakow, Lesser Poland Voivodeship, 30-539, Poland
Instytut Zdrowia dr Boczarska-Jedynak
Oświęcim, Lesser Poland Voivodeship, 32-600, Poland
Centrum Medyczne Oporow
Wroclaw, Lower Silesian Voivodeship, 52-416, Poland
Prywatny Gabinet Lekarski Urszula Chyrchel-Paszkiewicz
Lublin, Lublin Voivodeship, 20-093, Poland
Indywidualna Praktyka Lekarska dr hab. n. med. Anna Szczepanska-Szerej
Lublin, Lublin Voivodeship, 20-582, Poland
Concept Medica Trials Prywatny Gabinet Lekarski Urszula Chyrchel-Paszkiewicz
Warsaw, Masovian Voivodeship, 00-773, Poland
SOMED CR - Warsaw
Warsaw, Masovian Voivodeship, 01-737, Poland
MTZ Clinical Research Powered by Pratia
Warsaw, Masovian Voivodeship, 01-868, Poland
Synexus - Gdynia
Gdynia, Pomeranian Voivodeship, 81-537, Poland
Synexus - Czestochowa
Częstochowa, Silesian Voivodeship, 42-202, Poland
Synexus - Katowice
Katowice, Silesian Voivodeship, 40-040, Poland
Neuro-Care Katowice
Siemianowice Śląskie, Silesian Voivodeship, 41-100, Poland
Centrum Kliniczno Badawcze J Brzezicki B Gornikiewicz Brzezicka Lekarze Spolka Partnerska
Elblag, Warmian-Masurian Voivodeship, 82-300, Poland
Centrum Medyczne Pratia - Czestochowa
Częstochowa, 42-200, Poland
SOMED CR - Lodz
Lodz, 90-368, Poland
University Headache Clinic
Moscow, 121467, Russia
Neurologicka ambulancia MUDr. Dupejova s.r.o.
Banská Bystrica, 97404, Slovakia
In Medic
Bardejov, 8501, Slovakia
MEDBAJ s.r.o.
Dolný Kubín, 026 01, Slovakia
Medicínske Centrum Konzílium - Dubnica nad Vahom
Dubnica nad Váhom, 01841, Slovakia
Hospital Universitario de Basurto
Bilbao, Biscay, 48013, Spain
Hospital Universitario Puerta de Hierro - Majadahonda
Majadahonda, Madrid, 28222, Spain
Hospital Universitario Quironsalud Madrid
Pozuelo de Alarcón, Madrid, 28223, Spain
Clinica Universidad de Navarra - Pamplona
Pamplona, Navarre, 31008, Spain
Hospital Alvaro Cunqueiro - Clinico Universitario Vigo
Vigo, Pontevedra, 36213, Spain
Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
Hospital Universitario La Paz
Madrid, 28046, Spain
Hospital Universitario Virgen del Rocío
Seville, 41013, Spain
Hospital Clínico Universitario de Valencia
Valencia, 46010, Spain
Hospital Clínico Universitario de Valladolid
Valladolid, 47003, Spain
Hospital Clinico Universitario Lozano Blesa
Zaragoza, 50009, Spain
Migränkliniken Europa AB
Värnamo, Kronoborgs Län, 331 50, Sweden
Stortorgets neurologmottagning
Helsingborg, Skåne County, 25220, Sweden
Centralsjukhuset Kristianstad
Kristianstad, Skåne County, 291 85, Sweden
Universitetssjukhuset i Linköping
Linköping, Östergötland County, 581 85, Sweden
Synexus - Scotland Clinical Research Centre
Bellshill, England, ML4 3NJ, United Kingdom
Synexus - The Lancashire Clinic
Chorley, England, PR7 7NA, United Kingdom
Synexus Midlands Clinical Research Centre
Edgbaston, England, B15 2SQ, United Kingdom
Synexus - The Hexham Clinic
Hexham, England, NE46 1QJ, United Kingdom
Synexus - Merseyside Clinical Research Centre
Liverpool, England, L22 0LG, United Kingdom
Panthera Biopartners - North London
London, England, EN3 4GS, United Kingdom
Synexus - Manchester Clinical Research Centre
Manchester, England, M15 6SE, United Kingdom
Panthera Biopartners - Manchester
Manchester, England, OL11 4AU, United Kingdom
Panthera Biopartners - Preston
Preston, England, PR2 9QB, United Kingdom
Synexus - Thames Valley Clinical Research Centre
Reading, England, RG2 0TG, United Kingdom
Northern Care Alliance NHS Foundation Trust
Salford, England, M6 8HD, United Kingdom
Synexus - Wales
Cardiff, Wales, CF15 9SS, United Kingdom
Related Publications (10)
Tassorelli C, Starling AJ, Awad SF, Lee XY, Boserup LP, Asher D, Soni-Brahmbhatt S, Sperling B, Goadsby PJ. Early and Sustained Shift in Headache Day Frequency Following Eptinezumab Treatment in Adults With Migraine for Whom 2-4 Previous Preventive Treatments Have Failed: A Post Hoc Analysis of the Randomized DELIVER Trial. Eur J Neurol. 2025 Dec;32(12):e70460. doi: 10.1111/ene.70460.
PMID: 41395928DERIVEDBarbanti P, Awad SF, Rae-Espinoza H, Regnier SA, Lee XY, Goadsby PJ. Impact of eptinezumab on work productivity beyond reductions in monthly migraine days: post hoc analysis of the DELIVER trial. J Patient Rep Outcomes. 2024 Dec 18;8(1):146. doi: 10.1186/s41687-024-00813-w.
PMID: 39692817DERIVEDJonsson L, Awad SF, Regnier SA, Talon B, Kymes S, Lee XY, Goadsby PJ. Structural equation modeling for identifying the drivers of health-related quality of life improvement experienced by patients with migraine receiving eptinezumab. J Headache Pain. 2024 Mar 28;25(1):45. doi: 10.1186/s10194-024-01752-z.
PMID: 38549121DERIVEDPozo-Rosich P, Ashina M, Tepper SJ, Jensen S, Boserup LP, Josiassen MK, Sperling B. Eptinezumab Demonstrated Efficacy Regardless of Prior Preventive Migraine Treatment Failure Type: Post Hoc Analyses of the DELIVER Study. Neurol Ther. 2024 Apr;13(2):339-353. doi: 10.1007/s40120-023-00575-5. Epub 2024 Jan 18.
PMID: 38236314DERIVEDAshina M, Tepper SJ, Gendolla A, Sperling B, Ettrup A, Josiassen MK, Starling AJ. Long-term effectiveness of eptinezumab in patients with migraine and prior preventive treatment failures: extension of a randomized controlled trial. J Headache Pain. 2023 Nov 20;24(1):155. doi: 10.1186/s10194-023-01688-w.
PMID: 37985968DERIVEDJonsson L, Regnier SA, Kymes S, Awad SF, Talon B, Lee XY, Goadsby PJ. Estimating treatment effects on health utility scores for patients living with migraine: a post hoc analysis of the DELIVER trial. Expert Rev Pharmacoecon Outcomes Res. 2023 Jul-Dec;23(7):797-803. doi: 10.1080/14737167.2023.2219898. Epub 2023 Jun 2.
PMID: 37256558DERIVEDAshina M, Lanteri-Minet M, Ettrup A, Christoffersen CL, Josiassen MK, Phul R, Sperling B, Pozo-Rosich P. Efficacy and safety of eptinezumab for migraine prevention in patients with prior preventive treatment failures: subgroup analysis of the randomized, placebo-controlled DELIVER study. Cephalalgia. 2023 May;43(5):3331024231170807. doi: 10.1177/03331024231170807.
PMID: 37125484DERIVEDGoadsby PJ, Barbanti P, Lambru G, Ettrup A, Christoffersen CL, Josiassen MK, Phul R, Sperling B. Eptinezumab improved patient-reported outcomes and quality of life in patients with migraine and prior preventive treatment failures. Eur J Neurol. 2023 Apr;30(4):1089-1098. doi: 10.1111/ene.15670. Epub 2023 Jan 21.
PMID: 36583633DERIVEDBarbanti P, Goadsby PJ, Lambru G, Ettrup A, Christoffersen CL, Josiassen MK, Phul R, Sperling B. Effects of eptinezumab on self-reported work productivity in adults with migraine and prior preventive treatment failure in the randomized, double-blind, placebo-controlled DELIVER study. J Headache Pain. 2022 Dec 2;23(1):153. doi: 10.1186/s10194-022-01521-w.
PMID: 36460983DERIVEDAshina M, Lanteri-Minet M, Pozo-Rosich P, Ettrup A, Christoffersen CL, Josiassen MK, Phul R, Sperling B. Safety and efficacy of eptinezumab for migraine prevention in patients with two-to-four previous preventive treatment failures (DELIVER): a multi-arm, randomised, double-blind, placebo-controlled, phase 3b trial. Lancet Neurol. 2022 Jul;21(7):597-607. doi: 10.1016/S1474-4422(22)00185-5.
PMID: 35716692DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Email contact via
- Organization
- H. Lundbeck A/S
Study Officials
- STUDY DIRECTOR
Email contact via H. Lundbeck A/S
LundbeckClinicalTrials@Lundbeck.com
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 3, 2020
First Posted
June 5, 2020
Study Start
June 1, 2020
Primary Completion
July 15, 2021
Study Completion
September 15, 2022
Last Updated
September 29, 2023
Results First Posted
July 22, 2022
Record last verified: 2023-09
Data Sharing
- IPD Sharing
- Will share