Status: Ongoing
First registered on:
13/01/2020
Last updated on:
09/04/2020
1. Study identification
EU PAS Register NumberEUPAS33068
Official titlepreventive TReatment of mIgraine: oUtcoMes for Patients in real-world Healthcare systems [TRIUMPH]
Study title acronym15Q-MC-B004
Study typeObservational study
Brief description of the studyResearch objectives: The overall aim is to estimate real-world effectiveness and associated outcomes, as well as describe treatment patterns, in patients with migraine in routine clinical care who are switching or initiating pharmacologic treatment for migraine prevention. The primary comparison of interest will be between galcanezumab and oral standard of care. However, patients who are initiating other CGRP antagonists or botulinum toxin A or B will also be eligible to participate in the study and included in descriptive and statistical comparisons as sample sizes permit.
Design: Prospective, multicenter, international, 2-stage noninterventional study. Stage 1 is a cross-sectional, single-day assessment. Stage 2 is a 24-month longitudinal assessment. Entry into Stage 2 is dependent on which preventive treatment the patient is initiating. During Stage 2: Postbaseline visits will occur at Month 3, 6, 12, 18, 24. Additional office visits are allowed as this is an observational study.
Population: Adult patients with migraine who are switching or initiating new preventive treatment in clinical practice settings in multiple countries
Variables:
o demographics
o concomitant medications
o medical history and comorbidities
o migraine history, migraine treatment history, and current disease state
o preventive and acute treatment use and rationale for changes
o migraine headache days and headache days, headache hours, severity, and symptoms
o health-related quality of life
o migraine-related burden and disability
o healthcare resource utilization
o work productivity and activity impairment
o acute treatment outcomes
o symptoms of anxiety, depression, and allodynia
o medication adherence, persistence, and satisfaction
Size: Stage 1 will include a sufficient number of patients to achieve approx 2850 patients total entering Stage 2, with enrollment targets stratified by country.
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
Not applicable
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsIQVIA
Department/Research groupReal World Evidence
Organisation/affiliationIQVIA
Details of (Primary) lead investigator
Title Dr
Last name Andrews
First name J. Scott
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
International study
France
Germany
United States
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed22/04/201921/06/2019
Start date of data collection14/02/202025/02/2020
Start date of data analysis
Date of interim report, if expected
Date of final study report27/01/2024
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesEli Lilly and Company100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Andrews
First name J. Scott
Address line 1Lilly Corporate Center
Address line 2
Address line 3
CityIndianapolis
Postcode46285
CountryUnited States
Phone number (incl. country code)13174091786
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Andrews
First name J. Scott
Address line 1Lilly Corporate Center
Address line 2
Address line 3
CityIndianapolis
Postcode46285
CountryUnited States
Phone number (incl. country code)13174091786
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Single-Constituent (Substance INN)GALCANEZUMAB
Single-Constituent (Substance INN)METOPROLOL
Single-Constituent (Substance INN)ATENOLOL
Single-Constituent (Substance INN)PROPRANOLOL
Single-Constituent (Substance INN)AMITRIPTYLINE
Single-Constituent (Substance INN)FLUNARIZINE
Single-Constituent (Substance INN)BOTULINUM TOXINS
Single-Constituent (Substance INN)ERENUMAB
Single-Constituent (Substance INN)FREMANEZUMAB
Single-Constituent (Substance INN)TOPIRAMATE
7. Medical conditions to be studied
Medical condition(s)Yes
Migraine
8. Population under study
Age
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects2850
Additional information
Stage 1 will include a sufficient number of patients to achieve approximately 2850 patients total entering Stage 2. The study will enroll patients from multiple sites and countries, with enrollment targets stratified by country and split approximately 1:1 between galcanezumab and other migraine preventive treatments.
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Prospective patient-based data collection
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Effectiveness evaluation
Primary scope : Effectiveness evaluation
12. Main objective(s)
What is the main objective of the study?
The overall aim is to estimate real-world effectiveness and associated outcomes, as well as describe treatment patterns, in patients with migraine in routine clinical care who are switching or initiating pharmacologic treatment for migraine prevention. The primary comparison of interest will be between galcanezumab and oral standard of care.
Are there primary outcomes?Yes
Compare the effectiveness of galcanezumab to oral migraine preventive standard of care overall in adult patients with migraine who are switching or initiating preventive treatment. Specifically, this will estimate the proportion of patients in the longitudinal follow-up who achieve a clinically meaningful reduction from baseline in monthly migraine headache days at Month 3.
Are there secondary outcomes?Yes
Compare the long-term, real-world effectiveness of galcanezumab to other migraine preventive treatments on a variety of outcomes including, but not limited to, migraine headache day reduction, responder rates, discontinuation rates, patient-reported outcomes, acute and preventive treatment patterns and outcomes, disease and economic burden.
13. Study design
What is the design of the study?
Cross-sectional study
Cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
This is a prospective, multicenter, international, 2-stage noninterventional study. Stage 1 is a cross-sectional, single-day assessment. Stage 2 is a 24-month longitudinal assessment.
15. Data analysis plan
Please provide a brief summary of the analysis method
The primary analysis aims to estimate the causal effect of galcanezumab versus oral migraine preventive standard of care when controlling for selection bias and measured confounders. The primary analysis will be performed using propensity score greedy match to assess the differences in outcome between 2 groups.
Descriptive summary statistics will be presented at different time points for different treatments and treatment groups and drug classes or individually based on the sample sizes available overall and by countries using treatment as time varying.
The secondary objectives for the longitudinal follow-up are to compare the effectiveness of galcanezumab to other migraine preventive treatments on outcomes. The secondary analyses will be performed using MSM, which are multi-step estimation procedure designed to control for the effect of confounding variables that change over time, and are affected by previous treatment.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Available when the study ends
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
None
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
