Trial Outcomes & Findings for A Study of Lasmiditan (LY573144) Treatment in Children Aged 6 to 17 With Migraine (NCT NCT04396236)

NCT ID: NCT04396236

Last Updated: 2026-09-02

Results Overview

Pain freedom at 2 hours post-dose was defined as having a pain intensity of none at that time point. Pain was measured on a 5-face pain scale, with following scores: 1= none, 2= mild, 3 and 4= moderate, 5= severe. Participants with a reduction in baseline pain as measured on a 5-Face Pain Scale from moderate (Faces 3 and 4) or severe (Face 5) to no pain (Face 1) were considered as pain freedom. 5-Face Pain Scale; minimum value: 1 (no pain); maximum value: 5 (severe pain); higher scores indicate worse outcome.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

847 participants

Primary outcome timeframe

2 hours post dose

Results posted on

2026-09-02

Participant Flow

A participant who was randomly assigned but did not treat a qualifying migraine with the study drug was considered to have completed the study if the participant did not discontinue during the 12-week treatment period (stage 1 and stage 2) and attended the End of Study visit, as pre-specified in the protocol.

Participant milestones

Participant milestones
Measure
Stage 1: Placebo
Participants received placebo administered orally to treat a qualifying migraine attack.
Stage 1: 50/100 mg Lasmiditan
Participants received lasmiditan (50 milligram (mg) for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally to treat a qualifying migraine attack.
Stage 2: Placebo (Stage 1 Lasmiditan Non-responders)
Participants who did not respond to lasmiditan in stage 1 were randomized in stage 2 to receive placebo administered orally to treat a single migraine attack.
Stage 2: Placebo (Stage 1 Placebo Non-responders)
Participants who did not respond to placebo in stage 1 were randomized in stage 2 to receive placebo administered once orally to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
Participants who did not respond to placebo in stage 1 were randomized in stage 2 to receive lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg), administered orally to treat a single migraine attack.
Stage 2: 50/ 100mg Lasmiditan (Stage 1 Placebo Non-responders)
Participants who did not respond to placebo in stage 1 were randomized in stage 2 to receive lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg), administered once orally to treat a single migraine attack.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
Participants who did not respond to placebo in stage 1 were randomized in stage 2 to receive lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg), administered once orally to treat a single migraine attack.
Double-blind Placebo Challenge: Stage 1
STARTED
827
20
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Received at Least One Dose of Study Drug
610
16
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Not Treated
217
4
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Responder
67
4
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Non-Responder
521
10
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Missing 15-minute Assessment
22
2
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
COMPLETED
772
19
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
NOT COMPLETED
55
1
0
0
0
0
0
Efficacy Analysis Period: Stage 2
STARTED
0
0
10
209
104
105
103
Efficacy Analysis Period: Stage 2
Efficacy Analysis Population
0
0
0
209
104
105
103
Efficacy Analysis Period: Stage 2
Safety Population
0
0
0
298
104
121
103
Efficacy Analysis Period: Stage 2
COMPLETED
0
0
10
206
103
102
102
Efficacy Analysis Period: Stage 2
NOT COMPLETED
0
0
0
3
1
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Stage 1: Placebo
Participants received placebo administered orally to treat a qualifying migraine attack.
Stage 1: 50/100 mg Lasmiditan
Participants received lasmiditan (50 milligram (mg) for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally to treat a qualifying migraine attack.
Stage 2: Placebo (Stage 1 Lasmiditan Non-responders)
Participants who did not respond to lasmiditan in stage 1 were randomized in stage 2 to receive placebo administered orally to treat a single migraine attack.
Stage 2: Placebo (Stage 1 Placebo Non-responders)
Participants who did not respond to placebo in stage 1 were randomized in stage 2 to receive placebo administered once orally to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
Participants who did not respond to placebo in stage 1 were randomized in stage 2 to receive lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg), administered orally to treat a single migraine attack.
Stage 2: 50/ 100mg Lasmiditan (Stage 1 Placebo Non-responders)
Participants who did not respond to placebo in stage 1 were randomized in stage 2 to receive lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg), administered once orally to treat a single migraine attack.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
Participants who did not respond to placebo in stage 1 were randomized in stage 2 to receive lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg), administered once orally to treat a single migraine attack.
Double-blind Placebo Challenge: Stage 1
Adverse Event
1
0
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Lost to Follow-up
24
0
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Physician Decision
1
0
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Protocol Deviation
1
0
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Study Terminated by Sponsor
3
0
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Withdrawal by Subject
8
0
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Withdrawal by parent/Guardian
10
0
0
0
0
0
0
Double-blind Placebo Challenge: Stage 1
Other
7
1
0
0
0
0
0
Efficacy Analysis Period: Stage 2
Lost to Follow-up
0
0
0
0
1
3
0
Efficacy Analysis Period: Stage 2
Withdrawal by Subject
0
0
0
1
0
0
0
Efficacy Analysis Period: Stage 2
Withdrawal by parent/Guardian
0
0
0
1
0
0
1
Efficacy Analysis Period: Stage 2
Other
0
0
0
1
0
0
0

Baseline Characteristics

A Study of Lasmiditan (LY573144) Treatment in Children Aged 6 to 17 With Migraine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stage 1 Placebo Responders + Stage 1 and Stage 2 Placebo
n=298 Participants
Participants who responded to placebo during Stage 1, including participants with a missing 15-minute assessment in Stage 1, and participants who received placebo during Stage 2 following Stage 1 placebo treatment were included in this arm.
Stage 2: 25/50 mg Lasmiditan
n=104 Participants
Participants who did not respond to placebo during Stage 1 and were randomized to receive lasmiditan during Stage 2 (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) following Stage 1 placebo treatment were included in this arm.
Stage 1 Lasmiditan Responders + Stage 2 50/100 mg Lasmiditan
n=121 Participants
Participants who responded to lasmiditan during Stage 1, including participants with a missing 15-minute assessment in Stage 1, and participants who received lasmiditan during Stage 2 (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) following Stage 1 lasmiditan treatment were included in this arm.
Stage 2: 100/200 mg Lasmiditan
n=103 Participants
Participants who did not respond to placebo during Stage 1 and were randomized to receive lasmiditan during Stage 2 (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) following Stage 1 placebo treatment were included in this arm.
Total
n=626 Participants
Total of all reporting groups
Age, Continuous
13.30 years
STANDARD_DEVIATION 2.75 • n=136 Participants
13.40 years
STANDARD_DEVIATION 2.58 • n=136 Participants
13.50 years
STANDARD_DEVIATION 2.58 • n=272 Participants
13.60 years
STANDARD_DEVIATION 2.77 • n=60 Participants
13.40 years
STANDARD_DEVIATION 2.69 • n=24 Participants
Sex: Female, Male
Female
192 Participants
n=136 Participants
63 Participants
n=136 Participants
86 Participants
n=272 Participants
66 Participants
n=60 Participants
407 Participants
n=24 Participants
Sex: Female, Male
Male
106 Participants
n=136 Participants
41 Participants
n=136 Participants
35 Participants
n=272 Participants
37 Participants
n=60 Participants
219 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
48 Participants
n=136 Participants
14 Participants
n=136 Participants
12 Participants
n=272 Participants
14 Participants
n=60 Participants
88 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
238 Participants
n=136 Participants
83 Participants
n=136 Participants
104 Participants
n=272 Participants
86 Participants
n=60 Participants
511 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
12 Participants
n=136 Participants
7 Participants
n=136 Participants
5 Participants
n=272 Participants
3 Participants
n=60 Participants
27 Participants
n=24 Participants
Race (NIH/OMB)
American Indian or Alaska Native
4 Participants
n=136 Participants
1 Participants
n=136 Participants
1 Participants
n=272 Participants
2 Participants
n=60 Participants
8 Participants
n=24 Participants
Race (NIH/OMB)
Asian
71 Participants
n=136 Participants
35 Participants
n=136 Participants
41 Participants
n=272 Participants
28 Participants
n=60 Participants
175 Participants
n=24 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=136 Participants
1 Participants
n=136 Participants
0 Participants
n=272 Participants
0 Participants
n=60 Participants
1 Participants
n=24 Participants
Race (NIH/OMB)
Black or African American
15 Participants
n=136 Participants
4 Participants
n=136 Participants
8 Participants
n=272 Participants
7 Participants
n=60 Participants
34 Participants
n=24 Participants
Race (NIH/OMB)
White
194 Participants
n=136 Participants
59 Participants
n=136 Participants
70 Participants
n=272 Participants
64 Participants
n=60 Participants
387 Participants
n=24 Participants
Race (NIH/OMB)
More than one race
10 Participants
n=136 Participants
3 Participants
n=136 Participants
0 Participants
n=272 Participants
2 Participants
n=60 Participants
15 Participants
n=24 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=136 Participants
1 Participants
n=136 Participants
1 Participants
n=272 Participants
0 Participants
n=60 Participants
6 Participants
n=24 Participants
Region of Enrollment
Belgium
2 Participants
n=136 Participants
0 Participants
n=136 Participants
0 Participants
n=272 Participants
0 Participants
n=60 Participants
2 Participants
n=24 Participants
Region of Enrollment
Canada
1 Participants
n=136 Participants
0 Participants
n=136 Participants
0 Participants
n=272 Participants
0 Participants
n=60 Participants
1 Participants
n=24 Participants
Region of Enrollment
France
1 Participants
n=136 Participants
1 Participants
n=136 Participants
1 Participants
n=272 Participants
0 Participants
n=60 Participants
3 Participants
n=24 Participants
Region of Enrollment
Germany
2 Participants
n=136 Participants
0 Participants
n=136 Participants
1 Participants
n=272 Participants
1 Participants
n=60 Participants
4 Participants
n=24 Participants
Region of Enrollment
India
8 Participants
n=136 Participants
1 Participants
n=136 Participants
5 Participants
n=272 Participants
0 Participants
n=60 Participants
14 Participants
n=24 Participants
Region of Enrollment
Italy
5 Participants
n=136 Participants
0 Participants
n=136 Participants
5 Participants
n=272 Participants
3 Participants
n=60 Participants
13 Participants
n=24 Participants
Region of Enrollment
Japan
61 Participants
n=136 Participants
32 Participants
n=136 Participants
33 Participants
n=272 Participants
26 Participants
n=60 Participants
152 Participants
n=24 Participants
Region of Enrollment
Mexico
7 Participants
n=136 Participants
0 Participants
n=136 Participants
1 Participants
n=272 Participants
1 Participants
n=60 Participants
9 Participants
n=24 Participants
Region of Enrollment
Netherlands
4 Participants
n=136 Participants
4 Participants
n=136 Participants
1 Participants
n=272 Participants
1 Participants
n=60 Participants
10 Participants
n=24 Participants
Region of Enrollment
Romania
2 Participants
n=136 Participants
1 Participants
n=136 Participants
1 Participants
n=272 Participants
1 Participants
n=60 Participants
5 Participants
n=24 Participants
Region of Enrollment
Russia
8 Participants
n=136 Participants
1 Participants
n=136 Participants
0 Participants
n=272 Participants
0 Participants
n=60 Participants
9 Participants
n=24 Participants
Region of Enrollment
Spain
20 Participants
n=136 Participants
6 Participants
n=136 Participants
5 Participants
n=272 Participants
5 Participants
n=60 Participants
36 Participants
n=24 Participants
Region of Enrollment
United Kingdom
8 Participants
n=136 Participants
2 Participants
n=136 Participants
2 Participants
n=272 Participants
3 Participants
n=60 Participants
15 Participants
n=24 Participants
Region of Enrollment
United States
169 Participants
n=136 Participants
56 Participants
n=136 Participants
66 Participants
n=272 Participants
62 Participants
n=60 Participants
353 Participants
n=24 Participants

PRIMARY outcome

Timeframe: 2 hours post dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Participants with missing data were excluded from this analysis and participants who used rescue medication were classified as non-responders.

Pain freedom at 2 hours post-dose was defined as having a pain intensity of none at that time point. Pain was measured on a 5-face pain scale, with following scores: 1= none, 2= mild, 3 and 4= moderate, 5= severe. Participants with a reduction in baseline pain as measured on a 5-Face Pain Scale from moderate (Faces 3 and 4) or severe (Face 5) to no pain (Face 1) were considered as pain freedom. 5-Face Pain Scale; minimum value: 1 (no pain); maximum value: 5 (severe pain); higher scores indicate worse outcome.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=204 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=99 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=103 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=102 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=304 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants Who Had Freedom From Pain at 2 Hours Post-Dose
28.922 Percentage of participants
30.303 Percentage of participants
29.126 Percentage of participants
43.137 Percentage of participants
34.21 Percentage of participants

SECONDARY outcome

Timeframe: 2 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Participants with missing data were excluded from this analysis and participants who used rescue medication were classified as non-responders.

Pain freedom at 2 hours post-dose was defined as having a pain intensity of none at that time point. Pain was measured on a 5-face pain scale, with following scores: 1= none, 2= mild, 3 and 4= moderate, 5= severe. Participants with a reduction in baseline pain as measured on a 5-Face Pain Scale from moderate (Faces 3 and 4) or severe (Face 5) to no pain (Face 1) were considered as pain freedom. 5-Face Pain Scale; minimum value: 1 (no pain); maximum value: 5 (severe pain); higher scores indicate worse outcome.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=204 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=99 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=103 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=102 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=304 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants Who Had Freedom From Pain at 2 Hours Post-Dose (Age Sub-Groups)
12 to < 18 years
24.691 Percentage of participants
29.333 Percentage of participants
30.263 Percentage of participants
40.000 Percentage of participants
33.333 Percentage of participants
Percentage of Participants Who Had Freedom From Pain at 2 Hours Post-Dose (Age Sub-Groups)
>= 6 to < 12 years
45.238 Percentage of participants
33.333 Percentage of participants
25.926 Percentage of participants
54.545 Percentage of participants
36.986 Percentage of participants

SECONDARY outcome

Timeframe: 2 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Participants with missing data were excluded from this analysis and participants who used rescue medication were classified as non-responders.

Pain relief at 2 hours post-dose was defined as a pain intensity of none or mild at that time point. Pain was measured on a 5-face pain scale, with following scores: 1= none, 2= mild, 3 and 4= moderate, 5= severe. Participants with a reduction in baseline pain from moderate (Faces 3 and 4) or severe (Face 5) to mild or no pain (Face 1 or 2) or patient is asleep were considered to have pain relief. 5-Face Pain Scale; minimum value: 1 (no pain); maximum value: 5 (severe pain); higher scores indicate worse outcome.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=204 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=99 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=103 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=102 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=304 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants With Pain Relief at 2 Hours Post-Dose
51.471 Percentage of participants
66.667 Percentage of participants
60.194 Percentage of participants
73.529 Percentage of participants
66.776 Percentage of participants

SECONDARY outcome

Timeframe: 2 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Only participants with evaluable MBS data were included in the analysis. Participants with no associated symptoms of migraine at baseline were excluded from the analysis.

MBS freedom was defined as MBS reported before dosing that was absent post-dose. MBS included nausea, photophobia, or phonophobia. MBS were measured using a binary scale (Yes/No) using electronic diary (e-Diary) at 2-hours post-dose. Participants who captured as "No" (MBS absent) were considered to have freedom from MBS.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=178 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=80 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=87 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=86 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=253 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants Who Had Freedom From Most Bothersome Symptom (MBS) Associated With Migraine at 2 Hours Post-Dose
41.011 Percentage of participants
46.250 Percentage of participants
51.724 Percentage of participants
63.953 Percentage of participants
54.150 Percentage of participants

SECONDARY outcome

Timeframe: 2 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Only participants with evaluable nausea data were included in the analysis. Participants with no symptoms at baseline were excluded from the analysis.

Nausea status was measured as absent or present in the e-Diary. Freedom from nausea was defined as nausea absent. Participants who captured as "No" (Nausea absent) were considered to have freedom from nausea.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=194 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=93 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=100 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=94 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=287 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants With Freedom From Nausea at 2 Hours Post-Dose
22.680 Percentage of participants
22.581 Percentage of participants
26.000 Percentage of participants
19.149 Percentage of participants
22.648 Percentage of participants

SECONDARY outcome

Timeframe: 2 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Only participants with evaluable photophobia data were included in the analysis. Participants with no symptoms at baseline were excluded from the analysis.

Photophobia (sensitivity to light) status was measured as absent or present in the e-Diary. Freedom from photophobia was defined as photophobia absent. Participants who captured as "No" (Photophobia absent) were considered to have freedom from photophobia.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=194 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=93 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=100 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=94 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=287 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants With Freedom From Photophobia at 2 Hours Post-Dose
53.093 Percentage of participants
32.258 Percentage of participants
46.000 Percentage of participants
31.915 Percentage of participants
36.934 Percentage of participants

SECONDARY outcome

Timeframe: 2 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Only participants with evaluable phonophobia data were included in the analysis. Participants with no symptoms at baseline were excluded from the analysis.

Phonophobia (sensitivity to sound) status was measured as absent or present in the e-Diary. Freedom from phonophobia was defined as phonophobia absent. Participants who captured as "No" (phonophobia absent) were considered to have freedom from phonophobia.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=194 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=93 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=100 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=94 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=287 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants With Freedom From Phonophobia at 2 Hours Post-Dose
35.052 Percentage of participants
22.581 Percentage of participants
33.000 Percentage of participants
24.468 Percentage of participants
26.829 Percentage of participants

SECONDARY outcome

Timeframe: 2 through 24 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Participants with missing data or who used rescue medication were classified as non-responders.

Sustained pain freedom from 2 through 24 hours post-dose was defined as a pain intensity of none at all time points with 24 hours post-dose. Pain intensity was assessed using a 5-Face Pain Scale (1 = none, 2 = mild, 3 or 4 = moderate, 5 = severe). Participants with score of 1 (with no pain) through 2 to 24 hours post-dose with no use of rescue medication or no relapse within the 24 hours of the initial treatment were considered to have sustained pain freedom. 5-Face Pain Scale; minimum value: 1 (no pain); maximum value: 5 (severe pain); higher scores indicate worse outcome.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=209 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=104 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=105 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=103 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=312 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants With Sustained Pain Freedom From 2 Through 24 Hours Post-Dose
18.660 percentage of participants
23.077 percentage of participants
17.143 percentage of participants
28.155 percentage of participants
22.756 percentage of participants

SECONDARY outcome

Timeframe: 2 through 24 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Participants with missing rescue medication data were classified as users of rescue medication.

Rescue medication was permitted after completion of the 2-hour assessment if the migraine did not respond (participant was not pain free).

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=209 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=104 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=105 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=103 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=312 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants Who Used Rescue Medication for Migraine From 2 Through 24 Hours Post-Dose
26.316 Percentage of participants
17.308 Percentage of participants
30.476 Percentage of participants
16.505 Percentage of participants
21.474 Percentage of participants

SECONDARY outcome

Timeframe: 2 through 48 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Participants with missing data or who used rescue medication were classified as non-responders.

Sustained pain freedom from 2 through 48 hours post-dose was defined as a pain intensity of none at all time points with 48 hours post-dose. Pain intensity was assessed using a 5-Face Pain Scale (1 = none, 2 = mild, 3 or 4 = moderate, 5 = severe). Participants with score of 1 (with no pain) through 2 to 48 hours post-dose with no use of rescue medication or no relapse within the 48 hours of the initial treatment were considered to have sustained pain freedom. 5-Face Pain Scale; minimum value: 1 (no pain); maximum value: 5 (severe pain); higher scores indicate worse outcome.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=209 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=104 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=105 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=103 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=312 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants With Sustained Pain Freedom From 2 Through 48 Hours Post-Dose
11.962 Percentage of participants
11.538 Percentage of participants
11.429 Percentage of participants
18.447 Percentage of participants
13.782 Percentage of participants

SECONDARY outcome

Timeframe: 2 through 48 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Participants with missing rescue medication data were classified as users of rescue medication.

Rescue medication was permitted after completion of the 2-hour assessment if the migraine did not respond (participant was not pain free).

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=209 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=104 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=105 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=103 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=312 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants Who Used Rescue Medication for Migraine From 2 Through 48 Hours Post-Dose
33.493 Percentage of participants
25.000 Percentage of participants
36.190 Percentage of participants
22.330 Percentage of participants
27.885 Percentage of participants

SECONDARY outcome

Timeframe: 2 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and were assessed for this outcome measure. Participants with missing data at 2 hours post-dose were excluded from the analysis for this specific outcome measure.

Disability was assessed by the level of interference with normal activities using an electronic diary. Participants rated how much their migraine interfered with usual activities (e.g., play, schoolwork, or other work) using a 4 point numeric rating scale, where 0 = not at all, 1 = a little, 2 = a lot, and 3 = complete interference (required bed rest). No Disability was defined as the first time point at which a score of 0 (no interference) was reported. 4-Point Numeric Rating Scale; minimum value: 0 (not at all); maximum value: 3 (complete interference/bed rest required); higher scores indicate worse outcome. Percentages for each response category were estimated using a repeated-measures logistic mixed-effects model (treatment + time + age group + treatment\*time + preventive treatment), not as a simple count divided by the Overall Number of Participants Analyzed (N). As a result, individual percentages may not correspond to a whole number of participants out of N.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=194 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=93 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=100 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=94 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=287 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Percentage of Participants With No Disability at 2 Hours Post-Dose
Not at all
35.44 Percentage of participants
39.16 Percentage of participants
31.30 Percentage of participants
44.52 Percentage of participants
38.21 Percentage of participants
Percentage of Participants With No Disability at 2 Hours Post-Dose
A little
29.70 Percentage of participants
39.26 Percentage of participants
30.59 Percentage of participants
31.75 Percentage of participants
33.81 Percentage of participants
Percentage of Participants With No Disability at 2 Hours Post-Dose
A lot
24.85 Percentage of participants
15.78 Percentage of participants
23.76 Percentage of participants
16.30 Percentage of participants
18.94 Percentage of participants
Percentage of Participants With No Disability at 2 Hours Post-Dose
Completely
10.01 Percentage of participants
5.80 Percentage of participants
14.35 Percentage of participants
7.43 Percentage of participants
9.04 Percentage of participants

SECONDARY outcome

Timeframe: 24 hours post-dose

Population: The efficacy analysis population was used. As pre-specified in the SAP, only Stage 1 placebo non-responders who were randomized and treated in Stage 2 were included in the efficacy population and had evaluable data for this outcome measure.

Acceptability of the lasmiditan oral formulation (single tablet) was assessed using an electronic diary at the 24 hour post dose assessment. Participants were asked to report their experience of swallowing the study medication by responding to the question: "Think about the experience of swallowing the study medicine. How easy or hard was it for you to swallow one of the pills?" Responses were recorded on a 5 point ordinal scale: Very easy, Easy, Neither easy nor hard, Hard, or Very hard. 5-Point Ordinal Scale; minimum value: 1 (Very Easy); maximum value: 5 (Very Difficult); higher scores indicate worse outcome.

Outcome measures

Outcome measures
Measure
Stage 2: Placebo (Stage 1 Placebo Non-responders)
n=147 Participants
Participants received placebo (to match 50 mg, 100 mg, 200 mg Lasmiditan dose tablets) administered orally once during stage 2 to treat a single migraine attack.
Stage 2: 25/50 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=77 Participants
Participants received lasmiditan (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 50/100mg Lasmiditan (Stage 1 Placebo Non-responders)
n=86 Participants
Participants received lasmiditan (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: 100/200 mg Lasmiditan (Stage 1 Placebo Non-responders)
n=73 Participants
Participants received lasmiditan (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) administered orally once during stage 2 to treat a single migraine attack. Matching placebo tablets were used to maintain blinding.
Stage 2: All Lasmiditan (Stage 1 Placebo Non-responders)
n=236 Participants
All participants who received lasmiditan at any dose during stage 2 were included in this arm.
Acceptability of Tablet Formulation (Ease of Swallowing) at 24 Hours Post-Dose
Very Easy
95 Participants
52 Participants
58 Participants
56 Participants
166 Participants
Acceptability of Tablet Formulation (Ease of Swallowing) at 24 Hours Post-Dose
Easy
38 Participants
9 Participants
21 Participants
8 Participants
38 Participants
Acceptability of Tablet Formulation (Ease of Swallowing) at 24 Hours Post-Dose
Neither Easy Nor Hard
13 Participants
13 Participants
2 Participants
7 Participants
22 Participants
Acceptability of Tablet Formulation (Ease of Swallowing) at 24 Hours Post-Dose
Difficult (Or Hard)
1 Participants
3 Participants
3 Participants
2 Participants
8 Participants
Acceptability of Tablet Formulation (Ease of Swallowing) at 24 Hours Post-Dose
Very Difficult (Or Hard)
0 Participants
0 Participants
2 Participants
0 Participants
2 Participants

Adverse Events

Stage 1 Placebo Responders + Stage 1 and Stage 2 Placebo

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Stage 2: 25/ 50 mg Lasmiditan

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Stage 1 Lasmiditan Responders + Stage 2 50/100 mg Lasmiditan

Serious events: 1 serious events
Other events: 25 other events
Deaths: 0 deaths

Stage 2: 100/200 mg Lasmiditan

Serious events: 1 serious events
Other events: 21 other events
Deaths: 0 deaths

Stage 1 or Stage 2: All Lasmiditan

Serious events: 2 serious events
Other events: 59 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Stage 1 Placebo Responders + Stage 1 and Stage 2 Placebo
n=298 participants at risk
Participants who responded to placebo during Stage 1, including participants with a missing 15-minute assessment in Stage 1, and participants who received placebo during Stage 2 following Stage 1 placebo treatment were included in this arm.
Stage 2: 25/ 50 mg Lasmiditan
n=104 participants at risk
Participants who did not respond to placebo during Stage 1 and were randomized to receive lasmiditan during Stage 2 (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) following Stage 1 placebo treatment were included in this arm.
Stage 1 Lasmiditan Responders + Stage 2 50/100 mg Lasmiditan
n=121 participants at risk
Participants who responded to lasmiditan during Stage 1, including participants with a missing 15-minute assessment in Stage 1, and participants who received lasmiditan during Stage 2 (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) following Stage 1 lasmiditan treatment were included in this arm.
Stage 2: 100/200 mg Lasmiditan
n=103 participants at risk
Participants who did not respond to placebo during Stage 1 and were randomized to receive lasmiditan during Stage 2 (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) following Stage 1 placebo treatment were included in this arm.
Stage 1 or Stage 2: All Lasmiditan
n=328 participants at risk
Participants who received lasmiditan in either stage, regardless of dose, were included in this arm.
Immune system disorders
Anaphylactic reaction
0.00%
0/298 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
0.00%
0/104 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
0.00%
0/121 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
0.97%
1/103 • Number of events 1 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
0.30%
1/328 • Number of events 1 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
Psychiatric disorders
Self-destructive behaviour
0.00%
0/298 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
0.00%
0/104 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
0.83%
1/121 • Number of events 1 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
0.00%
0/103 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
0.30%
1/328 • Number of events 1 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.

Other adverse events

Other adverse events
Measure
Stage 1 Placebo Responders + Stage 1 and Stage 2 Placebo
n=298 participants at risk
Participants who responded to placebo during Stage 1, including participants with a missing 15-minute assessment in Stage 1, and participants who received placebo during Stage 2 following Stage 1 placebo treatment were included in this arm.
Stage 2: 25/ 50 mg Lasmiditan
n=104 participants at risk
Participants who did not respond to placebo during Stage 1 and were randomized to receive lasmiditan during Stage 2 (25 mg for body weight ≤40 kg or 50 mg for body weight \>40 kg) following Stage 1 placebo treatment were included in this arm.
Stage 1 Lasmiditan Responders + Stage 2 50/100 mg Lasmiditan
n=121 participants at risk
Participants who responded to lasmiditan during Stage 1, including participants with a missing 15-minute assessment in Stage 1, and participants who received lasmiditan during Stage 2 (50 mg for body weight ≤40 kg or 100 mg for body weight \>40 kg) following Stage 1 lasmiditan treatment were included in this arm.
Stage 2: 100/200 mg Lasmiditan
n=103 participants at risk
Participants who did not respond to placebo during Stage 1 and were randomized to receive lasmiditan during Stage 2 (100 mg for body weight ≤40 kg or 200 mg for body weight \>40 kg) following Stage 1 placebo treatment were included in this arm.
Stage 1 or Stage 2: All Lasmiditan
n=328 participants at risk
Participants who received lasmiditan in either stage, regardless of dose, were included in this arm.
Gastrointestinal disorders
Nausea
2.7%
8/298 • Number of events 8 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
0.96%
1/104 • Number of events 1 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
10.7%
13/121 • Number of events 13 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
2.9%
3/103 • Number of events 3 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
5.2%
17/328 • Number of events 17 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
Nervous system disorders
Dizziness
2.0%
6/298 • Number of events 6 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
8.7%
9/104 • Number of events 10 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
10.7%
13/121 • Number of events 13 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
15.5%
16/103 • Number of events 17 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
11.6%
38/328 • Number of events 40 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
Nervous system disorders
Somnolence
1.3%
4/298 • Number of events 4 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
3.8%
4/104 • Number of events 4 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
6.6%
8/121 • Number of events 8 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
6.8%
7/103 • Number of events 7 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.
5.8%
19/328 • Number of events 19 • Baseline up to end of follow up (Up to 16 Weeks)
Adverse events were reported for the Safety Population, comprising all randomly assigned participants who received at least one dose of study drug in Stage 1 or Stage 2. Participants were grouped by lasmiditan dose received across both stages, regardless of which stage the dose was received, as pre-specified in the SAP.

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 8005455979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60