Trial Outcomes & Findings for Fremanezumab, Migraine and Sleep (NCT NCT04693533)

NCT ID: NCT04693533

Last Updated: 2026-02-27

Results Overview

This primary outcome measures improvement in sleep quality during the treatment period as compared to the pre-treatment period. Sleep quality will be measured using the Insomnia Severity Index. This index scores requires subjects to answer 7 questions by depicting a number (between 0 and 4 ) that represents best their answer. The scale of the Insomnia Severity Index is 0-28. The total score categories are as follows: 0-7 = No clinically significant insomnia, 8-14 = Subthreshold insomnia, 15-21 = Clinical insomnia (moderate severity), 22-28 = Clinical insomnia (severe).

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

22 participants

Primary outcome timeframe

1 month before and 3 month after treatment

Results posted on

2026-02-27

Participant Flow

Study terminated due to inability to recruit patients that met the sleep disorder criteria.

Participant milestones

Participant milestones
Measure
Treatment Effect
Open label , no placebo or control Fremanezumab Prefilled Syringe \[Ajovy\]: The treatment is 225 mg (dissolved in 1.5 ml saline) fremanezumab. Fremanezumab (Ajovy) is a month-long-acting anti-CGRP injection that patients are taught to self-administer at home.
Overall Study
STARTED
22
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Fremanezumab, Migraine and Sleep

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment Effect
n=22 Participants
Open label , no placebo or control Fremanezumab Prefilled Syringe \[Ajovy\]: The treatment is 225 mg (dissolved in 1.5 ml saline) fremanezumab. Fremanezumab (Ajovy) is a month-long-acting anti-CGRP injection that patients are taught to self-administer at home.
Age, Categorical
<=18 years
0 Participants
n=24 Participants
Age, Categorical
Between 18 and 65 years
22 Participants
n=24 Participants
Age, Categorical
>=65 years
0 Participants
n=24 Participants
Sex: Female, Male
Female
18 Participants
n=24 Participants
Sex: Female, Male
Male
4 Participants
n=24 Participants
Race/Ethnicity, Customized
white
19 Participants
n=24 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
n=24 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=24 Participants
Race/Ethnicity, Customized
native Hawaiian or other Pacific Islander
0 Participants
n=24 Participants
Race/Ethnicity, Customized
American Indian or Alaskan native
0 Participants
n=24 Participants
Race/Ethnicity, Customized
multiracial
0 Participants
n=24 Participants
Race/Ethnicity, Customized
unknown
0 Participants
n=24 Participants
Race/Ethnicity, Customized
other
2 Participants
n=24 Participants

PRIMARY outcome

Timeframe: 1 month before and 3 month after treatment

This primary outcome measures improvement in sleep quality during the treatment period as compared to the pre-treatment period. Sleep quality will be measured using the Insomnia Severity Index. This index scores requires subjects to answer 7 questions by depicting a number (between 0 and 4 ) that represents best their answer. The scale of the Insomnia Severity Index is 0-28. The total score categories are as follows: 0-7 = No clinically significant insomnia, 8-14 = Subthreshold insomnia, 15-21 = Clinical insomnia (moderate severity), 22-28 = Clinical insomnia (severe).

Outcome measures

Outcome measures
Measure
1 Month Prior to Treatment
n=22 Participants
Participants self-reported sleep quality as measured by the Insomnia Severity Index
3 Months After Treatment
n=22 Participants
Participants self-reported sleep quality as measured by the Insomnia Severity Index
Fremanezumab and Sleep
0-7 = No clinically significant insomnia
22 participants
22 participants
Fremanezumab and Sleep
8-14 = Subthreshold insomnia
0 participants
0 participants
Fremanezumab and Sleep
15-21 = Clinical insomnia (moderate severity)
0 participants
0 participants
Fremanezumab and Sleep
22-28 = Clinical insomnia (severe)
0 participants
0 participants

PRIMARY outcome

Timeframe: 1 month before and 3 month after treatment

This primary outcome measures changes in number of migraine days per month before and during treatment. The number of migraine days per month will be captures using a validated headache questionnaire and scores as follows: 0-8 migraine days per month = low frequency episodic migraine, 9-14 migraine days per month = high frequency episodic migraine, 15-30 migraine days per month = chronic migraine.

Outcome measures

Outcome measures
Measure
1 Month Prior to Treatment
n=22 Participants
Participants self-reported sleep quality as measured by the Insomnia Severity Index
3 Months After Treatment
n=22 Participants
Participants self-reported sleep quality as measured by the Insomnia Severity Index
Fremanezumab and Migraine
0-8 migraine days per month = low frequency episodic migraine
1 participants
15 participants
Fremanezumab and Migraine
9-14 migraine days per month = high frequency episodic migraine
5 participants
5 participants
Fremanezumab and Migraine
15-30 migraine days per month = chronic migraine.
16 participants
2 participants

Adverse Events

Treatment Effect

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Rami Burstein, professor

BIDMC

Phone: 617 735 2832

Results disclosure agreements

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