Emigality Misses Superiority in Clinical Trial

Eli Lilly says a head-to-head clinical trial comparing its migraine drug Emgality (galcanezumab-gnlm) to Pfizer’s Nurtec ODT (Rimegepant) did not meet the primary endpoint — Emgality’s statistical superiority to Nurtec. Lilly says the drugs’ response rates were similar, but Emgality “performed numerically better on key secondary endpoints” in the three-month trial. The primary endpoint in the 580-patient trial was defined as “statistical superiority to Nurtec ODT on the percentage of participants achieving a 50% or greater reduction in monthly migraine headache days.” Lilly says it will disclose the full results of the CHALLENGE-MIG trial later this year.

Monoclonal antibody Emgality was approved 9/2018 for preventing migraines in adults. In 6/2019, it was approved for treating episodic cluster headaches in adults.

Read more