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Final Data from Teva鈥檚 PEARL AG真人官方-World Study Reinforce the Long-term Effectiveness of AJOVY庐 (fremanezumab) for the Prevention of Chronic and Episodic Migraine

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Teva Pharmaceuticals (TEVA) announced final results from its two-year PEARL Phase 4 real-world study of AJOVY (fremanezumab) for migraine prevention. The study, presented at EAN 2025 Congress, demonstrated sustained effectiveness in reducing migraine frequency, duration, and severity in both chronic and episodic migraine patients. The study of 1,140 patients showed that over 66% of episodic migraine patients and 51.6% of chronic migraine patients achieved 鈮�50% reduction in Monthly Migraine Days (MMD) during the first 6 months, with benefits sustained over 24 months. Notable outcomes include high injection adherence rates (~90%) and strong study completion rate (75%). The drug maintained a favorable safety and tolerability profile throughout the study period, consistent with previous trials.
Teva Pharmaceuticals (TEVA) ha annunciato i risultati finali del suo studio di fase 4 PEARL, durato due anni, sull'uso reale di AJOVY (fremanezumab) per la prevenzione dell'emicrania. Lo studio, presentato al Congresso EAN 2025, ha dimostrato un'efficacia costante nel ridurre la frequenza, la durata e la gravit脿 dell'emicrania sia nei pazienti con emicrania cronica che episodica. Su un campione di 1.140 pazienti, oltre il 66% di quelli con emicrania episodica e il 51,6% di quelli con emicrania cronica hanno ottenuto una riduzione di almeno il 50% dei giorni mensili con emicrania (MMD) nei primi 6 mesi, con benefici mantenuti per 24 mesi. Tra i risultati rilevanti si evidenziano un alto tasso di adesione alle iniezioni (~90%) e un'ottima percentuale di completamento dello studio (75%). Il farmaco ha mantenuto un profilo di sicurezza e tollerabilit脿 favorevole per tutta la durata dello studio, in linea con gli studi precedenti.
Teva Pharmaceuticals (TEVA) anunci贸 los resultados finales de su estudio PEARL de fase 4 en condiciones reales, con una duraci贸n de dos a帽os, sobre AJOVY (fremanezumab) para la prevenci贸n de la migra帽a. El estudio, presentado en el Congreso EAN 2025, demostr贸 una eficacia sostenida en la reducci贸n de la frecuencia, duraci贸n y gravedad de la migra帽a en pacientes con migra帽a cr贸nica y epis贸dica. En un grupo de 1.140 pacientes, m谩s del 66% de los pacientes con migra帽a epis贸dica y el 51,6% de los pacientes con migra帽a cr贸nica lograron una reducci贸n del 鈮�50% en los D铆as Mensuales de Migra帽a (MMD) durante los primeros 6 meses, con beneficios mantenidos durante 24 meses. Entre los resultados destacados se encuentran una alta adherencia a las inyecciones (~90%) y una fuerte tasa de finalizaci贸n del estudio (75%). El medicamento mantuvo un perfil favorable de seguridad y tolerabilidad durante todo el periodo del estudio, consistente con ensayos previos.
韰岆皵 鞝滌暯(TEVA)鞚 韼鸽憪韱� 鞓堧癌鞚� 鞙勴暅 AJOVY(頂勲爤毵堧劋欤茧)鞚� 2雲勱皠 PEARL 4靸� 鞁れ牅 鞛勳儊 鞐瓣惮 斓滌 瓴瓣臣毳� 氚滍憸頄堨姷雼堧嫟. 2025雲� EAN 頃欗殞鞐愳劀 氚滍憸霅� 鞚� 鞐瓣惮電� 毵岇劚 氚� 臧勴棎靹� 韼鸽憪韱� 頇橃瀽 氇憪鞐愳劀 韼鸽憪韱奠潣 牍堧弰, 歆靻� 鞁滉皠 氚� 鞁皝霃勲ゼ 歆靻嶌爜鞙茧 臧愳唽鞁滍偆電� 須臣毳� 鞛呾頄堨姷雼堧嫟. 1,140氇呾潣 頇橃瀽毳� 雽靸侅溂搿� 頃� 鞐瓣惮鞐愳劀 臧勴棎靹� 韼鸽憪韱� 頇橃瀽鞚� 66% 鞚挫儊瓿� 毵岇劚 韼鸽憪韱� 頇橃瀽鞚� 51.6%臧 觳� 6臧滌洈 霃欖晥 鞗旉皠 韼鸽憪韱� 鞚检垬(MMD)毳� 50% 鞚挫儊 臧愳唽鞁滌及鞙茧┌, 鞚措煬頃� 須臣電� 24臧滌洈 霃欖晥 鞙犾霅橃棃鞀惦媹雼�. 欤茧頃� 毵岉暅 瓴瓣臣搿滊姅 雴掛潃 欤检偓 靾滌潙霃�(~90%)鞕 雴掛潃 鞐瓣惮 鞕勲鞙�(75%)鞚� 韽暔霅╇媹雼�. 鞎诫鞚 鞐瓣惮 旮瓣皠 雮措偞 鞚挫爠 鞛勳儊瓿� 鞚检箻頃橂姅 鞖办垬頃� 鞎堨爠靹标臣 雮挫暯靹� 頂勲頃勳潉 鞙犾頄堨姷雼堧嫟.
Teva Pharmaceuticals (TEVA) a annonc茅 les r茅sultats finaux de son 茅tude PEARL de phase 4 sur deux ans, r茅alis茅e en conditions r茅elles, concernant AJOVY (fremanezumab) pour la pr茅vention de la migraine. Pr茅sent茅e au Congr猫s EAN 2025, l'茅tude a d茅montr茅 une efficacit茅 soutenue dans la r茅duction de la fr茅quence, de la dur茅e et de la s茅v茅rit茅 des migraines chez les patients souffrant de migraines chroniques et 茅pisodiques. Sur un 茅chantillon de 1 140 patients, plus de 66 % des patients avec migraine 茅pisodique et 51,6 % de ceux avec migraine chronique ont obtenu une r茅duction 鈮�50 % des jours mensuels de migraine (MMD) durant les six premiers mois, avec des b茅n茅fices maintenus sur 24 mois. Parmi les r茅sultats notables figurent un taux 茅lev茅 d鈥檃dh茅sion aux injections (~90 %) et un taux de compl茅tion de l鈥櫭﹖ude 茅lev茅 (75 %). Le m茅dicament a conserv茅 un profil de s茅curit茅 et de tol茅rabilit茅 favorable tout au long de la p茅riode d鈥櫭﹖ude, en accord avec les essais pr茅c茅dents.
Teva Pharmaceuticals (TEVA) gab die endg眉ltigen Ergebnisse seiner zweij盲hrigen PEARL Phase-4-Studie zur Anwendung von AJOVY (Fremanezumab) zur Migr盲nepr盲vention im realen Umfeld bekannt. Die auf dem EAN 2025 Kongress pr盲sentierte Studie zeigte eine anhaltende Wirksamkeit bei der Reduktion von H盲ufigkeit, Dauer und Schwere der Migr盲ne sowohl bei chronischen als auch episodischen Migr盲nepatienten. Die Studie mit 1.140 Patienten ergab, dass 眉ber 66 % der Patienten mit episodischer Migr盲ne und 51,6 % der Patienten mit chronischer Migr盲ne eine Reduktion von 鈮�50 % der monatlichen Migr盲netage (MMD) in den ersten 6 Monaten erreichten, wobei die Vorteile 眉ber 24 Monate erhalten blieben. Bemerkenswerte Ergebnisse sind hohe Injektionsadh盲renzraten (~90 %) und eine hohe Studienabschlussrate (75 %). Das Medikament zeigte w盲hrend des gesamten Studienzeitraums ein g眉nstiges Sicherheits- und Vertr盲glichkeitsprofil, was mit fr眉heren Studien 眉bereinstimmt.
Positive
  • Over 66% of episodic migraine patients and 51.6% of chronic migraine patients achieved 鈮�50% reduction in Monthly Migraine Days
  • High injection adherence rate of ~90% throughout the study period
  • Strong study completion rate of over 75% (854/1129 participants)
  • Favorable long-term safety and tolerability profile consistent with previous trials
Negative
  • None.

Insights

Teva's AJOVY shows sustained 2-year effectiveness in real-world migraine prevention study, reinforcing its long-term commercial potential.

The final data from Teva's PEARL real-world study provides strong validation for AJOVY's commercial positioning in the competitive CGRP inhibitor market. The study demonstrated that fremanezumab maintained its effectiveness over a full 24-month period, with 66% of episodic migraine patients and 51.6% of chronic migraine patients achieving the primary endpoint of 鈮�50% reduction in monthly migraine days.

Two metrics particularly stand out for investors: the ~90% injection adherence rate and 75% study completion rate. These figures suggest strong patient satisfaction and treatment persistence, critical factors for recurring revenue in chronic disease medications. The favorable safety and tolerability profile further supports AJOVY's potential for long-term prescription sustainability.

The real-world nature of this study is especially valuable, as it confirms that AJOVY's efficacy extends beyond controlled clinical trials into everyday clinical practice across European markets. With migraine being the second leading cause of disability worldwide, these results strengthen Teva's position in neurological disorders, a therapeutic area that continues to see significant market growth.

For context, the anti-CGRP migraine prevention market has become increasingly competitive with Amgen/Novartis's Aimovig, Eli Lilly's Emgality, and newer entrants competing alongside AJOVY. These long-term effectiveness data provide Teva with compelling differentiation points for payer negotiations and physician education efforts, potentially supporting market share maintenance or growth in this valuable therapeutic category.

  • Final analysis of PEARL real world migraine prevention study presented at 11th Congress of the European Academy of Neurology (EAN 2025) Congress in Helsinki1,2
  • Fremanezumab demonstrated sustained effectiveness and a favourable safety and tolerability profile over the two-year study period1,2
  • Injection adherence remained high throughout the study (~90%), while over 75% of patients completed the study duration1

TEL AVIV, Israel, June 23, 2025 (GLOBE NEWSWIRE) -- Teva Pharmaceutical Industries Ltd. (NYSE and TASE: TEVA) today announced that the final analysis of the pan-European PEARL Phase 4 migraine prevention study showed that AJOVY (fremanezumab), an anti-calcitonin gene-related peptide (CGRP) monoclonal antibody, delivered sustained effectiveness over a two-year period in reducing frequency, duration and severity of migraine attacks in patients with chronic and episodic migraine.1

The final data was presented at the Congress of the European Academy of Neurology (EAN 2025) congress in Helsinki confirming that primary and secondary endpoints had been met.1 Investigators concluded that the findings underscore the sustained effectiveness and the robust injection adherence rates to long-term fremanezumab treatment in migraine prevention.1

鈥淥ver the last two years, we have observed the benefit of fremanezumab for sustained migraine prevention and its positive impact on patient outcomes,鈥� says Messoud Ashina, Professor and Director of the Human Migraine Research Unit, the Danish Headache Center and Department of Neurology. 鈥淭he PEARL study has provided valuable insight, not only
into the pivotal role that fremanezumab can play in migraine prevention, but also in the importance of real-world studies in helping build our knowledge and shape clinical practice.鈥�

PEARL, a 24-month real-world observational study assessed the impact of fremanezumab for migraine prevention in 1,140 patients, predominantly female (87.25%) with 33.1% living with episodic migraine (EM), and 66.9% with chronic migraine (CM). The final study showed

that over 66% of patients with EM and 51.6% with CM who had achieved the primary endpoint of a 鈮�50% reduction in Monthly Migraine Days (MMD) during the first 6 months of treatment benefitted from sustained migraine prevention for over 24 months. Injection adherence rates remained high throughout (~90%) the study, with over 75% (854/1129) of participants completing the study duration.1

The investigators also noted the favourable long-term safety and tolerability of fremanezumab that was consistent with its known safety profile from previous PEARL interim analyses and randomised controlled trials, supporting its continued clinical use for migraine prevention.2

鈥淭he final analysis of the PEARL real-world study reaffirms the long-term effectiveness and safety profile of fremanezumab in the preventive treatment of chronic and episodic migraine,鈥� said Pinar Kokturk, M.D., Vice President and Head of Medical Affairs Europe at Teva. 鈥淭hese data provide valuable real-world evidence supporting fremanezumab鈥檚 sustained clinical benefit, particularly in a population burdened by high disease impact and a need for preventive therapy. With migraine being the second leading cause of disability worldwide,3 the recognition of CGRP-pathway therapies by health authorities is critical for improving patient outcomes.鈥�

Editors鈥� Notes

PEARL (Pan-European AG真人官方-World study), a two-year prospective, observational Phase IV study is investigating the effectiveness of AJOVY庐 (fremanezumab) in 1140 patients with听chronic or episodic migraine. Fremanezumab is a humanised monoclonal antibody (mAb) that selectively targets the calcitonin gene-related peptide (CGRP) pathway. Of the 1140 participants enrolled, 1129 were included in the effectiveness analysis (EM, 33.1%; CM, 66.9%; 87.2% female). Eligible participants were adults with EM or CM receiving fremanezumab for migraine prevention, who maintained a daily headache diary prior to and throughout the study period. The primary endpoint was the proportion of participants with >=50% reduction in monthly migraine days (MMD) during the 6-month period after fremanezumab initiation. Secondary endpoints across Months 1鈥�24 included mean change from baseline in MMD, and treatment adherence (participants who took their prescribed dose within 卤5 days of the scheduled monthly/quarterly dosing regimen, per injection) and persistence.

About AJOVY (fremanezumab-vfrm) injection
AJOVY is indicated for prophylaxis of migraine in adults who have at least 4 migraine days per month. AJOVY is available as a 225 mg/1.5 mL single dose injection in a pre-filled syringe or, in some countries, in a pre-filled pen. Two dosing options are available: 225 mg once monthly administered as one subcutaneous injection (monthly
dosing), or 675 mg every three months (quarterly dosing), which is administered as three subcutaneous injections.听AJOVY can be administered either by a health care professional or at home by a patient or caregiver. No starting dose is required to begin treatment.听

Information for Europe about AJOVY can be found .

About Teva
Teva Pharmaceutical Industries Ltd. (NYSE and TASE: TEVA) is a different kind of global biopharmaceutical leader, one that operates across the full spectrum of innovation to reliably deliver medicines to patients worldwide. For over 120 years, Teva鈥檚 commitment to bettering health has never wavered. Today, the company鈥檚 global network of capabilities enables its 37,000 employees across 57 markets to advance health by developing medicines for the future while championing the production of generics and biologics. We are dedicated to addressing patients鈥� needs, now and in the future. Moving forward together with science that treats, inspired by the people we serve. To learn more about how Teva is all in for better health, visit .

Cautionary Note Regarding Forward-Looking Statements
This Press Release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, which are based on management鈥檚 current beliefs and expectations and are subject to substantial risks and uncertainties, both known and unknown, that could cause our future results, performance or achievements to differ significantly from that expressed or implied by such forward-looking statements. You can identify these forward-looking statements by the use of words such as 鈥渟hould,鈥� 鈥渆xpect,鈥� 鈥渁nticipate,鈥� 鈥渆stimate,鈥� 鈥渢arget,鈥� 鈥渕ay,鈥� 鈥減roject,鈥� 鈥済uidance,鈥� 鈥渋ntend,鈥� 鈥減lan,鈥� 鈥渂elieve鈥� and other words and terms of similar meaning and expression in connection with any discussion of future operating or financial performance. Important factors that could cause or contribute to such differences include risks relating to: our ability to successfully develop and commercialize AJOVY (fremanezumab) for the prevention of chronic or episodic migraine; our ability to successfully compete in the marketplace, including our ability to develop and commercialize additional pharmaceutical products; our ability to successfully execute our Pivot to Growth strategy, including to expand our innovative and biosimilar medicines pipeline and profitably commercialize the innovative medicines and biosimilar portfolio, whether organically or through business development; and other factors discussed in our Quarterly Report on Form 10-Q for the first quarter of 2025 and in our Annual Report on Form 10-K for the year ended December 31, 2024, including in the sections captioned 鈥淩isk Factors.鈥� Forward-looking statements speak only as of the date on which they are made, and we assume no obligation to update or revise any forward-looking statements or other information contained herein, whether as a result of new information, future events or otherwise. You are cautioned not to put undue reliance on these forward-looking statements.

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References

1. Ashina M. et al, AG真人官方-World Effectiveness of Fremanezumab in Migraine Prevention: Final Outcomes of the Pan-European PEARL Study (EPR-039), poster presented at the European Academy of Neurology (EAN) Congress; 21 鈥� 24 June, 2025; Helsinki, Finland.
2. Ashina M et al, AG真人官方-World Safety and Tolerability of Fremanezumab in Migraine Prevention: Final Outcomes of the PEARL Study (EPO-063), poster presented at the European Academy of Neurology (EAN) Congress; 21 鈥� 24 June, 2025; Helsinki, Finland.
3. Steiner, T.J., Stovner, L.J., Jensen, R.听et al.听Migraine remains second among the world鈥檚 causes of disability, and first among young women: findings from GBD2019.听J Headache Pain听21, 137 (2020).


FAQ

What were the key findings of Teva's PEARL study for AJOVY (TEVA)?

The PEARL study showed that AJOVY provided sustained migraine prevention over 24 months, with over 66% of episodic migraine patients and 51.6% of chronic migraine patients achieving 鈮�50% reduction in Monthly Migraine Days.

How many patients participated in Teva's PEARL study for AJOVY?

The study included 1,140 patients, with 87.25% being female, 33.1% having episodic migraine, and 66.9% having chronic migraine.

What was the adherence rate for AJOVY in Teva's PEARL study?

The injection adherence rate remained high at approximately 90% throughout the study, with over 75% of participants completing the full 24-month study duration.

Is AJOVY (fremanezumab) effective for both chronic and episodic migraine?

Yes, the PEARL study demonstrated that AJOVY is effective for both chronic and episodic migraine, showing sustained effectiveness over a two-year period in reducing frequency, duration, and severity of migraine attacks.

What is the safety profile of AJOVY based on the PEARL study results?

The study showed that AJOVY maintained a favorable long-term safety and tolerability profile, consistent with its known safety profile from previous PEARL interim analyses and randomized controlled trials.
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