Efficacy, Safety, and Tolerability Study of Oral Ubrogepant in the Acute Treatment of Migraine

NCT ID: NCT02828020

Last Updated: 2019-01-03

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1672 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-22

Study Completion Date

2017-12-14

Brief Summary

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This study will evaluate the efficacy, safety, and tolerability of 2 doses of ubrogepant (50 and 100 mg) compared to placebo for the acute treatment of a single migraine attack.

Detailed Description

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Conditions

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Migraine, With or Without Aura

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Ubrogepant 50 mg

1 ubrogepant 50 mg tablet and 1 placebo-matching ubrogepant 50 mg tablet, orally for treatment of a qualifying migraine attack. Participants had the option to take a second dose, 2 placebo-matching ubrogepant tablets or rescue medication, orally 2 to 48 hours after initial treatment.

Group Type EXPERIMENTAL

Ubrogepant

Intervention Type DRUG

50 mg ubrogepant tablet(s) orally for the treatment of a qualifying migraine attack.

Placebo-matching Ubrogepant

Intervention Type DRUG

Placebo-matching ubrogepant tablet(s) orally for the treatment of a qualifying migraine attack.

Ubrogepant 100 mg

2 Ubrogepant 50 mg tablets, orally for treatment of a qualifying migraine attack. Participants had the option to take a second dose, 2 placebo-matching ubrogepant tablets or rescue medication, orally 2 to 48 hours after initial treatment.

Group Type EXPERIMENTAL

Ubrogepant

Intervention Type DRUG

50 mg ubrogepant tablet(s) orally for the treatment of a qualifying migraine attack.

Placebo-matching Ubrogepant

Intervention Type DRUG

Placebo-matching ubrogepant tablet(s) orally for the treatment of a qualifying migraine attack.

Placebo

2 placebo-matching ubrogepant 50 mg tablets, orally for treatment of a qualifying migraine attack. Participants had the option to take 2-placebo-matching ubrogepant tablets or rescue medication, orally 2 to 48 hours after initial treatment.

Group Type PLACEBO_COMPARATOR

Placebo-matching Ubrogepant

Intervention Type DRUG

Placebo-matching ubrogepant tablet(s) orally for the treatment of a qualifying migraine attack.

Interventions

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Ubrogepant

50 mg ubrogepant tablet(s) orally for the treatment of a qualifying migraine attack.

Intervention Type DRUG

Placebo-matching Ubrogepant

Placebo-matching ubrogepant tablet(s) orally for the treatment of a qualifying migraine attack.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* At least a 1-year history of migraine with or without aura consistent with a diagnosis according to the International Classification of Headache Disorders, 3rd edition, beta version
* Migraine onset before age 50
* History of migraines typically lasting between 4 and 72 hours if untreated or treated unsuccessfully and migraine episodes are separated by at least 48 hours of headache pain freedom
* History of 2 to 8 migraine attacks per month with moderate to severe headache pain in each of the previous 3 months.

Exclusion Criteria

* Difficulty distinguishing migraine headache from other headaches
* Has taken medication for acute treatment of headache (including acetaminophen, nonsteroidal anti-inflammatory drugs \[NSAIDs\], triptans, ergotamine, opioids, or combination analgesics) on 10 or more days per month in the previous 3 months
* Has a history of migraine aura with diplopia or impairment of level of consciousness, hemiplegic migraine, or retinal migraine
* Has a current diagnosis of new persistent daily headache, trigeminal autonomic cephalgia (eg, cluster headache), or painful cranial neuropathy
* Required hospital treatment of a migraine attack 3 or more times in the previous 6 months
* Has a chronic non-headache pain condition requiring daily pain medication
* Has a history of malignancy in the prior 5 years, except for adequately treated basal cell or squamous cell skin cancer, or in situ cervical cancer
* Has a history of any prior gastrointestinal conditions (eg, diarrhea syndromes, inflammatory bowel disease) that may affect the absorption or metabolism of investigational product; participants with prior gastric bariatric interventions which have been reversed are not excluded
* Has a history of hepatitis within previous 6 months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Allergan

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Adele Thorpe

Role: STUDY_DIRECTOR

Allergan

Locations

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WR-ClinSearch, LLC

Chattanooga, Tennessee, United States

Site Status

Holston Medical Group

Kingsport, Tennessee, United States

Site Status

Clinical Research Advantage, Inc./Desert Clinical Research, LLC.

Mesa, Arizona, United States

Site Status

Xenoscience, Inc.

Phoenix, Arizona, United States

Site Status

Clinical Research Advantage, Inc./Orange Grove Family Practice

Tucson, Arizona, United States

Site Status

Principals Research Group, Inc.

Hot Springs, Arkansas, United States

Site Status

KLR Business Group, Inc. dba Arkansas Clinical Research

Little Rock, Arkansas, United States

Site Status

The Research Center of Southern California, LLC

Carlsbad, California, United States

Site Status

Med Center

Carmichael, California, United States

Site Status

T. Joseph Raoof MD, Inc./Encino Research Center

Encino, California, United States

Site Status

Neurology Center of North Orange County

Fullerton, California, United States

Site Status

Behavioral Research Specialists, LLC

Glendale, California, United States

Site Status

Prime Care Clinical Research

Laguna Hills, California, United States

Site Status

Collaborative Neuroscience Network, LLC.

Long Beach, California, United States

Site Status

Synergy San Diego

National City, California, United States

Site Status

Newport Beach Clinical Research Associates, Inc.

Newport Beach, California, United States

Site Status

North County Clinical Research

Oceanside, California, United States

Site Status

Medical Center for Clinical Research

San Diego, California, United States

Site Status

CA Medical Clinic for Headache

Santa Monica, California, United States

Site Status

Southern California Research LLC

Simi Valley, California, United States

Site Status

Encompass Clinical Research

Spring Valley, California, United States

Site Status

Alpine Clinical Research Center, Inc.

Boulder, Colorado, United States

Site Status

Colorado Springs Neurological Associates

Colorado Springs, Colorado, United States

Site Status

Delta Waves, Inc

Colorado Springs, Colorado, United States

Site Status

Denver Neurological Research

Denver, Colorado, United States

Site Status

Associated Neurologists, P.C.

Danbury, Connecticut, United States

Site Status

Associated Neurolgists of Southern Connecticut, PC

Fairfield, Connecticut, United States

Site Status

Sarkis Clinical Trials

Gainesville, Florida, United States

Site Status

CPI MD Clinical

Hallandale, Florida, United States

Site Status

Infinity Clinical Research, LLC

Hollywood, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc.

Jacksonville, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc.

Orlando, Florida, United States

Site Status

Palm Beach Neurological Center/Advanced Research Consultants, Inc.

Palm Beach Gardens, Florida, United States

Site Status

Meridien Research

Spring Hill, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Meridien Research

Tampa, Florida, United States

Site Status

Neurology Research Institute

West Palm Beach, Florida, United States

Site Status

Midtown Neurology

Atlanta, Georgia, United States

Site Status

Columbus Regional Research Institute

Columbus, Georgia, United States

Site Status

Clinical Research Atlanta

Stockbridge, Georgia, United States

Site Status

Great Lakes Clinical Trials

Chicago, Illinois, United States

Site Status

Deaconess Clinic, Medical Office Building 1 Research Institute

Newburgh, Indiana, United States

Site Status

Rowe Neurology Institute

Lenexa, Kansas, United States

Site Status

Kansas Institute of Research

Overland Park, Kansas, United States

Site Status

College Park Family Care Center Physicians Group - Neurology Research Department

Overland Park, Kansas, United States

Site Status

Kentucky Pediatric/Adult Research

Bardstown, Kentucky, United States

Site Status

Pharmasite Research, Inc.

Baltimore, Maryland, United States

Site Status

Boston Clinical Trials

Boston, Massachusetts, United States

Site Status

Northeast Medical Research Associates, Inc

South Dartmouth, Massachusetts, United States

Site Status

MedVadis Research Corporation

Watertown, Massachusetts, United States

Site Status

Michigan Head-Pain & Neurological Institute

Ann Arbor, Michigan, United States

Site Status

Beyer Research

Kalamazoo, Michigan, United States

Site Status

Clinical Research Institute, Inc.

Minneapolis, Minnesota, United States

Site Status

Olive Branch Family Medical Center

Olive Branch, Mississippi, United States

Site Status

Clinvest Research, LLC

Springfield, Missouri, United States

Site Status

Quality Clinical Research, Inc.

Omaha, Nebraska, United States

Site Status

Clinical Research Advantage, Inc./Diagnostic Center of Medicine - Durango

Las Vegas, Nevada, United States

Site Status

Albuquerque Clinical Trials, Inc.

Albuquerque, New Mexico, United States

Site Status

Albuquerque Neuroscience, Inc.

Albuquerque, New Mexico, United States

Site Status

Regional Clinical Research, Inc.

Endwell, New York, United States

Site Status

Central New York Clinical Research

Manlius, New York, United States

Site Status

Rochester Clinical Research, Inc.

Rochester, New York, United States

Site Status

Neurology Associates, P.A.

Hickory, North Carolina, United States

Site Status

Wake Research Associates, LLC

Raleigh, North Carolina, United States

Site Status

PMG Research of Winston-Salem, LLC.

Winston-Salem, North Carolina, United States

Site Status

Neuro-Behavioral Clinical Research, Inc.

Canton, Ohio, United States

Site Status

CTI Clinical Research Center

Cincinnati, Ohio, United States

Site Status

Aventiv Research, Inc

Columbus, Ohio, United States

Site Status

Ohio Clinical Research, LLC

Lyndhurst, Ohio, United States

Site Status

MPH IPS Research Company

Oklahoma City, Oklahoma, United States

Site Status

NPC Research

Oklahoma City, Oklahoma, United States

Site Status

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status

Summit Research Network

Portland, Oregon, United States

Site Status

Oregon Center For Clinical Investigations Inc. (OCCI, Inc.)

Portland, Oregon, United States

Site Status

Clinical Research of Philadelphia, LLC

Philadelphia, Pennsylvania, United States

Site Status

BTC of Lincoln

Lincoln, Rhode Island, United States

Site Status

Clinical Neuroscience Solutions, Inc.

Memphis, Tennessee, United States

Site Status

FutureSearch Trials of Neurology

Austin, Texas, United States

Site Status

Tekton Research, Inc.

Austin, Texas, United States

Site Status

FutureSearch Trials of Dallas, LP

Dallas, Texas, United States

Site Status

Red Star Research, LLC

Lake Jackson, Texas, United States

Site Status

Clinical Trials Texas, Inc

San Antonio, Texas, United States

Site Status

Road Runner Research, Ltd.

San Antonio, Texas, United States

Site Status

J. Lewis Research, Inc. / Foothill Family Clinic Draper

Draper, Utah, United States

Site Status

Granger Medical Clinic-Riverton

Riverton, Utah, United States

Site Status

Optimum Clinical Research, Inc.

Salt Lake City, Utah, United States

Site Status

Highland Clinical Research

Salt Lake City, Utah, United States

Site Status

Tidewater Integrated Medical Research

Virginia Beach, Virginia, United States

Site Status

Northwest Clinical Research Center

Bellevue, Washington, United States

Site Status

The Polyclinic Madison Center

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Goadsby PJ, Jurgens TP, Brand-Schieber E, Nagy K, Liu Y, Boinpally R, Stodtmann S, Trugman JM. Efficacy of ubrogepant and atogepant in males and females with migraine: A secondary analysis of randomized clinical trials. Cephalalgia. 2025 Feb;45(2):3331024251320610. doi: 10.1177/03331024251320610.

Reference Type DERIVED
PMID: 39982105 (View on PubMed)

Johnston KM, Powell L, Popoff E, Harris L, Croop R, Coric V, L'Italien G. Rimegepant, Ubrogepant, and Lasmiditan in the Acute Treatment of Migraine Examining the Benefit-Risk Profile Using Number Needed to Treat/Harm. Clin J Pain. 2022 Nov 1;38(11):680-685. doi: 10.1097/AJP.0000000000001072.

Reference Type DERIVED
PMID: 36125279 (View on PubMed)

Lipton RB, Singh RBH, Revicki DA, Zhao S, Shewale AR, Lateiner JE, Dodick DW. Functionality, satisfaction, and global impression of change with ubrogepant for the acute treatment of migraine in triptan insufficient responders: a post hoc analysis of the ACHIEVE I and ACHIEVE II randomized trials. J Headache Pain. 2022 Apr 25;23(1):50. doi: 10.1186/s10194-022-01419-7.

Reference Type DERIVED
PMID: 35468729 (View on PubMed)

Blumenfeld AM, Knievel K, Manack Adams A, Severt L, Butler M, Lai H, Dodick DW. Ubrogepant Is Safe and Efficacious in Participants Taking Concomitant Preventive Medication for Migraine: A Pooled Analysis of Phase 3 Trials. Adv Ther. 2022 Jan;39(1):692-705. doi: 10.1007/s12325-021-01923-3. Epub 2021 Dec 7.

Reference Type DERIVED
PMID: 34874514 (View on PubMed)

Hutchinson S, Silberstein SD, Blumenfeld AM, Lipton RB, Lu K, Yu SY, Severt L. Safety and efficacy of ubrogepant in participants with major cardiovascular risk factors in two single-attack phase 3 randomized trials: ACHIEVE I and II. Cephalalgia. 2021 Aug;41(9):979-990. doi: 10.1177/03331024211000311. Epub 2021 Apr 19.

Reference Type DERIVED
PMID: 33874756 (View on PubMed)

Hutchinson S, Dodick DW, Treppendahl C, Bennett NL, Yu SY, Guo H, Trugman JM. Ubrogepant for the Acute Treatment of Migraine: Pooled Efficacy, Safety, and Tolerability From the ACHIEVE I and ACHIEVE II Phase 3 Randomized Trials. Neurol Ther. 2021 Jun;10(1):235-249. doi: 10.1007/s40120-021-00234-7. Epub 2021 Feb 20.

Reference Type DERIVED
PMID: 33608814 (View on PubMed)

Goadsby PJ, Blumenfeld AM, Lipton RB, Dodick DW, Kalidas K, M Adams A, Jakate A, Liu C, Szegedi A, Trugman JM. Time course of efficacy of ubrogepant for the acute treatment of migraine: Clinical implications. Cephalalgia. 2021 Apr;41(5):546-560. doi: 10.1177/0333102420970523. Epub 2020 Nov 26.

Reference Type DERIVED
PMID: 33241721 (View on PubMed)

Dodick DW, Lipton RB, Ailani J, Lu K, Finnegan M, Trugman JM, Szegedi A. Ubrogepant for the Treatment of Migraine. N Engl J Med. 2019 Dec 5;381(23):2230-2241. doi: 10.1056/NEJMoa1813049.

Reference Type DERIVED
PMID: 31800988 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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UBR-MD-01

Identifier Type: -

Identifier Source: org_study_id

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