Efficacy, Safety, and Tolerability of Multiple Dosing Regimens of Oral Atogepant (AGN-241689) in Episodic Migraine Prevention

NCT ID: NCT02848326

Last Updated: 2018-12-06

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

834 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-06

Study Completion Date

2018-04-23

Brief Summary

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This study will evaluate the safety and tolerability of the following doses of atogepant (AGN-241689): 10 mg once daily (QD), 30 mg QD, 30 mg twice daily (BID), 60 mg QD, and 60 mg BID for the prevention of episodic migraine and will characterize the dose/response relationship.

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

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo

Placebo-matching atogepant capsule orally twice daily in the morning and in the evening for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo-matching Atogepant

Intervention Type DRUG

Placebo-matching atogepant capsule.

Atogepant 10 mg QD

Atogepant 10 mg capsule orally once daily (QD) in the morning and one placebo-matching atogepant capsule orally once daily in the evening for 12 weeks.

Group Type EXPERIMENTAL

Atogepant

Intervention Type DRUG

Atogepant capsule.

Placebo-matching Atogepant

Intervention Type DRUG

Placebo-matching atogepant capsule.

Atogepant 30 mg QD

Atogepant 30 mg capsule orally once daily in the morning and one placebo-matching atogepant capsule orally once daily in the evening for 12 weeks.

Group Type EXPERIMENTAL

Atogepant

Intervention Type DRUG

Atogepant capsule.

Placebo-matching Atogepant

Intervention Type DRUG

Placebo-matching atogepant capsule.

Atogepant 30 mg BID

Atogepant 30 mg capsule orally twice daily (BID); 1 capsule in the morning and 1 capsule in the evening for 12 weeks.

Group Type EXPERIMENTAL

Atogepant

Intervention Type DRUG

Atogepant capsule.

Atogepant 60 mg QD

Atogepant 60 mg capsule orally once daily in the morning and one placebo-matching atogepant capsule orally in the evening for 12 weeks.

Group Type EXPERIMENTAL

Atogepant

Intervention Type DRUG

Atogepant capsule.

Placebo-matching Atogepant

Intervention Type DRUG

Placebo-matching atogepant capsule.

Atogepant 60 mg BID

Atogepant 60 mg capsule orally twice daily; 1 capsule in the morning and 1 capsule in the evening for 12 weeks.

Group Type EXPERIMENTAL

Atogepant

Intervention Type DRUG

Atogepant capsule.

Interventions

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Atogepant

Atogepant capsule.

Intervention Type DRUG

Placebo-matching Atogepant

Placebo-matching atogepant capsule.

Intervention Type DRUG

Other Intervention Names

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AGN-241689

Eligibility Criteria

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Inclusion Criteria

* Has at least a 1-year history of migraine with or without aura
* Age of the patient at the time of migraine onset \< 50 years
* History of 4 to 14 migraine days (migraine/probable migraine headache days) per month on average in the 3 months prior to Visit 1 in the Investigator's judgment
* Demonstrated compliance with e-diary

Exclusion Criteria

* Has a history of migraine accompanied by diplopia or decreased level of consciousness and retinal migraine
* Has a current diagnosis of chronic migraine, new persistent daily headache, trigeminal autonomic cephalgia (eg, cluster headache), or painful cranial neuropathy
* Difficulty distinguishing migraine headache from other headaches
* 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 gastric or small intestinal surgery, or has a disease that causes malabsorption
* Has a history of hepatitis within previous 6 months
* Usage of opioids or barbiturates \> 2 days/month, triptans or ergots ≥ 10 days/month, or simple analgesics (eg, aspirin, non-steroidal anti-inflammatory drugs \[NSAIDs\], acetaminophen) ≥ 15 days/month in the 3 months prior to Visit 1
* Pregnant or nursing females
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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Joel Trugman, MD

Role: STUDY_DIRECTOR

Allergan

Locations

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Achieve Clinical Research

Birmingham, Alabama, United States

Site Status

Radiant Research, Inc.

Chandler, Arizona, United States

Site Status

The Research Center of Southern California, LLC

Carlsbad, California, United States

Site Status

Neuro-Pain Medical Center, Inc

Fresno, California, United States

Site Status

Irvine Center for Clinical Research

Irvine, California, United States

Site Status

Downtown LA Research Center, Inc.

Los Angeles, California, United States

Site Status

Excell Research

Oceanside, California, United States

Site Status

Artemis Institute for Clinical Research

San Marcos, California, United States

Site Status

Diablo Clinical Research Inc

Walnut Creek, California, United States

Site Status

Advanced Neurosciences Research

Fort Collins, Colorado, United States

Site Status

Hartford Headache Center

East Hartford, Connecticut, United States

Site Status

Associated Neurologists of Southern Connecticut, P. C.

Fairfield, Connecticut, United States

Site Status

Chase Medical Research, LLC

Waterbury, Connecticut, United States

Site Status

The George Washington University

Washington D.C., District of Columbia, United States

Site Status

Clinical Research South Florida

Coral Gables, Florida, United States

Site Status

Infinity Clinical Research

Hollywood, Florida, United States

Site Status

Jacksonville Center for Clinical Research

Jacksonville, Florida, United States

Site Status

Clinical Neuroscience Solutions Inc

Jacksonville, Florida, United States

Site Status

Meridien Research

Maitland, Florida, United States

Site Status

Suncoast Research

Miami, Florida, United States

Site Status

Renstar Medical Research

Ocala, Florida, United States

Site Status

Clinical Neuroscience Solutions

Orlando, Florida, United States

Site Status

Palm Beach Neurological Center / Advanced Research Consultants, Inc.

Palm Beach Gardens, Florida, United States

Site Status

Suncoast Neuroscience Associates, Inc.

St. Petersburg, Florida, United States

Site Status

Infinity Clinical Research LLC

Sunrise, Florida, United States

Site Status

Meridien Research

Tampa, Florida, United States

Site Status

Neurology Research Institute Palm Beach

West Palm Beach, Florida, United States

Site Status

Institute for Advanced Medical Research

Alpharetta, Georgia, United States

Site Status

Radiant Research

Atlanta, Georgia, United States

Site Status

Atlanta Center for Medical Research

Atlanta, Georgia, United States

Site Status

iResearch Atlanta, LLC

Decatur, Georgia, United States

Site Status

Pediatric and Adolescent NeuroDevelopmental Associates (PANDA) Neurology

Sandy Springs, Georgia, United States

Site Status

Clinical Research Atlanta

Stockbridge, Georgia, United States

Site Status

Northwest Clinical Trials, Inc.

Boise, Idaho, United States

Site Status

Healthcare Research Network II, LLC

Blue Island, Illinois, United States

Site Status

Rowe Neurology Institute

Lenexa, Kansas, United States

Site Status

Boston Clinical Trials Inc

Boston, Massachusetts, United States

Site Status

Northeast Medical Research Associates, Inc.

North Dartmouth, Massachusetts, United States

Site Status

Medvadis Research Corporation

Watertown, Massachusetts, United States

Site Status

New England Regional Headache Center

Worcester, Massachusetts, United States

Site Status

Michigan Head Pain and Neurological Institute

Ann Arbor, Michigan, United States

Site Status

Clinical Research Institute, Inc.

Minneapolis, Minnesota, United States

Site Status

Mercy Research

Springfield, Missouri, United States

Site Status

Clinvest

Springfield, Missouri, United States

Site Status

Quality Clinical Research, Inc

Omaha, Nebraska, United States

Site Status

Altea Research Institute

Las Vegas, Nevada, United States

Site Status

Renown Institute for Neuroscience

Reno, Nevada, United States

Site Status

Hassman Research Institute - NJ

Berlin, New Jersey, United States

Site Status

Amici Clinical Research

Warren Township, New Jersey, United States

Site Status

DENT Neurosciences Research Center

Amherst, New York, United States

Site Status

Radiant Research, Inc.

Jamaica, New York, United States

Site Status

Carolina Headache Institute

Durham, North Carolina, United States

Site Status

Wake Research Associates LLC

Raleigh, North Carolina, United States

Site Status

Ohio Clinical Research, LLC

Willoughby Hills, Ohio, United States

Site Status

IPS Research Company

Oklahoma City, Oklahoma, United States

Site Status

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status

Oregon Center for Clinical Investigations, Inc.

Salem, Oregon, United States

Site Status

Lehigh Center For Clinical Research

Allentown, Pennsylvania, United States

Site Status

Suburban Research Associates

Media, Pennsylvania, United States

Site Status

Coastal Carolina Research Center

Mt. Pleasant, South Carolina, United States

Site Status

Cns Healthcare

Memphis, Tennessee, United States

Site Status

Nashville Neuroscience Group

Nashville, Tennessee, United States

Site Status

Tekton Research

Austin, Texas, United States

Site Status

DermResearch Inc

Austin, Texas, United States

Site Status

DiscoveResearch, Inc.

Bryan, Texas, United States

Site Status

Synexus US, L.P. Formally known as Texas Pharmaceutical Research, LP, DBA Research Across America

Dallas, Texas, United States

Site Status

Central Texas Neurology Consultant

Round Rock, Texas, United States

Site Status

Radiant Research, San Antonio Center for Clinical Research

San Antonio, Texas, United States

Site Status

Road Runner Research LTD

San Antonio, Texas, United States

Site Status

ClinPoint Trials, LLC

Waxahachie, Texas, United States

Site Status

Advanced Clinical Research

West Jordan, 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

Women's Clinical Research Center

Seattle, Washington, United States

Site Status

Kingfisher Cooperative, LLC

Spokane, 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)

Peterlin BL, Bond DS, Ailani J, Dodick DW, Liu Y, De Abreu Ferreira R, Smith JH, Dabruzzo B, Goadsby PJ, Trugman JM. Weight loss with atogepant during the preventive treatment of migraine: A pooled analysis. Cephalalgia. 2024 Dec;44(12):3331024241299753. doi: 10.1177/03331024241299753.

Reference Type DERIVED
PMID: 39648629 (View on PubMed)

Rizzoli P, Marmura MJ, Robblee J, McVige J, Sacco S, Nahas SJ, Ailani J, De Abreu Ferreira R, Ma J, Smith JH, Dabruzzo B, Ashina M. Safety and tolerability of atogepant for the preventive treatment of migraine: a post hoc analysis of pooled data from four clinical trials. J Headache Pain. 2024 Mar 11;25(1):35. doi: 10.1186/s10194-024-01736-z.

Reference Type DERIVED
PMID: 38462625 (View on PubMed)

Goadsby PJ, Dodick DW, Ailani J, Trugman JM, Finnegan M, Lu K, Szegedi A. Safety, tolerability, and efficacy of orally administered atogepant for the prevention of episodic migraine in adults: a double-blind, randomised phase 2b/3 trial. Lancet Neurol. 2020 Sep;19(9):727-737. doi: 10.1016/S1474-4422(20)30234-9.

Reference Type DERIVED
PMID: 32822633 (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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http://www.allerganclinicaltrials.com

http://www.allerganclinicaltrials.com

Other Identifiers

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CGP-MD-01

Identifier Type: -

Identifier Source: org_study_id

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