Study to Evaluate the Safety and Tolerability of Treatment With Atogepant 60 mg Daily for the Prevention of Migraine in Participants With Episodic Migraine

NCT ID: NCT03700320

Last Updated: 2021-06-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

744 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-08

Study Completion Date

2020-05-21

Brief Summary

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This study will evaluate safety and tolerability of treatment with atogepant for the prevention of episodic migraine over the course of one year.

Detailed Description

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Conditions

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Episodic Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Oral SOC Migraine Preventive Medication

Oral standard of care (SOC) medication recognized as safe and effective for the prevention of migraine, based on investigator's judgement in consultation with the participant.

Group Type ACTIVE_COMPARATOR

Standard of Care (SOC) Migraine Preventive Medication

Intervention Type DRUG

Standard of care medication selected based on investigator's judgement, recognized as safe and effective for the prevention of migraine.

Atogepant 60 mg

Atogepant 60 mg tablet taken orally, once daily for 52 weeks.

Group Type EXPERIMENTAL

Atogepant

Intervention Type DRUG

Atogepant tablets taken orally, once daily for 52 weeks.

Interventions

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Standard of Care (SOC) Migraine Preventive Medication

Standard of care medication selected based on investigator's judgement, recognized as safe and effective for the prevention of migraine.

Intervention Type DRUG

Atogepant

Atogepant tablets taken orally, once daily for 52 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent and participant privacy information (e.g., written authorization for use and release of health and research study information) obtained from the participant prior to initiation of any study-specific procedures.
* Participant is a candidate to be prescribed at least one of the protocol-defined acceptable oral SOC migraine prevention medications and the participant is willing to accept SOC treatment.
* Participants must be using a medically acceptable and effective method of birth control during the course of the entire study,
* At least a 1-year history of migraine with or without aura consistent with a diagnosis
* Age of the participant at the time of migraine onset \< 50 years
* History of 4 to 14 migraine days per month on average in the 3 months prior to Visit 1

Exclusion Criteria

* Difficulty distinguishing migraine headaches from tension-type or other headaches
* Has a history of migraine accompanied by diplopia or decreased level of consciousness or retinal migraine
* Has a current diagnosis of chronic migraine (CM), new persistent daily headache, trigeminal autonomic cephalgia (e.g., cluster headache), or painful cranial neuropathy
* ≥ 15 headache days per month on average across the 3 months prior to Visit 1
* Usage of opioids or barbiturates \> 2 days/month, triptans or ergots ≥ 10 days/month, or simple analgesics (e.g., aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen) ≥ 15 days/month in the 3 months prior to Visit 1 per investigator's judgment, or during the baseline period. For all participants, barbiturates are excluded 30 days prior to screening and during the baseline period. For participants randomized to atogepant, barbiturates are excluded through the duration of the study as well
* Female participant is pregnant, planning to become pregnant during the course of the study, or currently lactating. Women of childbearing potential must have a negative urine pregnancy test
* Any clinically significant hematologic, endocrine, pulmonary, renal, hepatic, gastrointestinal (GI), or neurologic disease
* Hypertension as defined by sitting systolic blood pressure (BP) \> 160 millimeter of mercury (mm Hg) or sitting diastolic BP \> 100 mm Hg at Visits 1 or Visit 2. Vital sign measurements that exceed these limits may be repeated only once.
* At Visit 1, a user of recreational or illicit drugs or has had a history within the past year of drug or alcohol abuse or dependence
* History of any GI prior procedures or GI conditions (e.g., diarrhea syndromes, inflammatory bowel disease) that may affect the absorption or metabolism of atogepant; participants with prior gastric bariatric interventions (e.g., Lap Band) which have been reversed are not excluded.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 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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Clinical Research Advantage, Inc./Simon Williamson Clinic, PC

Birmingham, Alabama, United States

Site Status

Achieve Clinical Research, LLC

Birmingham, Alabama, United States

Site Status

Synexus Clinical Research US, Inc./East Valley Family Physicians PLC

Chandler, Arizona, United States

Site Status

Synexus Clinical Research US, Inc./Desert Clinical Research, LLC

Mesa, Arizona, United States

Site Status

Synexus Clinical Research US, Inc./Central Phoenix Medical Clinic, LLC

Phoenix, Arizona, United States

Site Status

Anaheim Clinical Trials, LLC

Anaheim, California, United States

Site Status

Hope Clinical Research

Canoga Park, California, United States

Site Status

Pharmacology Research Institute

Encino, California, United States

Site Status

Sun Valley Research Center, Inc.

Imperial, California, United States

Site Status

Irvine Center for Clinical Research

Irvine, California, United States

Site Status

Grossmont Center for Clinical Research

La Mesa, California, United States

Site Status

Synergy San Diego

Lemon Grove, California, United States

Site Status

Collaborative Neuroscience Network, LLC.

Long Beach, California, United States

Site Status

Pharmacology Research Institute

Los Alamitos, California, United States

Site Status

Pacific Research Partners, LLC

Oakland, California, United States

Site Status

Excell Research, Inc.

Oceanside, California, United States

Site Status

Desert Valley Research

Redlands, California, United States

Site Status

Medical Center for Clinical Research

San Diego, California, United States

Site Status

California Research Foundation

San Diego, California, United States

Site Status

Artemis Institute for Clinical Research

San Marcos, California, United States

Site Status

California Medical Clinic for Headache

Santa Monica, California, United States

Site Status

Encompass Clinical Research

Spring Valley, California, United States

Site Status

Synexus Clinical Research US, Inc.

Vista, California, United States

Site Status

Diablo Clinical Research, Inc

Walnut Creek, California, United States

Site Status

Delta Waves, Inc.

Colorado Springs, Colorado, United States

Site Status

Advanced Neurosciences Research, LLC

Fort Collins, Colorado, United States

Site Status

MD Clinical

Hallandale, Florida, United States

Site Status

Infinity Clinical Research

Hollywood, Florida, United States

Site Status

Clinical Neuroscience Solutions

Jacksonville, Florida, United States

Site Status

Health Awareness, Inc.

Jupiter, Florida, United States

Site Status

Meridien Research

Maitland, Florida, United States

Site Status

Well Pharma Medical Research, Corp.

Miami, Florida, United States

Site Status

Sensible Healthcare LLC

Ocoee, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc

Orlando, Florida, United States

Site Status

Bioclinica Research

Orlando, Florida, United States

Site Status

Infinity Clinical Research LLC

Sunrise, Florida, United States

Site Status

Meridien Research

Tampa, Florida, United States

Site Status

Premiere Research Institute

West Palm Beach, Florida, United States

Site Status

Palm Beach Research Center

West Palm Beach, Florida, United States

Site Status

Synexus Clinical Research US, Inc.

Atlanta, Georgia, United States

Site Status

Atlanta Center for Clinical Research

Atlanta, Georgia, United States

Site Status

Columbus Regional Research Institute

Columbus, Georgia, United States

Site Status

iResearch Atlanta

Decatur, Georgia, United States

Site Status

Clinical Research Atlanta

Stockbridge, Georgia, United States

Site Status

Northwest Clinical Trials

Boise, Idaho, United States

Site Status

Advanced Clinical Research

Meridian, Idaho, United States

Site Status

Evanston Premier Healthcare Research LLC

Evanston, Illinois, United States

Site Status

MidAmerica Neuroscience Research Foundation dba Rowe Neurology Institute

Lenexa, Kansas, United States

Site Status

Kansas Institute of Research

Overland Park, Kansas, United States

Site Status

Phoenix Medical Research, Inc.

Prairie Village, Kansas, United States

Site Status

Kentucky Pediatric Research

Bardstown, Kentucky, United States

Site Status

L-MARC Research Center

Louisville, Kentucky, United States

Site Status

New Orleans Center for Clinical Research

New Orleans, Louisiana, United States

Site Status

Community Clinical Research Network

Marlborough, Massachusetts, United States

Site Status

Michigan Headache & 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

Springfield, Missouri, United States

Site Status

Meridian Clinical Research, LLC

Norfolk, Nebraska, United States

Site Status

Quality Clinical Research

Omaha, Nebraska, United States

Site Status

Meridian Clinical Research, LLC

Omaha, Nebraska, United States

Site Status

Synexus Clinical Research US, Inc

Omaha, Nebraska, United States

Site Status

Altea Research Institute

Las Vegas, Nevada, United States

Site Status

Hassman Research Institutes

Berlin, New Jersey, United States

Site Status

Amici Clinical Research

Raritan, New Jersey, United States

Site Status

Princeton Center for Clinical Research

Skillman, New Jersey, United States

Site Status

Bio Behavioral Health

Toms River, New Jersey, United States

Site Status

Albuquerque Clinical Trials, Inc.

Albuquerque, New Mexico, United States

Site Status

Dent Neurosciences Research Center

Amherst, New York, United States

Site Status

Regional Clinical Research, Inc.

Endwell, New York, United States

Site Status

Synexus Clinical Research US, Inc.

Jamaica, New York, United States

Site Status

Central New York Clinical Research

Manlius, New York, United States

Site Status

Rochester Clinical Research

Rochester, New York, United States

Site Status

Upstate Clinical Research Associates, LLC

Williamsville, New York, United States

Site Status

Plains Clinical Medical Clinic, LLC

Fargo, North Dakota, United States

Site Status

Synexus Clinical Research US, Inc.

Akron, Ohio, United States

Site Status

Synexus Clinical Research US, Inc.

Cincinnati, Ohio, United States

Site Status

Rapid Medical Research, Inc.

Cleveland, Ohio, 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

Summit Research Network

Portland, Oregon, 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

Clinical Research of Philadelphia, LLC

Philadelphia, Pennsylvania, United States

Site Status

Frontier Clinical Research, LLC

Scottdale, Pennsylvania, United States

Site Status

Frontier Clinical Research, LLC

Smithfield, Pennsylvania, United States

Site Status

Radiant Research, Inc.

Anderson, South Carolina, United States

Site Status

Coastal Carolina Research Center

Mt. Pleasant, South Carolina, United States

Site Status

Meridian Clinical Research, LLC

Dakota Dunes, South Dakota, United States

Site Status

Volunteer Research Group

Knoxville, Tennessee, United States

Site Status

CNS Healthcare - Memphis

Memphis, Tennessee, United States

Site Status

Trinity Clinical Research

Tullahoma, Tennessee, United States

Site Status

FutureSearch Trials of Neurology

Austin, Texas, United States

Site Status

Tekton Research, Inc

Austin, Texas, United States

Site Status

DiscoveResearch, Inc.

Bryan, Texas, United States

Site Status

FutureSearch Trials of Dallas, LP

Dallas, Texas, United States

Site Status

Earle Research

Houston, Texas, United States

Site Status

Research Trials WorldWide, LLC

Humble, Texas, United States

Site Status

Synexus Clinical Research US, Inc.

San Antonio, Texas, United States

Site Status

ClinPoint Trials

Waxahachie, Texas, United States

Site Status

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

Draper, Utah, United States

Site Status

Advanced Research Institute

Ogden, Utah, United States

Site Status

Advanced Clinical Research

West Jordan, Utah, United States

Site Status

Charlottesville Medical Research Center, LLC

Charlottesville, Virginia, United States

Site Status

Clinical Research Associates of Tidewater

Norfolk, Virginia, 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

Seattle Women's: Health, Research

Seattle, Washington, United States

Site Status

SSM Dean Health Research

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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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)

Lipton RB, Nahas SJ, Pozo-Rosich P, Bilchik T, McAllister P, Finnegan M, Liu Y, Chalermpalanupap N, Dabruzzo B, Dodick DW. Sustained response to atogepant in episodic migraine: post hoc analyses of a 12-week randomized trial and a 52-week long-term safety trial. J Headache Pain. 2024 May 21;25(1):83. doi: 10.1186/s10194-024-01783-6.

Reference Type DERIVED
PMID: 38773375 (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)

Lipton RB, Halker Singh RB, Mechtler L, McVige J, Ma J, Yu SY, Stokes J, Dabruzzo B, Gandhi P, Ashina M. Patient-reported migraine-specific quality of life, activity impairment and headache impact with once-daily atogepant for preventive treatment of migraine in a randomized, 52-week trial. Cephalalgia. 2023 Aug;51(8):3331024231190296. doi: 10.1177/03331024231190296.

Reference Type DERIVED
PMID: 37638400 (View on PubMed)

Boinpally R, McNamee B, Yao L, Butler M, McGeeney D, Borbridge L, Periclou A. A Single Supratherapeutic Dose of Atogepant Does Not Affect Cardiac Repolarization in Healthy Adults: Results From a Randomized, Single-Dose, Phase 1 Crossover Trial. Clin Pharmacol Drug Dev. 2021 Sep;10(9):1099-1107. doi: 10.1002/cpdd.940. Epub 2021 May 4.

Reference Type DERIVED
PMID: 33942560 (View on PubMed)

Min KC, Kraft WK, Bondiskey P, Colon-Gonzalez F, Liu W, Xu J, Panebianco D, Mixson L, Dockendorf MF, Matthews CZ, Boinpally R. Atogepant Is Not Associated With Clinically Meaningful Alanine Aminotransferase Elevations in Healthy Adults. Clin Transl Sci. 2021 Mar;14(2):599-605. doi: 10.1111/cts.12917. Epub 2020 Nov 24.

Reference Type DERIVED
PMID: 33142014 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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3101-302-002

Identifier Type: -

Identifier Source: org_study_id

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