Atogepant for Prophylaxis of Migraine in Participants Who Failed Previous Oral Prophylactic Treatments.

NCT ID: NCT04740827

Last Updated: 2023-09-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

315 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-05

Study Completion Date

2022-08-04

Brief Summary

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This study will assess the safety, tolerability, and efficacy of Atogepant 60 mg compared with placebo in participants with episodic migraine and who have previously failed 2 to 4 classes of oral prophylactic treatments.

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

DOUBLE

Participants Caregivers

Study Groups

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Placebo

Participants received atogepant-matching placebo tablets, orally, once daily (QD) for up to 12 weeks in a double-blind (DB) treatment period.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Atogepant matching placebo tablets.

Atogepant 60 mg

Participants received atogepant 60 mg, orally, QD for up to 12 weeks in a DB treatment period.

Group Type ACTIVE_COMPARATOR

Atogepant 60 mg

Intervention Type DRUG

Atogepant tablets.

Interventions

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Atogepant 60 mg

Atogepant tablets.

Intervention Type DRUG

Placebo

Atogepant matching placebo tablets.

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 ICHD-3, 2018.
* 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 in the investigator's judgment
* Female participants willing to minimize the risk of inducing pregnancy for the duration of the clinical study and follow-up period. Male participants willing to minimize the risk of inducing pregnancy for the duration of the clinical study and follow-up period.
* 4 to 14 migraine days in the 28-day baseline period per eDiary
* Failed oral migraine prophylaxis medications from 2 to 4 medication classes

Exclusion Criteria

* Any clinically significant hematologic, endocrine, pulmonary, hepatic, gastrointestinal, or neurologic disease
* Participant has any other concurrent pain condition that, in the opinion of the investigator, may significantly impact the current headache disorder
* In the opinion of the investigator, confounding psychiatric conditions, dementia, epilepsy, or significant neurological disorders other than migraine
* Has ≥ 15 headache days per month on average across the 3 months prior to Visit 1 in the investigator's judgment
* Has ≥ 15 headache days in the 28-day baseline period per eDiary
* Clinically significant cardiovascular or cerebrovascular disease
* Has a history of migraine accompanied by diplopia or decreased level of consciousness or retinal migraine as defined by ICHD-3, 2018
* Has a current diagnosis of chronic migraine, new persistent daily headache, medication overuse headache, trigeminal autonomic cephalgia (eg, cluster headache), or painful cranial neuropathy as defined by ICHD-3, 2018
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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ALLERGAN INC.

Role: STUDY_DIRECTOR

Allergan

Locations

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Axiom Research /ID# 226379

Colton, California, United States

Site Status

Pharmacology Research Institute (PRI) - Encino (Wake) /ID# 226434

Encino, California, United States

Site Status

Pharmacology Research Institute (PRI) - Los Alamitos (Wake) /ID# 226388

Los Alamitos, California, United States

Site Status

Pharmacology Research Institute (PRI) - Los Alamitos (Wake) /ID# 226405

Los Alamitos, California, United States

Site Status

Excell Research, Inc /ID# 228386

Oceanside, California, United States

Site Status

Alpine Clinical Research Center /ID# 226201

Boulder, Colorado, United States

Site Status

Sensible Healthcare /ID# 226197

Ocoee, Florida, United States

Site Status

Meridien Research /ID# 226224

St. Petersburg, Florida, United States

Site Status

Meridien Research /ID# 226302

St. Petersburg, Florida, United States

Site Status

Velocity Clinical Research - Boise /ID# 226320

Meridian, Idaho, United States

Site Status

Allied Physicians - Fort Wayne Neurological Center /ID# 226350

Fort Wayne, Indiana, United States

Site Status

Deaconess Clinic - Gateway Health Center /ID# 226481

Newburgh, Indiana, United States

Site Status

Pharmasite Research, Inc. /ID# 226445

Baltimore, Maryland, United States

Site Status

StudyMetrix Research /ID# 226297

City of Saint Peters, Missouri, United States

Site Status

Clinvest Research LLC /ID# 226273

Springfield, Missouri, United States

Site Status

Methodist Physicians Clinic /ID# 226470

Fremont, Nebraska, United States

Site Status

Amici Clinical Research - Raritan /ID# 226282

Raritan, New Jersey, United States

Site Status

Albuquerque Clinical Trials, Inc /ID# 233445

Albuquerque, New Mexico, United States

Site Status

CTI Clinical Trial and Consulting /ID# 226281

Cincinnati, Ohio, United States

Site Status

FutureSearch Trials of Neurology /ID# 226423

Austin, Texas, United States

Site Status

Austin Clinical Trial Partners /ID# 228387

Austin, Texas, United States

Site Status

DiscoveResearch, Inc /ID# 226491

Bryan, Texas, United States

Site Status

FutureSearch Trials of Dallas, LP /ID# 226493

Dallas, Texas, United States

Site Status

LinQ Research, LLC /ID# 226227

Pearland, Texas, United States

Site Status

Highland Clinical Research /ID# 226288

Salt Lake City, Utah, United States

Site Status

Northwest Clinical Research Center /ID# 226228

Bellevue, Washington, United States

Site Status

Alfred Health /ID# 226341

Melbourne, Victoria, Australia

Site Status

The Royal Melbourne Hospital /ID# 226402

Parkville, Victoria, Australia

Site Status

Aggarwal and Associates Limited /ID# 226321

Brampton, Ontario, Canada

Site Status

Ottawa Headache Centre Research Inc /ID# 226257

Ottawa, Ontario, Canada

Site Status

Diex Recherche Sherbrooke Inc. /ID# 226375

Sherbrooke, Quebec, Canada

Site Status

POLIKLINIKA CHOCEN, a.s. /ID# 226510

Choceň, , Czechia

Site Status

BRAIN-SOULTHERAPY s.r.o. /ID# 226489

Kladno, , Czechia

Site Status

CCR Ostrava, s.r.o. /ID# 226279

Ostrava, , Czechia

Site Status

A-SHINE s.r.o. /ID# 226208

Pilsen, , Czechia

Site Status

CLINTRIAL s.r.o. /ID# 226192

Prague, , Czechia

Site Status

DADO MEDICAL s.r.o. /ID# 226548

Prague, , Czechia

Site Status

CCR Prague s.r.o. /ID# 226214

Prague, , Czechia

Site Status

CCR Czech a.s /ID# 226270

Prague, , Czechia

Site Status

FORBELI s.r.o. /ID# 226396

Prague, , Czechia

Site Status

INEP medical s.r.o. /ID# 226531

Prague, , Czechia

Site Status

Vestra Clinics s.r.o. /ID# 226547

Rychnov nad Kněžnou, , Czechia

Site Status

NeuroMed Zlin s.r.o. /ID# 226487

Zlín, , Czechia

Site Status

Rigshospitalet Glostrup /ID# 226271

Glostrup Municipality, Capital Region, Denmark

Site Status

CHU Nice - Hopital de Cimiez /ID# 226401

Nice, Alpes-Maritimes, France

Site Status

CHU Lille /ID# 226501

Lille, Nord, France

Site Status

CHU de SAINT ETIENNE - Hopital Nord /ID# 226397

Saint Priest EN Jarez, Pays de la Loire Region, France

Site Status

CHU Clermont Ferand - Hopital Gabriel Montpied /ID# 226438

Clermont-Ferrand, , France

Site Status

AP-HP - Hopital Lariboisière /ID# 226221

Paris, , France

Site Status

Universitaetsklinikum Tuebingen /ID# 226529

Tübingen, Baden-Wurttemberg, Germany

Site Status

Charite Universitaetsmedizin Berlin - Campus Mitte /ID# 226441

Berlin, , Germany

Site Status

Klinische Forschung Dresden GmbH /ID# 226194

Dresden, , Germany

Site Status

Praxis Dr. Gendolla /ID# 226497

Essen, , Germany

Site Status

Universitaetsklinikum Essen /ID# 226527

Essen, , Germany

Site Status

Klinische Forschung Hannover-Mitte GmbH /ID# 226195

Hanover, , Germany

Site Status

Universitaetsklinikum Jena Klinik fuer Neurologie /ID# 226439

Jena, , Germany

Site Status

Vitos Orthopaedische Klinik Kassel gemeinnuetzige GmbH /ID# 231767

Kassel, , Germany

Site Status

Schmerzklinik Kiel /ID# 226499

Kiel, , Germany

Site Status

AmBeNet GmbH /ID# 226213

Leipzig, , Germany

Site Status

Pharmakologisches Studienzentrum Chemnitz GmbH /ID# 226202

Mittweida, , Germany

Site Status

Universitaetsmedizin Rostock /ID# 226517

Rostock, , Germany

Site Status

Neuropoint GmbH /ID# 226377

Ulm, , Germany

Site Status

Neuropraxis Muenchen Sued /ID# 226216

Unterhaching, , Germany

Site Status

Studienzentrum Nord-West /ID# 226360

Westerstede, , Germany

Site Status

Intermed GmbH /ID# 226376

Wiesbaden, , Germany

Site Status

DKD Helios Klinik Wiesbaden /ID# 226534

Wiesbaden, , Germany

Site Status

Bugat Pal Korhaz /ID# 226357

Gyöngyös, Heves County, Hungary

Site Status

Valeomed Kft /ID# 226535

Esztergom, Komárom-Esztergom, Hungary

Site Status

Szent Borbala Korhaz /ID# 226400

Tatabánya, Komárom-Esztergom, Hungary

Site Status

Somogy Megyei Kaposi Mor Oktato Korhaz /ID# 226485

Kaposvár, Somogy County, Hungary

Site Status

Mind Klinika Kft. /ID# 233438

Budapest, , Hungary

Site Status

Clinexpert Kft /ID# 226467

Budapest, , Hungary

Site Status

Department of Neurology, University of Szeged /ID# 226442

Szeged, , Hungary

Site Status

Ospedale Ss. Filippo e Nicola /ID# 226530

Avezzano, L Aquila, Italy

Site Status

Fondazione Policlinico Universitario Campus Bio-Medico di Roma /ID# 226361

Rome, Lazio, Italy

Site Status

Univ. of Bologna-IRCCS-Istituto delle Scienze Neurologiche /ID# 226475

Bologna, , Italy

Site Status

Azienda Ospedaliero Universitaria Careggi /ID# 226502

Florence, , Italy

Site Status

Fondazione IRCCS Istituto Neurologico Carlo Besta /ID# 226399

Milan, , Italy

Site Status

AOU Universita degli Studi della Campania Luigi Vanvitelli /ID# 226503

Napoli, , Italy

Site Status

Universita di Pavia /ID# 226536

Pavia, , Italy

Site Status

Martini Ziekenhuis /ID# 226343

Groningen, , Netherlands

Site Status

Canisius-Wilhelmina Ziekenhuis /ID# 226488

Nijmegen, , Netherlands

Site Status

ZorgSaam Zorggroep Zeeuws-Vlaanderen /ID# 226317

Terneuzen, , Netherlands

Site Status

Solumed Centrum Medyczne /ID# 226299

Poznan, Greater Poland Voivodeship, Poland

Site Status

NZOZ Vitamed /ID# 226293

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Site Status

Specjalistyczne Gabinety Sp. z o.o. /ID# 226266

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Centrum Leczenia Padaczki i Migreny /ID# 226543

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Centrum Medyczne Oporow /ID# 226469

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Indywidualna Praktyka Lekarska dr hab. med. Anna Szczepanska-Szerej /ID# 226235

Lublin, Lublin Voivodeship, Poland

Site Status

Duplicate_RCMed Oddzial Sochaczew /ID# 226369

Sochaczew, Masovian Voivodeship, Poland

Site Status

Centrum Medyczne Pratia Gdynia /ID# 226437

Gdynia, Pomeranian Voivodeship, Poland

Site Status

Silmedic Sp. z o.o. /ID# 226267

Katowice, Silesian Voivodeship, Poland

Site Status

EuroMedis sp. z o.o. /ID# 226268

Szczecin, West Pomeranian Voivodeship, Poland

Site Status

Gabinet Lekarski Jacek Rozniecki /ID# 226323

Lodz, Łódź Voivodeship, Poland

Site Status

Bashkir State Medical University /ID# 226552

Ufa, Bashkortostan Republic, Russia

Site Status

Kazan State Medical University /ID# 226498

Kazan', Tatarstan, Respublika, Russia

Site Status

Sbhi Cp 2 Hdm /Id# 226494

Moscow, , Russia

Site Status

University Headache Clinic /ID# 226435

Moscow, , Russia

Site Status

Cephalgolog /ID# 226541

Moscow, , Russia

Site Status

Hospital Unversitario Marques de Valdecilla /ID# 226239

Santander, Cantabria, Spain

Site Status

University Clinical Hospital of Valladolid /ID# 226528

Valledolid, Castellon, Spain

Site Status

Hospital Universitario Vall d'Hebron /ID# 226230

Barcelona, , Spain

Site Status

Hospital Santa Creu i Sant Pau /ID# 226550

Barcelona, , Spain

Site Status

Hospital Clinico Universitario San Carlos /ID# 226483

Madrid, , Spain

Site Status

Hospital Clinico Universitario de Valencia /ID# 226472

Valencia, , Spain

Site Status

Hospital Clinico Universitario Lozano Blesa /ID# 226395

Zaragoza, , Spain

Site Status

Karolinska university hospital, Huddinge /ID# 226215

Huddinge, Stockholm County, Sweden

Site Status

Queen Elizabeth University Hospital /ID# 226492

Glasgow, , United Kingdom

Site Status

Re:Cognition Health - Guildford /ID# 226539

Guildford, , United Kingdom

Site Status

NHS Highland /ID# 226542

Inverness, , United Kingdom

Site Status

Leeds Teaching Hospitals NHS Trust /ID# 226538

Leeds, , United Kingdom

Site Status

St Pancras Clinical Research /ID# 226551

London, , United Kingdom

Site Status

King's College Hospital NHS Foundation Trust /ID# 226525

London, , United Kingdom

Site Status

Re:Cognition Health - London /ID# 226540

London, , United Kingdom

Site Status

Countries

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United States Australia Canada Czechia Denmark France Germany Hungary Italy Netherlands Poland Russia Spain Sweden United Kingdom

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)

Lipton RB, Gandhi P, Tassorelli C, Reuter U, Harriott AM, Holle-Lee D, Gottschalk CH, Neel B, Liu Y, Guo H, Stokes J, Nagy K, Dabruzzo B, Smith JH. Early Improvements With Atogepant for the Preventive Treatment of Migraine: Results From 3 Randomized Phase 3 Trials. Neurology. 2025 Jan 28;104(2):e210212. doi: 10.1212/WNL.0000000000210212. Epub 2024 Dec 23.

Reference Type DERIVED
PMID: 39715475 (View on PubMed)

Gottschalk C, Gandhi P, Pozo-Rosich P, Christie S, Tassorelli C, Stokes J, Liu Y, Luo L, Nagy K, Trugman JM, Lipton RB. Effect of preventive treatment with atogepant on quality of life, daily functioning, and headache impact across the spectrum of migraine: Findings from three double-blind, randomized, phase 3 trials. Cephalalgia. 2024 Dec;44(12):3331024241300305. doi: 10.1177/03331024241300305.

Reference Type DERIVED
PMID: 39648617 (View on PubMed)

Tassorelli C, Nagy K, Pozo-Rosich P, Lanteri-Minet M, Sacco S, Nezadal T, Guo H, De Abreu Ferreira R, Forero G, Trugman JM. Safety and efficacy of atogepant for the preventive treatment of episodic migraine in adults for whom conventional oral preventive treatments have failed (ELEVATE): a randomised, placebo-controlled, phase 3b trial. Lancet Neurol. 2024 Apr;23(4):382-392. doi: 10.1016/S1474-4422(24)00025-5. Epub 2024 Feb 13.

Reference Type DERIVED
PMID: 38364831 (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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2019-003448-58

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

3101-304-002

Identifier Type: -

Identifier Source: org_study_id

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