Study of Oral Atogepant When Added to OnabotulinumtoxinA (BOTOX) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Chronic Migraine

NCT ID: NCT05216263

Last Updated: 2025-05-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-22

Study Completion Date

2025-05-02

Brief Summary

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Migraine is characterized by attacks of throbbing, moderate or severe headache, often associated with nausea, vomiting, and/or sensitivity to light and/or sound. The study will assess safety and tolerability of atogepant when added to BOTOX, as well as prospectively evaluate the efficacy of add-on atogepant for migraine prevention. Adverse events and change in disease activity will be monitored.

Atogepant is an investigational drug being developed to prevent chronic migraine. Approximately 75 adult participants will be enrolled at approximately 30 sites in the United States.

All participants will receive atogepant oral tablet once a day (QD) during the 24-week treatment period, in addition to their standard of care Botox.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Detailed Description

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Conditions

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Chronic Migraine

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Atogepant

Participants will receive atogepant once a day (QD) during the 24-week treatment period.

Group Type EXPERIMENTAL

Atogepant

Intervention Type DRUG

Oral Tablet

Interventions

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Atogepant

Oral Tablet

Intervention Type DRUG

Other Intervention Names

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QULIPTA

Eligibility Criteria

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Inclusion Criteria

* At least a 1-year history of chronic migraine (CM), with or without aura, consistent with a diagnosis according to International Classification of Headache Disorders 3rd edition (ICHD-3 2018) and with or without acute medication overuse as defined in the protocol.
* Must be currently treated with BOTOX for CM: treated with \>= 2 treatment cycles in the 8 months prior to Visit 2 (Day 1) with documentation of payer authorization or written attestation of self-pay to support continued use of BOTOX.
* Must have 8 to 23 (inclusive) migraine days in the electronic diary \[eDiary\] screening/baseline period (eDiary data must have been collected for at least 20 days).

Exclusion Criteria

* Use of opioid-containing products for more than 4 days per month for acute treatment of headache in the 3 months prior to Screening or during the screening/baseline period.
* Treatment of study target muscles using acupuncture, transcutaneous electrical nerve stimulation (TENS), cranial traction, dental splints for headache, or head and/or neck injections of anesthetics/steroids within 4 weeks prior to Screening and throughout the study.
* Concurrent use of any migraine prevention treatment other than BOTOX (required concomitant medication; or topiramate \<=100mg daily) including use of oral gepants in the 4 weeks prior to screening nor during the screening/baseline period.
* Current use or use within the 6 months (24 weeks) prior to Screening, of mAbs blocking the CGRP pathway.
* Concurrent use of oral gepants for acute migraine treatment in the 4 weeks prior to screening nor during the screening/baseline period.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Neurology and Neurodiagnostics of Alabama /ID# 242538

Hoover, Alabama, United States

Site Status

Barrow Neurological Institute - Dignity Health St. Joseph's Hosp and Medical Ctr /ID# 241812

Phoenix, Arizona, United States

Site Status

Arkansas Clinical Research /ID# 241789

Little Rock, Arkansas, United States

Site Status

Hope Clinical Research /ID# 241772

Canoga Park, California, United States

Site Status

Profound Research LLC /ID# 244084

Carlsbad, California, United States

Site Status

Neuro Pain Medical Center /ID# 241992

Fresno, California, United States

Site Status

Neurological Research Institute /ID# 242688

Santa Monica, California, United States

Site Status

Neurology Offices of South Florida, PLLC /ID# 242693

Boca Raton, Florida, United States

Site Status

Coastal Clinical Research Specialists /ID# 247992

Jacksonville Beach, Florida, United States

Site Status

University of Miami /ID# 252230

Miami, Florida, United States

Site Status

First Physicians Group - Waldemere /ID# 242861

Sarasota, Florida, United States

Site Status

Kansas Institute of Research /ID# 241796

Overland Park, Kansas, United States

Site Status

Ochsner Clinic Foundation /ID# 241803

Covington, Louisiana, United States

Site Status

Beth Israel Deaconess Medical Center /ID# 241800

Boston, Massachusetts, United States

Site Status

Michigan Headache & Neurological Institute (MHNI) /ID# 241784

Ann Arbor, Michigan, United States

Site Status

Minneapolis Clinic of Neurology - Burnsville /ID# 241994

Burnsville, Minnesota, United States

Site Status

Albany Medical College /ID# 242757

Albany, New York, United States

Site Status

Dent Neurologic Institute - Amherst /ID# 241776

Amherst, New York, United States

Site Status

Headache Wellness Center /ID# 241791

Greensboro, North Carolina, United States

Site Status

Jefferson Hospital for Neuroscience /ID# 243712

Philadelphia, Pennsylvania, United States

Site Status

Preferred Primary Care Physicians - Jacob Murphy /ID# 241798

Uniontown, Pennsylvania, United States

Site Status

Chattanooga Medical Research /ID# 253295

Chattanooga, Tennessee, United States

Site Status

Nashville Neuroscience Group /ID# 243592

Nashville, Tennessee, United States

Site Status

Texas Neurology /ID# 241795

Dallas, Texas, United States

Site Status

Inova Health System /ID# 252242

Falls Church, Virginia, United States

Site Status

Integrated Neurology Services - Falls Church /ID# 244747

Falls Church, Virginia, United States

Site Status

Puget Sound Neurology /ID# 241787

Tacoma, Washington, United States

Site Status

Frontier Clinical Research - Kingwood /ID# 242928

Kingwood, West Virginia, United States

Site Status

West Virginia Univ School Med /ID# 252869

Morgantown, West Virginia, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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M22-418

Identifier Type: -

Identifier Source: org_study_id

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