Comparative Study of Oral Atogepant Versus Oral Topiramate to Assess Adverse Events in Adult Participants With Migraine

NCT ID: NCT05748483

Last Updated: 2025-05-25

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

545 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-07

Study Completion Date

2026-05-31

Brief Summary

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A migraine is a moderate to severe headache on one side of the head that may be accompanied by throbbing, nausea, vomiting, sensitivity to light and sound, or other symptoms. The main goal of the study is to evaluate the tolerability (how patients handle the study treatment) and safety of atogepant compared to topiramate in participants with migraine.

Atogepant is a medicine currently approved for the preventive treatment of adult patients with episodic migraine (0 to 14 migraine days per month) and is being studied for the preventative treatment of migraine globally. Topiramate is an approved medication for migraine prevention. This study is conducted in 2 periods. In Period 1, participants will be randomly put into 1 of 2 groups at the start of the study to receive atogepant or topiramate. In Period 2, eligible participants will receive atogepant. Approximately 520 participants aged 18 and older will be enrolled in this study in approximately 85 sites across the world.

Participants will receive atogepant (and placebo for topiramate) or topiramate (and placebo for atogepant) for 24 weeks in Period 1. Both atogepant and placebo for atogepant are given as a tablet to take by mouth while topiramate and placebo for topiramate are given as a capsule to take by mouth. After 24 weeks, all eligible participants will receive atogepant for 52 weeks in Period 2. Participants are monitored for safety for 4 weeks after their last study treatment.

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 safety and tolerability of the treatment will be checked by medical assessments, blood tests, checking for adverse events and completing questionnaires.

Detailed Description

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Conditions

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Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Atogepant

Participants will receive atogepant in double-blind period. From Week 25, eligible participants will receive atogepant in open-label period.

Group Type EXPERIMENTAL

Atogepant

Intervention Type DRUG

Oral Tablet

Placebo for Topiramate

Intervention Type DRUG

Oral Capsule

Topiramate

Participants will receive topiramate in double-blind period. From Week 25, eligible participants will receive atogepant in open-label period.

Group Type ACTIVE_COMPARATOR

Atogepant

Intervention Type DRUG

Oral Tablet

Placebo for Atogepant

Intervention Type DRUG

Oral Tablet

Topiramate

Intervention Type DRUG

Oral Capsule

Interventions

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Atogepant

Oral Tablet

Intervention Type DRUG

Placebo for Atogepant

Oral Tablet

Intervention Type DRUG

Topiramate

Oral Capsule

Intervention Type DRUG

Placebo for Topiramate

Oral Capsule

Intervention Type DRUG

Other Intervention Names

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QULIPTA

Eligibility Criteria

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Inclusion Criteria

* Documented history of migraine (with or without aura) for \>= 12 months prior to screening (Visit 1).
* History of \>= 4 migraine days per month who require preventive treatment of migraine and are eligible for conventional migraine prophylaxis.

Exclusion Criteria

* Have used topiramate or atogepant in the past.
* Have clinically significant cardiovascular, cerebrovascular, hematologic, endocrine, pulmonary, renal, hepatic, gastrointestinal, or neurologic disease.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 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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Medizinische Universitaet Innsbruck /ID# 247213

Innsbruck, Tyrol, Austria

Site Status

Konventhospital Barmherzige Brueder Linz /ID# 247217

Linz, Upper Austria, Austria

Site Status

Medizinische Universitaet Wien /ID# 247119

Vienna, Vienna, Austria

Site Status

Universitair Ziekenhuis Brussel /ID# 246959

Jette, Brussels Capital, Belgium

Site Status

Jessa Ziekenhuis /ID# 246954

Hasselt, Limburg, Belgium

Site Status

UZ Gent /ID# 246957

Ghent, Oost-Vlaanderen, Belgium

Site Status

AZ Sint-Jan Brugge /ID# 246962

Bruges, , Belgium

Site Status

CHR de la Citadelle /ID# 246964

Liège, , Belgium

Site Status

Vancouver Island Health Authority /ID# 247733

Victoria, British Columbia, Canada

Site Status

Maritime Neurology /ID# 247728

Halifax, Nova Scotia, Canada

Site Status

Aggarwal and Associates Limited /ID# 247727

Brampton, Ontario, Canada

Site Status

CCR Ostrava, s.r.o. /ID# 245924

Ostrava, Ostrava-mesto, Czechia

Site Status

A-Shine s.r.o. /ID# 245923

Pilsen, Plzeň Region, Czechia

Site Status

Praglandia /ID# 247511

Prague, Praha 5, Czechia

Site Status

NeuroHK s.r.o. /ID# 247500

Hradec Králové, , Czechia

Site Status

Pratia Pardubice a.s. /ID# 249017

Pardubice, , Czechia

Site Status

Clintrial s.r.o. /ID# 245926

Prague, , Czechia

Site Status

Pratia Prague s.r.o. /ID# 245925

Prague, , Czechia

Site Status

Fakultni Thomayerova nemocnice /ID# 249016

Prague, , Czechia

Site Status

INEP medical s.r.o. /ID# 245927

Prague, , Czechia

Site Status

Hospices Civils de Lyon (HCL) - Hopital Louis Pradel /ID# 247562

Bron, Rhone, France

Site Status

CHU Clermont Ferrand - Hopital Gabriel Montpied /ID# 247561

Clermont-Ferrand, , France

Site Status

AP-HP - Groupe Hospitalier 10e - Hopital Lariboisiere /ID# 249244

Paris, , France

Site Status

Studienzentrum fuer Neurologie und Psychiatrie /ID# 249236

Böblingen, Baden-Wurttemberg, Germany

Site Status

Universitaetsklinikum Tuebingen /ID# 246043

Tübingen, Baden-Wurttemberg, Germany

Site Status

Neuropoint GmbH /ID# 246038

Ulm, Baden-Wurttemberg, Germany

Site Status

Neuropraxis Muenchen Sued /ID# 246045

Unterhaching, Bavaria, Germany

Site Status

Gesundheitszentrum Hoppegarten /ID# 249242

Hoppegarten, Brandenburg, Germany

Site Status

Praxis fuer Neurologie, Psychiatrie und Psychotherapie /ID# 248427

Bad Homburg, Hesse, Germany

Site Status

Kopfschmerzzentrum - Frankfurt /ID# 248686

Frankfurt am Main, Hesse, Germany

Site Status

Klinische Forschung Hannover-Mitte GmbH /ID# 248565

Hanover, Lower Saxony, Germany

Site Status

Studienzentrum Nord-West /ID# 246039

Westerstede, Lower Saxony, Germany

Site Status

Klinische Forschung Schwerin GmbH /ID# 248074

Schwerin, Mecklenburg-Vorpommern, Germany

Site Status

ZNS Siegen /ID# 251180

Siegen, North Rhine-Westphalia, Germany

Site Status

Krankenhaus der Barmherzigen Brüder Trier /ID# 248564

Trier, Rhineland-Palatinate, Germany

Site Status

Pharmakologisches Studienzentrum Chemnitz GmbH /ID# 246030

Chemnitz, Saxony, Germany

Site Status

Universitaetsklinikum Carl Gustav Carus Dresden /ID# 246040

Dresden, Saxony, Germany

Site Status

Ambenet Hausarztpraxis /ID# 246028

Leipzig, Saxony, Germany

Site Status

Schmerzklinik Kiel /ID# 246037

Kiel, Schleswig-Holstein, Germany

Site Status

Neurologisches Facharztzentrum Berlin /ID# 248064

Berlin, , Germany

Site Status

Charite Universitaetsklinikum Berlin - Campus Virchow /ID# 246029

Berlin, , Germany

Site Status

NeuroZentrum Bielefeld /ID# 250758

Bielefeld, , Germany

Site Status

Neuro Centrum Odenwald /ID# 248067

Erbach im Odenwald, , Germany

Site Status

Universitaetsklinikum Essen /ID# 246033

Essen, , Germany

Site Status

Universitaetsmedizin Greifswald /ID# 248574

Greifswald, , Germany

Site Status

Klinische Forschung Hamburg GmbH /ID# 248620

Hamburg, , Germany

Site Status

Neurologische Gemeinschaftspraxis Kassel und Vellmar /ID# 248085

Kassel, , Germany

Site Status

Lewis Neurologie /ID# 250498

Stuttgart, , Germany

Site Status

MIND Clinic /ID# 247867

Budapest, , Hungary

Site Status

Clinexpert Kft /ID# 247868

Budapest, , Hungary

Site Status

Semmelweis Egyetem /ID# 248428

Budapest, , Hungary

Site Status

S-Medicon Kft /ID# 247682

Budapest, , Hungary

Site Status

Debreceni Egeszsegugyi Kozpontja /ID# 247549

Debrecen, , Hungary

Site Status

Meir Medical Center /ID# 247261

Kfar Saba, Central District, Israel

Site Status

Hillel Yaffe Medical Center /ID# 247258

Hadera, H_efa, Israel

Site Status

Shaare Zedek Medical Center /ID# 247259

Jerusalem, Jerusalem, Israel

Site Status

Soroka University Medical Center /ID# 247260

Beersheba, Southern District, Israel

Site Status

Azienda Ospedaliero Universitaria Careggi /ID# 247575

Florence, Firenze, Italy

Site Status

Azienda Ospedaliera Universitaria Luigi Vanvitelli /ID# 247576

Naples, Napoli, Italy

Site Status

IRCCS San Raffaele /ID# 247573

Rome, Roma, Italy

Site Status

Azienda Ospedaliero-Universitaria di Modena /ID# 247578

Modena, , Italy

Site Status

Fondazione Mondino Istituto Neurologico Nazionale a Carattere Scientifico IRCCS /ID# 247579

Pavia, , Italy

Site Status

Fondazione Policlinico Universitario Campus Bio-Medico /ID# 247580

Roma, , Italy

Site Status

Solumed Centrum Medyczne /ID# 247317

Poznan, Greater Poland Voivodeship, Poland

Site Status

Clinical Research Center Sp. z.o.o. Medic-R sp. k /ID# 247323

Poznan, Greater Poland Voivodeship, Poland

Site Status

Vitamed Galaj i Cichomski Sp.j. /ID# 247314

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Site Status

Athleticomed Sp. z o.o /ID# 250790

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Site Status

Instytut Zdrowia Dr Boczarska Jedynak /ID# 247315

Oświęcim, Lesser Poland Voivodeship, Poland

Site Status

Indywidualna Praktyka Lekarska dr hab. med. Anna Szczepanska-Szerej /ID# 247298

Lublin, Lublin Voivodeship, Poland

Site Status

RCMed Oddzial Sochaczew /ID# 247378

Sochaczew, Masovian Voivodeship, Poland

Site Status

ETG Neuroscience Sp. z o.o. /ID# 247331

Warsaw, Masovian Voivodeship, Poland

Site Status

Silmedic Sp. z o.o. /ID# 247376

Katowice, Silesian Voivodeship, Poland

Site Status

Hospital Garcia de Orta /ID# 247163

Almada, Setúbal District, Portugal

Site Status

2CA-Braga, Hospital de Braga /ID# 247165

Braga, , Portugal

Site Status

Hospital da Luz Lisboa /ID# 247168

Lisbon, , Portugal

Site Status

Unidade Local de Saude de Santa Maria, EPE /ID# 247167

Lisbon, , Portugal

Site Status

Hospital Prof. Doutor Fernando Fonseca, EPE /ID# 247172

Lisbon, , Portugal

Site Status

Unidade Local de Saúde de Matosinhos, EPE /ID# 247169

Matosinhos Municipality, , Portugal

Site Status

The Adam Practice /ID# 248880

Poole, Dorset, United Kingdom

Site Status

Duplicate_NHS Greater Glasgow and Clyde /ID# 247979

Glasgow, Scotland, United Kingdom

Site Status

West Walk Surgery /ID# 252855

Bristol, , United Kingdom

Site Status

Countries

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Austria Belgium Canada Czechia France Germany Hungary Israel Italy Poland Portugal United Kingdom

Related Links

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Other Identifiers

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2022-501172-25-00

Identifier Type: OTHER

Identifier Source: secondary_id

M22-061

Identifier Type: -

Identifier Source: org_study_id

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