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Phase 3 Completed N=834 Randomized Double-blind Prevention

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

Source: ClinicalTrials.gov NCT02848326 ↗
Enrolled (actual)
834
Serious AEs
0.9%
Results posted
Dec 2018
Primary outcomePrimary: Change From Baseline in Mean Monthly Migraine Days (Migraine/Probable Migraine Headache Days) Across the 12-Week Treatment Period — -2.85; -4.00; -3.76; -3.55 migraine days per month — p=0.0039
◆ Published Evidence
Highly cited
230citations · ~38 / year
Safety, tolerability, and efficacy of orally administered atogepant for the prevention of episodic migraine in adults: a double-blind, randomised phase 2b/3 trial.
The Lancet. Neurology · 2020 · Likely link

Summary

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.

Linked Publications (4)

  • Safety, tolerability, and efficacy of orally administered atogepant for the prevention of episodic migraine in adults: a double-blind, randomised phase 2b/3 trial.
    The Lancet. Neurology · 2020 · 230 citations · Likely link
  • Efficacy of ubrogepant and atogepant in males and females with migraine: A secondary analysis of randomized clinical trials.
    Cephalalgia : an international journal of headache · 2025 · 10 citations · Open access · Likely link
  • Safety and tolerability of atogepant for the preventive treatment of migraine: a post hoc analysis of pooled data from four clinical trials.
    The journal of headache and pain · 2024 · 9 citations · Open access · Likely link
  • Weight loss with atogepant during the preventive treatment of migraine: A pooled analysis.
    Cephalalgia : an international journal of headache · 2024 · 5 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Mean Monthly Migraine Days (Migraine/Probable Migraine Headache Days) Across the 12-Week Treatment Period
-2.85; -4.00; -3.76; -3.55; -4.23; -4.14 0.0039 sig
SECONDARY
Change From Baseline in Mean Monthly Headache Days Across the 12-Week Treatment Period
-2.93; -4.31; -4.17; -3.86; -4.23; -4.32 0.0014 sig
SECONDARY
Percentage of Participants With at Least a 50% Reduction in Mean Monthly Migraine Days (Migraine/Probable Migraine Headache Days) Across the 12-Week Treatment Period
40.4; 57.6; 53.3; 52.0; 58.2; 62.1 0.0617
SECONDARY
Change From Baseline in Mean Monthly Acute Medication Use Days Across the 12-Week Treatment Period
-2.42; -3.71; -3.86; -3.53; -3.77; -3.64 0.0002 sig

Eligibility Criteria

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 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
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02848326) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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