Episodic MigrainePhase 3NCT03777059
12-Week Placebo-controlled Study of Atogepant for the Preventive Treatment of Migraine in Participants With Episodic Migraine
A Phase 3 study testing Atogepant in people with Episodic Migraine, run by Allergan at 138 sites in United States.
Trial summary
To evaluate the safety and tolerability of atogepant 30 mg and 60 mg once a day for the prevention of migraine in participants with episodic migraine. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Episodic Migraine
- What is being tested?
- Atogepant
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 910 participants
- Where
- 138 sitesUnited States
- Study dates
- 14 Dec 2018to 19 Jun 2020
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- Has a history of migraine accompanied by diplopia or decreased level of consciousness or retinal migraine.
- Has a current diagnosis of chronic migraine, new persistent daily headache, trigeminal autonomic cephalgia (e.g., cluster headache), or painful cranial neuropathy.
- History of an inadequate response to >4 medications (2 of which have different mechanisms of action) prescribed for the prevention of migraine.
- Participants with clinically significant hematologic, endocrine, cardiovascular, pulmonary, renal, hepatic, gastrointestinal, or neurologic disease.
Trial locations and contacts
138 sites in 1 country.
138 sites in 1 country
United States138 sites
Synexus Clinical Research US, Inc.
Akron, Ohio, 44311
Albuquerque Clinical Trials
Albuquerque, New Mexico, 87102
PMG Research, Inc. d/b/a PMG Research of McFarland Clinic
Ames, Iowa, 50010
Dent Neurologic Institute
Amherst, New York, 14226
Primary Care Associates/Synexus Clinical
Anderson, South Carolina, 29621
Synexus Clinical Research US, Inc
Anderson, South Carolina, 29621
Neurotrials Research
Atlanta, Georgia, 30328
Pediatric and Adolescent NeuroDevelopmental Associates (PANDA) Neurology
Atlanta, Georgia, 30328
Synexus Clinical Research US, Inc.
Atlanta, Georgia, 30328
Psychiatry & Psychotherapy Partners Austin
Austin, Texas, 78737
Tekton Research
Austin, Texas, 78745
Aventura Neurological Associates
Aventura, Florida, 33180
Pharmasite Research, Inc.
Baltimore, Maryland, 21208
Synexus Usa
Bay Saint Louis, Mississippi, 63141
Northwest Clinical Research Center
Bellevue, Washington, 98004
Neurology Offices of South Florida
Boca Raton, Florida, 33428
John R. Graham Headache Center Brigham and Women's Faulkner Hospital
Boston, Massachusetts, 02130
Med Center Medical Clinic
Carmichael, California, 95608
Synexus Clinical Research US, Inc.
Chandler, Arizona, 85224
Clinical Trials of South Carolina
Charleston, South Carolina, 29406
PMG Research of Charlotte, LLC
Charlotte, North Carolina, 28209
Charlottesville Medical Research
Charlottesville, Virginia, 22911
ClinSearch
Chattanooga, Tennessee, 37421
Diamond Headache Clinic Ltd
Chicago, Illinois, 60642
CTI Clinical Research Center
Cincinnati, Ohio, 45212
Patient Priority Clinical Sites
Cincinnati, Ohio, 45215
University of Cincinnati
Cincinnati, Ohio, 45219
Sentral Clinical Research Services
Cincinnati, Ohio, 45242
StudyMetrix Research
City of Saint Peters, Missouri, 63303
Colorado Springs Neurological Associates
Colorado Springs, Colorado, 80907
Delta Waves, Inc.
Colorado Springs, Colorado, 80918
Aventiv Research Inc
Columbus, Ohio, 43213
Ochsner Clinic Foundation
Covington, Louisiana, 70433
Partners in Clinical Research
Cumberland, Rhode Island, 02864
Synexus-US
Dallas, Texas, 75234
UT Southwestern Medical Center
Dallas, Texas, 75390
OK Clinical Research, LLC
Edmond, Oklahoma, 73034
Triwest Research Associates
El Cajon, California, 92020
Colorado Neurological Institute
Englewood, Colorado, 80113
Eastside Therapeutic Resource and Core Clinical Research
Everett, Washington, 98201
Ventavia Research Group
Fort Worth, Texas, 76104
Neuro Pain Medical Center
Fresno, California, 93710
California Headache and Balance Center
Fresno, California, 93720
Fullerton Neurology and Headache Center
Fullerton, California, 92835
Neurology Center of North Orange County
Fullerton, California, 92835
Sarkis Clinical Trials- Gainesville
Gainesville, Florida, 32607
Advanced Research Associates
Glendale, Arizona, 85308
Minneapolis Clinic of Neurology
Golden Valley, Minnesota, 55422
Northwell Health
Great Neck, New York, 11021
Guilford Neurologic Associates, Inc
Greensboro, North Carolina, 27405
Clinical Investigation Specialists
Gurnee, Illinois, 60031
Principals Research Group
Hot Springs, Arkansas, 71901
Centex Studies, Inc.
Houston, Texas, 77058
Protenium Clinical Research
Hurst, Texas, 76054
JWM Neurology
Indianapolis, Indiana, 46256
NervePro Research Bruce Cleeremans
Irvine, California, 92618
Westside Center for Clinical Research
Jacksonville, Florida, 32205
Clinical Neuroscience Solutions, Inc.
Jacksonville, Florida, 32256
Holston Medical Group
Kingsport, Tennessee, 37660
Grossmont Center for Clinical Research
La Mesa, California, 91942
Mid-Atlantic Permanente Medical Group, PC
Largo, Maryland, 20774
Nevada Headache Institute
Las Vegas, Nevada, 89113
Ocean State Clinical Research Partners
Lincoln, Rhode Island, 02865
Arkansas Clinical Research
Little Rock, Arkansas, 72205
Baptist Health Center for Clinical Research
Little Rock, Arkansas, 72205
Torrance Clinical Research Institute, Inc.
Lomita, California, 90731
Long Beach Clinical Trials Services
Long Beach, California, 90806
Keck Medicine of USC
Los Angeles, California, 90033
Family Physicians Associates
Lyndhurst, Ohio, 44124
Neurology Associates, P.A.
Maitland, Florida, 32751
CNS Healthcare - Memphis
Memphis, Tennessee, 38119
Well Pharma Medical Research, Corp.
Miami, Florida, 33143
Clinical Research Institute
Minneapolis, Minnesota, 55402
Synexus-US
Murray, Utah, 84123
BTC of New Bedford
New Bedford, Massachusetts, 02740
New Orleans Center for Clinical Research
New Orleans, Louisiana, 70119
DelRicht Research
New Orleans, Louisiana, 70124
Deaconess Clinic - Gateway Health Center
Newburgh, Indiana, 47630
Pharmacology Research Institute
Newport Beach, California, 92660
Newport Beach Clinical Research Associates
Newport Beach, California, 92663
Health Research of Hampton Roads, Inc.
Newport News, Virginia, 23606
Heartland Research Associates, LLC
Newton, Kansas, 67114
Lynn Institute of Norman
Norman, Oklahoma, 73069
Excell Research, Inc.
Oceanside, California, 92056
Centennial Health-Synexus
Oklahoma City, Oklahoma, 73111
Synexus Clinical Research US, Inc.
Omaha, Nebraska, 68144
Clinical Neuroscience Solutions
Orlando, Florida, 32801
Neurology Associates of Ormond Beach
Ormond Beach, Florida, 32174
College Park Family Care Center
Overland Park, Kansas, 66212
Stanford
Palo Alto, California, 94304
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Alea Research Institute
Phoenix, Arizona, 85012
Barrow Neurological Institute
Phoenix, Arizona, 85013
Preferred Primary Care Physicians
Pittsburgh, Pennsylvania, 15236
Oregon Center for Clinical Investigations
Portland, Oregon, 97214
Phoenix Medical Research
Prairie Village, Kansas, 66208
Raleigh Neurology Associates, P.A.
Raleigh, North Carolina, 27607
PMG Research of Raleigh, LLC
Raleigh, North Carolina, 27609
Rancho Cucamonga Clinical Research
Rancho Cucamonga, California, 91730
Desert Valley Research
Redlands, California, 92374
George J. Rederich, M.D. Inc.
Redondo Beach, California, 90277
Virginia Commonwealth University
Richmond, Virginia, 23219
National Clinical Research, Inc
Richmond, Virginia, 23294
Virginia Commonwealth University
Richmond, Virginia, 23298
The Headache Center
Ridgeland, Mississippi, 39157
PMG Research of Rocky Mount, LLC
Rocky Mount, North Carolina, 27804
J. Lewis Research, Inc. / Foothill Family Clinic South
Salt Lake City, Utah, 84121
Highland Clinical Research
Salt Lake City, Utah, 84124
Clinical Trials of Texas
San Antonio, Texas, 78229
Synexus Clinical Research US, Inc.
San Antonio, Texas, 78229
Paradigm Clinical Research Centers, Inc
San Diego, California, 92117
Optimus Medical Group
San Francisco, California, 94102
Sarasota Memorial Hospital Clinical Research Center
Sarasota, Florida, 34239
Meridian Clinical Research, LLC
Savannah, Georgia, 31406
The Polyclinic
Seattle, Washington, 98104
California Neuroscience Research
Sherman Oaks, California, 91403
Hillcrest Family Practice
Simpsonville, South Carolina, 29681
Frontier Clinical Research, LLC
Smithfield, Pennsylvania, 15478
J. Lewis Research, Inc.
South Jordan, Utah, 84095
Clinvest Research LLC.
Springfield, Missouri, 65810
Meridien Research
St. Petersburg, Florida, 33709
New England Institute for Clinical Research
Stamford, Connecticut, 06905
Puget Sound Neurology
Tacoma, Washington, 25328
Axiom Clinical Research of Florida
Tampa, Florida, 33609
University of South Florida
Tampa, Florida, 33612
Montefiore Medical Center
The Bronx, New York, 10461
Bio Behavioral Health
Toms River, New Jersey, 08755
Orange Grove Family Practice
Tucson, Arizona, 85741
Tulsa Clinical Research
Tulsa, Oklahoma, 74104
Preferred Primary Care Physicians, Jacob Murphy
Uniontown, Pennsylvania, 15401
Sentara Family Medicine Physicians
Virginia Beach, Virginia, 23456
Synexus Clinical Research US, Inc.
Vista, California, 92083
ClinPoint Trials
Waxahachie, Texas, 75165
Heartland Research Associates, LLC - An AMR Company
Wichita, Kansas, 67205
Heartland Research Associates, LLC - An AMR Company
Wichita, Kansas, 67207
Abington Neurological Associates
Willow Grove, Pennsylvania, 19090
Wilmington Health, PLLC
Wilmington, North Carolina, 28401
Piedmont Medical Research of Winston-Salem
Winston-Salem, North Carolina, 27103
About this study
Official title: A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy, Safety, and Tolerability of Oral Atogepant for the Prevention of Migraine in Participants With Episodic Migraine (ADVANCE)
To evaluate the safety and tolerability of atogepant 30 mg and 60 mg once a day for the prevention of migraine in participants with episodic migraine.
- Conditions
- Episodic Migraine
- Being tested
- Atogepant, Placebo
- Keywords
- Migraine, Aura
- Medical subject headings
- Migraine Disorders, Epilepsy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AtogepantDrug
Atogepant tablet
PlaceboDrug
Placebo-matching atogepant tablets
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Placebo-matching atogepant tablets orally once daily for 12 weeks. Receives: Drug: Placebo |
| Atogepant 10 mg | Experimental | Atogepant 10 mg tablet orally once daily and placebo-matching atogepant tablets orally once daily for 12 weeks. Receives: Drug: Atogepant; Drug: Placebo |
| Atogepant 30 mg | Experimental | Atogepant 30 mg tablet orally once daily and placebo-matching atogepant tablets orally once daily for 12 weeks. Receives: Drug: Atogepant; Drug: Placebo |
| Atogepant 60 mg | Experimental | Atogepant 60 mg tablet orally once daily and placebo-matching atogepant tablets orally once daily for 12 weeks. Receives: Drug: Atogepant; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Mean Monthly Migraine Days Across the 12-Week Treatment Period
Participants recorded daily duration of migraine in a diary. A migraine day was any calendar day on which the participant experienced a migraine headache qualified by duration or acute symptomatic medication use. The monthly (4-week) migraine days was defined as the total number of reported migraine days in diary divided by total number of days with diary records during each 4-week period and multiplied by 28. Each 4-week period was averaged. Baseline was defined as the number of migraine days during the last 28 days of the Baseline phase, from Day -28 to -1. Negative change from Baseline indicates improvement. A Mixed-effects model for repeated measures (MMRM) was used for analysis.
Measured: Baseline (Day -28 to Day -1) to Week 12
Secondary outcomes (6)
Change From Baseline in Mean Monthly Headache Days Across the 12-Week Treatment Period
Participants recorded daily total duration of a headache in a diary. A headache day is any calendar day on which the participant experienced a headache qualified by duration or acute symptomatic medication use. The monthly (4-week) headache days were defined as the total number of reported headache days in the diary divided by the total number of days with diary records during each 4-week period and multiplied by 28. Each 4-week period was averaged. Baseline was defined as the number of migraine days during the last 28 days of the Baseline phase, from Day -28 to -1. Negative change from Baseline indicates improvement. MMRM was used for analysis.
Measured: Baseline (Day-28 to Day -1) to Week 12
Change From Baseline in Mean Monthly Acute Medication Use Days Across the 12-Week Treatment Period
Participants recorded allowed medication(s) to treat an acute migraine in the daily diary. The monthly (4-week) acute medication use days was defined as the total number of reported acute medication use days in the diary divided by the total number of days with diary records during each 4-week period and multiplied by 28. Each 4-week period was averaged. Baseline was defined as the number of acute medication use days during the last 28 days of the Baseline phase, from Day -28 to -1. A negative change from Baseline indicates improvement. MMRM was used for the analysis.
Measured: Baseline (Day-28 to Day -1) to Week 12
Percentage of Participants With at Least a 50% Reduction (Improvement) in 3-month Average of Monthly Migraine Days
Participants recorded daily duration of migraine in a diary. A migraine day was any calendar day on which the participant experienced a migraine headache qualified by duration or acute symptomatic medication use. The monthly (4-week) migraine days is equal to total number of reported migraine days in diary divided by total number of days with diary records in each 4-week period multiplied by 28. Each 4-week period was averaged.
Measured: Baseline (Day -28 to Day -1) to Week 12
Change From Baseline in Migraine-Specific Quality of Life Questionnaire, Version 2.1 (MSQ v2.1) Role Function-Restrictive Domain Score at Week 12
MSQ v2.1 is a 14-item questionnaire designed to measure health-related quality-of-life impairments attributed to migraine in the past 4 weeks. It is divided into three domains: role function-restrictive (questions 1-7, score range 7 to 42) assesses how migraines limit one's daily social and work-related activities; role function-preventive (questions 8-11, score ranges 4 to 24) assesses how migraines prevent these activities; and the emotional function (questions 12-14, score ranges 3 to 18) domain assesses the emotions associated with migraines. Participants respond to items using a 6-point scale where 1=none of the time and 6=all of the time. Raw dimension scores are computed as a sum of item responses and rescaled to a 0 to 100 scale, where higher scores from Baseline indicate better quality of life. MMRM was used for the analysis.
Measured: Baseline (Day 1) to Week 12
Change From Baseline in Mean Monthly Performance of Daily Activities Domain Score of the Activity Impairment in Migraine-Diary (AIM-D) Across the 12-Week Treatment Period
The AIM-D is a 9-item PRO measure that assesses the impact of migraine on the performance of daily activities and physical impairment using a 6-point rating scale where 0=not difficult at all, 1=a little difficult, 2=somewhat difficult, 3=very difficult, 4=extremely difficult, and 5=I could not do it at all. The raw performance of daily activities domain scores were transformed to 0-100 scale, with higher scores indicating greater impact of migraine (higher disease burden). Baseline was defined as the monthly (averaged for a month) performance of daily activities domain score during the last 28 days of the Baseline period from Day -28 to -1. MMRM was used for the analysis.
Measured: Baseline (Day -28 to Day -1) to Week 12
Change From Baseline in Mean Monthly Physical Impairment Domain Score of the Activity Impairment in Migraine- Diary (AIM-D) Across the 12-Week Treatment Period
The AIM-D is a 9-item PRO measure that assesses the impact of migraine on the performance of daily activities and physical impairment using a 6-point rating scale where 0=not difficult at all, 1=a little difficult, 2=somewhat difficult, 3=very difficult, 4=extremely difficult, and 5=I could not do it at all. The raw physical impairment domain scores were transformed to 0-100 scale, with higher scores indicating greater impact of migraine (higher disease burden). Baseline was defined as the monthly (averaged for a month) physical impairment domain score during the last 28 days of the Baseline period from Day -28 to -1. MMRM was used for the analysis.
Measured: Baseline (Day -28 to Day -1) to Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2018
- Study start14 Dec 2018
- Primary completion19 Jun 2020
- Study completion19 Jun 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (12)Papers the sponsor has linked to this study.
- Other trials for Episodic MigraineStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 910 participants (actual)
Sponsor and investigators
- Lead sponsor
- Allergan
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Joel Trugman, MD, Study director, Allergan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03777059
- Sponsor's protocol ID
- 3101-301-002
- Status last verified
- Jun 2021
- First submitted
- 13 Dec 2018
- Last updated
- 9 Jul 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
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.
PubMed 39982105Lipton 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.
PubMed 39715475Peterlin 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.
PubMed 39648629Gottschalk 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.
PubMed 39648617Lipton 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.
PubMed 38773375Rizzoli 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.
PubMed 38462625Lipton RB, Pozo-Rosich P, Blumenfeld AM, Li Y, Severt L, Stokes JT, Creutz L, Gandhi P, Dodick D. Effect of Atogepant for Preventive Migraine Treatment on Patient-Reported Outcomes in the Randomized, Double-blind, Phase 3 ADVANCE Trial. Neurology. 2023 Feb 21;100(8):e764-e777. doi: 10.1212/WNL.0000000000201568. Epub 2022 Nov 17.
PubMed 36396451Lipton RB, Pozo-Rosich P, Blumenfeld AM, Dodick DW, McAllister P, Li Y, Lu K, Dabruzzo B, Miceli R, Severt L, Finnegan M, Trugman JM. Rates of Response to Atogepant for Migraine Prophylaxis Among Adults: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2022 Jun 1;5(6):e2215499. doi: 10.1001/jamanetworkopen.2022.15499.
PubMed 35675076Schwedt TJ, Lipton RB, Ailani J, Silberstein SD, Tassorelli C, Guo H, Lu K, Dabruzzo B, Miceli R, Severt L, Finnegan M, Trugman JM. Time course of efficacy of atogepant for the preventive treatment of migraine: Results from the randomized, double-blind ADVANCE trial. Cephalalgia. 2022 Jan;42(1):3-11. doi: 10.1177/03331024211042385. Epub 2021 Sep 14.
PubMed 34521260Ailani J, Lipton RB, Goadsby PJ, Guo H, Miceli R, Severt L, Finnegan M, Trugman JM; ADVANCE Study Group. Atogepant for the Preventive Treatment of Migraine. N Engl J Med. 2021 Aug 19;385(8):695-706. doi: 10.1056/NEJMoa2035908.
PubMed 34407343Boinpally 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.
PubMed 33942560Min 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.
PubMed 33142014
Study at a glance
From the registry record, last updated by the sponsor on 9 Jul 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy, Safety, and Tolerability of Oral Atogepant for the Prevention of Migraine in Participants With Episodic Migraine (ADVANCE)
- ClinicalTrials.gov ID
- NCT03777059
- Acronym / sponsor ID
- 3101-301-002
- Conditions
- Episodic Migraine
- Keywords
- Migraine, Aura
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 910 participants (actual)
- Lead sponsor
- AllerganIndustry (pharma, biotech, devices)
- Study start
- 14 Dec 2018 (actual)
- Primary completion
- 19 Jun 2020 (actual)
- Study completion
- 19 Jun 2020 (actual)
- First posted
- 17 Dec 2018 (actual)
- Results
- Posted 9 Jul 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the safety and tolerability of atogepant 30 mg and 60 mg once a day for the prevention of migraine in participants with episodic migraine.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboPlacebo-matching atogepant tablets orally once daily for 12 weeks. |
| Atogepant 10 mg | Experimental | Drug: Atogepant, Drug: PlaceboAtogepant 10 mg tablet orally once daily and placebo-matching atogepant tablets orally once daily for 12 weeks. |
| Atogepant 30 mg | Experimental | Drug: Atogepant, Drug: PlaceboAtogepant 30 mg tablet orally once daily and placebo-matching atogepant tablets orally once daily for 12 weeks. |
| Atogepant 60 mg | Experimental | Drug: Atogepant, Drug: PlaceboAtogepant 60 mg tablet orally once daily and placebo-matching atogepant tablets orally once daily for 12 weeks. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- 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.
Key exclusion criteria (4 listed)
- Has a history of migraine accompanied by diplopia or decreased level of consciousness or retinal migraine.
- Has a current diagnosis of chronic migraine, new persistent daily headache, trigeminal autonomic cephalgia (e.g., cluster headache), or painful cranial neuropathy.
- History of an inadequate response to >4 medications (2 of which have different mechanisms of action) prescribed for the prevention of migraine.
- Participants with clinically significant hematologic, endocrine, cardiovascular, pulmonary, renal, hepatic, gastrointestinal, or neurologic disease.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AtogepantAtogepant tablet | Drug | Atogepant 10 mg, Atogepant 30 mg, Atogepant 60 mg |
| PlaceboPlacebo-matching atogepant tablets | Drug | Atogepant 10 mg, Atogepant 30 mg, Atogepant 60 mg, Placebo |
Primary outcome
Change From Baseline in Mean Monthly Migraine Days Across the 12-Week Treatment Period
Time frame: Baseline (Day -28 to Day -1) to Week 12
Participants recorded daily duration of migraine in a diary. A migraine day was any calendar day on which the participant experienced a migraine headache qualified by duration or acute symptomatic medication use. The monthly (4-week) migraine days was defined as the total number of reported migraine days in diary divided by total number of days with diary records during each 4-week period and multiplied by 28. Each 4-week period was averaged. Baseline was defined as the number of migraine days during the last 28 days of the Baseline phase, from Day -28 to -1. Negative change from Baseline indicates improvement. A Mixed-effects model for repeated measures (MMRM) was used for analysis.
6 secondary outcomes
Change From Baseline in Mean Monthly Headache Days Across the 12-Week Treatment Period
Time frame: Baseline (Day-28 to Day -1) to Week 12
Change From Baseline in Mean Monthly Acute Medication Use Days Across the 12-Week Treatment Period
Time frame: Baseline (Day-28 to Day -1) to Week 12
Percentage of Participants With at Least a 50% Reduction (Improvement) in 3-month Average of Monthly Migraine Days
Time frame: Baseline (Day -28 to Day -1) to Week 12
Change From Baseline in Migraine-Specific Quality of Life Questionnaire, Version 2.1 (MSQ v2.1) Role Function-Restrictive Domain Score at Week 12
Time frame: Baseline (Day 1) to Week 12
Change From Baseline in Mean Monthly Performance of Daily Activities Domain Score of the Activity Impairment in Migraine-Diary (AIM-D) Across the 12-Week Treatment Period
Time frame: Baseline (Day -28 to Day -1) to Week 12
Change From Baseline in Mean Monthly Physical Impairment Domain Score of the Activity Impairment in Migraine- Diary (AIM-D) Across the 12-Week Treatment Period
Time frame: Baseline (Day -28 to Day -1) to Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jul 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39982105Goadsby 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.
- Derived from this study: PubMed 39715475Lipton 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.
- Derived from this study: PubMed 39648629Peterlin 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.
- Derived from this study: PubMed 39648617Gottschalk 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.
- Derived from this study: PubMed 38773375Lipton 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.
- Derived from this study: PubMed 38462625Rizzoli 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.
- Derived from this study: PubMed 36396451Lipton RB, Pozo-Rosich P, Blumenfeld AM, Li Y, Severt L, Stokes JT, Creutz L, Gandhi P, Dodick D. Effect of Atogepant for Preventive Migraine Treatment on Patient-Reported Outcomes in the Randomized, Double-blind, Phase 3 ADVANCE Trial. Neurology. 2023 Feb 21;100(8):e764-e777. doi: 10.1212/WNL.0000000000201568. Epub 2022 Nov 17.
- Derived from this study: PubMed 35675076Lipton RB, Pozo-Rosich P, Blumenfeld AM, Dodick DW, McAllister P, Li Y, Lu K, Dabruzzo B, Miceli R, Severt L, Finnegan M, Trugman JM. Rates of Response to Atogepant for Migraine Prophylaxis Among Adults: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2022 Jun 1;5(6):e2215499. doi: 10.1001/jamanetworkopen.2022.15499.
- Derived from this study: PubMed 34521260Schwedt TJ, Lipton RB, Ailani J, Silberstein SD, Tassorelli C, Guo H, Lu K, Dabruzzo B, Miceli R, Severt L, Finnegan M, Trugman JM. Time course of efficacy of atogepant for the preventive treatment of migraine: Results from the randomized, double-blind ADVANCE trial. Cephalalgia. 2022 Jan;42(1):3-11. doi: 10.1177/03331024211042385. Epub 2021 Sep 14.
- Derived from this study: PubMed 34407343Ailani J, Lipton RB, Goadsby PJ, Guo H, Miceli R, Severt L, Finnegan M, Trugman JM; ADVANCE Study Group. Atogepant for the Preventive Treatment of Migraine. N Engl J Med. 2021 Aug 19;385(8):695-706. doi: 10.1056/NEJMoa2035908.
- Derived from this study: PubMed 33942560Boinpally 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.
- Derived from this study: PubMed 33142014Min 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Joel Trugman, MD study director
Allergan
138 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Atogepant in people with Episodic Migraine, run by Allergan at 138 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 138 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Jul 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Mean Monthly Migraine Days Across the 12-Week Treatment Period (time frame: Baseline (Day -28 to Day -1) to Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03777059, which also lists 12 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jul 2021.