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MigrainePhase 3JPN PIVOTALNCT05861427

Study of Oral Atogepant Tablets to Assess Change in Disease Activity in Adult Japanese Participants With Episodic Migraine

A Phase 3 study testing Atogepant in people with Migraine, run by AbbVie at 48 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

A migraine is a moderate to severe headache on one side of the head. A migraine attack is a headache that may be accompanied by throbbing, nausea, vomiting, sensitivity to light and sound, or other symptoms. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
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
524 participants
Where
48 sitesJapan
Study dates
12 Jul 2023to 1 Mar 2025
Phase
Phase 3

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).
  • Less than 50 years of age at the time of migraine onset.
  • History of 4 to 14 migraine days per month in the 3 months prior to screening.
  • 4 to 14 migraine days in the baseline period and completed at least 20 out of 28 days at the baseline period per the eDiary.

Who cannot join

  • Difficulty with distinguishing migraine headaches from tension-type or other headaches.
  • Clinically significant hematologic, endocrine, pulmonary, renal, hepatic, gastrointestinal, or neurologic disease.

Trial locations and contacts

48 sites in 1 country.

48 sites in 1 country

Japan48 sites
  • Fukuiken Saiseikai Hospital /ID# 245662

    Fukui-shi, Fukui, 918-8503

  • Tokai University Hachioji Hospital /ID# 248326

    Hachioji-shi, Tokyo, 192-0032

  • Hiroshima City Hiroshima Citizens Hospital /ID# 246683

    Hiroshima, Hiroshima, 730-8518

  • DOI Internal Medicine-Neurology Clinic /ID# 245661

    Hiroshima, 730-0031

  • Tokyo Dental College Ichikawa General Hospital /ID# 247436

    Ichikawa-shi, Chiba, 272-0824

  • Saitama Medical University Hospital /ID# 245663

    Iruma-gun, Saitama, 350-0495

  • Tokai University Hospital /ID# 245971

    Isehara, Kanagawa, 259-1193

  • Tanaka Neurosurgery & Headache Clinic /ID# 245488

    Kagoshima, 890-0052

  • Kijima Neurosurgery Clinic /ID# 245758

    Kahoku-gun, Ishikawa-ken, 929-0342

  • Nagaseki Headache Clinic /ID# 245485

    Kai, Yamanashi, 400-0124

  • Jinnouchi Neurosurgical Clinic /ID# 245510

    Kasuga-shi, Fukuoka, 816-0802

  • Ikeda Neurosurgical Clinic /ID# 245881

    Kasuga-shi, Fukuoka, 816-0824

  • Fujitsu Clinic /ID# 245811

    Kawasaki-shi, Kanagawa, 211-8588

  • Konan Medical Center /ID# 245557

    Kobe, Hyōgo, 658-0064

  • Atago Hospital /ID# 245818

    Kochi, Kochi, 780-0051

  • Umenotsuji Clinic /ID# 246103

    Kochi, Kochi, 780-8011

  • Saiseikai Kumamoto Hospital /Id# 253546

    Kumamoto, Kumamoto, 861-4101

  • Tatsuoka Neurology Clinic /ID# 245328

    Kyoto, 600-8811

  • Takanoko Hospital /ID# 245658

    Matsuyama, Ehime, 790-0925

  • Dokkyo Medical University Hospital /ID# 246472

    Mibu, Tochigi, 321-0293

  • Kitasato University Kitasato Institute Hospital /ID# 246470

    Minato-ku, Tokyo, 108-8642

  • Mito Kyodo General Hospital /ID# 245487

    Mito, Ibaraki, 310-0015

  • Nishinomiya Municipal Central Hospital /ID# 246571

    Nishinomiya-shi, Hyōgo, 663-8014

  • Yamaguchi Clinic /ID# 246370

    Nishinomiya-shi, Hyōgo, 663-8204

  • Kanazawa Neurosurgical Hospital /ID# 254210

    Nonoichi-shi, Ishikawa-ken, 921-8841

  • Ooba Clinic for Neurosurgery & Headache /ID# 246201

    Ōita, Oita Prefecture, 8700831

  • Makabe Clinic /ID# 246621

    Okayama, Okayama-ken, 700-0964

  • Okayama City General Medical Center /ID# 246007

    Okayama, Okayama-ken, 700-8557

  • Gokeikai Osaka Kaisei Hospital /ID# 246623

    Osaka, Osaka, 532-0003

  • Chibune General Hospital /ID# 245973

    Osaka, Osaka, 555-0034

  • Tominaga Clinic /ID# 245812

    Osaka, Osaka, 5560015

  • SUBARU Health Insurance Society Ota Memorial Hospital /ID# 247948

    Ota-shi, Gunma, 373-8585

  • Higashi Sapporo Neurology And Neurosurgery Clinic /ID# 245667

    Sapporo, Hokkaido, 003-0003

  • Nakamura Memorial Hospital /ID# 247379

    Sapporo, Hokkaido, 060-8570

  • Narikawa Neurological Clinic /ID# 254023

    Sendai, Miyagi, 981-3126

  • Sendai Headache and Neurology Clinic Medical Corporation /ID# 245664

    Sendai, Miyagi, 982-0014

  • Usuda Clinic Of Internal Medicine /ID# 246166

    Setagaya-ku, Tokyo, 156-0043

  • Tokyo Headache Clinic /ID# 245486

    Shibuya-ku, Tokyo, 151-0051

  • Keio University Hospital /ID# 245660

    Shinjuku-ku, Tokyo, 160-8582

  • Japanese Red Cross Shizuoka Hospital /ID# 246204

    Shizuoka, Shizuoka, 420-0853

  • Suzuki Kei Yasuragi Clinic /ID# 253493

    Tachikawa-shi, Tokyo, 190-0001

  • Kokubu Clinic /ID# 245810

    Takamatsu, Kagawa-ken, 769-0103

  • Tendo Brain Clinic /ID# 246205

    Tendo-shi, Yamagata, 994-0083

  • Saino Clinic /ID# 245921

    Tokorozawa-shi, Saitama, 359-1141

  • Shinagawa Strings Clinic /ID# 245665

    Tokyo, 108-0075

  • Sakura neuro Clinic /ID# 248320

    Toyama, Toyama, 930-0803

  • Takase Internal Medicine Clinic /ID# 245532

    Toyonaka-shi, Osaka, 560-0012

  • Tsukuba Neurosurgery/Headache Clinic /ID# 254665

    Tsukuba, Ibaraki, 305-0822

Other trials in Japan

About this study

Official title: A Phase 2/3, Multicenter, Randomized, Double-Blind, Placebo Controlled, Parallel-Group Study With An Active Treatment Extension to Evaluate the Efficacy, Safety, and Tolerability of Oral Atogepant for the Prevention of Migraine in Japanese Subjects With Episodic Migraine

A migraine is a moderate to severe headache on one side of the head. A migraine attack is a headache that may be accompanied by throbbing, nausea, vomiting, sensitivity to light and sound, or other symptoms. This study will assess how safe and effective three different doses of atogepant is compared to placebo in adult Japanese participants. Change in migraine symptoms will be assessed.

Atogepant (Qulipta) is an approved drug to treat adults with episodic migraine in the United States. Participants are randomly assigned to one of the 4 treatment groups called Arms to receive atogepant or matching placebo. There is 1 in a 4 chance for the participant to receive placebo. This is double-blinded study which means neither study doctor not the participant will know if the participant received atogepant or placebo. Approximately 520 adult participants with episodic migraine will be enrolled in approximately 50 sites across Japan.

Read more

Participants will receive oral atogepant or matching placebo tablets once daily for 12 weeks. At 12 weeks participants assigned to atogepant dose A, dose B or dose C will continue to receive same treatment for 12 additional weeks and participants assigned to placebo will be re-randomized to receive atogepant dose A, dose B or dose C for 12 additional weeks. All participants will be followed for 30 days following last dose of study drug.

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.

Conditions
Migraine
Being tested
Atogepant, Placebo for Atogepant
Keywords
Migraine, Episodic Migraine, Atogepant
Medical subject headings
Migraine Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AtogepantDrug

    Also called Qulipta

    Oral Tablet

  • Placebo for AtogepantDrug

    Oral Tablet

Study groups in NCT05861427
Study groupRoleWhat they receive
Atogepant Dose AExperimentalParticipants will receive atogepant dose A once daily (QD) for 24 weeks.
Receives: Drug: Atogepant
Atogepant Dose BExperimentalParticipants will receive atogepant dose B QD for 24 weeks.
Receives: Drug: Atogepant
Atogepant Dose CExperimentalParticipants will receive atogepant dose C QD for 24 weeks.
Receives: Drug: Atogepant
PlaceboExperimentalParticipants will receive placebo QD for 12 weeks. Participants will be re-randomized at week 12 to receive atogepant dose A, dose B or dose C QD for 12 weeks.
Receives: Drug: Atogepant; Drug: Placebo for Atogepant

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Mean Monthly Migraine Days

    Participants recorded daily duration of migraine in an eDiary. 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 eDiary divided by total number of days with eDiary 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 Measure (MMRM) was used for analysis.

    Measured: Up to Week 12

  2. Number of Participants Experiencing With Adverse Events (AEs)

    An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

    Measured: Up to Week 12

Secondary outcomes (6)
  1. Change From Baseline in Mean Monthly Headache Days

    Participants recorded daily total duration of a headache in an eDiary. 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 eDiary divided by the total number of days with eDiary 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: Up to Week 12

  2. Change From Baseline in Mean Monthly Acute Medication Use Days

    Participants recorded allowed medication(s) to treat an acute migraine in the daily eDiary. The monthly (4-week) acute medication use days was defined as the total number of reported acute medication use days in the eDiary divided by the total number of days with eDiary 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: Up to Week 12

  3. Percentage of Participants Achieving At Least 50% Reduction in the 3-month Average of Monthly Migraine Days

    Participants recorded daily duration of migraine in an eDiary. 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 eDiary divided by total number of days with eDiary records in each 4-week period multiplied by 28. Each 4-week period was averaged.

    Measured: Up to Week 12

  4. Change From Baseline in Migraine Specific Quality of Life Questionnaire, Version 2.1 (MSQ v2.1) Role Function-Restrictive Domain Score

    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: Up to Week 12

  5. Change From Baseline in Mean Monthly Performance of Daily Activities Domain Score of the Activity Impairment in Migraine - Diary (AIM-D)

    The AIM-D is an 11-item daily diary measure that assesses the impact of migraine and is comprised of two domains that evaluate performance of daily activities (7 items) and physical impairment (4 items). Participants are asked to rate the level of difficulty experienced in the past 24 hours with performance of daily activities and physical impairment using a 6 point rating scale ranging from "Not difficult at all" to "I could not do it at all." Scores range from 0-100 scale, with higher scores indicating greater impact of migraine.

    Measured: Up to Week 12

  6. Change From Baseline in Mean Monthly Physical Impairment Domain Score of the AIM-D

    The AIM-D is an 11-item daily diary measure that assesses the impact of migraine and is comprised of two domains that evaluate performance of daily activities (7 items) and physical impairment (4 items). Participants are asked to rate the level of difficulty experienced in the past 24 hours with performance of daily activities and physical impairment using a 6 point rating scale ranging from "Not difficult at all" to "I could not do it at all." Scores range from 0-100 scale, with higher scores indicating greater impact of migraine.

    Measured: Up to Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 May 2023
  2. Study start12 Jul 2023
  3. Primary completion1 Mar 2025
  4. Study completion1 Mar 2025

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
524 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05861427
Sponsor's protocol ID
M22-056
Acronym
JPN PIVOTAL
Status last verified
May 2026
First submitted
8 May 2023
Last updated
11 Jun 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Publications

  • Matsumori Y, Yamada H, Nagaseki Y, Shimizu K, Nagy K, Matsuzawa R, Otani T, He MY, Guo H, Ahmadyar G, Takeshima T. Atogepant for the preventive treatment of episodic migraine in Japanese participants: A phase 2/3, randomized, double-blind, placebo-controlled trial with an active treatment extension (RELEASE). Cephalalgia. 2025 Sep;45(9):3331024251374569. doi: 10.1177/03331024251374569. Epub 2025 Sep 26.

    PubMed 41002192

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