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.
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
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 group | Role | What they receive |
|---|---|---|
| Atogepant Dose A | Experimental | Participants will receive atogepant dose A once daily (QD) for 24 weeks. Receives: Drug: Atogepant |
| Atogepant Dose B | Experimental | Participants will receive atogepant dose B QD for 24 weeks. Receives: Drug: Atogepant |
| Atogepant Dose C | Experimental | Participants will receive atogepant dose C QD for 24 weeks. Receives: Drug: Atogepant |
| Placebo | Experimental | Participants 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.
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
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)
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
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
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
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
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
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.
- First posted16 May 2023
- Study start12 Jul 2023
- Primary completion1 Mar 2025
- Study completion1 Mar 2025
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 (1)Papers the sponsor has linked to this study.
- Other trials for MigraineStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 524 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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