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Study to Evaluate Oral Ubrogepant in the Acute Treatment of Migraine During the Prodrome in Adult Participants

Phase 3
Completed
Conditions
Migraine
Interventions
Registration Number
NCT04492020
Lead Sponsor
AbbVie
Brief Summary

Study to Evaluate the Efficacy, Safety, and Tolerability of Oral Ubrogepant in the Acute Treatment of Migraine When Administered During the Prodrome

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
518
Inclusion Criteria
  • At least a 1-year history of migraine with or without aura consistent with a diagnosis according to the ICHD-3 (International Classification of Headache Disorders 3rd edition)
  • Migraine onset before age 50 years
  • By history, the participant's migraines typically last between 4 and 72 hours if untreated or treated unsuccessfully and migraine episodes are separated by at least 48 hours of headache pain freedom
  • History of 2 to 8 migraine attacks per month with moderate to severe headache in each of the 3 months prior to the Screening Visit
Exclusion Criteria
  • Difficulty distinguishing migraine headache from tension-type or other headaches
  • Participants who overuse medication for migraine defined as use of opioids or barbiturates > 2 days/month, triptans or ergots ≥ 10 days/month, or simple analgesics (eg, aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen) ≥ 15 days/month in the 3 months prior to Visit 1 per investigator's judgment
  • Has a history of migraine aura with diplopia or impairment of level of consciousness, hemiplegic migraine, or retinal migraine as defined by ICHD-3
  • A current diagnosis of chronic migraine as defined by ICHD-3 or a history of 15 or more headache days per month on average in the 6 months prior to Visit 1 in the investigator's judgment. A headache day is defined as a day in which there was any occurrence of a headache of a minimum duration of 2 hours or a headache of any duration for which acute medication was taken
  • Has a current diagnosis of new persistent daily headache, trigeminal autonomic cephalgia (eg, cluster headache), or painful cranial neuropathy as defined by ICHD-3
  • Required hospital treatment of a migraine attack 3 or more times in the 6 months prior to Visit 1
  • History of malignancy in the 5 years prior to Visit 1, except for adequately treated basal cell or squamous cell skin cancer, or in situ cervical cancer
  • History of any prior gastrointestinal conditions (eg, diarrhea syndromes, inflammatory bowel disease) that, per investigator judgment, may affect the absorption or metabolism of the study intervention; participants with prior gastric bariatric interventions (eg, Lap Band) which have been reversed are not excluded

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Treatment Sequence BUbrogepant 100 mgParticipants randomized to Treatment Sequence B will receive ubrogepant 100 mg to treat their first qualifying prodrome event and placebo to treat their second qualifying prodrome event
Treatment Sequence AUbrogepant 100 mgParticipants randomized to Treatment Sequence A will receive placebo to treat their first qualifying prodrome event and ubrogepant 100 mg to treat their second qualifying prodrome event
Treatment Sequence APlaceboParticipants randomized to Treatment Sequence A will receive placebo to treat their first qualifying prodrome event and ubrogepant 100 mg to treat their second qualifying prodrome event
Treatment Sequence BPlaceboParticipants randomized to Treatment Sequence B will receive ubrogepant 100 mg to treat their first qualifying prodrome event and placebo to treat their second qualifying prodrome event
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Reporting Absence of Headache of Moderate/Severe Intensity Within 24 Hours Post-dose24 hours after taking double-blind study intervention during the prodrome

The absence of a headache of moderate/severe intensity will be recorded by the participant in an electronic diary (eDiary) within 24 hours after taking double-blind study intervention during the prodrome in order to determine the attenuation of headache. The absence of moderate or severe headache are derived based on headache record and rescue use.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Reporting Improvement in the Ability to Function Normally Over 24 Hours Post-dose24 hours after taking double-blind study intervention during the prodrome

The Functional Disability Scale (FDS) is a single item used to measure the participant's level to function normally. Participants will be asked to rate the performance of daily activities using 4 response options ranging from 0 (no disability, able to function normally) to 3 (severely impaired, cannot do all or most things, bed rest may be necessary) within 24 hours after taking double-blind study intervention during the prodrome

Percentage of Participants Reporting Absence of Headache of Any Intensity Within 24 Hours Post-dose24 hours after taking double-blind study intervention during the prodrome

The absence of a headache of moderate/severe intensity will be recorded by the participant in an electronic diary (eDiary) within 24 hours after taking double-blind study intervention during the prodrome in order to determine the attenuation of headache. The absence of moderate or severe headache are derived based on headache record and rescue use.

Percentage of Participants Reporting Absence of Headache of Moderate or Severe Intensity Within 48 Hours Post-dose48 hours after taking double-blind study intervention during the prodrome

The absence of a headache of moderate or severe intensity will be recorded by the participant in an eDiary within 48 hours after taking double-blind study intervention during the prodrome in order to determine the prevention of headache

Trial Locations

Locations (73)

WR-ClinSearch /ID# 238287

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Chattanooga, Tennessee, United States

Tidewater Integr Med Research /ID# 236867

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Virginia Beach, Virginia, United States

Wr-Pri Llc /Id# 236007

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Los Alamitos, California, United States

Advanced Neurosciences Research, LLC /ID# 237426

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Fort Collins, Colorado, United States

Suncoast Clinical Research /ID# 236934

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New Port Richey, Florida, United States

Clinical Research Atlanta - Headlands LLC /ID# 234438

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Stockbridge, Georgia, United States

NeuroTrials Research Inc. /ID# 237365

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Atlanta, Georgia, United States

Sensible Healthcare /ID# 238090

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Ocoee, Florida, United States

Pharmacology Research Institute (PRI) - Newport Beach (Wake) /ID# 237691

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Newport Beach, California, United States

Diablo Clinical Research /ID# 237570

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Walnut Creek, California, United States

Sun Valley Research Center /ID# 236561

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Imperial, California, United States

Colorado Springs Neurological Associates (CSNA) /ID# 236556

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Colorado Springs, Colorado, United States

Premiere Research Institute - Palm Beach /ID# 238193

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West Palm Beach, Florida, United States

iResearch Atlanta, LLC /ID# 237390

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Decatur, Georgia, United States

Clinical Trials of SC /ID# 237338

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Charleston, South Carolina, United States

Meridian Clinical Research (Neurology) - Savannah /ID# 234371

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Savannah, Georgia, United States

Upstate Clinical Research Associates /ID# 238220

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Williamsville, New York, United States

Sentara Neurology Specialists - Virginia Beach /ID# 234350

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Virginia Beach, Virginia, United States

Deaconess Clinic Downtown /ID# 236959

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Evansville, Indiana, United States

CNS Healthcare - Memphis /ID# 236396

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Memphis, Tennessee, United States

Raleigh Neurology Associates /ID# 237138

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Raleigh, North Carolina, United States

Charlottesville Medical Research /ID# 237792

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Charlottesville, Virginia, United States

Puget Sound Neurology /ID# 236322

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Tacoma, Washington, United States

Lehigh Center for Clinical Research /ID# 236703

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Allentown, Pennsylvania, United States

FutureSearch Trials of Dallas, LP /ID# 236276

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Dallas, Texas, United States

PMG Research of McFarland /ID# 238271

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Ames, Iowa, United States

Northwest Clinical Trials /ID# 234968

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Boise, Idaho, United States

ClinPoint Trials /ID# 236618

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Waxahachie, Texas, United States

Bio Behavioral Health, Inc /ID# 238212

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Toms River, New Jersey, United States

Dent Neurosciences Research Center, Inc. /ID# 237039

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Amherst, New York, United States

DiscoveResearch, Inc /ID# 236273

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Bryan, Texas, United States

Abington Neurological Associates - Abington /ID# 236257

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Abington, Pennsylvania, United States

Aventiv Research Columbus /ID# 236837

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Columbus, Ohio, United States

PMG Research of Charlotte /ID# 237048

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Charlotte, North Carolina, United States

Minneapolis Clinic of Neurology - Golden Valley /ID# 238162

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Golden Valley, Minnesota, United States

OK Clinical Research /ID# 236675

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Edmond, Oklahoma, United States

Clinvest Research LLC /ID# 237908

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Springfield, Missouri, United States

Suburban Research Associates - Media /ID# 236698

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Media, Pennsylvania, United States

Centex Studies, Inc. - Houston /ID# 237458

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Houston, Texas, United States

Seattle Clinical Research Center /ID# 236912

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Seattle, Washington, United States

CTI Clinical Research Center /ID# 237278

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Cincinnati, Ohio, United States

University of Cincinnati /ID# 234403

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Cincinnati, Ohio, United States

Arkansas Clinical Research /ID# 238032

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Little Rock, Arkansas, United States

California Headache and Balance Center /ID# 236247

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Fresno, California, United States

Excell Research, Inc /ID# 237721

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Oceanside, California, United States

George J. Rederich M.D. Inc. /ID# 235769

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Torrance, California, United States

CNS Healthcare - Jacksonville /ID# 238245

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Jacksonville, Florida, United States

Health Awareness, Inc - Jupiter /ID# 236226

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Jupiter, Florida, United States

Accel Research Sites - St Petersburg Clinical Research Unit /ID# 237163

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Saint Petersburg, Florida, United States

Boston Clinical Trials /ID# 236559

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Boston, Massachusetts, United States

StudyMetrix Research /ID# 236457

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Saint Peters, Missouri, United States

Princeton Center for Clinical Research /ID# 235734

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Skillman, New Jersey, United States

Central New York Clinical Research /ID# 235694

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Manlius, New York, United States

Rochester Clinical Research /ID# 236842

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New York, New York, United States

Frontier Clinical Research /ID# 237924

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Smithfield, Pennsylvania, United States

Thomas Jefferson University Jefferson Headache Center /ID# 235821

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Philadelphia, Pennsylvania, United States

FutureSearch Trials of Neurology /ID# 236428

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Austin, Texas, United States

Tekton Research, Inc. /ID# 237306

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Austin, Texas, United States

Advanced Research Institute /ID# 237749

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Ogden, Utah, United States

Health Research of Hampton Roads, Inc. (HRHR) /ID# 237253

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Newport News, Virginia, United States

Northwest Clinical Research Center /ID# 237585

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Bellevue, Washington, United States

Kansas Institute of Research /ID# 236738

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Overland Park, Kansas, United States

Collective Medical Research /ID# 236402

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Overland Park, Kansas, United States

Barrow Neuro Institute /ID# 236775

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Phoenix, Arizona, United States

Clinical Research Institute, Inc /ID# 238301

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Minneapolis, Minnesota, United States

IPS Research Company /ID# 237674

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Oklahoma City, Oklahoma, United States

University of Utah /ID# 237602

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Salt Lake City, Utah, United States

Achieve Clinical Research, LLC /ID# 237098

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Birmingham, Alabama, United States

Summit Headlands LLC /ID# 236077

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Portland, Oregon, United States

University of South Florida /ID# 234387

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Tampa, Florida, United States

ForCare Clinical Research /ID# 237092

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Tampa, Florida, United States

Clinical Neuroscience Solutions, Inc /ID# 236608

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Orlando, Florida, United States

Michigan Headache & Neurological Institute (MHNI) /ID# 236565

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Ann Arbor, Michigan, United States

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