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A Study of Oral Atogepant Tablets to Assess Adverse Events and Change in Disease Activity To Prevent Migraine in Participants Aged 12 to 17 Years

Phase 3
Recruiting
Conditions
Chronic Migraine
Interventions
Registration Number
NCT06810505
Lead Sponsor
AbbVie
Brief Summary

Migraine is a disease that most often causes 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. The goals of the study are to evaluate adverse events and how well treatment of atogepant works compared to placebo (looks like the study treatment but contains no medicine) in preventing chronic migraine in participants between 12 and 17 years of age.

Atogepant is a medicine currently approved in the United States and Europe for the preventive treatment of migraine in adult patients with migraine and is being studied for the preventative treatment of chronic migraine in participants between the ages of 12 and 17 years. Participants will be randomly assigned to one of the 2 groups to be treated with either atogepant or placebo. This study is double-blinded, which means that neither the patients nor the study doctors know who is given which study treatment. Approximately 420 participants 12 to 17 years of age with chronic migraine will be enrolled at approximately 70 sites across the world.

Participants will receive oral tablets of atogepant or placebo once daily for 12 weeks and will be followed for 4 weeks.

Participants will attend regular visits during the study at a hospital or clinic and the effects of treatment will be checked by completion of a daily diary, medical assessments, blood tests, checking for side effects, and completing questionnaires.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
420
Inclusion Criteria
  • History of chronic migraine with or without aura consistent with a diagnosis according to the International Classification of Headache Disorders, 3rd Edition (ICHD-3) (2018) for at least 6 months as of Visit 1.

  • During the last 28 days of the screening/baseline period, and as per eDiary:

    • Participant must have completed the eDiary for a minimum of 20 out of 28 days.
    • Participant has >= 15 headache days.
    • Participant has >= 8 migraine days.
Exclusion Criteria
  • Clinically significant hypertension per investigator's judgment.
  • History of any clinically significant hematologic, endocrine, pulmonary, renal, hepatic, gastrointestinal, cardiovascular or neurologic disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AtogepantAtogepantParticipants will receive atogepant once daily for 12 weeks.
Placebo for AtogepantPlacebo for AtogepantParticipants will receive placebo for atogepant once daily for 12 weeks.
Primary Outcome Measures
NameTimeMethod
Number of Participants Experiencing Adverse Events (AEs)Up to approximately 16 weeks

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.

Change From Baseline in Mean Monthly Migraine DaysBaseline (Week 0) through Week 12

A migraine day is defined as any calendar day on which a headache occurs which meets criteria listed, as per participant eDiary.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Mean Monthly Headache DaysBaseline (Week 0) through Week 12

A headache day is defined as any calendar day on which headache pain lasting 2 hours or longer occurs unless an acute headache medication (e.g., ibuprofen, triptan) was used after the start of the headache, in which case no minimum duration will be specified. Calendar days begin at midnight and last until 11:59 PM.

Change From Baseline in Mean Monthly Acute Medication Use DaysBaseline (Week 0) through Week 12

An acute medication use day is defined as any day on which a participant reports, per eDiary, the intake of allowed medication(s) for the acute treatment of migraine.

Percentage of Participants who Achieve at Least a 50% Reduction in 3-month Average of Monthly Migraine DaysBaseline (Week 0) through Week 12

A migraine day is defined as any calendar day on which a migraine occurs as per participant eDiary. Calendar days begin at midnight and last until 11:59 PM.

Change from Baseline in the Pediatric Quality of Life Inventory (PedsQL) Total ScoreBaseline (Week 0) through Week 12

The PedsQL is a 23-item measure that evaluates quality of life in four areas of functioning: physical, emotional, social, and school functioning. The PedsQL yields a total quality of life score and two summary scores: Physical Health Summary Score and Psychosocial Health Summary Score.

Change From Baseline in the Pediatric Migraine Disability Assessment (PedMIDAS) Total ScoreBaseline (Week 0) through Week 12

The PedMIDAS scale evaluates the impact of headache on school performance, disability at home and social/sport function. The score is a composite of the total of 6 questions.

Trial Locations

Locations (25)

Rehabilitation & Neurological Services /ID# 270782

🇺🇸

Huntsville, Alabama, United States

Preferred Research Partners /ID# 270389

🇺🇸

Little Rock, Arkansas, United States

Neuro Pain Medical Center /ID# 271048

🇺🇸

Fresno, California, United States

Excell Research /ID# 270258

🇺🇸

Oceanside, California, United States

Sunwise Clinical Research /ID# 270431

🇺🇸

Walnut Creek, California, United States

My Preferred Research /ID# 270312

🇺🇸

Miami, Florida, United States

Deaconess Midtown Hospital /ID# 270572

🇺🇸

Evansville, Indiana, United States

Cct Research - Papillion Research Center /ID# 270393

🇺🇸

Papillion, Nebraska, United States

Healthy Perspectives - Innovate Mental Health Services /ID# 270847

🇺🇸

Nashua, New Hampshire, United States

Frontier Clinical Research - Scottdale /ID# 270854

🇺🇸

Scottdale, Pennsylvania, United States

Frontier Clinical Research - Smithfield /ID# 270849

🇺🇸

Smithfield, Pennsylvania, United States

Access Clinical Trials Inc /ID# 270280

🇺🇸

Nashville, Tennessee, United States

Earle Research /ID# 270424

🇺🇸

Houston, Texas, United States

Clinpoint Trials /ID# 270261

🇺🇸

Waxahachie, Texas, United States

Pantheon Clinical Research /ID# 270259

🇺🇸

Bountiful, Utah, United States

Highland Clinical Research /ID# 270281

🇺🇸

Salt Lake City, Utah, United States

Frontier Clinical Research - Kingwood /ID# 271053

🇺🇸

Kingwood, West Virginia, United States

Konan Medical Center /ID# 270486

🇯🇵

Kobe-shi, Hyogo, Japan

Umenotsuji Clinic /ID# 270484

🇯🇵

Kochi-shi, Kochi, Japan

Tominaga Clinic /ID# 270483

🇯🇵

Osaka-shi, Osaka, Japan

Tokyo Headache Clinic /ID# 271610

🇯🇵

Shibuya-ku, Tokyo, Japan

Tokyo Medical University Hospital /ID# 270487

🇯🇵

Shinjuku-ku, Tokyo, Japan

Tendo Brain Clinic /ID# 271410

🇯🇵

Tendo-shi, Yamagata, Japan

Nagaseki Headache Clinic /ID# 271699

🇯🇵

Kai, Yamanashi, Japan

Tanaka Neurosurgery & Headache Clinic /ID# 271346

🇯🇵

Kagoshima, Japan

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