Randomized, Double-blind, Placebo-Controlled, Multiple-Attack Study With an Open-Label Extension to Evaluate the Efficacy, Safety, Tolerability, and the Consistency of Effect of Atogepant for the Acute Treatment of Migraine (ECLIPSE)
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 2,158
- 试验地点
- 267
- 主要终点
- Percentage of Participants Achieving Pain Freedom at 2 Hours After the Double-Blind (DB) Dose for the First Attack
研究概览
简要总结
A migraine attack is a moderate or severe headache that usually occurs on one side of the head and is often accompanied by throbbing, sensitivity to light, sensitivity to sound, nausea, or other symptoms. The main goal of the study is to see if atogepant is effective, safe, and well-tolerated in treating migraine attacks quickly.
Atogepant is a medicine currently approved for the preventive treatment of migraine in adults and has been shown to be effective and well tolerated when taken daily to prevent migraine attacks. This study includes double-blind phase means that neither the participants nor the study doctors know who is given which study treatment (atogepant or placebo) followed by an open-label phase meaning that both participants and study doctors know which study treatment is given. All participants will receive atogepant during the open-label part of the study. This study will include 1300 participants aged 18-75 years with a history of migraine at approximately 160 sites across the world.
All participants will receive both atogepant and placebo to treat qualifying migraines. At the start of the study, participants will be randomized to 1 of 4 dosing sequences to determine when they will receive atogepant and when they will receive placebo during the study. After treating 4 qualifying migraine attacks, participants will receive open-label atogepant for any additional migraine attacks they have until the end of the study (Week 24).
There may be a bigger responsibility for participants in this study than there would be in participants receiving standard of care treatment. participants will attend regular visits during the study at a hospital or clinic, as well as telephone visits, and the effects of treatment will be checked by completion of questionnaires in an electronic diary, medical assessments, blood tests, and checking for side effects.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •History of migraine (with or without aura) according to the International Classification of Headache Disorders 3rd Edition (ICHD-3) for >= 12 months prior to Visit 1/Screening.
- •History of 2 to 8 migraine attacks of moderate to severe headache pain in each of the 3 months prior to Visit 1/Screening per investigator judgment.
- •Migraine onset before the age of
- •History of migraines lasting between 4 and 72 hours when untreated or treated unsuccessfully and migraine episodes separated by at least 48 hours of headache pain freedom.
排除标准
- •History of an average of 15 or more headache days per month in the 6 months prior to Visit 1/Screening per the investigator's judgment, or a current diagnosis of chronic migraine as defined by ICHD-
- •Require hospital/emergency room treatment for migraine attacks on 3 or more occasions within 6 months prior to Visit 1/Screening.
研究组 & 干预措施
Sequence 2
Participants will receive both atogepant and placebo to treat qualifying migraines.
干预措施: Placebo for Atogepant (Drug)
Sequence 1
Participants will receive both atogepant and placebo to treat qualifying migraines.
干预措施: Atogepant (Drug)
Sequence 3
Participants will receive both atogepant and placebo to treat qualifying migraines.
干预措施: Atogepant (Drug)
Sequence 3
Participants will receive both atogepant and placebo to treat qualifying migraines.
干预措施: Placebo for Atogepant (Drug)
Sequence 4
Participants will receive both atogepant and placebo to treat qualifying migraines.
干预措施: Placebo for Atogepant (Drug)
Sequence 2
Participants will receive both atogepant and placebo to treat qualifying migraines.
干预措施: Atogepant (Drug)
Sequence 1
Participants will receive both atogepant and placebo to treat qualifying migraines.
干预措施: Placebo for Atogepant (Drug)
Sequence 4
Participants will receive both atogepant and placebo to treat qualifying migraines.
干预措施: Atogepant (Drug)
结局指标
主要结局
Percentage of Participants Achieving Pain Freedom at 2 Hours After the Double-Blind (DB) Dose for the First Attack
时间窗: Approximately 16 Weeks
Pain freedom is defined as a reduction in headache severity from moderate/severe at baseline (predose) to no pain.
次要结局
- Percentage of Participants With Absence of Most Bothersome Migraine-associated Symptom (MBS) at 2 Hours After the Double-Blind (DB) Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants Achieving Pain Relief at 2 Hours After the Double-Blind (DB) Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants Achieving Sustained Pain Relief From 2 to 24 Hours After DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants Achieving Sustained Pain Relief From 2 to 48 Hours After DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants With Use of Rescue Medication Within 24 Hours After DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants With Ability to Function Normally at 2 Hours After DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants Achieving Sustained Pain Freedom From 2 to 24 Hours After DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants Achieving Sustained Pain Freedom From 2 to 48 Hours After DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants With Absence of Photophobia at 2 Hours After the DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants With Absence of Phonophobia at 2 Hours After the DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants Achieving Pain Freedom at 8 Hours After the DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants With Ability to Function Normally at 8 Hours After DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants Achieving Pain Relief at 1 Hour After the Double-Blind (DB) Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants With Absence of Nausea at 2 Hours After the Double-Blind (DB) Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants Achieving Pain Relief at 30 Minutes After the Double-Blind (DB) Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants With Ability to Function Normally at 1 Hour After DB Dose for the First Attack(Approximately 16 Weeks)
- Percentage of Participants Achieving Pain Freedom at 2 Hours After Receiving DB Atogepant for at least 2 out of 3 Attacks(Approximately 16 Weeks)
- Percentage of Participants Achieving Pain Relief at 2 Hours After Receiving Double-Blind (DB) Atogepant for at least 2 out of 3 Attacks(Approximately 16 Weeks)
- Percentage of Participants Achieving Sustained Pain Freedom From 2 to 24 Hours After Receiving DB Atogepant for at least 2 out of 3 Attacks(Approximately 16 Weeks)
- Percentage of Participants Achieving Sustained Pain Freedom From 2 to 48 Hours After Receiving DB Atogepant for at least 2 out of 3 Attacks(Approximately 16 Weeks)
- Percentage of Participants Achieving Sustained Pain Relief From 2 to 24 Hours After Receiving DB Atogepant for at least 2 out of 3 Attacks(Approximately 16 Weeks)
- Percentage of Participants Achieving Sustained Pain Relief From 2 to 48 Hours After Receiving DB Atogepant for at least 2 out of 3 Attacks(Approximately 16 Weeks)
