MedPath

Atogepant in Real Life in Italy (GIANT)

Not yet recruiting
Conditions
Migraine, Prophylaxis
Registration Number
NCT06136442
Lead Sponsor
IRCCS San Raffaele Roma
Brief Summary

Atogepant is an oral, small-molecule, calcitonin gene-related peptide (CGRP) receptor antagonist that has been approved for the preventive treatment of episodic and chronic migraine (\>= 4 monthly migraine days) with or without medication overuse.

Detailed Description

This study is designed to confirm the effectiveness and safety of atogepant in real life. The primary endpoint is the change from baseline in the mean number of monthly migraine days (MMDs)across the 12 weeks. Secondary endpoints include: change in monthly analgesic intake, Numeric Rating Scale (NRS), Headache Impact Test-6 (HIT-6) and Migraine disability assessment (MIDAS) scores, \>=50%, \>=75%, 100% responders, \>=50%, \>=75%, 100% responders in patients with medication overuse at weeks 9-12 compared to baseline and adverse events eventually occur during 12 weeks of treatment.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
500
Inclusion Criteria

Age: >18 yrs Diagnosis of migraine Migraine frequency: >=4 monthly migraine days (MMDs)

Exclusion Criteria

Patients using concomitant migraine prophylaxis Use of onabotulinumtoxinA during the previous 12 weeks Exposure to anti-CGRP mAbs during the previous 24 weeks Clinically significant cardiovascular disorders

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in monthly migraine days at weeks 9-12 compared to baseline12 weeks

variation of number of monthly migraine days

Secondary Outcome Measures
NameTimeMethod
Change in monthly analgesic intake at weeks 9-12 compared to baseline12 weeks

variation of number of analgesic intake

Change in Numerical Rating Scale (NRS) score at weeks 9-12 compared to baseline12 weeks

variation of Numerical Rating Scale (NRS) score

Change in HIT-6 (Headache Impact Test) score at weeks 9-12 compared to baseline12 weeks

variation of HIT-6

Change in Migraine Disability Assessment Test Score (MIDAS) at weeks 1-12 compared to baseline Change in MIDAS (Migraine Disability Assessment Score) score at weeks 9-12 compared to baseline12 weeks

variation of MIDAS

>50%, >75%, 100% responders at weeks 9-12 compared to baseline12 weeks

proportion of migraine patients who respond to atogepant with reduction of MMDs \>=50%, \>=75% and 100%

>50%, >75%, 100% responders at weeks 9-12 compared to baseline in patients with Medication overuse12 weeks

proportion of migraine patients with medication overuse who respond to atogepant with reduction of MMDs \>=50%, \>=75% and 100%

adverse events12 weeks

adverse events eventually occur during 12 weeks of treatment

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