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Clinical Trials/2024-512946-41-00
2024-512946-41-00
Recruiting
Phase 3

A Phase 3, Multicenter, Randomized, Double-blind, Placebo-Controlled Study with an Open-Label Extension to Evaluate the Efficacy, Safety, and Tolerability of Atogepant for the Preventive Treatment of Menstrual Migraine​ ​

AbbVie Deutschland GmbH & Co. KG61 sites in 6 countries247 target enrollmentStarted: February 19, 2025Last updated:

Overview

Phase
Phase 3
Status
Recruiting
Enrollment
247
Locations
61
Primary Endpoint
The primary endpoint is the change from baseline (CFB) in number of migraine days occurring during the perimenstrual period (PMP) averaged across 3 menstrual cycles during the double-blind (DB) period.

Overview

Brief Summary

The primary objective is to evaluate the efficacy of atogepant taken consecutively for 7 days compared to placebo for the preventive treatment of MM.

Eligibility Criteria

Ages
18 years to 64 years (18-64 Years)
Sex
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Adult individuals, at least 18 years old, who by history and eDiary confirmation have regular menstrual cycles within the range of 21 to 35 days in length (Note: menstrual cycle length is calculated as onset of menses until the day before the next onset of menses).
  • History of migraine (with or without aura) according to the ICHD-3 for ≥ 12 months prior to Visit 1/Screening.
  • Migraine onset before age 50 years.
  • By history at Visit 1/Screening, subject meets ICHD-3 criteria for pure menstrual migraine with or without aura, or menstrually-related migraine with or without aura, i.e., in at least 2 out of 3 cycles, experiences migraine attacks starting during the PMP (Day –2 to Day +3 relative to menses onset) in the opinion of the investigator.
  • Subject records 3 PMPs in the eDiary during the screening period, and in at least 2 of 3 PMPs the subject experiences and records a migraine attack in the eDiary with at least 1 migraine day.

Exclusion Criteria

  • History of an average of 15 or more headache days per month during the 3 months prior to Visit 1/Screening per the investigator's judgment, or a current diagnosis of chronic migraine as defined by ICHD-
  • An average of 15 or more headache days per month recorded in the eDiary during the screening period.
  • History of migraine with brainstem aura, hemiplegic migraine, or retinal migraine as defined by ICHD-
  • Current diagnosis of new persistent daily headache, trigeminal autonomic cephalalgia (e.g., cluster headache), or painful cranial neuropathy as defined by ICHD-
  • Subject required hospital/emergency room treatment for migraine attacks 3 or more times within 6 months prior to Visit 1/Screening.
  • Presence of other confounding pain syndromes, confounding psychiatric conditions, dementia, epilepsy, or significant neurological disorders other than migraine per investigator judgment.
  • Subject has a condition or situation, which the investigator feels will compromise the safety of the subject or the quality of the data and renders the subject an unsuitable candidate for the study.

Outcomes

Primary Outcomes

The primary endpoint is the change from baseline (CFB) in number of migraine days occurring during the perimenstrual period (PMP) averaged across 3 menstrual cycles during the double-blind (DB) period.

The primary endpoint is the change from baseline (CFB) in number of migraine days occurring during the perimenstrual period (PMP) averaged across 3 menstrual cycles during the double-blind (DB) period.

Secondary Outcomes

  • CFB in number of migraine days (with moderate or severe headache) during the PMP averaged across 3 menstrual cycles during the DB period
  • 50% or above reduction from baseline in the number of migraine days averaged across 3 PMPs during the DB period
  • CFB in number of acute medication use days during the PMP averaged across 3 menstrual cycles during the DB period
  • CFB in number of moderate or severe headache days during the PMP averaged across 3 menstrual cycles during the DB period
  • 100% reduction from baseline in the number of migraine days averaged across 3 PMPs during the DB period
  • No disability/mild impairment for 100% of PMP days (assessed by FDS) across 3 menstrual cycles during the DB period
  • CFB in number of headache days during the PMP averaged across 3 menstrual cycles during the DB period

Investigators

Sponsor Class
Pharmaceutical company
Responsible Party
Principal Investigator
Principal Investigator

Global Clinical Trials Helpdesk

Scientific

AbbVie Deutschland GmbH & Co. KG

Study Sites (61)

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