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Atogepant

Phase 3

Chronic Migraine | Small molecule | Neurology |AbbVie Inc.|Last Updated: Sep 3, 2026

Target and mechanism

Molecular targetCALCRL
Target classAntagonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials5
Total Enrollment1,462

FDA Designations

No designations recorded

Clinical trial landscape

Atogepant · 19 trials · 7 indications

Phase 3 16Phase 2 1Phase 1 2
NCT06810505A Study of Oral Atogepant Tablets to Assess Adverse Events and Change in Disease Activity To Prevent Migraine in Participants Aged 12 to 17 YearsChronic Migraine
RECRUITING420 Analytics
NCT06806293Study of Oral Atogepant to Assess Adverse Events and Change in Disease Activity in Adult Participants With Menstrual MigraineMenstrual Migraine (MM)
ACTIVE NOT_RECRUITING468 Analytics
NCT06241313Study of Oral Atogepant Tablets to Assess Safety and Efficacy in Adult Participants With MigraineMigraine
ACTIVE NOT_RECRUITING1,300 Analytics
NCT05748483Comparative Study of Oral Atogepant Versus Oral Topiramate to Assess Adverse Events in Adult Participants With MigraineMigraine
COMPLETED545 Analytics
NCT05861427Study of Oral Atogepant Tablets to Assess Change in Disease Activity in Adult Japanese Participants With Episodic MigraineMigraine
COMPLETED524 Analytics
NCT05707949Long-term Extension Study to Assess Adverse Events of Oral Atogepant Tablets in Pediatric Participants (6 to 17 Years of Age) With MigraineMigraine Prophylaxis
ENROLLING BY_INVITATION650 Analytics
NCT05711394A Study to Assess the Adverse Events and Change in Disease Activity of Oral Atogepant Tablets in Pediatric Participants (6-17 Years of Age) With Episodic MigraineEpisodic Migraine
RECRUITING450 Analytics
NCT05216263Study of Oral Atogepant When Added to OnabotulinumtoxinA (BOTOX) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Chronic MigraineChronic Migraine
COMPLETED75 Analytics
NCT04829747Study to Assess Adverse Events (AEs) When Oral Atogepant Tablet is Given to Adult Chinese Participants Who Completed Study 3101-303-002 to Prevent Chronic MigraineChronic Migraine
COMPLETED3 Analytics
NCT04740827Atogepant for Prophylaxis of Migraine in Participants Who Failed Previous Oral Prophylactic Treatments.Episodic Migraine
COMPLETED315 Analytics
PHASE3RECRUITING
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
Chronic MigraineUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study of Oral Atogepant to Assess Adverse Events and Change in Disease Activity in Adult Participants With Menstrual Migraine
Menstrual Migraine (MM)Unlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study of Oral Atogepant Tablets to Assess Safety and Efficacy in Adult Participants With Migraine
MigraineUnlock trial analytics
PHASE3COMPLETED
Comparative Study of Oral Atogepant Versus Oral Topiramate to Assess Adverse Events in Adult Participants With Migraine
MigraineUnlock trial analytics
PHASE3COMPLETED
Study of Oral Atogepant Tablets to Assess Change in Disease Activity in Adult Japanese Participants With Episodic Migraine
MigraineUnlock trial analytics
PHASE3ENROLLING BY_INVITATION
Long-term Extension Study to Assess Adverse Events of Oral Atogepant Tablets in Pediatric Participants (6 to 17 Years of Age) With Migraine
Migraine ProphylaxisUnlock trial analytics
PHASE3RECRUITING
A Study to Assess the Adverse Events and Change in Disease Activity of Oral Atogepant Tablets in Pediatric Participants (6-17 Years of Age) With Episodic Migraine
Episodic MigraineUnlock trial analytics
PHASE3COMPLETED
Study of Oral Atogepant When Added to OnabotulinumtoxinA (BOTOX) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Chronic Migraine
Chronic MigraineUnlock trial analytics
PHASE3COMPLETED
Study to Assess Adverse Events (AEs) When Oral Atogepant Tablet is Given to Adult Chinese Participants Who Completed Study 3101-303-002 to Prevent Chronic Migraine
Chronic MigraineUnlock trial analytics
PHASE3COMPLETED
Atogepant for Prophylaxis of Migraine in Participants Who Failed Previous Oral Prophylactic Treatments.
Episodic MigraineUnlock trial analytics

Study Endpoints

Primary Endpoints

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 Days
Baseline (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.

Change in Number of Migraine Days Occurring During the Perimenstrual Period (PMP) Averaged Across 3 Menstrual Cycles During the Double-Blind Period
Up to approximately 120 days

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

Percentage of Participants Achieving Pain Freedom at 2 Hours After the Double-Blind (DB) Dose for the First Attack
Approximately 16 Weeks

Pain freedom is defined as a reduction in headache severity from moderate/severe at baseline (predose) to no pain.

Percentage of Participants Who Discontinued Treatment Due to Treatment-Emergent Adverse Events (TEAEs)
Week 24

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. The investigator assesses the relationship of each event to the use of study drug. Treatment-emergent adverse events (TEAEs) are defined as any AE with an onset date on or after the date of first dose of study drug during the Double Blind (DB) treatment period; and on or before the date of last dose of study drug during the DB treatment period (including tapering off phase, if applicable) + 30 days; and before the date of first dose of study drug during the Open Label (OL) treatment period, if applicable.

Number of Participants Experiencing With Adverse Events (AEs)
Up to Week 12

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.

Percentage of Participants with Adverse Events (AEs)
Up to 56 Weeks

AE, defined as any unfavorable medical event that is temporarily related to the use of the investigational product, which does not necessarily have a causal relationship with the investigational product.

Percentage of Participants with Potentially Clinically Significant Lab Values
Up to 52 Weeks

Percentage of participants with abnormal change in clinical laboratory test results like hematology, chemistry and urinalysis will be assessed.

Percentage of Participants with Potentially Clinically Significant Clinical 12-lead Electrocardiogram (ECG)
Up to 52 Weeks

12-lead resting ECGs will be recorded. Parameters include heart rate, PR interval, QT interval, QRS duration, and QT interval corrected using Fridericia's formula (QTcF).

Percentage of Participants with Potentially Clinically Significant Vital Sign Parameters
Up to 52 Weeks

Number of participants with abnormal change from baseline in vital sign measurements like systolic and diastolic blood pressure will be assessed.

Percentage of with Participants with Treatment-Emergent Suicidal Ideations with Intent, with or without a Plan (i.e., Type 4 or 5 on Columbia-Suicide Severity Rating Scale [C-SSRS]), or any Suicidal Behaviors
Up to 52 Weeks

The C-SSRS is a clinician-rated instrument that reports the severity of both suicidal ideation and behavior. Suicidal ideation was classified on a 5-item scale: 1 (wish to be dead), 2 (nonspecific active suicidal thoughts), 3 (active suicidal ideation with any methods \[not plan\] without intent to act), 4 (active suicidal ideation with some intent to act, without specific plan), and 5 (active suicidal ideation with specific plan and intent). Suicidal behavior is classified on a 5-item scale: 0 (no suicidal behavior), 1 (preparatory acts or behavior), 2 (aborted attempt), 3 (interrupted attempt), and 4 (actual attempt).

Percentage of Participants with Change in Menstrual Cycle (Female Participants Only)
Up to 52 Weeks

Female participants who have entered menarche are to be asked for the date of the first and last day of their most recent menstrual period.

Change from Baseline in Tanner Staging Score
Baseline (Week 0) through Week 52

Tanner's staging is used to assess growth and pubertal development.

Change from Baseline in Behavior Rating Inventory of Executive Function, 2nd Edition (BRIEF 2) questionnaire
Baseline (Week 0) through Week 52

The BRIEF 2 is an 86-item questionnaire assessing executive function. It consists of 2 indexes, Behavioral Regulation and Metacognition, which are then used to calculate an overall composite score. Higher scores indicate more executive difficulties

Number of Participants Experiencing Adverse Events
Baseline (Week 0) through Week 16

An 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.

Number of Participants With Adverse Events (AEs)
From first dose of study drug until 4 weeks following last dose of study drug (up to 28 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. The investigator assesses the relationship of each event to the use of study drug. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity on or after the first dose of study drug.

Percentage of Participants With Potentially Clinically Significant (PCS) Laboratory Values (Chemistry, Hematology, Urinalysis) as Assessed by the Investigator
From first dose of study drug until last dose of study drug (24 weeks)

Clinical laboratory test values are considered PCS if they meet either the lower-limit or higher-limit PCS criteria defined in the categories below. The percentage of participants with PCS laboratory values are summarized for hematology, chemistry, and urinalysis. Glomerular Filtration Rate (GFR) is a clinical measurement that calculates how many milliliters of blood the kidneys filter every second. Glucose, Urinalysis: At least 1+ indicates that the urine contains an increased concentration of sugar. Protein, Urinalysis: At least 1+ indicates that the urine contains an increased concentration of protein.

Percentage of Participants With Potentially Clinically Significant (PCS) Vital Sign Measurements as Assessed by the Investigator
From first dose of study drug until last dose of study drug (24 weeks)

Potentially Clinically Significant post-Baseline vital sign values are summarized for categories: systolic and diastolic blood pressures \[sitting\], pulse rate \[sitting\], and weight. Number of participants with non-PCS baseline values who met the PCS criterion at least once post-baseline are reported.

Percentage of Participants With Most Severe Suicidal Ideation and Suicidal Behavior as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) During the Open-Label Treatment Period
From first dose of study drug until last dose of study drug (24 weeks)

The C-SSRS is a clinician-rated instrument that reports the severity of both suicidal ideation and behavior. Suicidal ideation is classified on a 5-item scale: 1 (wish to be dead), 2 (nonspecific active suicidal thoughts), 3 (active suicidal ideation with any methods \[not plan\] without intent to act), 4 (active suicidal ideation with some intent to act, without specific plan), and 5 (active suicidal ideation with specific plan and intent). Suicidal behavior is classified on a 5-item scale: 0 (no suicidal behavior), 1 (preparatory acts or behavior), 2 (aborted attempt), 3 (interrupted attempt), and 4 (actual attempt). More than 1 classification can be selected provided they represent separate episodes. (Minimum total score 0, maximum total score 5; higher total scores indicate more suicidal ideation and/or suicidal behavior).

Percentage of Participants With Potentially Clinically Significant (PCS) Electrocardiograms (ECGs) Findings as Assessed by the Investigator
From first dose of study drug until last dose of study drug (24 weeks)

12-lead ECGs were performed at select study visits.

Number of Participants With Adverse Events
Baseline of the study 3101-303-002 to 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. The investigator assesses the relationship of each event to the use of study. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity.

Number of Participants With Significant Change in Clinical Laboratory Determinations
Baseline of the study 3101-303-002 to 16 weeks

Number of participants with clinically significant change from baseline for any detectable clinical laboratory tests like hematology will be reported.

Number of Participants With Significant Change in Vital Sign Measurements
Baseline of the study 3101-303-002 to 16 weeks

Number of participants with clinically significant change from baseline for any vital signs like standing BP, sitting and standing pulse rate will be reported.

Number of Participants With Significant Change in Electrocardiogram (ECG) Parameters
Baseline of the study 3101-303-002 to 12 weeks

12-lead ECG will be performed.

Number of Participants With a Change in Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline of the study 3101-303-002 to 16 weeks

The C-SSRS is a clinician-rated instrument that reports the severity of both suicidal ideation and behavior. Suicidal ideation is classified on a 5-item scale: 1 being wish to be dead and 5 being active suicidal ideation with specific plan and intent. Suicidal behavior is classified on a 5-item scale: 0 being no suicidal behavior and 4 being actual attempt.

Change From Baseline in Mean Monthly Migraine Days Across 12-Week Treatment Period in mITT Population
Baseline to Week 12

Participants recorded daily duration of migraine in a diary. A migraine day was any calendar day on which the participant experienced a migraine headache. The monthly (4-week) migraine days were defined as the total number of reported migraine days in diary divided by total number of days with diary records during each 4-week period and multiplied by 28. Each 4-week period was averaged. Baseline is defined as the number of migraine days during the last 28 days prior to the randomization date. Negative change from Baseline indicates improvement. Mixed-effects model for repeated measures (MMRM) was used for analysis.

Change From Baseline in Mean Monthly Migraine Days Across 12-Week Treatment Period in OTHE Population
Baseline to Week 12

Participants recorded daily duration of migraine in a diary. A migraine day was any calendar day on which the participant experienced a migraine headache. The monthly (4-week) migraine days were defined as the total number of reported migraine days in diary divided by total number of days with diary records during each 4-week period and multiplied by 28. Each 4-week period was averaged. Baseline is defined as the number of migraine days during the last 28 days prior to the randomization date. Negative change from Baseline indicates improvement. MMRM was used for analysis.

Percentage of Participants with at Least 1 Treatment Emergent Adverse Event
156 weeks
Percentage of Participants With at Least 1 Treatment-Emergent Adverse Event and Treatment-Emergent Serious Adverse Event (TEAEs/TESAEs)
From first dose of study drug until 4 weeks following the last dose of study drug (up to 56 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. The investigator assesses the relationship of each event to the use of study drug. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity on or after the first dose of study drug.

Change From Baseline in Mean Monthly Migraine Days Across 12-Week Treatment Period in Off-Treatment Hypothetical Estimand Population
Baseline to Week 12

Participants recorded daily duration of migraine in a diary. A migraine day was any calendar day on which the participant experienced a migraine headache. The monthly (4-week) migraine days were defined as the total number of reported migraine days in diary divided by total number of days with diary records during each 4-week period and multiplied by 28. Each 4-week period was averaged. Baseline is defined as the number of migraine days during the last 28 days prior to the randomization date. Negative change from Baseline indicates improvement. A contrast from Mixed-effects model for repeated measures (MMRM) was used to obtain the average treatment effects across the 12-week treatment period.

Change From Baseline in Mean Monthly Migraine Days Across the 12-Week Treatment Period
Baseline (Day -28 to Day -1) to Week 12

Participants recorded daily duration of migraine in a diary. A migraine day was any calendar day on which the participant experienced a migraine headache qualified by duration or acute symptomatic medication use. The monthly (4-week) migraine days was defined as the total number of reported migraine days in diary divided by total number of days with diary records during each 4-week period and multiplied by 28. Each 4-week period was averaged. Baseline was defined as the number of migraine days during the last 28 days of the Baseline phase, from Day -28 to -1. Negative change from Baseline indicates improvement. A Mixed-effects model for repeated measures (MMRM) was used for analysis.

Percentage of Participants With at Least 1 Treatment Emergent Adverse Event (TEAE)
From first dose up to the end of study (median treatment of 52 weeks) + 4 weeks follow-up

An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A TEAE is an AE that occurs or worsens after receiving investigational study drug.

Change From Baseline in Mean Monthly Migraine Days (Migraine/Probable Migraine Headache Days) Across the 12-Week Treatment Period
Baseline (First 28 Days of Screening/Baseline Period) to Week 12

Participants recorded daily duration of migraine in a diary. A migraine day was any calendar day on which the participant experienced a migraine headache qualified by duration and acute symptomatic medication use. The 4-week migraine days was defined as the total number of reported migraine days in diary divided by total number of days with diary records during each 4- week period and multiplied by 28. Each 4-week period was averaged. Negative change from Baseline indicates improvement.

Maximum Observed Plasma Concentration (Cmax) of Atogepant
Up to Day 2

Cmax of Atogepant

Maximum Observed Plasma Concentration (Cmax)of Ubrogepant
Up to Day 2

Cmax of Ubrogepant

Time to Cmax (Tmax) of Atogepant
Up to Day 2

Tmax of Atogepant

Time to Cmax (Tmax) of Ubrogepant
Up to Day 2

Tmax of Ubrogepant

Apparent Terminal Phase Elimination Rate Constant (β) of Atogepant
Up to Day 2

Apparent terminal phase elimination rate constant of Atogepant

Apparent Terminal Phase Elimination Rate Constant (β) of Ubrogepant
Up to Day 2

Apparent terminal phase elimination rate constant of Ubrogepant

Terminal Phase Elimination Half-life (t1/2) of Atogepant
Up to Day 2

T1/2 of Atogepant

Terminal Phase Elimination Half-life (t1/2) of Ubrogepant
Up to Day 2

T1/2 of Ubrogepant

Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to the Time of the Last Measurable Concentration (AUCt) of Atogepant
Up to Day 2

AUCt of Atogepant

AUCt of Ubrogepant
Up to Day 2
AUC From Time 0 to the Time Infinity (AUCinf) of Atogepant
Up to Day 2

AUCinf of Atogepant

AUCinf of Ubrogepant
Up to Day 2
Maximum Observed Breast Milk Concentration (CMAX) of Atogepant
Up to Day 2

CMAX of Atogepant

Maximum Observed Breast Milk Concentration (CMAX) of Ubrogepant
Up to Day 2

CMAX of Ubrogepant

Time to Maximum Observed Breast Milk Concentration (TMAX) of Atogepant
Up to Day 2

TMAX of Atogepant

Time to Maximum Observed Breast Milk Concentration (TMAX) of Ubrogepant
Up to Day 2

TMAX of Ubrogepant

Area Under the Milk Concentration-Time Curve (AUC) From Time 0 to the Time of the Last Measurable Concentration (AUCLST) of Atogepant
Up to Day 2

AUCLST of Atogepant

Area Under the Milk Concentration-Time Curve (AUC) From Time 0 to the Time of the Last Measurable Concentration (AUCLST) of Ubrogepant
Up to Day 2

AUCLST of Ubrogepant

Area Under the Milk Concentration-Time Curve (AUC) From Time 0 to Infinity (AUCINF) of Atogepant
Up to Day 2

AUCINF of Atogepant

Area Under the Milk Concentration-Time Curve (AUC) From Time 0 to Infinity (AUCINF) of Ubrogepant
Up to Day 2

AUCINF of Ubrogepant

Area Under the Plasma Concentration-time Curve from Time 0 to t (AUC0-t), when Ubrogepant is Administered
Day 1

Area Under the Plasma Concentration-time Curve from 0 to t (AUC0-t), when Ubrogepant is administered.

Area Under the Plasma Concentration-time Curve from Time 0 to t (AUC0-t), when Ubrogepant and Atogepant are Coadministered
Day 1

Area Under the Plasma Concentration-time Curve from 0 to t (AUC0-t), when ubrogepant and atogepant are coadministered.

Area Under the Plasma Concentration-time Curve from Time 0 to Infinity (AUC0-inf), when Ubrogepant is Administered
Day 1

Area Under the Plasma Concentration-time Curve from 0 to infinity (AUC0-inf), when Ubrogepant is administered.

Area Under the Plasma Concentration-time Curve from Time 0 to Infinity (AUC0-inf), when when Ubrogepant and Atogepant are Coadministered
Day 1

Area Under the Plasma Concentration-time Curve from 0 to infinity (AUC0-inf), when ubrogepant and atogepant are coadministered.

Area Under the Plasma Concentration-time Curve During the Dosing Interval at Steady State (AUCtau), when Atogepant is Administered
Day 6

Area Under the Plasma Concentration-time Curve during the dosing interval at steady state (AUCtau), when Atogepant is administered.

Area Under the Plasma Concentration-time Curve During the Dosing Interval at Steady State (AUCtau), when Ubrogepant and Atogepant are Coadministered
Day 6

Area Under the Plasma Concentration-time Curve during the dosing interval at steady state (AUCtau), when ubrogepant and atogepant are coadministered.

Maximum Plasma Drug Concentration (Cmax) when Ubrogepant is Administered
Day 1

Maximum plasma drug concentration (Cmax) when ubrogepant is administered.

Maximum Plasma Drug Concentration (Cmax) when Atogepant is Administered
Day 6

Maximum plasma drug concentration (Cmax) when atogepant is administered.

Maximum Plasma Drug Concentration (Cmax) of Ubrogepant when Ubrogepant and Atogepant are Coadministered
Day 7

Maximum plasma drug concentration (Cmax) of ubrogepant when ubrogepant and atogepant are coadministered.

Maximum Plasma Drug Concentration (Cmax) of Atogepant when Ubrogepant and Atogepant are Coadministered
Day 7

Maximum plasma drug concentration (Cmax) of atogepant when ubrogepant and atogepant are coadministered.

Secondary Endpoints

Change From Baseline in Mean Monthly Headache Days
Baseline (Week 0) through Week 12
Change From Baseline in Mean Monthly Acute Medication Use Days
Baseline (Week 0) through Week 12
Percentage of Participants who Achieve at Least a 50% Reduction in 3-month Average of Monthly Migraine Days
Baseline (Week 0) through Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AtogepantEXPERIMENTALParticipants will receive atogepant once daily for 12 weeks.
Placebo for AtogepantPLACEBO_COMPARATORParticipants will receive placebo for atogepant once daily for 12 weeks.
Sequence 1PLACEBO_COMPARATORParticipants will receive both atogepant and placebo to treat qualifying migraines.
Sequence 2EXPERIMENTALParticipants will receive both atogepant and placebo to treat qualifying migraines.
Sequence 3EXPERIMENTALParticipants will receive both atogepant and placebo to treat qualifying migraines.
Sequence 4EXPERIMENTALParticipants will receive both atogepant and placebo to treat qualifying migraines.
TopiramateACTIVE_COMPARATORParticipants will receive topiramate in double-blind period. From Week 25, eligible participants will receive atogepant in open-label period.
Atogepant Dose AEXPERIMENTALParticipants will receive atogepant dose A once daily (QD) for 24 weeks.
Atogepant Dose BEXPERIMENTALParticipants will receive atogepant dose B QD for 24 weeks.
Atogepant Dose CEXPERIMENTALParticipants will receive atogepant dose C QD for 24 weeks.
PlaceboEXPERIMENTALParticipants will receive placebo QD for 12 weeks. Participants will be re-randomized at week 12 to receive atogepant dose A, dose B or dose C QD for 12 weeks.
Atogepant Dose A (12-17 yrs)EXPERIMENTALParticipant aged 12-17 will receive oral tablets of atogepant Dose A once a day for up to 52 weeks.
Atogepant Dose B (6-11 yrs)EXPERIMENTALParticipants aged 6-11 will receive the highest dose of oral tablets of atogepant tested in the lead-in study M21-201.
Open-Label PK Substudy: Atogepant Dose A (6-11 yrs)EXPERIMENTALParticipants aged 6 to 11 will receive oral tablets of atogepant Dose A to determine appropriate dose for the 6-11 year old group in double-blind treatment period.
Open-Label PK Substudy: Atogepant Dose B (6-11 yrs)EXPERIMENTALParticipants aged 6 to 11 will receive oral tablets of atogepant Dose B to determine appropriate dose for the 6-11 year old group in double-blind treatment period.
Double-Blind Treatment Period: High Dose Atogepant (12-17 yrs)EXPERIMENTALParticipants aged 12 to 17 will receive oral tablets of high dose atogepant once a day for 12 weeks.
Double-Blind Treatment Period: Placebo (12-17 yrs)PLACEBO_COMPARATORParticipants aged 12 to 17 will receive oral tablets of placebo-matching atogepant once a day for 12 weeks.
Double-Blind Treatment Period: Low Dose Atogepant (12-17 yrs)EXPERIMENTALParticipants aged 12 to 17 will receive oral tablets of low dose atogepant once a day for 12 weeks.
Double-Blind Treatment Period: High Dose Atogepant (6-11 yrs)EXPERIMENTALParticipants aged 6-11 will receive oral tablets of high dose atogepant once a day for 12 weeks.
Double-Blind Treatment Period: Placebo (6-11 yrs)PLACEBO_COMPARATORParticipants aged 6 to 11 will receive oral tablets of placebo-matching atogepant once a day for 12 weeks.
Double-Blind Treatment Period: Low Dose Atogepant (6-11 yrs)EXPERIMENTALParticipants aged 6-11 will receive oral tablets of low dose atogepant once a day for 12 weeks.
Atogepant 60 mgACTIVE_COMPARATORParticipants received atogepant 60 mg, orally, QD for up to 12 weeks in a DB treatment period.
Atogepant 60 mg Chronic MigraineEXPERIMENTALParticipants with chronic migraine (CM) who completed lead-in Study 3101-303-002 (NCT03855137) received atogepant orally as 60 mg tablets once a day (QD) for 52 weeks.
Atogepant 60 mg Episodic MigraineEXPERIMENTALParticipants with episodic migraine (EM) who were newly recruited and met all study entry criteria received atogepant orally as 60 mg tablets once a day (QD) for 52 weeks.
Atogepant 30 mg BIDACTIVE_COMPARATORParticipants received atogepant 30 mg tablet, orally, BID and atogepant-matching placebo tablets orally, BID for up to 12 weeks in a DB treatment period.
Atogepant 60 mg QDACTIVE_COMPARATORParticipants received atogepant 60 mg, orally, once daily (QD) along with atogepant-matching placebo 30 mg as morning dose followed by atogepant-matching placebo 30 mg and 60 mg as evening doses for up to 12 weeks in a DB treatment period.
Atogepant 10 mgEXPERIMENTALAtogepant 10 mg tablet orally once daily and placebo-matching atogepant tablets orally once daily for 12 weeks.
Atogepant 30 mgEXPERIMENTALAtogepant 30 mg tablet orally once daily and placebo-matching atogepant tablets orally once daily for 12 weeks.
Oral SOC Migraine Preventive MedicationACTIVE_COMPARATOROral standard of care (SOC) medication recognized as safe and effective for the prevention of migraine, based on investigator's judgement in consultation with the participant.
Atogepant 10 mg QDEXPERIMENTALAtogepant 10 mg capsule orally once daily (QD) in the morning and one placebo-matching atogepant capsule orally once daily in the evening for 12 weeks.
Atogepant 30 mg QDEXPERIMENTALAtogepant 30 mg capsule orally once daily in the morning and one placebo-matching atogepant capsule orally once daily in the evening for 12 weeks.
Atogepant 60 mg BIDEXPERIMENTALAtogepant 60 mg capsule orally twice daily; 1 capsule in the morning and 1 capsule in the evening for 12 weeks.
UbrogepantACTIVE_COMPARATORParticipants will receive single dose of ubrogepant on Day 1.
Atogepant, Ubrogepant, and CoadministrationEXPERIMENTALParticipants will receive oral tablets of ubrogepant, followed be oral tablets of atogepant, followed by administration of oral tablets of atogepant and ubrogepant in combination, for a 30 day interventional period and a 7 day follow up period.

Interventions

NameTypeDescription
AtogepantDRUGOral tablet
Placebo for AtogepantDRUGOral tablet
TopiramateDRUGOral Capsule
Placebo for TopiramateDRUGOral Capsule
Placebo-Matching AtogepantDRUGOral Tablet
Atogepant 60 mgDRUGAtogepant tablets.
PlaceboDRUGAtogepant matching placebo tablets.
Atogepant 30 mgDRUGTablets containing 30 mg atogepant
Standard of Care (SOC) Migraine Preventive MedicationDRUGStandard of care medication selected based on investigator's judgement, recognized as safe and effective for the prevention of migraine.
UbrogepantDRUGOral Tablet
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Eligibility Criteria

Age Range12 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites64

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...

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Recent Changes (Last 90 Days)

LOWSep 3, 2026NCT06810505lastUpdatePostDate: changed
LOWSep 3, 2026NCT05711394lastUpdatePostDate: changed
LOWSep 3, 2026NCT06810505lastUpdatePostDate: changed
LOWSep 3, 2026NCT05711394lastUpdatePostDate: changed
LOWAug 27, 2026NCT05711394lastUpdatePostDate: changed
LOWAug 27, 2026NCT05711394lastUpdatePostDate: changed
LOWAug 24, 2026NCT06810505lastUpdatePostDate: changed
LOWAug 24, 2026NCT05711394lastUpdatePostDate: changed
LOWAug 24, 2026NCT06810505lastUpdatePostDate: changed
LOWAug 24, 2026NCT05711394lastUpdatePostDate: changed
LOWAug 21, 2026NCT05711394lastUpdatePostDate: changed
LOWAug 21, 2026NCT05711394lastUpdatePostDate: changed
LOWAug 14, 2026NCT05711394lastUpdatePostDate: changed
LOWAug 14, 2026NCT05711394lastUpdatePostDate: changed
MEDIUMAug 2, 2026NCT05748483TRIAL_REMOVED: changed
MEDIUMAug 2, 2026NCT05748483TRIAL_REMOVED: changed
MEDIUMAug 2, 2026NCT05748483TRIAL_REMOVED: changed
MEDIUMAug 2, 2026NCT05748483TRIAL_REMOVED: changed
LOWJul 30, 2026NCT06806293primaryCompletionDate: changed
LOWJul 30, 2026NCT06806293primaryCompletionDate: changed

Frequently asked questions about Atogepant

What is Atogepant used for?

Atogepant is an investigational small molecule being studied for migraine prophylaxis, including episodic migraine, chronic migraine, and menstrual migraine. It is in Phase 3 clinical development and has not been approved by the FDA.

Who makes Atogepant?

Atogepant is being developed by AbbVie Inc. (NYSE: ABBV). The company is conducting Phase 3 clinical trials to evaluate the drug for the prevention of migraine.

What phase is Atogepant in?

Atogepant is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. Multiple Phase 3 trials have been completed, and one trial is currently active.

What clinical trials is Atogepant in?

Atogepant has been studied in several Phase 3 trials, including NCT03700320, NCT03939312, NCT04686136, and NCT04740827. These trials evaluated atogepant for the prevention of episodic and chronic migraine in adults.

Is Atogepant the same as Qulipta?

Atogepant is the generic name for the drug marketed as Qulipta. AbbVie developed atogepant under this brand name for the preventive treatment of migraine.