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Atogepant

Phase 4FDA approved

Chronic Migraine | Small molecule | Neurology |AbbVie Inc.|Trials Updated: Oct 9, 2026

Atogepant development status

FDA approval on record Sep 28, 2021 as Qulipta
Approval holderAbbvie
ApplicationNDA215206
Highest phase Phase 4 (NCT05264129)
Phase scored for ABBVPhase 3
Registered trials 17 across 2 sponsors since Jul 2016

Label indication QULIPTA is indicated for the preventive treatment of migraine in adults. QULIPTA is a calcitonin gene-related peptide receptor antagonist indicated for the preventive treatment of migraine in adults. ( 1 ) FDA label

Atogepant target and mechanism

Molecular targetCALCRL
Target classAntagonist
ModalitySmall molecule

Also known as Qulipta, Aquipta, AGN-241689

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials17
Total Enrollment9,623

FDA Designations

No designations recorded

Atogepant clinical trials

Atogepant · 17 trials · 6 indications

Phase 3 15Phase 2 1Phase 1 1
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
COMPLETED2,158 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
PHASE3COMPLETED
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.

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.

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.
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.
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
UbrogepantDRUGOral; Tablet
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Eligibility Criteria

Age Range12 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites66

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...

Countries:United StatesCanadaDenmarkHungaryItalyJapanNetherlandsPolandPortugalPuerto RicoUnited KingdomChinaCzechiaGermanySouth KoreaSpainTaiwanBelgiumSlovakiaSwedenAustriaFranceIsraelRomaniaAustraliaRussia
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Recent Changes (Last 90 Days)

MEDIUMOct 12, 2026NCT06241313TRIAL_REMOVED: changed
MEDIUMOct 12, 2026NCT06241313TRIAL_REMOVED: changed
MEDIUMOct 12, 2026NCT06241313TRIAL_REMOVED: changed
LOWOct 9, 2026NCT06810505lastUpdatePostDate: changed
LOWOct 9, 2026NCT06810505lastUpdatePostDate: changed
LOWOct 6, 2026NCT05711394lastUpdatePostDate: changed
LOWOct 6, 2026NCT05711394lastUpdatePostDate: changed
LOWOct 5, 2026NCT05711394lastUpdatePostDate: changed
LOWOct 5, 2026NCT05711394lastUpdatePostDate: changed
LOWSep 22, 2026NCT06810505lastUpdatePostDate: changed
LOWSep 22, 2026NCT06810505lastUpdatePostDate: changed
LOWSep 16, 2026NCT05711394lastUpdatePostDate: changed
LOWSep 16, 2026NCT05711394lastUpdatePostDate: changed
HIGHSep 11, 2026NCT06241313Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 11, 2026NCT06241313Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWSep 9, 2026NCT05711394lastUpdatePostDate: changed
LOWSep 9, 2026NCT05711394lastUpdatePostDate: changed
LOWSep 8, 2026NCT05711394lastUpdatePostDate: changed
LOWSep 8, 2026NCT05711394lastUpdatePostDate: changed
LOWSep 4, 2026NCT06806293lastUpdatePostDate: changed

Frequently asked questions about Atogepant

What is atogepant used for?

Atogepant is an oral small-molecule therapy being developed for migraine prevention. Its studied indications include chronic migraine, episodic migraine, menstrual migraine, and migraine with or without aura. It is taken as a preventive treatment rather than to stop an attack already in progress. Development is led by AbbVie Inc. (ABBV).

What does atogepant target?

Atogepant targets CALCRL, the calcitonin receptor-like receptor, and acts as an antagonist. By blocking this receptor, atogepant interferes with CGRP-mediated signaling that is involved in migraine. This mechanism underlies its use as a preventive treatment for migraine rather than an acute abortive therapy.

Who makes atogepant?

Atogepant is developed by AbbVie Inc., which trades on the New York Stock Exchange under the ticker ABBV. AbbVie is the sponsor of the clinical program studying the drug across multiple migraine indications, including chronic migraine, episodic migraine, and menstrual migraine, in adult and adolescent populations.

What phase is atogepant in?

Atogepant is in Phase 3 clinical development. It is an investigational oral small-molecule therapy and is not described here as approved. The Phase 3 program includes completed and ongoing studies across adult and adolescent migraine populations, with a total of five trials and about 3,253 enrolled participants.

What clinical trials is atogepant in?

Atogepant has been studied in Phase 3 trials including NCT06241313 in adult migraine, NCT05861427 in adult Japanese participants with episodic migraine, and NCT06806293 in adult women with menstrual migraine. NCT06810505 is currently recruiting adolescents aged 12 to 17 years with chronic migraine. The trials are randomized, double-blind, and controlled.