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NCT05711394PHASE3Recruiting

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

AbbVie

Start Date

5/1/2023

Completion Date

5/1/2028

Summary

A migraine is a moderate to severe headache on one side of the head. A migraine attack is a headache that may be accompanied by throbbing, nausea, vomiting, sensitivity to light and sound, or other symptoms. A number of treatments are available for adults with migraine but there are limited approved treatments available for pediatric participants. The main goal of the study is to evaluate the safety and efficacy (how well treatment works) of a low-dose and high-dose of atogepant in pediatric participants between the ages of 6 and 17. Atogepant is a medicine currently approved to treat adults with migraine (0 to 14 migraine days per month) and is being studied in pediatric participants between the ages of 6 and 17 with a history of episodic migraine. This is a Phase 3, randomized, double-blind study of atogepant in participants with a history of episodic migraine with an open-label pharmacokinetic substudy. Eligible participants will be randomized into 6 different groups. Participants between the ages of 12 and 17 will be randomized to receive placebo, low-dose atogepant, or high-dose atogepant for 12 weeks. Participants between the ages of 6 and 11 will also be randomized to receive placebo, low-dose atogepant, or high-dose atogepant for 12 weeks. The specific atogepant doses to be used in participants between the ages of 6 and 11 will be determined after the PK substudy is complete. Around 450 participants will be enrolled in approximately 100 sites worldwide. Placebo, low-dose atogepant, and high-dose atogepant are given as a tablet to take by mouth once a day. At the end of Week 12, participants will either undergo a follow-up visit 4 weeks after last study treatment or join an extension study where they can continue to receive atogepant for another 52 weeks. There may be a bigger responsibility for participants in this study. Participants will attend regular visits during the study at a hospital or clinic. The effects of treatment will be checked by medical assessments, blood tests, checking for side effects, and completing questionnaires.

Eligibility Criteria

Age Range: 6 years to 17 years

Inclusion Criteria: * Weight is \>= 20 kg (44 lbs) and \< 135 kg (298 lbs). * History of episodic migraine with or without aura consistent with a diagnosis according to the International Classification of Headache Disorders (ICHD) -3 (2018) for at least 6 months. * Participant has to have 4 to 14 migraine days and \< 15 headache days in the 28-day baseline period per eDiary. * To be eligible for the PK substudy, participants must be 6 to 11 years of age (inclusive), with a history of migraine (consistent with a diagnosis according to the ICHD-3 \[2018\]) and per investigator judgment is appropriate to receive preventive treatment for migraine. Exclusion Criteria: * History of migraine brainstem aura, hemiplegic migraine, or retinal migraine as defined by ICHD-3 (2018). * Have a current diagnosis of chronic migraine as defined by ICHD-3 (2018). * Have a current diagnosis of new daily persistent headache, trigeminal autonomic cephalgia (e.g., cluster headache), or painful cranial neuropathy as defined by ICHD-3 (2018).

Interventions

DRUG

Atogepant

DRUG

Placebo-Matching Atogepant

Interested in This Trial?

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Conditions

Episodic Migraine

Locations

Rehabilitation & Neurological Services /ID# 248517

Huntsville, Alabama 35805-4046

United States

The Center for Clinical Trials - Saraland /ID# 271604

Saraland, Alabama 36571

United States

Preferred Research Partners /ID# 249729

Little Rock, Arkansas 72211

United States

Preferred Research Partners /ID# 270406

Little Rock, Arkansas 72211

United States

Advanced Research Center /ID# 251381

Anaheim, California 92805

United States

Alliance for Research Alliance for Wellness /ID# 248521

Long Beach, California 90807

United States

Excell Research, Inc /ID# 247532

Oceanside, California 92056

United States

Lumos Clinical Research Center /ID# 249731

San Jose, California 95124-4108

United States

Sunwise Clinical Research /ID# 248529

Walnut Creek, California 94596

United States

Advanced Neurosciences Research, LLC /ID# 247592

Fort Collins, Colorado 80528

United States

Northwest Florida Clinical Research Group, LLC /ID# 251382

Gulf Breeze, Florida 32561-4495

United States

Advanced Research Institute of Miami /ID# 248539

Homestead, Florida 33030-4613

United States

My Preferred Research LLC /ID# 249720

Miami, Florida 33155

United States

Asclepes Research Centers - Spring Hill /ID# 248525

Spring Hill, Florida 34609-5692

United States

Coastal Georgia Child Neurology /ID# 249733

Brunswick, Georgia 31520-1601

United States

Deaconess Clinic - Gateway Health Center /ID# 247589

Newburgh, Indiana 47630

United States

College Park Family Care Center Overland Park /ID# 249734

Overland Park, Kansas 66210-2761

United States

Michigan Headache & Neurological Institute (MHNI) /ID# 247468

Ann Arbor, Michigan 48104-5131

United States

Proven Endpoints LLC /ID# 258066

Ridgeland, Mississippi 39157

United States

Cognitive Clinical Trials (CCT) - Papillion /ID# 248536

Papillion, Nebraska 68046-4131

United States

Goryeb Childrens Hospital /ID# 249724

Morristown, New Jersey 07960

United States

Dent Neurologic Institute - Amherst /ID# 248534

Amherst, New York 14226

United States

Modern Migraine MD /ID# 258074

New York, New York 10001

United States

Headache Wellness Center /ID# 251018

Greensboro, North Carolina 27405

United States

Patient Priority Clinical Sites, LLC /ID# 247535

Cincinnati, Ohio 45215-2123

United States

Cincinnati Childrens Hospital Medical Center /ID# 258070

Cincinnati, Ohio 45229

United States

CincyScience /ID# 249726

West Chester, Ohio 45069

United States

Lynn Institute of Oklahoma City /ID# 247600

Oklahoma City, Oklahoma 73112

United States

Children's Hospital of Philadelphia - Main /ID# 258071

Philadelphia, Pennsylvania 19104-4319

United States

Le Bonheur Children's Hospital /ID# 261084

Memphis, Tennessee 38103

United States

Access Clinical Trials, Inc. /ID# 248532

Nashville, Tennessee 37203

United States

UT Health Austin at Dell Children's Neurology Clinic /ID# 264082

Austin, Texas 78723-3079

United States

FutureSearch Trials of Neurology /ID# 247470

Austin, Texas 78731

United States

3A Research - East El Paso /ID# 248516

El Paso, Texas 79925-7945

United States

Earle Research /ID# 248501

Friendswood, Texas 77546

United States

Family Psychiatry of The Woodlands /ID# 249727

The Woodlands, Texas 77381

United States

ClinPoint Trials /ID# 248540

Waxahachie, Texas 75165-1430

United States

Pantheon Clinical Research /ID# 251601

Bountiful, Utah 84010-4968

United States

Alpine Research Organization - Clinton /ID# 276497

Clinton, Utah 84015

United States

Highland Clinical Research /ID# 247590

Salt Lake City, Utah 84124

United States

Office of Maria Ona /ID# 249738

Franklin, Virginia 23851

United States

Core Clinical Research /ID# 249721

Everett, Washington 98201

United States

Uza /Id# 247339

Edegem, Antwerpen 2650

Belgium

Algemeen Ziekenhuis Sint-Jan Brugge /ID# 247201

Bruges, West-Vlaanderen 8000

Belgium

Stollery Children's Hospital /ID# 249672

Edmonton, Alberta T6G 2B7

Canada

London Health Sciences Center- University Hospital /ID# 252979

London, Ontario N6A 5W9

Canada

McGill University Health Centre - Glen Site /ID# 247271

Montreal, Quebec H4A 3J1

Canada

Herlev Hospital /ID# 247724

Herlev, Capital Region 2730

Denmark

Regionshospitalet Godstrup /ID# 247902

Herning, Central Jutland 7400

Denmark

Aalborg Sygehus Nord /ID# 247428

Aalborg, North Denmark 9000

Denmark

CHU Amiens-Picardie Site Sud /ID# 248833

Amiens, Somme 80054

France

Centre Hosp Intercommunal de Creteil /ID# 248832

Créteil, Val-de-Marne 94000

France

CHU Toulouse - Hôpital des enfants /ID# 247553

Toulouse, 31059

France

MIND Clinic /ID# 248687

Budapest, 1024

Hungary

Semmelweis Egyetem /ID# 248360

Budapest, 1085

Hungary

Shamir Medical Center /ID# 256857

Beer Ya'akov, Central District 70300

Israel

Hillel Yaffe Medical Center /ID# 246747

Hadera, Haifa District 38100

Israel

The Chaim Sheba Medical Center /ID# 246746

Ramat Gan, Tel Aviv 5265601

Israel

Tel Aviv Sourasky Medical Center /ID# 247466

Tel Aviv, Tel Aviv 6423906

Israel

Bnai Zion Medical Center /ID# 247469

Haifa, 3339419

Israel

Fondazione IRCCS Istituto Neurologico Carlo Besta /ID# 247581

Milan, Milano 20133

Italy

Ospedale Pediatrico Bambino Gesù /ID# 247647

Rome, Roma 00165

Italy

Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone /ID# 247638

Palermo, 90127

Italy

Konan Medical Center /ID# 254457

Kobe, Hyōgo 658-0064

Japan

Yamaguchi Clinic /ID# 254753

Nishinomiya, Hyōgo 663-8204

Japan

Umenotsuji Clinic /ID# 254453

Kochi, Kochi 780-8011

Japan

Sendai Headache and Neurology Clinic Medical Corporation /ID# 254211

Sendai, Miyagi 982-0014

Japan

Tominaga Clinic - Osaka /ID# 254450

Osaka, Osaka 556-0015

Japan

Tokyo Medical University Hospital /ID# 254459

Shinjuku-ku, Tokyo 160-0023

Japan

Tatsuoka Neurology Clinic /ID# 254455

Kyoto, 600-8811

Japan

Canisius-Wilhelmina Ziekenhuis /ID# 253065

Nijmegen, Gelderland 6532 SZ

Netherlands

HagaZiekenhuis /ID# 247318

The Hague, South Holland 2545 AA

Netherlands

ZorgSaam Zorggroep Zeeuws-Vlaanderen /ID# 247301

Terneuzen, Zeeland 4535 PA

Netherlands

Clinical Research Center Medic-R /ID# 247383

Poznan, Greater Poland Voivodeship 60-848

Poland

Athleticomed Sp. z o.o /ID# 248789

Bydgoszcz, Kuyavian-Pomeranian Voivodeship 85-752

Poland

Specjalistyczne Gabinety Sp. z o.o. /ID# 247384

Krakow, Lesser Poland Voivodeship 30-539

Poland

Indywidualna Praktyka Lekarska dr hab. med. Anna Szczepanska-Szerej /ID# 247382

Lublin, Lublin Voivodeship 20-582

Poland

Oha-Med Sp. Z O.O /ID# 248614

Warsaw, Masovian Voivodeship 01-018

Poland

MIGRE Polskie Centrum Leczenia Migreny Anna Gryglas-Dworak /ID# 247381

Wroclaw, 52-210

Poland

Clinical Research Investigator Group /ID# 261254

Bayamón, 00960

Puerto Rico

Dr. Samuel Sanchez PSC /ID# 248495

Caguas, 00727

Puerto Rico

Puerto Rico Health Institute /ID# 249741

Dorado, 00646

Puerto Rico

Caribbean Medical Research Center Headlands /ID# 251634

San Juan, 00918-3501

Puerto Rico

PRCCI Clinical Research Center /ID# 262726

San Juan, 00927

Puerto Rico

Spitalul Clinic de Copii Dr. Victor Gomoiu /ID# 248431

Bucharest, Bucharest 022102

Romania

Spitalul Clinic de Urgenta pentru Copii Cluj Napoca /ID# 248595

Cluj-Napoca, Cluj 400012

Romania

Delta Health Care S.R.L /ID# 248130

Bucharest, 014146

Romania

Hospital Universitario Vall de Hebron /ID# 247967

Barcelona, 08035

Spain

Hospital Clinico San Carlos /ID# 249267

Madrid, 28040

Spain

Hospital Universitario 12 de Octubre /ID# 275578

Madrid, 28041

Spain

Hospital Universitario Virgen del Rocio /ID# 248632

Seville, 41013

Spain

Hospital Universitario y Politecnico La Fe /ID# 247969

Valencia, 46026

Spain

Sodersjukhuset /ID# 248279

Stockholm, Stockholm County 118 83

Sweden

Vastra Gotealandsregionen Regionhalsan /ID# 248277

Mölnlycke, 435 30

Sweden

Great Ormond Street Children's Hospital /ID# 262933

London, Greater London WC1N 3HZ

United Kingdom

Medway NHS Foundation Trust /ID# 249065

Gillingham, Kent ME7 5NY

United Kingdom

NHS Grampian /ID# 249067

Aberdeen, AB15 6RE

United Kingdom

Stepping Hill Hospital-Stockport NHS foundation trust /ID# 261121

Stockport, SK2 7JE

United Kingdom