Migraine is a disease that most often causes 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. The goals of the study are to evaluate adverse events and how well treatment of atogepant works compared to placebo (looks like the study treatment but contains no medicine) in preventing chronic migraine in participants between 12 and 17 years of age. Atogepant is a medicine currently approved in the United States and Europe for the preventive treatment of migraine in adult patients with migraine and is being studied for the preventative treatment of chronic migraine in participants between the ages of 12 and 17 years. Participants will be randomly assigned to one of the 2 groups to be treated with either atogepant or placebo. This study is double-blinded, which means that neither the patients nor the study doctors know who is given which study treatment. Approximately 420 participants 12 to 17 years of age with chronic migraine will be enrolled at approximately 70 sites across the world. Participants will receive oral tablets of atogepant or placebo once daily for 12 weeks and will be followed for 4 weeks. Participants will attend regular visits during the study at a hospital or clinic and the effects of treatment will be checked by completion of a daily diary, medical assessments, blood tests, checking for side effects, and completing questionnaires.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
420
Oral tablet
Oral tablet
Rehabilitation & Neurological Services /ID# 270782
Huntsville, Alabama, United States
RECRUITINGPreferred Research Partner, Inc /ID# 270389
Little Rock, Arkansas, United States
RECRUITINGPreferred Research Partners /ID# 270419
Little Rock, Arkansas, United States
COMPLETEDAdvanced Research Center /ID# 270257
Anaheim, California, United States
Number of Participants Experiencing Adverse Events (AEs)
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.
Time frame: Up to approximately 16 weeks
Change From Baseline in Mean Monthly Migraine Days
A migraine day is defined as any calendar day on which a headache occurs which meets criteria listed, as per participant eDiary.
Time frame: Baseline (Week 0) through Week 12
Change From Baseline in Mean Monthly Headache Days
A headache day is defined as any calendar day on which headache pain lasting 2 hours or longer occurs unless an acute headache medication (e.g., ibuprofen, triptan) was used after the start of the headache, in which case no minimum duration will be specified. Calendar days begin at midnight and last until 11:59 PM.
Time frame: Baseline (Week 0) through Week 12
Change From Baseline in Mean Monthly Acute Medication Use Days
An acute medication use day is defined as any day on which a participant reports, per eDiary, the intake of allowed medication(s) for the acute treatment of migraine.
Time frame: Baseline (Week 0) through Week 12
Percentage of Participants who Achieve at Least a 50% Reduction in 3-month Average of Monthly Migraine Days
A migraine day is defined as any calendar day on which a migraine occurs as per participant eDiary. Calendar days begin at midnight and last until 11:59 PM.
Time frame: Baseline (Week 0) through Week 12
Change from Baseline in the Pediatric Quality of Life Inventory (PedsQL) Total Score
The PedsQL is a 23-item measure that evaluates quality of life in four areas of functioning: physical, emotional, social, and school functioning. The PedsQL yields a total quality of life score and two summary scores: Physical Health Summary Score and Psychosocial Health Summary Score.
Time frame: Baseline (Week 0) through Week 12
Change From Baseline in the Pediatric Migraine Disability Assessment (PedMIDAS) Total Score
The PedMIDAS scale evaluates the impact of headache on school performance, disability at home and social/sport function. The score is a composite of the total of 6 questions.
Time frame: Baseline (Week 0) through Week 12
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Neuro Pain Research Center /ID# 271048
Fresno, California, United States
RECRUITINGAccellacare - Long Beach /ID# 270398
Long Beach, California, United States
RECRUITINGExcell Research /ID# 270258
Oceanside, California, United States
RECRUITINGLumos Clinical Research Center /ID# 270582
San Jose, California, United States
RECRUITINGSunwise Clinical Research /ID# 270431
Walnut Creek, California, United States
RECRUITINGNorthwest Florida Clinical Research Group, LLC /ID# 270833
Gulf Breeze, Florida, United States
RECRUITING...and 48 more locations