Gepants for headache prevention in children and adolescents: A multicenter chart review study.
Lauren Shin, Olivia Mentz, Amy A Gelfand...
https://pubmed.ncbi.nlm.nih.gov/41235617/Actively Recruiting
Led by AbbVie · Updated on 2026-07-14
420
Participants Needed
64
Research Sites
N/A
Total Duration
Researchers are evaluating the safety and effectiveness of atogepant, a medicine approved for preventing migraine in adults, in young participants aged 12 to 17 years who experience chronic migraine. The study aims to compare atogepant with a placebo, which looks like the medicine but contains no active drug. It focuses on monitoring side effects and changes in migraine frequency in this pediatric population. Participants will be randomly assigned to receive either atogepant or placebo tablets once daily for 12 weeks in a double-blind design, meaning neither participants nor doctors know who receives which treatment. After the treatment period, participants will be followed for an additional 4 weeks to observe ongoing effects. The study plans to enroll about 420 adolescents across approximately 70 sites worldwide. During the study, participants will attend regular clinic visits where researchers will assess treatment effects through daily diaries, medical exams, blood tests, side effect monitoring, and questionnaires. The main outcomes include the number of participants experiencing adverse events and changes in the average monthly number of migraine days. Secondary measures cover headache days, medication use, quality of life, and migraine-related disability. Total participation lasts about 16 weeks.
CONDITIONS
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
A
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AbbVie
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Atogepant Oral Tablet | Placebo Oral Tablet |
|---|---|---|
| What it is | A daily oral tablet containing atogepant, an investigational calcitonin gene-related peptide (CGRP) receptor antagonist. | A daily oral tablet designed to look and taste identical to atogepant but containing no active drug. |
| Role in trial | Tested to see if it can reduce migraine days and assess safety in adolescents with chronic migraine. | Serves as the control group to compare against atogepant and measure outcomes. |
| Primary use | Investigational prevention of migraine attacks in eligible adolescents who experience at least 15 headache days and 8 migraine days per month. | No active prevention; serves as a comparator to evaluate the effect of atogepant. |
| How it is given or performed | One oral tablet taken daily by mouth throughout the trial period. | One matching placebo tablet taken daily by mouth for the same duration. |
| Evidence status | Evidence for atogepant in preventing headache/migraine in adolescents is still being gathered in this trial. Published pediatric data on gepants are limited, but early studies suggest possible benefit and safety; direct high-quality, large-scale pediatric evidence remains limited. | No active preventive effect expected; outcomes will be compared with atogepant to assess difference. |
| Important limitations | Effectiveness and long-term safety of atogepant in adolescents with chronic migraine are not firmly established. Most pediatric evidence is preliminary and drawn from small studies or chart reviews. | Placebo does not represent active migraine prevention; results may not reflect effectiveness of current standard therapies. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 12 weeks
Participants receive oral tablets of either atogepant or placebo once daily for 12 weeks.
Regular visits at hospital or clinic during treatment
Duration - 4 weeks
Participants are followed for 4 weeks after treatment to monitor effects and safety.
Visits to assess safety and treatment effects
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Lauren Shin, Olivia Mentz, Amy A Gelfand...
https://pubmed.ncbi.nlm.nih.gov/41235617/AbbVie
Lead Sponsor