CClinicalTrials.gg
Active, not recruitingNCT06806293ATO MMUpdated Sep 4, 2026

Study of Oral Atogepant to Assess Adverse Events and Change in Disease Activity in Adult Participants With Menstrual Migraine

A Phase 3 interventional study of Atogepant and Placebo for Atogepant in Menstrual Migraine (MM), sponsored by AbbVie. Active, not recruiting at 95 sites in 12 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by AbbVie · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
468
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

A migraine attack is a moderate or severe headache that usually occurs on one side of the head and is often throbbing or pulsating. The headache is often accompanied by sensitivity to light, sensitivity to sound, nausea, or other symptoms. Menstrual migraine (MM) attacks are migraine attacks that occur in individuals before or during their menstrual period. The main goals of the study are to evaluate the efficacy (how well the medicine works), safety, and tolerability (the degree to which any adverse symptoms can be handled by the patients during the study) of atogepant, compared to placebo (looks like the study treatment but has no medicine in it), for the prevention of MM.

Atogepant is an investigational drug being developed for the preventive treatment of menstrual migraine. Participants are randomly assigned to one of the 2 treatment groups called Arms to receive atogepant or matching placebo. There is 1 in a 2 chance for the participant to receive placebo. 468 adult female participants with menstrual migraine are enrolled in approximately 92 sites across the world.

Participants will receive oral atogepant or matching placebo for 3 menstrual cycles during the double-blind period. During the open-label treatment period, participants will receive atogepant during each menstrual cycle.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The safety and tolerability of the treatment will be checked by medical assessments, blood tests, checking for adverse events and completing questionnaires.

02

Conditions studied

  • Menstrual Migraine (MM)

Keywords

  • Menstrual Migraine
  • Atogepant
  • QULIPTA
  • AQUIPTA
03

In context

Lead sponsor

AbbVie is the lead sponsor of 953 studies on the registry; 136 are open to participants now.

Of its 350 completed or terminated interventional studies of FDA-regulated products, 210 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • History and eDiary confirmation have regular menstrual cycles within the range of 21 to 35 days in length (Note: menstrual cycle length is calculated as onset of menses until the day before the next onset of menses).
  • History of migraine (with or without aura) according to the International Classification of Headache Disorders, 3rd Edition (ICHD-3) for >= 12 months prior to Visit 1/Screening.
  • Migraine onset before age 50 years.
  • By history at Visit 1/Screening, participant meets ICHD-3 criteria for pure menstrual migraine with or without aura, or menstrually-related migraine with or without aura, i.e., in at least 2 out of 3 cycles, experiences migraine attacks starting during the PMP (Day -2 to Day +3 relative to menses onset) in the opinion of the investigator.
  • Participant records 3 perimenstrual periods (PMP) in the eDiary during the screening period, and in at least 2 of 3 PMPs the participant experiences and records a migraine attack in the eDiary with at least 1 migraine day.

Exclusion criteria

Exclusion Criteria:

  • History of an average of 15 or more headache days per month during the 3 months prior to Visit 1/Screening per the investigator's judgment, or a current diagnosis of chronic migraine as defined by International Classification of Headache Disorders, 3rd Edition (ICHD-3).
  • An average of 15 or more headache days per month recorded in the eDiary during the screening period.
  • History of migraine with brainstem aura, hemiplegic migraine, or retinal migraine as defined by ICHD-3.
  • Current diagnosis of new persistent daily headache, trigeminal autonomic cephalalgia (e.g., cluster headache), or painful cranial neuropathy as defined by ICHD-3.
  • Required hospital/emergency room treatment for migraine attacks 3 or more times within 6 months prior to Visit 1/Screening.
  • Presence of other confounding pain syndromes, confounding psychiatric conditions, dementia, epilepsy, or significant neurological disorders other than migraine per investigator judgment.
  • Has a condition or situation, which the investigator feels will compromise the safety of the participant or the quality of the data and renders the subject an unsuitable candidate for the study.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
468 participants (actual)

Study arms

  • Experimental
    Atogepant

    Participant will receive atogepant during Double-Blind period and Open-Label period.

    Drug: Atogepant

  • Placebo comparator
    Placebo for Atogepant

    Participant will receive placebo during Double-Blind period and atogepant during the Open-Label period.

    Drug: Atogepant · Drug: Placebo for Atogepant

Interventions

  • DrugAtogepant

    Oral Tablet

    Also known as: Qulipta, Aquipta

  • DrugPlacebo for Atogepant

    Oral Tablet

06

What researchers measure

Primary outcomes

  1. Change in Number of Migraine Days Occurring During the Perimenstrual Period (PMP) Averaged Across 3 Menstrual Cycles During the Double-Blind Period

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

    Time frame: Up to approximately 120 days

Secondary outcomes

  1. Change in Number of Migraine Days (With Moderate or Severe Headache) During the PMP Averaged Across 3 Menstrual Cycles During the Double-Blind Period

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

    Time frame: Up to approximately 120 days

  2. Change in Number of Headache Days During PMP Averaged Across 3 Menstrual Cycles During the Double-Blind Period

    A headache day is defined as any calendar day on which headache pain lasting 2 hours or longer occurs unless an acute headache medication was used after the start of the headache, in which case no minimum duration will be specified.

    Time frame: Up to approximately 120 days

  3. Percentage of Participants Achieving >= 50% Reduction in Number of Migraine Days Averaged Across 3 PMPs During the Double-Blind Period

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

    Time frame: Up to approximately 120 days

  4. Change in Number of Acute Medication Use Days During PMP Averaged Across 3 Menstrual Cycles During the Double-Blind Period

    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: Up to approximately 120 days

  5. Change in Number of Moderate or Severe Headache Days During PMP Averaged Across 3 Menstrual Cycles During the Double-Blind Period

    A headache day is defined as any calendar day on which headache pain lasting 2 hours or longer occurs unless an acute headache medication was used after the start of the headache, in which case no minimum duration will be specified.

    Time frame: Up to approximately 120 days

  6. Percentage of Participants Achieving 100% Reduction From Baseline in Number of Migraine Days Averaged Across 3 PMPs During the Double-Blind Period

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

    Time frame: Up to approximately 120 days

  7. Percentage of Participants With No Disability/Mild Impairment for 100% of PMP Days As Assessed by Functional Disability Scale (FDS) Across 3 Menstrual Cycles During the Double-Blind Period

    FDS is a single item used to measure the participant's level of functional disability.

    Time frame: Up to approximately 120 days

  8. Percentage of Participants With No Difficult At All/Little Difficult in Thinking Clearly for 100% of PMP Days As Assessed by Cognitive Function Scale (CFS) Across 3 Menstrual Cycles During the Double-Blind Period

    Cognitive Function Scale is a single item used to measure the subject's difficulty in thinking clearly.

    Time frame: Up to approximately 120 days

07

Study locations

95 sites
  • Chinese PLA General Hospital /ID# 267141
    Beijing, Beijing Municipality 100039, China
  • Nanfang Hospital - Southern Medical University /ID# 268510
    Guangzhou, Guangdong 510000, China
  • Hebei General Hospital /ID# 267663
    Shijiazhuang, Hebei 500051, China
  • Renmin Hospital of Wuhan University /ID# 267671
    Wuhan, Hubei 430060, China
  • The First Affiliated Hospital of Soochow University /ID# 267885
    Suzhou, Jiangsu 215006, China
  • Shaanxi Provincial PeopleS Hospital /ID# 267827
    Xi'an, Shaanxi 710054, China
  • First Affiliated Hospital of Shanxi Medical University /ID# 267680
    Taiyuan, Shanxi 030001, China
  • Tianjin Medical University General Hospital /ID# 268846
    Tianjin, Tianjin Municipality 300052, China
  • Tianjin People's Hospital /ID# 268511
    Tianjin, Tianjin Municipality 300120, China
  • The Second Affiliated Hospital of Zhejiang University School of Medicine /ID# 267994
    Hangzhou, Zhejiang 310009, China
  • Minksneuro /ID# 267651
    Brno, Brno-mesto 603 00, Czechia
  • A-Shine s.r.o. /ID# 266048
    Pilsen, Plzeň Region 301 00, Czechia
  • Vseobecna Fakultni nemocnice v Praze /ID# 268100
    Prague, Praha 17 128 00, Czechia
  • DADO MEDICAL s.r.o. /ID# 267629
    Prague, Praha 2 120 00, Czechia
  • Pratia Prague /ID# 268252
    Prague, Praha, Hlavni Mesto 130 00, Czechia
  • Neurologie Brno /ID# 266050
    Brno, 616 00, Czechia
  • NeuroHK s.r.o. /ID# 266051
    Hradec Králové, 500 09, Czechia
  • Neuro plus s.r.o. /ID# 266052
    Olomouc, 775 00, Czechia
  • Clintrial s.r.o. /ID# 266047
    Prague, 100 00, Czechia
  • Fakultni Thomayerova nemocnice /ID# 266049
    Prague, 140 59, Czechia
  • Neuro Centrum Odenwald - Praxis Erbach /ID# 276171
    Erbach im Odenwald, Hesse 64711, Germany
  • Studienzentrum Nord-West /ID# 267311
    Westerstede, Lower Saxony 26655, Germany
  • Universitaetsmedizin Greifswald /ID# 267277
    Greifswald, Mecklenburg-Vorpommern 17489, Germany
  • Neurozentrum Bielefeld /ID# 276170
    Bielefeld, North Rhine-Westphalia 33647, Germany
  • Klinikum Ibbenbueren /ID# 267393
    Ibbenbueren, North Rhine-Westphalia 49477, Germany
  • Zentrum Fuer Neurologisch-Psychiatrische Studien Siegen /ID# 268247
    Siegen, North Rhine-Westphalia 57076, Germany
  • Pharmakologisches Studienzentrum Chemnitz GmbH /ID# 267285
    Chemnitz, Saxony 09111, Germany
  • Ambenet Hausarztpraxis /ID# 267309
    Leipzig, Saxony 04107, Germany
  • Charite Universitaetsmedizin Berlin - Campus Mitte /ID# 267310
    Berlin, 10117, Germany
  • MIND Clinic /ID# 267652
    Budapest, 1024, Hungary
  • Cortex Study Center /ID# 266639
    Budapest, 1026, Hungary
  • Clinexpert Kft /ID# 266644
    Budapest, 1033, Hungary
  • Semmelweis Egyetem /ID# 266636
    Budapest, 1085, Hungary
  • Semmelweis Egyetem /ID# 266752
    Budapest, 1085, Hungary
  • UNO Medical Trials /ID# 266643
    Budapest, 1135, Hungary
  • S-Medicon Kft /ID# 266637
    Budapest, 1138, Hungary
  • Uzsoki Utcai Korhaz /ID# 266641
    Budapest, 1145, Hungary
  • Azienda Ospedaliero Universitaria Careggi /ID# 276163
    Florence, Firenze 50134, Italy
  • Fondazione IRCCS Istituto Neurologico Carlo Besta /ID# 267062
    Milan, Milano 20133, Italy
  • Istituto Auxologico Italiano - Ospedale San Luca /ID# 276161
    Milan, Milano 20149, Italy
  • Azienda Ospedaliero Universitaria Luigi Vanvitelli/ID#267023
    Naples, Napoli 80138, Italy
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Universita Cattolica /ID# 266859
    Rome, Roma 00168, Italy
  • ICOT Istituto Marco Pasquali /ID# 267288
    Latina, 04100, Italy
  • Fondazione Mondino Istituto Neurologico Nazionale a Carattere Scientifico IRCCS /ID# 267922
    Pavia, 27100, Italy
  • Azienda Ospedaliera di Perugia - Ospedale S. Maria della Misericordia /ID# 267926
    Perugia, 06156, Italy
  • ASU FC - P.O. Universitario Santa Maria della Misericordia /ID# 267019
    Udine, 33100, Italy
  • Konan Medical Center /ID# 266867
    Kobe, Hyōgo 658-0064, Japan
  • Fujitsu Clinic /ID# 266877
    Kawasaki-shi, Kanagawa 211-8588, Japan
  • Umenotsuji Clinic /ID# 266834
    Kochi, Kochi 780-8011, Japan
  • Sendai Headache and Neurology Clinic Medical Corporation /ID# 266864
    Sendai, Miyagi 982-0014, Japan
  • Ooba Clinic For Neurosurgery & Headache /ID# 266866
    Ōita, Oita Prefecture 870-0831, Japan
  • Chibune General Hospital /ID# 266874
    Osaka, Osaka 555-0034, Japan
  • Tominaga Clinic - Osaka /ID# 268228
    Osaka, Osaka 556-0015, Japan
  • Usuda Clinic Of Internal Medicine /ID# 266870
    Setagaya-ku, Tokyo 156-0043, Japan
  • Tokyo Headache Clinic /ID# 266863
    Shibuya-ku, Tokyo 151-0051, Japan
  • Nagaseki Headache Clinic /ID# 266865
    Kai, Yamanashi 400-0124, Japan
  • Solumed Centrum Medyczne /ID# 267220
    Poznan, Greater Poland Voivodeship 60-529, Poland
  • Athleticomed Sp. z o.o /ID# 266434
    Bydgoszcz, Kuyavian-Pomeranian Voivodeship 85-752, Poland
  • SPZOZ Szpital Uniwersytecki w Krakowie /ID# 266443
    Krakow, Lesser Poland Voivodeship 31-501, Poland
  • Instytut Zdrowia Dr Boczarska Jedynak /ID# 266073
    Oświęcim, Lesser Poland Voivodeship 32-600, Poland
  • Penta Hospitals Badania Kliniczne /ID# 266732
    Wroclaw, Lower Silesian Voivodeship 54-429, Poland
  • Novo-Med Zielinski i wspolnicy SP. J. /ID# 266433
    Katowice, Silesian Voivodeship 40-584, Poland
  • Neuro-Care Sp. z o.o. sp.k /ID# 267883
    Katowice, Silesian Voivodeship 40-749, Poland
  • MIGRE Polskie Centrum Leczenia Migreny Anna Gryglas-Dworak /ID# 266437
    Wroclaw, 52-210, Poland
  • Unidade Local de Saude do Alto Ave, EPE /ID# 266168
    Guimarães, Braga District 4835-044, Portugal
  • Hospital da Luz /ID# 266182
    Lisbon, Lisbon District 1500-650, Portugal
  • Unidade Local de Saude de Loures-Odivelas /ID# 266190
    Loures, Lisbon District 2674-514, Portugal
  • Unidade Local de Saude de Matosinhos EPE /ID# 266170
    Senhora da Hora, Porto District 4464-513, Portugal
  • Unidade Local de Saude de Almada-Seixal, EPE /ID# 276215
    Almada, Setúbal District 2805-267, Portugal
  • Unidade Local de Saude da Regiao de Aveiro, EPE /ID# 266187
    Aveiro, 3814-501, Portugal
  • 2CA-Braga, Hospital de Braga /ID# 276218
    Braga, 4710-243, Portugal
  • Unidade Local de Saude de Santa Maria /ID# 275932
    Lisbon, 1649-035, Portugal
  • Unidade Local de Saude Sao Joao /ID# 266185
    Porto, 4200-319, Portugal
  • Unidade Local de Saude da Arrabida, EPE /ID# 266183
    Setúbal, 2910-446, Portugal
  • Hallym University Dongtan Sacred Heart Hospital /ID# 267473
    Hwaseong, Gyeonggido 18450, South Korea
  • Nowon Eulji Medical Center, Eulji University /ID# 267474
    Seoul, Seoul Teugbyeolsi 01830, South Korea
  • Seoul National University Hospital /ID# 267477
    Seoul, Seoul Teugbyeolsi 03080, South Korea
  • Kangbuk Samsung Hospital /ID# 267475
    Seoul, Seoul Teugbyeolsi 03181, South Korea
  • Yonsei University Health System Severance Hospital /ID# 267476
    Seoul, Seoul Teugbyeolsi 03722, South Korea
  • Hospital Universitari Vall d Hebron /ID# 276467
    Barcelona, 08035, Spain
  • Hospital Clinic de Barcelona /ID# 276468
    Barcelona, 08036, Spain
  • Hospital Clinico San Carlos /ID# 275896
    Madrid, 28040, Spain
  • Hospital Universitario La Paz /ID# 276332
    Madrid, 28046, Spain
  • Hospital Clinico Universitario de Valladolid /ID# 275899
    Valladolid, 47003, Spain
  • China Medical University Hospital /ID# 266423
    Taichung, 40447, Taiwan
  • National Cheng Kung University Hospital /ID# 267754
    Tainan, 704, Taiwan
  • Mackay Memorial Hospital /ID# 266421
    Taipei, 104, Taiwan
  • Taipei Veterans General Hospital /ID# 266418
    Taipei, 112, Taiwan
  • Linkou Chang Gung Memorial Hospital /ID# 266424
    Taoyuan City, 333, Taiwan
  • The Adam Practice - Upton Cross /ID# 268116
    Poole, Dorset BH16 5PW, United Kingdom
  • Royal Sussex County Hospital /ID# 268362
    Brighton, East Sussex BN2 5BE, United Kingdom
  • St Pancras Clinical Research - London /ID# 268653
    London, Greater London EC2Y 8EA, United Kingdom
  • Guy's and St Thomas' NHS Foundation Trust /ID# 267587
    London, Greater London SE1 9RT, United Kingdom
  • Breckland Alliance /ID# 268772
    Thetford, Norfolk IP24 1JD, United Kingdom
  • Oxford University Hospitals - John Radcliffe Hospital /ID# 267659
    Oxford, Oxfordshire OX3 9DU, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06806293
Lead sponsor
AbbVie
Responsible party
Sponsor
First posted
Feb 4, 2025
Start date
Feb 10, 2025
Primary completion
Jun 29, 2026
Completion
Jul 2027 (estimated)
Last update
Sep 4, 2026

Study contacts

ABBVIE INC.
study director · AbbVie

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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