Preventive treatment for migraine that is generally well tolerated vs. placebo2–4

 

AE, adverse event; ICHD, International Classification of Headache Disorders; IE, Ireland; mITT, modified intent-to-treat; TEAE, treatment-emergent adverse event.

*Pivotal study that evaluated AQUIPTA™ for the prophylaxis of episodic migraine that enrolled patients who met ICHD criteria for a diagnosis of migraine with or without aura. Patients with myocardial infarction, stroke, or transient ischaemic attacks within 6 months prior to screening were excluded.1,2 †The relatedness of AEs to AQUIPTA™ or placebo was determined by the investigator.2 ‡Pivotal study that evaluated AQUIPTA™ for the prophylaxis of chronic migraine that enrolled patients who met ICHD criteria for chronic migraine. Patients with myocardial infarction, stroke, or transient ischaemic attacks within 6 months prior to screening were excluded.1,3 §Data from an open-label safety study that randomised 744 patients 5:2 to receive either AQUIPTA™ 60 mg (N=546) or standard of care migraine prevention medication (n=198). Adults from the previous Phase 2b/3 trial, who re-established study eligibility, and de novo patients were included. Participants had 4–14 migraine days in the 28-day baseline period. Efficacy measures, changes from baseline in least squares mean monthly migraine days, moderate/severe headache days, mean monthly acute medication use days and the proportion of responders based on reductions in monthly migraine days were evaluated using the mITT population (n=521 AQUIPTA™-treated patients) and a mixed-effects model for repeated measures. Efficacy endpoints for long-term efficacy evaluation were not classified as primary, secondary or additional endpoints. Clinical efficacy outcomes were only collected from the AQUIPTA™ arm by electronic diary (eDiary) data.4 In an open-label extension with observed data, there is potential for enrichment of the long-term data as those who remain in the study generally fare better than those who discontinue.

References:

  1. AQUIPTA™ (atogepant) IE Summary of Product Characteristics. August 2023.
  2. Ailani J, et al. N Engl J Med. 2021;385:695–706.
  3. Pozo-Rosich P, et al. Lancet. 2023;402(10404):775–785 (Supplementary Appendix).
  4. Ashina M, et al. Headache. 2023;63(1):79–88.

ALL-AQP-230003 March 2024