Evidence map›Paper›PMID 39197113›Full record

Trial reportNeurology2024

Effect of Ubrogepant on Patient-Reported Outcomes When Administered During the Migraine Prodrome: Results From the Randomized PRODROME Trial.

Richard B Lipton, Andrea M Harriott, Julia Y Ma, Jonathan H Smith, Jonathan Stokes, Pranav Gandhi, Krutika Jariwala-Parikh, Gabriel S Jensen, Joel M Trugman, David W Dodick

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04492020 (A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Crossover Study to Evaluate the Efficacy, Safety, and Tolerability of Oral Ubrogepant in the Acute Treatment of Migraine When Administered During the Prodrome), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04492020 phase3completednot on this map

A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Crossover Study to Evaluate the Efficacy, Safety, and Tolerability of Oral Ubrogepant in the Acute Treatment of Migraine When Administered During the Prodrome

TypeinterventionalSponsorAbbVieRan2020 to 2022Enrolled518ConditionsMigraineArmsUbrogepant 100 mg, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Richard B LiptonFrom the Albert Einstein College of Medicine (R.B.L.), Bronx, NY; Massachusetts General Hospital (A.M.H.), Boston; AbbVie (J.Y.M., J.S., P.G., J.M.T.), Madison, NJ; AbbVie (J.H.S., K.J.-P., G.S.J.), North Chicago, IL; Department of Neurology (D.W.D.), Mayo Clinic, Scottsdale, AZ; and Atria Academy of Science and Medicine (D.W.D.), New York, NY.ORCID 0000-0003-2652-2897
Andrea M HarriottFrom the Albert Einstein College of Medicine (R.B.L.), Bronx, NY; Massachusetts General Hospital (A.M.H.), Boston; AbbVie (J.Y.M., J.S., P.G., J.M.T.), Madison, NJ; AbbVie (J.H.S., K.J.-P., G.S.J.), North Chicago, IL; Department of Neurology (D.W.D.), Mayo Clinic, Scottsdale, AZ; and Atria Academy of Science and Medicine (D.W.D.), New York, NY.ORCID 0000-0003-0417-7586
Julia Y MaFrom the Albert Einstein College of Medicine (R.B.L.), Bronx, NY; Massachusetts General Hospital (A.M.H.), Boston; AbbVie (J.Y.M., J.S., P.G., J.M.T.), Madison, NJ; AbbVie (J.H.S., K.J.-P., G.S.J.), North Chicago, IL; Department of Neurology (D.W.D.), Mayo Clinic, Scottsdale, AZ; and Atria Academy of Science and Medicine (D.W.D.), New York, NY.
Jonathan H SmithFrom the Albert Einstein College of Medicine (R.B.L.), Bronx, NY; Massachusetts General Hospital (A.M.H.), Boston; AbbVie (J.Y.M., J.S., P.G., J.M.T.), Madison, NJ; AbbVie (J.H.S., K.J.-P., G.S.J.), North Chicago, IL; Department of Neurology (D.W.D.), Mayo Clinic, Scottsdale, AZ; and Atria Academy of Science and Medicine (D.W.D.), New York, NY.ORCID 0000-0002-2798-6805
Jonathan StokesFrom the Albert Einstein College of Medicine (R.B.L.), Bronx, NY; Massachusetts General Hospital (A.M.H.), Boston; AbbVie (J.Y.M., J.S., P.G., J.M.T.), Madison, NJ; AbbVie (J.H.S., K.J.-P., G.S.J.), North Chicago, IL; Department of Neurology (D.W.D.), Mayo Clinic, Scottsdale, AZ; and Atria Academy of Science and Medicine (D.W.D.), New York, NY.
Pranav GandhiFrom the Albert Einstein College of Medicine (R.B.L.), Bronx, NY; Massachusetts General Hospital (A.M.H.), Boston; AbbVie (J.Y.M., J.S., P.G., J.M.T.), Madison, NJ; AbbVie (J.H.S., K.J.-P., G.S.J.), North Chicago, IL; Department of Neurology (D.W.D.), Mayo Clinic, Scottsdale, AZ; and Atria Academy of Science and Medicine (D.W.D.), New York, NY.ORCID 0009-0008-8317-7712
Krutika Jariwala-ParikhFrom the Albert Einstein College of Medicine (R.B.L.), Bronx, NY; Massachusetts General Hospital (A.M.H.), Boston; AbbVie (J.Y.M., J.S., P.G., J.M.T.), Madison, NJ; AbbVie (J.H.S., K.J.-P., G.S.J.), North Chicago, IL; Department of Neurology (D.W.D.), Mayo Clinic, Scottsdale, AZ; and Atria Academy of Science and Medicine (D.W.D.), New York, NY.
Gabriel S JensenFrom the Albert Einstein College of Medicine (R.B.L.), Bronx, NY; Massachusetts General Hospital (A.M.H.), Boston; AbbVie (J.Y.M., J.S., P.G., J.M.T.), Madison, NJ; AbbVie (J.H.S., K.J.-P., G.S.J.), North Chicago, IL; Department of Neurology (D.W.D.), Mayo Clinic, Scottsdale, AZ; and Atria Academy of Science and Medicine (D.W.D.), New York, NY.
Joel M TrugmanFrom the Albert Einstein College of Medicine (R.B.L.), Bronx, NY; Massachusetts General Hospital (A.M.H.), Boston; AbbVie (J.Y.M., J.S., P.G., J.M.T.), Madison, NJ; AbbVie (J.H.S., K.J.-P., G.S.J.), North Chicago, IL; Department of Neurology (D.W.D.), Mayo Clinic, Scottsdale, AZ; and Atria Academy of Science and Medicine (D.W.D.), New York, NY.ORCID 0000-0002-2376-8878
David W DodickFrom the Albert Einstein College of Medicine (R.B.L.), Bronx, NY; Massachusetts General Hospital (A.M.H.), Boston; AbbVie (J.Y.M., J.S., P.G., J.M.T.), Madison, NJ; AbbVie (J.H.S., K.J.-P., G.S.J.), North Chicago, IL; Department of Neurology (D.W.D.), Mayo Clinic, Scottsdale, AZ; and Atria Academy of Science and Medicine (D.W.D.), New York, NY.ORCID 0000-0002-9486-6790

Funding

Sex Differences in the Role of Gonadal Hormones and the Hypothalamus in Migraine with Aura.K08NS124991 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI Andrea M Harriott · 2022 to 2026
$1.1M
NINDS NIH HHS K08 NS124991
6 · The paper itself

Abstract

BACKGROUND AND

objectivesUbrogepant is a calcitonin gene-related peptide receptor antagonist approved for the acute treatment of migraine. The PRODROME trial previously demonstrated that ubrogepant treatment during prodrome prevents the onset of moderate or severe headache. In this analysis of the PRODROME trial, the benefits of ubrogepant treatment during the prodrome on patient-reported outcomes (PROs) are evaluated.

methodsPRODROME was a multicenter, randomized, double-blind, placebo-controlled, crossover trial that enrolled adults who experienced 2-8 migraine attacks per month with moderate-severe headache pain. Eligible participants treated 2 qualifying prodrome events, defined as a migraine attack with prodromal symptoms when the participant was confident a headache would follow within 1-6 hours. Participants were randomized to treatment sequence A (placebo then ubrogepant 100 mg) or sequence B (ubrogepant 100 mg then placebo). This analysis evaluated the ability to function normally over 24 hours (secondary end point) and at specific time points after dose (additional end point). Other PRO end points included activity limitation over 24 hours and satisfaction with study medication at 8 and 24 hours.

resultsOf 518 randomized participants, 477 comprised the modified intent-to-treat population. After treatment of qualifying prodrome events, a significantly greater ability to function normally over 24 hours was observed for participants after treatment with ubrogepant 100 mg compared with placebo (odds ratio [OR] 1.66, 95% CI 1.40-1.96; DISCUSSION: Ubrogepant 100 mg administered during the prodrome was associated with significantly greater ability to function normally, greater reduction in activity limitations over 24 hours, and greater satisfaction with study medication, compared with placebo. TRIAL REGISTRATION INFORMATION: ClinicalTrials.gov NCT04492020. Submitted: July 27, 2020; first patient enrolled: August 21, 2020. clinicaltrials.gov/ct2/show/NCT04492020. CLASSIFICATION OF EVIDENCE: This study provides Class II evidence that taking ubrogepant 100 mg during a migraine prodrome allows more patients to function normally over the next 24 hours.

Indexed as

Calcitonin Gene-Related Peptide Receptor AntagonistsCross-Over StudiesMigraine DisordersPatient Reported Outcome MeasuresPyridinesAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedPyrrolesTreatment OutcomeCalcitonin Gene-Related Peptide Receptor AntagonistsPyridinesPyrrolesubrogepant

Identifiers

PMID39197113
PMCPMC11379431

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.