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An Extension Study to Evaluate the Long-Term Safety and Tolerability of Ubrogepant in the Treatment of Migraine

A Multicenter, Randomized, Open-Label Extension Study to Evaluate the Long-Term Safety and Tolerability of Oral Ubrogepant in the Acute Treatment of Migraine With or Without Aura

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02873221
Enrollment
1254
Registered
2016-08-19
Start date
2016-09-13
Completion date
2018-08-02
Last updated
2019-08-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Migraine, With or Without Aura

Brief summary

This study will evaluate the long-term safety and tolerability of intermittent treatment with ubrogepant for the acute treatment of migraine over 1 year.

Detailed description

Usual care is the open-label control arm. Dose of ubrogepant (50 mg or 100 mg) will be double-blind for active treatment arms.

Interventions

Ubrogepant tablet(s) orally for the treatment of a qualifying migraine attack.

Ubrogepant placebo-matching tablet orally for the treatment of a qualifying migraine attack.

DRUGUsual Care

Treatment for a migraine as prescribed by the physician as standard of care in clinical practice.

Sponsors

Allergan
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 76 Years
Healthy volunteers
No

Inclusion criteria

-Completed study UBR-MD-01(NCT02828020) or UBR-MD-02(NCT02867709).

Exclusion criteria

* Patients with clinically significant electrocardiogram (ECG), vital sign, physical exam, or laboratory abnormalities * Requirement for a medication during the study that is on the list of prohibited medications.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With at Least 1 Treatment Emergent Adverse Event56 WeeksAn adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. TEAEs are AEs with an onset that occurs after receiving study drug.

Secondary

MeasureTime frameDescription
Number of Participants With Clinically Significant Laboratory Values56 WeeksHematology, Chemistry and Urinalysis results considered potentially clinically significant (PCS) meeting either the lower-limit or higher-limit PCS criteria.
Number of Participants With Clinically Significant Electrocardiograms (ECGs) Findings56 WeeksECG findings considered potentially clinically significant (PCS) meeting either the lower-limit or higher-limit PCS criteria.
Number of Participants With Clinically Significant Vital Sign Measurements56 WeeksVital sign measurements considered potentially clinically significant (PCS) meeting either the lower-limit or higher-limit PCS criteria.
Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point Scales56 WeeksOn the C-SSRS, the 5 types of suicidal ideation are: Type 1: Wish to be dead Type 2: Non-specific active suicidal thoughts Type 3: Active suicidal ideation with any methods (not plan) without intent to act Type 4: Active suicidal ideation with some intent to act, without specific plan Type 5: Active suicidal ideation with specific plan and intent

Countries

United States

Participant flow

Participants by arm

ArmCount
Usual Care
Usual Care as prescribed by the physician as standard of care in clinical practice for the treatment of migraine attacks for up to 1 year.
417
Ubrogepant 50 mg
Ubrogepant 50 mg tablet orally plus placebo-matching ubrogepant tablet for the treatment of a qualifying migraine attack for up to 8 treatments every 4 weeks for up to 1 year. Participants may choose to take a second dose orally after the initial dose if migraine continues or returns.
417
Ubrogepant 100 mg
Ubrogepant 100 mg (two 50 mg tablets) orally for the treatment of a qualifying migraine attack for up to 8 treatments every 4 weeks for up to 1 year. Participants may choose to take a second dose orally after the initial dose if migraine continues or returns.
420
Total1,254

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Safety Follow-up PeriodLost to Follow-up355
Safety Follow-up PeriodOther Miscellaneous Reasons020
Safety Follow-up PeriodProtocol Violation001
Safety Follow-up PeriodWithdrawal of Consent4108
Treatment PeriodAdverse Event4911
Treatment PeriodLack of Efficacy01712
Treatment PeriodLack of Qualifying Event031
Treatment PeriodLost to Follow-up263026
Treatment PeriodNon-Compliance with Study Drug032
Treatment PeriodOther Miscellaneous Reasons021
Treatment PeriodPregnancy463
Treatment PeriodProtocol Violation258
Treatment PeriodWithdrawal of Consent525141

Baseline characteristics

CharacteristicUsual CareUbrogepant 50 mgUbrogepant 100 mgTotal
Age, Continuous41.7 Years
STANDARD_DEVIATION 11.7
42.2 Years
STANDARD_DEVIATION 12.2
41.2 Years
STANDARD_DEVIATION 11.2
41.7 Years
STANDARD_DEVIATION 11.7
Race/Ethnicity, Customized
American Indian or Alaska Native
4 Participants2 Participants3 Participants9 Participants
Race/Ethnicity, Customized
Asian
3 Participants2 Participants5 Participants10 Participants
Race/Ethnicity, Customized
Black or African American
50 Participants52 Participants61 Participants163 Participants
Race/Ethnicity, Customized
Hispanic or Latino
62 Participants64 Participants59 Participants185 Participants
Race/Ethnicity, Customized
Multiple
4 Participants2 Participants4 Participants10 Participants
Race/Ethnicity, Customized
Native Hawaiian/Other Pacific Islander
0 Participants1 Participants2 Participants3 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
355 Participants353 Participants361 Participants1069 Participants
Race/Ethnicity, Customized
White
356 Participants358 Participants345 Participants1059 Participants
Sex: Female, Male
Female
367 Participants384 Participants375 Participants1126 Participants
Sex: Female, Male
Male
50 Participants33 Participants45 Participants128 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 4170 / 4040 / 409
other
Total, other adverse events
132 / 417125 / 404138 / 409
serious
Total, serious adverse events
17 / 4179 / 40412 / 409

Outcome results

Primary

Percentage of Participants With at Least 1 Treatment Emergent Adverse Event

An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. TEAEs are AEs with an onset that occurs after receiving study drug.

Time frame: 56 Weeks

Population: The Safety population is defined separately below for the ubrogepant arms and the usual-care arm.~Ubrogepant arms: All randomized patients who received ≥ 1 dose of treatment. Usual care arm: All randomized patients in the usual-care arm.

ArmMeasureValue (NUMBER)
Usual CarePercentage of Participants With at Least 1 Treatment Emergent Adverse Event65 Percentage of Participants
Ubrogepant 50 mgPercentage of Participants With at Least 1 Treatment Emergent Adverse Event66.3 Percentage of Participants
Ubrogepant 100 mgPercentage of Participants With at Least 1 Treatment Emergent Adverse Event72.6 Percentage of Participants
Secondary

Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point Scales

On the C-SSRS, the 5 types of suicidal ideation are: Type 1: Wish to be dead Type 2: Non-specific active suicidal thoughts Type 3: Active suicidal ideation with any methods (not plan) without intent to act Type 4: Active suicidal ideation with some intent to act, without specific plan Type 5: Active suicidal ideation with specific plan and intent

Time frame: 56 Weeks

Population: The Safety population is defined separately below for the ubrogepant arms and the usual-care arm.~Ubrogepant arms: All randomized patients who received ≥ 1 dose of treatment. Usual care arm: All randomized patients in the usual-care arm

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Usual CareNumber of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point ScalesSuicidal Ideation5 Participants
Usual CareNumber of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point ScalesSuicidal Behavior0 Participants
Ubrogepant 50 mgNumber of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point ScalesSuicidal Ideation3 Participants
Ubrogepant 50 mgNumber of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point ScalesSuicidal Behavior0 Participants
Ubrogepant 100 mgNumber of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point ScalesSuicidal Ideation2 Participants
Ubrogepant 100 mgNumber of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point ScalesSuicidal Behavior0 Participants
Secondary

Number of Participants With Clinically Significant Electrocardiograms (ECGs) Findings

ECG findings considered potentially clinically significant (PCS) meeting either the lower-limit or higher-limit PCS criteria.

Time frame: 56 Weeks

Population: The Safety population is defined separately below for the ubrogepant arms and the usual-care arm.~Ubrogepant arms: All randomized patients who received ≥ 1 dose of treatment. Usual care arm: All randomized patients in the usual-care arm

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Usual CareNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsPR interval (msec) PR >= 2500 Participants
Usual CareNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Fridericia (msec) QTcF > 5000 Participants
Usual CareNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Bazett (msec) QTcB > 5000 Participants
Usual CareNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQRS interval (msec) QRS >= 1501 Participants
Usual CareNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Fridericia (msec) Increase > 60 (msec)1 Participants
Usual CareNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Bazett (msec) Increase > 60 (msec)0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQRS interval (msec) QRS >= 1501 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Bazett (msec) Increase > 60 (msec)1 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Fridericia (msec) QTcF > 5000 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsPR interval (msec) PR >= 2500 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Bazett (msec) QTcB > 5000 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Fridericia (msec) Increase > 60 (msec)0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Bazett (msec) QTcB > 5000 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Fridericia (msec) QTcF > 5000 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Bazett (msec) Increase > 60 (msec)5 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQRS interval (msec) QRS >= 1500 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsPR interval (msec) PR >= 2500 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Electrocardiograms (ECGs) FindingsQTc Fridericia (msec) Increase > 60 (msec)0 Participants
Secondary

Number of Participants With Clinically Significant Laboratory Values

Hematology, Chemistry and Urinalysis results considered potentially clinically significant (PCS) meeting either the lower-limit or higher-limit PCS criteria.

Time frame: 56 Weeks

Population: The Safety population is defined separately below for the ubrogepant arms and the usual-care arm.~Ubrogepant arms: All randomized patients who received ≥ 1 dose of treatment. Usual care arm: All randomized patients in the usual-care arm

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesCalcium (mmol/L) >1.1×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesMonocytes Absolute Cell Count (10**9/L) >2×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesBicarbonate (HCO3) (mmol/L) >1.1×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesCalcium (mmol/L) <0.9×LLN2 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesNeutrophils Absolute Cell Count (10**9/L) <0.7×LLN6 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesProtein, Total (g/L) >1.1×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesBilirubin, Total (umol/L) >1.5×ULN3 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesNeutrophils Absolute Cell Count (10**9/L) >1.3×ULN22 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesBlood Urea Nitrogen (mmol/L) >1.5×ULN6 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesAspartate Aminotransferase (SGOT) (U/L) >3×ULN2 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesPlatelet Count (Thrombocytes) (10**9/L) <0.5×LLN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuespH (pH) >1.1×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesAlkaline Phosphatase (U/L) >3×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesPlatelet Count (Thrombocytes) (10**9/L) >1.5×ULN2 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesAlbumin (g/L) >1.2×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesRed Blood Cell Count (10**12/L) <0.9×LLN1 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesProtein, Total (g/L) <0.9×LLN3 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesAlbumin (g/L) <0.8×LLN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesRed Blood Cell Count (10**12/L) >1.1×ULN2 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesPotassium (mmol/L) >1.1×ULN28 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesAlanine Aminotransferase (SGPT) (U/L) >3×ULN4 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesWhite Blood Cell Count (10**9/L) <0.9×LLN17 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesPotassium (mmol/L) <0.9×LLN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesSpecific Gravity >1.1×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesPhosphorus (mmol/L) >1.1×ULN21 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesCreatinine (umol/L) >1.5×ULN1 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuespH (pH) <0.9×LLN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesPhosphorus (mmol/L) <0.9×LLN45 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesLactate Dehydrogenase (U/L) >3×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesUric Acid (Urate) (umol/L) >1.2×ULN26 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesGlucose, Non-fasting (mmol/L) >2×ULN1 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesMonocytes Absolute Cell Count (10**9/L) <0.5×LLN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesGlucose, Non-fasting (mmol/L) <0.8×LLN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesProtein (g/L) Positive0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesBasophils Absolute Cell Count (10**9/L) >2×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesEosinophils Absolute Cell Count (10**9/L) >2×ULN1 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesWhite Blood Cell Count (10**9/L) >1.5×ULN5 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesCreatine Kinase (U/L) >2×ULN56 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesHematocrit (RATIO) <0.9×LLN3 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesHemoglobin (g/L) >1.1×ULN2 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesCholesterol, Total (mmol/L) >1.6×ULN4 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesHematocrit (RATIO) >1.1×ULN2 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesGlucose Positive21 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesChloride (mmol/L) >1.1×UL0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesHemoglobin (g/L) <0.9×LLN7 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesTriglycerides (mmol/L) >2×ULN30 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesSodium (mmol/L) >1.1×ULN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesLymphocytes Absolute Cell Count (10**9/L) <0.7×LLN11 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesBicarbonate (HCO3) (mmol/L) <0.9×LLN25 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesChloride (mmol/L) <0.9×LLN0 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesLymphocytes Absolute Cell Count (10**9/L) >1.3×ULN8 Participants
Usual CareNumber of Participants With Clinically Significant Laboratory ValuesSodium (mmol/L) <0.9×LLN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesSodium (mmol/L) <0.9×LLN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesLymphocytes Absolute Cell Count (10**9/L) >1.3×ULN6 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesPlatelet Count (Thrombocytes) (10**9/L) >1.5×ULN2 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesWhite Blood Cell Count (10**9/L) >1.5×ULN2 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesBlood Urea Nitrogen (mmol/L) >1.5×ULN3 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesCreatine Kinase (U/L) >2×ULN43 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesCreatinine (umol/L) >1.5×ULN1 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuespH (pH) <0.9×LLN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesProtein (g/L) Positive0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesEosinophils Absolute Cell Count (10**9/L) >2×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesHematocrit (RATIO) <0.9×LLN2 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesHematocrit (RATIO) >1.1×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesHemoglobin (g/L) <0.9×LLN3 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesHemoglobin (g/L) >1.1×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesLymphocytes Absolute Cell Count (10**9/L) <0.7×LLN5 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesMonocytes Absolute Cell Count (10**9/L) <0.5×LLN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesMonocytes Absolute Cell Count (10**9/L) >2×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesNeutrophils Absolute Cell Count (10**9/L) <0.7×LLN5 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesNeutrophils Absolute Cell Count (10**9/L) >1.3×ULN14 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesPlatelet Count (Thrombocytes) (10**9/L) <0.5×LLN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesRed Blood Cell Count (10**12/L) <0.9×LLN5 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesRed Blood Cell Count (10**12/L) >1.1×ULN2 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesWhite Blood Cell Count (10**9/L) <0.9×LLN9 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesAlanine Aminotransferase (SGPT) (U/L) >3×ULN4 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesAlbumin (g/L) <0.8×LLN1 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesAlbumin (g/L) >1.2×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesAlkaline Phosphatase (U/L) >3×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesAspartate Aminotransferase (SGOT) (U/L) >3×ULN2 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesBicarbonate (HCO3) (mmol/L) <0.9×LLN22 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesBicarbonate (HCO3) (mmol/L) >1.1×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesBilirubin, Total (umol/L) >1.5×ULN4 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesCalcium (mmol/L) <0.9×LLN1 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesCalcium (mmol/L) >1.1×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesChloride (mmol/L) <0.9×LLN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesChloride (mmol/L) >1.1×UL0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesCholesterol, Total (mmol/L) >1.6×ULN1 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesGlucose, Non-fasting (mmol/L) <0.8×LLN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesGlucose, Non-fasting (mmol/L) >2×ULN1 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesLactate Dehydrogenase (U/L) >3×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesPhosphorus (mmol/L) <0.9×LLN38 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesPhosphorus (mmol/L) >1.1×ULN15 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesPotassium (mmol/L) <0.9×LLN1 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesPotassium (mmol/L) >1.1×ULN32 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesProtein, Total (g/L) <0.9×LLN2 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesProtein, Total (g/L) >1.1×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesBasophils Absolute Cell Count (10**9/L) >2×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesSodium (mmol/L) >1.1×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesTriglycerides (mmol/L) >2×ULN20 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesUric Acid (Urate) (umol/L) >1.2×ULN27 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesGlucose Positive17 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuespH (pH) >1.1×ULN0 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Laboratory ValuesSpecific Gravity >1.1×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesAspartate Aminotransferase (SGOT) (U/L) >3×ULN9 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesChloride (mmol/L) >1.1×UL0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesHematocrit (RATIO) <0.9×LLN6 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuespH (pH) >1.1×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesEosinophils Absolute Cell Count (10**9/L) >2×ULN1 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuespH (pH) <0.9×LLN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesSodium (mmol/L) >1.1×ULN2 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesUric Acid (Urate) (umol/L) >1.2×ULN22 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesAlkaline Phosphatase (U/L) >3×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesGlucose, Non-fasting (mmol/L) >2×ULN1 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesGlucose, Non-fasting (mmol/L) <0.8×LLN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesHemoglobin (g/L) <0.9×LLN6 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesLactate Dehydrogenase (U/L) >3×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesCreatinine (umol/L) >1.5×ULN1 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesProtein (g/L) Positive0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesPhosphorus (mmol/L) <0.9×LLN42 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesCreatine Kinase (U/L) >2×ULN57 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesWhite Blood Cell Count (10**9/L) >1.5×ULN4 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesPhosphorus (mmol/L) >1.1×ULN21 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesCholesterol, Total (mmol/L) >1.6×ULN2 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesBasophils Absolute Cell Count (10**9/L) >2×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesPotassium (mmol/L) <0.9×LLN3 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesTriglycerides (mmol/L) >2×ULN17 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesWhite Blood Cell Count (10**9/L) <0.9×LLN17 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesRed Blood Cell Count (10**12/L) >1.1×ULN2 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesGlucose Positive23 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesAlanine Aminotransferase (SGPT) (U/L) >3×ULN8 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesRed Blood Cell Count (10**12/L) <0.9×LLN3 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesPotassium (mmol/L) >1.1×ULN33 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesAlbumin (g/L) <0.8×LLN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesPlatelet Count (Thrombocytes) (10**9/L) >1.5×ULN1 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesBlood Urea Nitrogen (mmol/L) >1.5×ULN1 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesAlbumin (g/L) >1.2×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesPlatelet Count (Thrombocytes) (10**9/L) <0.5×LLN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesLymphocytes Absolute Cell Count (10**9/L) >1.3×ULN8 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesNeutrophils Absolute Cell Count (10**9/L) >1.3×ULN17 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesProtein, Total (g/L) <0.9×LLN4 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesBilirubin, Total (umol/L) >1.5×ULN2 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesHemoglobin (g/L) >1.1×ULN1 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesBicarbonate (HCO3) (mmol/L) >1.1×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesNeutrophils Absolute Cell Count (10**9/L) <0.7×LLN6 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesProtein, Total (g/L) >1.1×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesMonocytes Absolute Cell Count (10**9/L) >2×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesBicarbonate (HCO3) (mmol/L) <0.9×LLN37 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesCalcium (mmol/L) <0.9×LLN3 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesMonocytes Absolute Cell Count (10**9/L) <0.5×LLN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesSpecific Gravity >1.1×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesCalcium (mmol/L) >1.1×ULN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesLymphocytes Absolute Cell Count (10**9/L) <0.7×LLN5 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesSodium (mmol/L) <0.9×LLN0 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesChloride (mmol/L) <0.9×LLN1 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Laboratory ValuesHematocrit (RATIO) >1.1×ULN1 Participants
Secondary

Number of Participants With Clinically Significant Vital Sign Measurements

Vital sign measurements considered potentially clinically significant (PCS) meeting either the lower-limit or higher-limit PCS criteria.

Time frame: 56 Weeks

Population: The Safety population is defined separately below for the ubrogepant arms and the usual-care arm.~Ubrogepant arms: All randomized patients who received ≥ 1 dose of treatment. Usual care arm: All randomized patients in the usual-care arm

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsStanding - Sitting DBP (mmHg) <= -1538 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Standing) >= 180 and Increase of >= 200 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min) (Sitting) <= 50, Decrease of >= 154 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Standing) >= 105 and Increase of >= 1512 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsStanding - Sitting SBP (mmHg) <= -2058 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Standing) <= 50 and Decrease of >= 155 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Sitting) >= 105 and Increase of >= 156 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min)(Standing) >= 120, Increase of >= 1514 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsStanding - Sitting Pulse Rate (beats/min) >= 2542 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsWeight (kg) Decrease of >= 7%58 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Sitting) <= 90 and Decrease of >= 2011 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min) (Standing) <= 50, Decrease of >= 152 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Sitting) >= 180 and Increase of >= 200 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Sitting) <= 50 and Decrease of >= 156 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min) (Sitting) >= 120, Increase of >= 151 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Standing) <= 90 and Decrease of >= 2012 Participants
Usual CareNumber of Participants With Clinically Significant Vital Sign MeasurementsWeight (kg) Increase of >= 7%73 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsStanding - Sitting Pulse Rate (beats/min) >= 2537 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Sitting) <= 90 and Decrease of >= 2020 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsStanding - Sitting SBP (mmHg) <= -2040 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Sitting) <= 50 and Decrease of >= 155 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Sitting) >= 180 and Increase of >= 200 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Standing) <= 90 and Decrease of >= 2011 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Standing) >= 180 and Increase of >= 200 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Sitting) >= 105 and Increase of >= 153 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Standing) <= 50 and Decrease of >= 154 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Standing) >= 105 and Increase of >= 1514 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsStanding - Sitting DBP (mmHg) <= -1542 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min) (Sitting) >= 120, Increase of >= 152 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min) (Standing) <= 50, Decrease of >= 153 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min)(Standing) >= 120, Increase of >= 159 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min) (Sitting) <= 50, Decrease of >= 155 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsWeight (kg) Decrease of >= 7%48 Participants
Ubrogepant 50 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsWeight (kg) Increase of >= 7%69 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsStanding - Sitting DBP (mmHg) <= -1536 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Sitting) >= 180 and Increase of >= 201 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsStanding - Sitting Pulse Rate (beats/min) >= 2535 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min) (Sitting) >= 120, Increase of >= 151 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Sitting) <= 90 and Decrease of >= 2012 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsWeight (kg) Increase of >= 7%61 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min) (Standing) <= 50, Decrease of >= 153 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min) (Sitting) <= 50, Decrease of >= 157 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Sitting) >= 105 and Increase of >= 156 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Sitting) <= 50 and Decrease of >= 154 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsWeight (kg) Decrease of >= 7%53 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Standing) <= 50 and Decrease of >= 154 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Standing) >= 180 and Increase of >= 201 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsPR (beats/min)(Standing) >= 120, Increase of >= 1513 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsDBP (mmHg) (Standing) >= 105 and Increase of >= 1511 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsSBP (mmHg) (Standing) <= 90 and Decrease of >= 2011 Participants
Ubrogepant 100 mgNumber of Participants With Clinically Significant Vital Sign MeasurementsStanding - Sitting SBP (mmHg) <= -2049 Participants

Source: ClinicalTrials.gov · Data processed: Feb 14, 2026