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April 10, 2026Cephalalgia

Safety, tolerability, and efficacy of atogepant added to onabotulinumtoxinA for the preventive treatment of chronic migraine: A phase 3, multicenter, 24-week, open-label study

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Authors

JRJohn RothrockUNUmer NajibJAJessica Ailani

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Overview

Phase 3 open-label study shows combined therapy reduces chronic migraine days in adults, suggesting a new treatment option.

Key Points

  • This study aims to evaluate the safety and efficacy of adding atogepant to onabotulinumtoxinA for chronic migraine treatment.
  • Conducted as a Phase 3, open-label, multicenter study over 24 weeks.
  • Included 75 participants on a stable dose of onabotulinumtoxinA.
  • Participants received 60 mg of add-on atogepant once daily and underwent efficacy and safety evaluations.
  • 65.3% of participants experienced at least one treatment-emergent adverse event.
  • Mean monthly migraine days reduced significantly from baseline by up to -7.20 days across 24 weeks.
  • 54.2% and 61.9% of participants achieved a ≥50% reduction in migraine days at Weeks 1-12 and 13-24, respectively.

Cite This Study

Rothrock et al. (2026) studied this question.

synapsesocial.com/papers/69d893406c1944d70ce04428https://doi.org/10.1177/03331024261429118
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Safety, Tolerability, and Efficacy of Atogepant Added to OnabotulinumtoxinA for the Preventive Treatment of Chronic Migraine: A Phase 3, Multicenter, 24-week, Open-label Study (P10-15.010)2026
  2. 2Combination preventive therapy with onabotulinumtoxinA and atogepant for chronic migraine: A 24-week, prospective, real-world evaluation (SYNERGY study)2025
  3. 3Effectiveness and tolerability of atogepant as preventive treatment in resistant individuals with chronic migraine: Six-month real-world evidence2025
  4. 4Atogepant for migraine in real-world clinical practice: Insights from a large multicentre study in a treatment-resistant population (GEMA project)2026 · 1 citations
  5. 5Sustained benefits of onabotulinumtoxinA treatment in chronic migraine: An analysis of the pooled Phase 3 REsearch Evaluating Migraine Prophylaxis Therapy (PREEMPT) randomized controlled trials2024 · 8 citations