New combo therapy for chronic migraine: atogepant plus botox under study

NCT ID NCT05216263

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This phase 3 trial tested whether adding the oral drug atogepant (QULIPTA) to standard Botox injections can safely and effectively prevent chronic migraine in adults. 75 participants took atogepant daily for 24 weeks alongside their regular Botox. Researchers monitored side effects, lab values, and migraine changes. The study is complete, but results are not yet published.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

atogepant (QULIPTA) oral tablet

What this could lead to

If successful, this could show that adding atogepant to Botox provides better migraine prevention than Botox alone, offering a new combination treatment option.

What could go wrong

This is an open-label study with no placebo group, so results may be less reliable. Side effects like nausea, constipation, or suicidal thoughts are possible. The small size (75 people) limits generalizability.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

migraine disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Albany Medical College /ID# 242757

    Albany, New York, 12208, United States

  • Arkansas Clinical Research /ID# 241789

    Little Rock, Arkansas, 72205, United States

  • Barrow Neurological Institute - Dignity Health St. Joseph's Hosp and Medical Ctr /ID# 241812

    Phoenix, Arizona, 85013, United States

  • Beth Israel Deaconess Medical Center /ID# 241800

    Boston, Massachusetts, 02215-5400, United States

  • Chattanooga Medical Research /ID# 253295

    Chattanooga, Tennessee, 37404-3239, United States

  • Coastal Clinical Research Specialists /ID# 247992

    Jacksonville Beach, Florida, 32250-1694, United States

  • Dent Neurologic Institute - Amherst /ID# 241776

    Amherst, New York, 14226, United States

  • Duplicate_Ochsner Clinic Foundation /ID# 241803

    Covington, Louisiana, 70433-8107, United States

  • First Physicians Group - Waldemere /ID# 242861

    Sarasota, Florida, 34239-2943, United States

  • Frontier Clinical Research - Kingwood /ID# 242928

    Kingwood, West Virginia, 26537-9797, United States

  • Headache Wellness Center /ID# 241791

    Greensboro, North Carolina, 27405, United States

  • Hope Clinical Research /ID# 241772

    Canoga Park, California, 91303, United States

  • Inova Health System /ID# 252242

    Falls Church, Virginia, 22042, United States

  • Integrated Neurology Services - Falls Church /ID# 244747

    Falls Church, Virginia, 22043-2367, United States

  • Jefferson Hospital for Neuroscience /ID# 243712

    Philadelphia, Pennsylvania, 19107-5191, United States

  • Kansas Institute of Research /ID# 241796

    Overland Park, Kansas, 66211-1363, United States

  • Michigan Headache & Neurological Institute (MHNI) /ID# 241784

    Ann Arbor, Michigan, 48104-5131, United States

  • Minneapolis Clinic of Neurology - Burnsville /ID# 241994

    Burnsville, Minnesota, 55337-6732, United States

  • Nashville Neuroscience Group /ID# 243592

    Nashville, Tennessee, 37203, United States

  • Neuro Pain Medical Center /ID# 241992

    Fresno, California, 93710, United States

  • Neurological Research Institute /ID# 242688

    Santa Monica, California, 90404, United States

  • Neurology Offices of South Florida, PLLC /ID# 242693

    Boca Raton, Florida, 33428-2231, United States

  • Neurology and Neurodiagnostics of Alabama /ID# 242538

    Hoover, Alabama, 35244-5700, United States

  • Preferred Primary Care Physicians - Jacob Murphy /ID# 241798

    Uniontown, Pennsylvania, 15401, United States

  • Profound Research LLC /ID# 244084

    Carlsbad, California, 92011-4213, United States

  • Puget Sound Neurology /ID# 241787

    Tacoma, Washington, 25328, United States

  • Texas Neurology /ID# 241795

    Dallas, Texas, 75214, United States

  • University of Miami /ID# 252230

    Miami, Florida, 33136, United States

  • West Virginia Univ School Med /ID# 252869

    Morgantown, West Virginia, 26506, United States