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Table 4 Treatment-emergent adverse events

From: Safety and tolerability of atogepant for the preventive treatment of migraine: a post hoc analysis of pooled data from four clinical trials

 

Randomized, Placebo-Controlled Trials

Long-term Safety Trials

Atogepant

Placebo

(n = 408)

Atogepant

60 mg once daily

(n = 1228)

Standard Care

(n = 196)

10 mg once daily

(n = 314)

30 mg once daily

(n = 411)

60 mg once daily

(n = 417)

AEs (≥ 5% of atogepant-treated participants), n (%)

 Upper respiratory tract infection

15 (4.8)

27 (6.6)

19 (4.6)

25 (6.1)

94 (7.7)

24 (12.2)

  Mild

7 (2.2)

14 (3.4)

11 (2.6)

12 (2.9)

44 (3.6)

16 (8.2)

  Moderate

8 (2.5)

13 (3.2)

8 (1.9)

13 (3.2)

50 (4.1)

8 (4.1)

  Severe

0

0

0

0

0

0

 Constipation

19 (6.1)

26 (6.3)

25 (6.0)

5 (1.2)

62 (5.0)

6 (3.1)

  Mild

16 (5.1)

19 (4.6)

17 (4.1)

3 (0.7)

41 (3.3)

4 (2.0)

  Moderate

2 (0.6)

7 (1.7)

8 (1.9)

2 (0.5)

20 (1.6)

2 (1.0)

  Severe

1 (0.3)

0

0

0

1 (0.1)

0

 Nasopharyngitis

7 (2.2)

19 (4.6)

22 (5.3)

12 (2.9)

57 (4.6)

10 (5.1)

  Mild

7 (2.2)

15 (3.6)

20 (4.8)

9 (2.2)

36 (2.9)

7 (3.6)

  Moderate

0

4 (1.0)

2 (0.5)

3 (0.7)

21 (1.7)

3 (1.5)

  Severe

0

0

0

0

0

0

 Nausea

16 (5.1)

23 (5.6)

36 (8.6)

13 (3.2)

57 (4.6)

12 (6.1)

  Mild

14 (4.5)

16 (3.9)

24 (5.8)

10 (2.5)

44 (3.6)

7 (3.6)

  Moderate

2 (0.6)

6 (1.5)

11 (2.6)

3 (0.7)

13 (1.1)

5 (2.6)

  Severe

0

1 (0.2)

1 (0.2)

0

0

0

 Urinary tract infection

5 (1.6)

20 (4.9)

14 (3.4)

12 (2.9)

64 (5.2)

9 (4.6)

  Mild

3 (1.0)

11 (2.7)

7 (1.7)

4 (1.0)

32 (2.6)

4 (2.0)

  Moderate

2 (0.6)

9 (2.2)

7 (1.7)

8 (2.0)

32 (2.6)

4 (2.0)

  Severe

0

0

0

0

0

1 (0.5)

AEs of interest, n (%)

 Weight decrease

1 (0.3)

0

4 (1.0)

3 (0.7)

32 (2.6)

3 (1.5)

  Mild

1 (0.3)

0

2 (0.5)

1 (0.2)

26 (2.1)

2 (1.0)

  Moderate

0

0

2 (0.5)

2 (0.5)

6 (0.5)

1 (0.5)

  Severe

0

0

0

0

0

0

 Weight increase

2 (0.6)

0

2 (0.5)

5 (1.2)

15 (1.2)

11 (5.6)

  Mild

1 (0.3)

0

2 (0.5)

4 (1.0)

11 (0.9)

9 (4.6)

  Moderate

1 (0.3)

0

0

1 (0.2)

4 (0.3)

2 (1.0)

  Severe

0

0

0

0

0

0

 ALT increase

5 (1.6)

4 (1.0)

6 (1.4)

9 (2.2)

16 (1.3)

4 (2.0)

  Mild

1 (0.3)

1 (0.2)

4 (1.0)

5 (1.2)

8 (0.7)

2 (1.0)

  Moderate

4 (1.3)

2 (0.5)

0

4 (1.0)

6 (0.5)

1 (0.5)

  Severe

0

1 (0.2)

2 (0.5)

0

2 (0.2)

1 (0.5)

 AST increase

4 (1.3)

4 (1.0)

4 (1.0)

8 (2.0)

20 (1.6)

5 (2.6)

  Mild

2 (0.6)

2 (0.5)

1 (0.2)

3 (0.7)

10 (0.8)

1 (0.5)

  Moderate

2 (0.6)

2 (0.5)

2 (0.5)

5 (1.2)

8 (0.7)

4 (2.0)

  Severe

0

0

1 (0.2)

0

2 (0.2)

0

 Hypertension

1 (0.3)

4 (1.0)

0

0

23 (1.9)

2 (1.0)

  Mild

1 (0.3)

0

0

0

10 (0.8)

2 (1.0)

  Moderate

0

4 (1.0)

0

0

13 (1.1)

0

  Severe

0

0

0

0

0

0

 Other cardiac disordera

4 (1.3)

9 (2.2)

3 (0.7)

4 (1.0)

16 (1.3)

5 (2.6)

  Mild

3 (1.0)

9 (2.2)

2 (0.5)

2 (0.5)

9 (0.7)

5 (2.6)

  Moderate

1 (0.3)

0

1 (0.2)

2 (0.5)

7 (0.6)

0

  Severe

0

0

0

0

0

0

  1. Participants in the standard care arm were non-naive to their preventive treatment, selected their treatment based on their prior experience, and could switch preventive as needed; therefore, direct comparisons of AE rates between standard care and atogepant treatment arms cannot be made
  2. AE Adverse event, ALT Alanine aminotransferase, AST Aspartate aminotransferase, SC Standard care
  3. aIncludes atrioventricular block first degree, atrioventricular block second degree, left bundle branch block, left atrial enlargement, palpitations, postural orthostatic tachycardia syndrome, and supraventricular extrasystoles