Migraine Disorders
Recent clinical, regulatory, research and industry developments relating to this disease.
The link between spreading depolarization and innate immunity in the central nervous system.
Neural Plasticity in Migraine Chronification.
Altered immunity in migraine: a comprehensive scoping review.
Approval: Aquipta (EMA)
Migraine and cardiovascular disease: what cardiologists should know.
Approval: Vydura (EMA)
Approval: Vyepti (EMA)
Approval: Ajovy (EMA)
Approval: Aimovig (EMA)
What's happening now
An analyst briefing on current research, clinical, regulatory and industry activity surrounding this disease.
- 6 clinical trials expected to report results, the earliest in Q1 2028.
- Q1 2028A Phase 3, Multicenter, 12-Week, Double Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Atogepant for the Preventive Treatment of Episodic Migraine in Pediatric Subjects 6-17 Years of Age.
- Q1 2029A Comparative Effectiveness Study of Oral Medications Used for Migraine Prevention: The APT Comparison Study
- Q1 2029Phase 3, Multicenter, Randomized, Double-blind, Group Sequential, Placebo-controlled Study to Assess Efficacy and Safety of Rimegepant for the Treatment of Migraine (With or Without Aura) in Children and Adolescents ≥ 6 to < 18 Years of Age
- Q3 2030Phase 3, Multicenter, Open-label Study to Assess the Long-term Safety and Tolerability of Rimegepant for the Acute Treatment of Migraine (With or Without Aura) in Children and Adolescents ≥ 6 to < 18 Years of Age
- Q1 2031A Phase 3, Multicenter, 12-Week, Double Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Atogepant for the Preventive Treatment of Chronic Migraine in Pediatric Subjects 12 to 17 Years of Age
Clinical MilestonesView all 14Hide
- 2026-07-02A Randomized, Double-Blind, Parallel-Group, Active Controlled Trial With Open-Label Safety Extension to Evaluate the Tolerability, Safety, and Efficacy of Atogepant Versus Topiramate in Subjects Requiring Preventive Treatment of Migraine (TEMPLE)Results posted
- 2026-06-16A Phase 3 Multicenter 24-Week Open-Label Study to Evaluate the Safety, Tolerability, and Efficacy of Atogepant When Added to OnabotulinumtoxinA (BOTOX) for the Preventive Treatment of Chronic MigraineResults posted
- 2026-07-14A Phase 3, Multicenter, 12-Week, Double Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Atogepant for the Preventive Treatment of Episodic Migraine in Pediatric Subjects 6-17 Years of Age.Results expected Q1 2028
- 2026-07-09A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Rimegepant in Migraine Prevention in Children and Adolescents ≥ 6 to <18 Years of AgeResults expected Q4 2031
- 2026-07-09Phase 3, Multicenter, Open-label Study to Assess the Long-term Safety and Tolerability of Rimegepant for the Acute Treatment of Migraine (With or Without Aura) in Children and Adolescents ≥ 6 to < 18 Years of AgeResults expected Q3 2030
- 2026-07-09Phase 3, Multicenter, Randomized, Double-blind, Group Sequential, Placebo-controlled Study to Assess Efficacy and Safety of Rimegepant for the Treatment of Migraine (With or Without Aura) in Children and Adolescents ≥ 6 to < 18 Years of AgeResults expected Q1 2029
- 2026-06-29A Comparative Effectiveness Study of Oral Medications Used for Migraine Prevention: The APT Comparison StudyResults expected Q1 2029
- 2026-04-30Safety and Efficacy of Zonisamide Versus Topiramate in MigraineCompleted
- 2026-01-07A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of Erenumab in Children (6 to < 12 Years) and Adolescents (12 to < 18 Years) With Chronic Migraine (OASIS PEDIATRIC [CM])Completed
- 2025-12-22A Multicenter, Open-Label Study Evaluating the Long-Term Safety, Tolerability, and Efficacy of Monthly Subcutaneous Administration of Fremanezumab for the Preventive Treatment of Episodic and Chronic Migraine in Pediatric Patients 6 to 17 Years of AgeCompleted
- 2025-10-20A Phase 3, Multicenter, Open-Label 156-Week Extension Study To Evaluate The Long-Term Safety And Tolerability Of Oral Atogepant For The Prevention Of Migraine In Participants With Chronic Or Episodic MigraineCompleted
- 2026-02-04A Prospective, Open-Label Study Examining the Use of Rimegepant ODT 75 mg or Zavegepant Nasal Spray 10 mg for Acute Treatment of Migraine in the Emergency Department SettingTerminated
- 2025-12-04A Phase 3, 12-Month, Open-Label Study of Lasmiditan in Pediatric Patients With Migraine - PIONEER-PEDS2Terminated
- 2026-07-14ClinicalA Phase 3, Multicenter, 12-Week, Double Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Atogepant for the Preventive Treatment of Episodic Migraine in Pediatric Subjects 6-17 Years of Age.Results expected Q1 2028
- 2026-07-09ClinicalA Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Rimegepant in Migraine Prevention in Children and Adolescents ≥ 6 to <18 Years of AgeResults expected Q4 2031
- 2026-07-09ClinicalPhase 3, Multicenter, Open-label Study to Assess the Long-term Safety and Tolerability of Rimegepant for the Acute Treatment of Migraine (With or Without Aura) in Children and Adolescents ≥ 6 to < 18 Years of AgeResults expected Q3 2030
- 2026-07-09ClinicalPhase 3, Multicenter, Randomized, Double-blind, Group Sequential, Placebo-controlled Study to Assess Efficacy and Safety of Rimegepant for the Treatment of Migraine (With or Without Aura) in Children and Adolescents ≥ 6 to < 18 Years of AgeResults expected Q1 2029
- 2026-07-02ClinicalA Randomized, Double-Blind, Parallel-Group, Active Controlled Trial With Open-Label Safety Extension to Evaluate the Tolerability, Safety, and Efficacy of Atogepant Versus Topiramate in Subjects Requiring Preventive Treatment of Migraine (TEMPLE)Results posted
- 2026-06-29ClinicalA Comparative Effectiveness Study of Oral Medications Used for Migraine Prevention: The APT Comparison StudyResults expected Q1 2029
- 2026-06-16ClinicalA Phase 3 Multicenter 24-Week Open-Label Study to Evaluate the Safety, Tolerability, and Efficacy of Atogepant When Added to OnabotulinumtoxinA (BOTOX) for the Preventive Treatment of Chronic MigraineResults posted
- 2026-06-04ClinicalA Phase 3, Multicenter, 12-Week, Double Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Atogepant for the Preventive Treatment of Chronic Migraine in Pediatric Subjects 12 to 17 Years of AgeResults expected Q1 2031
- 2026-04-30ClinicalSafety and Efficacy of Zonisamide Versus Topiramate in MigraineCompleted
- 2026-02-04ClinicalA Prospective, Open-Label Study Examining the Use of Rimegepant ODT 75 mg or Zavegepant Nasal Spray 10 mg for Acute Treatment of Migraine in the Emergency Department SettingTerminated
Clinical trials
The current development programme across all trial phases.
Evidence coverage
How much of this condition's readable clinical evidence the confidence engine has incorporated, across its most-studied treatments. This measures coverage of the evidence base — not whether any treatment works.
Largest gap: no meaningful change (2, trial-readability).
Research activity
Key research shaping understanding of this disease, combining the latest publications with the most influential evidence.
Major themes8
- Migraine Disorders7
- Mental Disorders2
- Adverse Drug Reaction Reporting Systems1
- Brain Diseases1
- Brain Ischemia1
- Cardiologists1
- Cardiovascular Diseases1
- Central Nervous System1
Leading journals6
- The journal of headache and pain5
- Annual review of physiology1
- British journal of sports medicine1
- Cephalalgia : an international journal of headache1
- European heart journal1
- European psychiatry : the journal of the Association of European Psychiatrists1
Leading researchers8
- Akerman S1
- Albury CL1
- Andreou AP1
- Appelman Y1
- Arzani M1
- Blasiak J1
- Borsook D1
- Burstein R1
Affiliations (unnormalised)6
- Institute of Psychiatry3
- Basic and Clinical Neurosciences1
- Beth Israel Deaconess Medical Center1
- Boston Children's Hospital1
- Cardiovascular Diseases Research Center1
- Centre for Innovation in Mental Health1
Disease biology
Key proteins & gene products studied in this disease. Number shows shared papers.
Related conditions
Diseases frequently studied alongside this one. Number shows shared papers.
Disease profile
A grounded synthesis of the condition — overview, causes, mechanism, risk factors and current standard of care.
Migraine disorders are a class of disabling primary headache disorders marked by recurrent unilateral pulsatile headaches. The major subtypes are migraine without aura and migraine with aura or other neurological symptoms. They are described in the literature as a common, recurrent neurological disorder with attacks that can include prodromal symptoms, aura, and headache.
Migraine is described as having an inherited tendency, indicating a hereditary predisposition. The supplied grounding does not support a single external cause or a fully defined aetiology beyond this inherited susceptibility.
Migraine is presented as a neurological disorder of sensory processing involving abnormal control of sensory inputs by the brain. The literature highlights the trigeminovascular system, cerebral cortex, cortical spreading depression, central nervous system sensitization, and neuropeptides such as calcitonin gene-related peptide as important components of attack biology. It is also described as involving interactions between peripheral and central nervous systems, with neuronal and glial changes contributing to altered excitatory and inhibitory balance.
Female sex is noted in the supplied reviews as being associated with higher frequency in adulthood. The grounding also supports hereditary susceptibility as a risk factor for developing migraine. No other risk factors are directly supported by the supplied material.
The supplied grounding supports therapy at the modality and drug-class level, but it does not name specific treatments. It indicates that migraine literature covers therapy and that CGRP is a key co-studied target, consistent with treatment approaches directed at migraine biology. Beyond this, the grounding does not support a more specific standard-of-care description.
AI-generated summary grounded in MeSH and 6 peer-reviewed sources. Informational only — not medical advice. Generated 2026-07-07.
Reference
Authoritative identity, definition & identifiers.
A class of disabling primary headache disorders, characterized by recurrent unilateral pulsatile headaches. The two major subtypes are common migraine (without aura) and classic migraine (with aura or neurological symptoms). (International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004: suppl 1)
- Disease identity & definition — NLM Medical Subject Headings (MeSH), public domain
- Clinical trials — ClinicalTrials.gov (U.S. National Library of Medicine)
- Research activity — Europe PMC (EMBL-EBI) + OpenAlex-derived paper links
- Related entities are derived from literature co-mention (studied together) — associative, not causal.