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Abstract Details

Single Therapeutic and Supratherapeutic Doses of Ubrogepant Do Not Affect Cardiac Repolarization in Healthy Adults
Headache
P2 - Poster Session 2 (5:30 PM-6:30 PM)
13-003
To determine risk of cardiac repolarization prolongation with single therapeutic and supratherapeutic doses of ubrogepant.
Ubrogepant is a novel, oral, calcitonin gene–related peptide receptor antagonist in development for acute treatment of migraine attacks. 

A phase 1, randomized, double-blind, crossover study compared the cardiac repolarization effect of therapeutic (100 mg) and supratherapeutic (400 mg) ubrogepant doses versus placebo, with moxifloxacin 400 mg as open-label, active control. Healthy adults were randomized to 1 of 12 treatment sequences, with inter-treatment 7-day washouts. QT interval corrected for heart rate (Fridericia correction; QTcF) was measured at baseline (predose) and for 25 hours postdose on days 1, 8, 15, and 22. The primary outcome was the largest time-matched mean difference from baseline in QTcF interval change (ΔΔQTcF). The largest upper 2-sided 90% CI limit for each ΔΔQTcF was compared with a 10 msec threshold to evaluate QT effect of ubrogepant. Other outcomes included adverse event (AE) incidence, plasma concentrations of study medications, and frequency of extreme QTcF interval values.

Mean (SD) age of enrolled subjects (N=84) was 29.3 (7.5) years; 63.1% were male, and 79.8% (n=67) completed all treatment periods. Moxifloxacin demonstrated a significant ΔΔQTcF (ie, lower bound of 2-sided 90% CI limit >5 msec), confirming assay sensitivity. Following therapeutic (100 mg) and supratherapeutic (400 mg) doses of ubrogepant, mean ΔΔQTcF and upper 2-sided 90% CIs were lower than the 10-msec threshold at all timepoints. The percentage of subjects with extreme QTcF values was similar for ubrogepant and placebo. Systemic exposure to ubrogepant was dose-proportional, and no trend in ΔΔQTcF was observed with increasing plasma concentrations. AE incidence was low and similar across treatments and sequences. No serious AEs were reported.

Therapeutic and supratherapeutic doses of ubrogepant did not significantly prolong QT intervals and were well tolerated in healthy adults.

Authors/Disclosures
Abhijeet Jakate, PhD (Allergan Plc)
PRESENTER
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