script.reportAU
Neurology

Atogepant

Brand: Aquipta

PBAC's latest decision on Atogepant: Recommended with restriction (2023). Considered for Prophylaxis of chronic migraine and high-frequency episodic migraine in adults who have experienced an inadequate response, intolerance or a contraindication to at least three prophylactic migraine medications.

PBAC outcome
Recommended with restriction
Authority Required
ICER (AUD/QALY)
Cost-min
cost-minimisation analysis
Submissions
1
first 2023
Submissions
1
2023 → 2023

Eligible population

Adults with chronic migraine or high-frequency episodic migraine (≥8 migraine days per month over ≥6 months) who have experienced an inadequate response, intolerance or contraindication to at least three prophylactic migraine medications.

Therapy area
Neurology
Line of therapy
Later-line
Evidence base
RCT
Primary endpoint
Reduction in monthly migraine headache days; ≥50% reduction in monthly migraine headache days
Key trials
PROGRESS, REGAIN, HALO-CM, NCT03303079, ADVANCE, NCT02848326, EVOLVE-1, EVOLVE-2, PERSIST, NCT02959177, CONQUER, FOCUS, HALO-EM, NCT03303092, ELEVATE
Comparator
galcanezumab and fremanezumab
Economic model
Cost-minimisation
ICER note
Cost-minimisation approach; ICER not calculated. Effective price to be determined via Special Pricing Agreement using comparator's confidential price.

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