Randomized Trialhigh evidence

Tolerability, safety, and efficacy of atogepant versus topiramate in adults with migraine (TEMPLE): a randomised, head-to-head, phase 3b trial.

The Lancet. Neurology·July 23, 2026·PMID 42492556

Why it matters

Direct comparative evidence between a CGRP receptor antagonist and a conventional oral preventive has been lacking. These data help clinicians weigh tolerability and efficacy when selecting first-line or step-therapy options for migraine prevention.

Infographic summary of Tolerability, safety, and efficacy of atogepant versus topiramate in adults with migraine (TEMPLE): a randomised, head-to-head, phase 3b trial.
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