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Migraine

CNS 8 original drugs
8
Novel Drugs
20
Reformulations
92
Active Trials
22
Drug Targets

CNS indication. Migraine has 8 FDA-approved novel treatments, led by Eli Lilly, with 92 active industry clinical trials across 22 drug targets. Explore market leaders, treatments by mechanism, the clinical pipeline, and drug targets below.

Migraine Market Leaders

Companies with the most FDA-approved novel Migraine drugs.

Phase 3 Readouts Pro

12 active Phase 3 trials with confidence-graded completion dates.

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Q4 2026
Rimegepant
Pfizer
Estimated · fresh NCT06616194
Q4 2026
Rimegepant
Pfizer
Estimated · fresh NCT06641466
Q1 2027
Atogepant
AbbVie
Estimated · aging NCT06806293
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Anchored on CT.gov primary completion date. Topline announcements typically precede this by 3–9 months. Confidence labels combine date type (ACTUAL/ESTIMATED) with last-update freshness.

Migraine Treatments by Mechanism

Top 8 mechanisms across 40 industry trials with a known mechanism of action.

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Calcitonin Gene-related Peptide Receptor Antagonist
22 trials 5 active 2 sponsors
Acetylcholine Release Inhibitor
6 trials 2 active 2 sponsors
Cytochrome P450 3A4 Inducers [MoA]
2 trials 1 active 2 sponsors
Serotonin-1b and Serotonin-1d Receptor Agonist
5 trials 4 sponsors
5-HT 1B receptor/5-HT 1D receptor
2 trials 1 sponsor
5-HT1B/5-HT1D/COX-1/COX-2
1 trials 1 sponsor
Nonsteroidal Anti-inflammatory Drug
1 trials 1 sponsor
5-HT1B/5-HT1D
1 trials 1 sponsor

MoA derived from FDA pharmClassEpc when intervention matches an approved drug. Codenamed clinical-stage assets without an approved counterpart show "—" and aren't grouped here — they're still in the phase tables below.

Migraine Clinical Pipeline by Phase

314 industry-sponsored trials across 80 sponsors

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Reformulations (20 drugs) Click to expand
Generic Drugs (12 ANDA approved) Click to expand

Related Indications

Other CNS indications

Drug Categories:

  • Novel Drugs: NDA Type 1/2 (new molecular entity) or original BLA
  • Reformulations: NDA Type 3/5 (new dosage form of existing molecule)
  • Biosimilars: BLA-approved biologics highly similar to reference products
  • Generics: ANDA-approved copies of small molecule drugs

View data sources and methodology