OnabotulinumtoxinA (Botox)

Treatment for Migraine

Typical Dosage: 155 units injected across 31 sites

Effectiveness
72%
Safety Score
65%
Clinical Trials
63
Participants
9K

Comparative Safety Scale(Higher is safer)

Cyanide☠️
Meth💀
Cigarettes🚬
Chemo☢️
Alcohol🍺
Morphine💊
Antibiotics💉
Tylenol💊
Exercise🏃
Water💧
65
DangerousModerateSafe
Treatment Details
Dosage Range
155 units injected across 31 sites
Time to Effect
2-4 weeks
Treatment Duration
Long-term (every 12 weeks)
Evidence Quality
HIGH
Number Needed to Treat (NNT)
6(Treat 6 patients to see 1 additional successful outcome)
Confidence Score
90%confidence in effectiveness data
Health Economics
Annual Cost of Care
Drug Cost:$4,000
Monitoring:$600
Side Effect Mgmt:$200
Total Annual:$4,800
Cost-Effectiveness Analysis
Cost-Effectiveness Rating
MODERATE
ICER
$100,000/QALY
QALYs Gained
0.1
Outcome-Based Costs
Cost per Responder
$10,000
Cost per Remission
$40,000
OnabotulinumtoxinA (Botox) Outcomes

for Migraine

Efficacy Outcomes
Overall Effectiveness
+72%
Response Rate
+48%
Remission Rate
+12%
Common Side Effects
Neck pain
+9%
Headache
+5%
Eyelid ptosis
+3%
Muscle weakness
+2%

WARNING: LIMITED TRIALS AVAILABLE

You can search for trials, but you probably can't join any because the 1% Treaty hasn't passed yet. Most trials are severely limited by lack of funding and bureaucratic barriers. Help change this!

Active Clinical Trials
4 active trials recruiting for OnabotulinumtoxinA (Botox) in Migraine

COACT Study: CGRPmAbs + OnabotulinumtoxinA Assessment of Chronic Migraine Treatments Study

NCT05724771ACTIVE NOT RECRUITINGPHASE4
View Study
50 participants
INTERVENTIONAL
Chicago, United States
Started: Jan 26, 2023

BOTOX® vs. XEOMIN® for Chronic Migraine

NCT05598723RECRUITINGPHASE3
View Study
128 participants
INTERVENTIONAL
Jacksonville, United States
Started: Feb 24, 2023

OnaBotulinumtoxin-A in Chronic Migraine Patients with Short or Long Disease History (the BACH Study)

NCT06537700RECRUITING
View Study
115 participants
OBSERVATIONAL
Ancona, Italy +5 more
Started: Jan 1, 2024

An Open Label, Study of DaxibotulinumtoxinA for Migraine Prevention

NCT06154070ACTIVE NOT RECRUITING
View Study
10 participants
OBSERVATIONAL
Los Angeles, United States +1 more
Started: Oct 24, 2023
Completed Clinical Trials
12 completed trials for OnabotulinumtoxinA (Botox) in Migraine

Effectiveness of Onabotulinumtoxin A (Botox) in Pediatric Patients Experiencing Migraines: A Study in the Pediatric Pain Population

NCT03055767COMPLETEDPHASE2
View Study
17 participants
INTERVENTIONAL
Irvine, United States +1 more
Started: Mar 1, 2017

Calcitonin Gene-related Peptide Levels in Chronic Migraine

NCT01071096COMPLETEDPHASE4
View Study
20 participants
INTERVENTIONAL
Springfield, United States +1 more
Started: Jun 1, 2010

Use of a Treatment Benefit Questionnaire in Patients With Chronic Migraine Treated With OnabotulinumtoxinA (BOTOX®)

NCT01833130COMPLETEDPHASE4
View Study
52 participants
INTERVENTIONAL
San Francisco, United States
Started: Apr 1, 2013

Efficacy of OnabotulinumtoxinA in Migraine

NCT04578782COMPLETEDPHASE2
View Study
32 participants
INTERVENTIONAL
Pavia, Italy
Started: Mar 13, 2018

A Long-term Efficacy, Safety, and Tolerability Study of BOTOX® in Patients With Chronic Migraine

NCT01516892COMPLETEDPHASE4
View Study
716 participants
INTERVENTIONAL
Scottsdale, United States +31 more
Started: Dec 1, 2011

Duration of Benefit for OnabotulinumtoxinA in Treatment of Chronic Migraine

NCT02037425COMPLETEDPHASE4
View Study
44 participants
INTERVENTIONAL
Springfield, United States
Started: Apr 1, 2014

A Study to Evaluate the Tolerability of Botox and Topiramate or Botox and Placebo and Effect on Cognitive Efficiency

NCT01700387COMPLETEDPHASE4
View Study
20 participants
INTERVENTIONAL
Springfield, United States
Started: Oct 1, 2012

Onabotulinumtoxin Type A Reconstitution With Preserved Versus Preservative-free Saline in Chronic Migraine.

NCT03698409COMPLETEDPHASE4
View Study
68 participants
INTERVENTIONAL
Syracuse, United States
Started: Jan 1, 2019

Patient Reported Outcomes in Patients With Chronic Migraine Treated With BOTOX®

NCT02502123COMPLETED
View Study
215 participants
OBSERVATIONAL
Calgary, Canada +14 more
Started: Jul 2, 2015

(Botox) Mechanisms of Action in Altering the Molecular Environment in Which Pain Fibers Exist

NCT03381261COMPLETEDPHASE4
View Study
37 participants
INTERVENTIONAL
Boston, United States
Started: Dec 1, 2017

Study of Oral Atogepant When Added to OnabotulinumtoxinA (BOTOX) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Chronic Migraine

NCT05216263COMPLETEDPHASE3
View Study
75 participants
INTERVENTIONAL
Hoover, United States +28 more
Started: Mar 22, 2022

Efficacy and Safety Study of BOTOX® Compared to Topiramate for the Prevention of Chronic Migraine in Adults

NCT02191579COMPLETEDPHASE4
View Study
282 participants
INTERVENTIONAL
Phoenix, United States +31 more
Started: Aug 5, 2014
Showing 20 of 63 total trials