Asset profile

Topiramate (Topamax)

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: Migraine, Epilepsy

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

track record: Partial signal

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Competitive landscape

111 competitors in this universe: 2 direct rivals (same mechanism and indication), 0 same-class, 109 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Topiramate (Topamax): this drugApprovedSmall moleculeVoltage-gated sodium channels; GABA-A receptor; AMPA/kainate glutamate receptors; carbonic anhydrase
Topiramate (Qudexy XR)ApprovedSmall moleculeVoltage-gated sodium channels; GABA-A receptor; AMPA/kainate glutamate receptors; carbonic anhydrase
Topiramate (Trokendi XR)ApprovedSmall moleculeVoltage-gated sodium channels; GABA-A receptor; AMPA/kainate glutamate receptors; carbonic anhydrase
Almotriptan (Axert)ApprovedSmall molecule—
Aspirin / Acetaminophen / Caffeine (Excedrin Migraine)Approved——
Atogepant (Qulipta)ApprovedSmall molecule—
BrivaracetamApprovedSmall moleculeSynaptic vesicle glycoprotein 2A (SV2A)
Cannabidiol (Epidiolex)ApprovedSmall moleculeGPR55 / TRPV1 / adenosine transport (multi-target), cannabinoid
CarbamazepineApprovedSmall moleculeSodium channels
Celecoxib (Elyxyb)ApprovedSmall molecule—
Cenobamate (Xcopri)ApprovedSmall moleculeSodium channels + GABA-A receptors
Clobazam (Onfi)ApprovedSmall moleculeGABA-A receptor
Clobazam (Sympazan)ApprovedSmall moleculeGABA-A receptor (benzodiazepine site)
DiastatApprovedCombinationGABA-A receptor
Diazepam (Valium)ApprovedSmall moleculeGABA-A receptor
Diazepam (Valtoco)ApprovedSmall moleculeGABA-A receptor

…and 96 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(7 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (3)
December 2026 (3)
Phase 4MigraineNot yet recruiting
Est. primary completion 2026-12 · NCT06499116 · CT.gov ↗
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Phase 4TinnitusActive not recruiting
Est. primary completion 2026-12 · NCT06799169 · CT.gov ↗
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Early phase / not applicableIdiopathic Intracranial HypertensionActive not recruiting
Est. primary completion 2026-12-01 · NCT07707544 · CT.gov ↗
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2027 (2)
July 2027 (1)
Phase 4ObesityRecruiting
Est. primary completion 2027-07-31 · NCT05975580 · CT.gov ↗
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December 2027 (1)
Phase 4MénièreRecruiting
Est. primary completion 2027-12-30 · NCT05582837 · CT.gov ↗
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2028 (1)
June 2028 (1)
Phase 1/2HIV (Human Immunodeficiency Virus), HIV -1 InfectionNot yet recruiting
Est. primary completion 2028-06 · NCT07384624 · CT.gov ↗
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2029 (1)
March 2029 (1)
Phase 4MigraineRecruiting
Est. primary completion 2029-03-01 · NCT06972056 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (60)
Phase 2/3 (8)
Phase 2 (49)
Phase 1/2 (4)
Phase 1 (33)
Phase 4 (54)
Early phase / not applicable (22)
Used as active comparator (13)
Studied as part of a combination product (15)
Appears in other studies (6)