Trial Outcomes & Findings for Open Label Safety Study in Acute Treatment of Migraine (NCT NCT03266588)

NCT ID: NCT03266588

Last Updated: 2023-02-16

Results Overview

An AE was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition on-treatment in a patient or clinical investigation participant administered an investigational (medicinal) product and that did not necessarily have a causal relationship with this treatment. An SAE was defined as any event that met any of the following criteria: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect in the offspring of a participant who received rimegepant; other important medical events that may not have resulted in death, be life-threatening, or required hospitalization, based upon appropriate medical judgment, they may have jeopardized the participant and may have required medical or surgical intervention.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

3019 participants

Primary outcome timeframe

PRN (2-8) and PRN (9-14) groups: Up to 52 weeks; Scheduled EOD + PRN group: Up to 12 weeks

Results posted on

2023-02-16

Participant Flow

The study was conducted at 103 centers in the United States.

A total of 3019 participants were screened for this open-label study. A total of 2867 participants entered the observational period, and 1908 participants subsequently enrolled in the long-term treatment period of whom 1800 received treatment. A total of 807 participants failed screening mainly due to failure to meet eligibility criteria.

Participant milestones

Participant milestones
Measure
PRN (2-8) Group
To meet entry criteria, these participants had to have a self-reported historical rate of 2 to 8 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
PRN (9-14) Group
To meet entry criteria, these participants had to have a self-reported historical rate of 9 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
Scheduled EOD + PRN Group
To meet entry criteria, these participants had to have a self-reported historical rate of 4 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose every other day (EOD); on the days that participants were not scheduled for dosing, the participants were allowed to dose on an as-needed basis (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 12 weeks.
Observational Period
STARTED
1605
786
476
Observational Period
COMPLETED
1089
511
308
Observational Period
NOT COMPLETED
516
275
168
Long-term Treatment Period
STARTED
1089
511
308
Long-term Treatment Period
Treated
1033
481
286
Long-term Treatment Period
COMPLETED
683
271
243
Long-term Treatment Period
NOT COMPLETED
406
240
65

Reasons for withdrawal

Reasons for withdrawal
Measure
PRN (2-8) Group
To meet entry criteria, these participants had to have a self-reported historical rate of 2 to 8 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
PRN (9-14) Group
To meet entry criteria, these participants had to have a self-reported historical rate of 9 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
Scheduled EOD + PRN Group
To meet entry criteria, these participants had to have a self-reported historical rate of 4 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose every other day (EOD); on the days that participants were not scheduled for dosing, the participants were allowed to dose on an as-needed basis (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 12 weeks.
Observational Period
Screen Failure: Eligibility Criteria
439
228
140
Observational Period
Withdrawal by Subject
44
22
13
Observational Period
Non-compliance
18
12
10
Observational Period
Lost to Follow-up
8
12
4
Observational Period
Eligibility Failure- Baseline Lab Values
3
1
0
Observational Period
Protocol Deviation
1
0
0
Observational Period
Other Reasons
3
0
1
Long-term Treatment Period
Adverse Event
33
17
8
Long-term Treatment Period
Lack of Efficacy
41
31
5
Long-term Treatment Period
Lost to Follow-up
39
37
8
Long-term Treatment Period
Non-Compliance
126
57
7
Long-term Treatment Period
Pregnancy
11
5
0
Long-term Treatment Period
Protocol Deviation
17
10
4
Long-term Treatment Period
Screen Failure: Eligibility Criteria
33
17
17
Long-term Treatment Period
Withdrawal by Subject
100
63
16
Long-term Treatment Period
No Migraine Treated by Week 8 Visit
1
2
0
Long-term Treatment Period
Other Reasons
5
0
0
Long-term Treatment Period
Positive Sheehan-STS Score > 0
0
1
0

Baseline Characteristics

Open Label Safety Study in Acute Treatment of Migraine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PRN (2-8) Group
n=1033 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 2 to 8 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
PRN (9-14) Group
n=481 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 9 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
Scheduled EOD + PRN Group
n=286 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 4 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose every other day (EOD); on the days that participants were not scheduled for dosing, the participants were allowed to dose on an as-needed basis (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 12 weeks.
Total
n=1800 Participants
Total of all reporting groups
Age, Continuous
44.0 years
STANDARD_DEVIATION 11.79 • n=5 Participants
42.4 years
STANDARD_DEVIATION 12.41 • n=7 Participants
41.1 years
STANDARD_DEVIATION 12.69 • n=5 Participants
43.1 years
STANDARD_DEVIATION 12.15 • n=4 Participants
Sex: Female, Male
Female
917 Participants
n=5 Participants
444 Participants
n=7 Participants
248 Participants
n=5 Participants
1609 Participants
n=4 Participants
Sex: Female, Male
Male
116 Participants
n=5 Participants
37 Participants
n=7 Participants
38 Participants
n=5 Participants
191 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
99 Participants
n=5 Participants
54 Participants
n=7 Participants
24 Participants
n=5 Participants
177 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
934 Participants
n=5 Participants
427 Participants
n=7 Participants
262 Participants
n=5 Participants
1623 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
4 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
10 Participants
n=4 Participants
Race (NIH/OMB)
Asian
16 Participants
n=5 Participants
7 Participants
n=7 Participants
9 Participants
n=5 Participants
32 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
149 Participants
n=5 Participants
66 Participants
n=7 Participants
35 Participants
n=5 Participants
250 Participants
n=4 Participants
Race (NIH/OMB)
White
847 Participants
n=5 Participants
394 Participants
n=7 Participants
234 Participants
n=5 Participants
1475 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
17 Participants
n=5 Participants
7 Participants
n=7 Participants
4 Participants
n=5 Participants
28 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
1033 participants
n=5 Participants
481 participants
n=7 Participants
286 participants
n=5 Participants
1800 participants
n=4 Participants

PRIMARY outcome

Timeframe: PRN (2-8) and PRN (9-14) groups: Up to 52 weeks; Scheduled EOD + PRN group: Up to 12 weeks

Population: The analysis was performed on treated participants.

An AE was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition on-treatment in a patient or clinical investigation participant administered an investigational (medicinal) product and that did not necessarily have a causal relationship with this treatment. An SAE was defined as any event that met any of the following criteria: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect in the offspring of a participant who received rimegepant; other important medical events that may not have resulted in death, be life-threatening, or required hospitalization, based upon appropriate medical judgment, they may have jeopardized the participant and may have required medical or surgical intervention.

Outcome measures

Outcome measures
Measure
PRN (2-8) Group
n=1033 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 2 to 8 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
PRN (9-14) Group
n=481 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 9 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
Scheduled EOD + PRN Group
n=286 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 4 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose every other day (EOD); on the days that participants were not scheduled for dosing, the participants were allowed to dose on an as-needed basis (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 12 weeks.
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
Overall number of participants with at least 1 AE
664 Participants
315 Participants
109 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
AE ≥5%-Upper respiratory tract infection
108 Participants
38 Participants
12 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
Mild-Upper respiratory tract infection
56 Participants
21 Participants
8 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
Moderate-Upper respiratory tract infection
51 Participants
17 Participants
4 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
Severe-Upper respiratory tract infection
1 Participants
0 Participants
0 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
AE ≥5%-Nasopharyngitis
72 Participants
41 Participants
9 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
Mild-Nasopharyngitis
53 Participants
28 Participants
7 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
Moderate-Nasopharyngitis
19 Participants
13 Participants
2 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
AE ≥5%-Sinusitis
57 Participants
28 Participants
7 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
Mild-Sinusitis
26 Participants
19 Participants
5 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
Moderate-Sinusitis
30 Participants
9 Participants
2 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
Severe-Sinusitis
1 Participants
0 Participants
0 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
SAEs
28 Participants
16 Participants
3 Participants
Number of Participants With SAEs and AEs Leading to Discontinuation During the Treatment Period
AEs leading to discontinuation
24 Participants
16 Participants
8 Participants

PRIMARY outcome

Timeframe: PRN (2-8) and PRN (9-14) groups: Up to 52 weeks: Scheduled EOD + PRN group: Up to 12 weeks

Population: The analysis was performed on treated participants.

Clinically significant laboratory abnormalities were defined as Grade 3 to 4 on-treatment laboratory test results according to numeric laboratory test criteria found in Common Technical Criteria for Adverse Events (CTCAE) Version 5.0 (2017) if available; otherwise, according to Division of Acquired Immune Deficiency Syndrome (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events Corrected Version 2.1 (2017) for Glucose, LDL-Cholesterol, Uric Acid, and Urinalysis. Laboratory test groups of clinical interest included hematology, serum chemistry, and urinalysis. Participants must have had a non-missing measurement in the on-treatment period to be included for a given parameter.

Outcome measures

Outcome measures
Measure
PRN (2-8) Group
n=1033 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 2 to 8 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
PRN (9-14) Group
n=481 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 9 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
Scheduled EOD + PRN Group
n=286 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 4 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose every other day (EOD); on the days that participants were not scheduled for dosing, the participants were allowed to dose on an as-needed basis (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 12 weeks.
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Alanine Aminotransferase (ALT)
3 Participants
2 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Aspartate Aminotransferase (AST)
4 Participants
2 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Albumin
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Alkaline Phosphatase
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Bicarbonate
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Lactate Dehydrogenase
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Potassium, Low
2 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Potassium, High
3 Participants
2 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Sodium, Low
1 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Sodium, High
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Triglycerides
1 Participants
1 Participants
3 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Uric Acid
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Hemoglobin
2 Participants
1 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Lymphocytes, Low
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Lymphocytes, High
0 Participants
1 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Neutrophils
4 Participants
0 Participants
1 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Platelets
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
White Blood Cells
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Urine Erythrocytes
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Urine Glucose
10 Participants
2 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Urine Protein
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Bilirubin
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Calcium, Low
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Calcium, High
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Cholesterol
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Creatine Kinase
16 Participants
10 Participants
3 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Creatinine
1 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Glomerular Filtration Rate, Estimated
1 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Glucose, Low
1 Participants
1 Participants
1 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
Glucose, High
10 Participants
1 Participants
0 Participants
Number of Participants With Clinically Significant Laboratory Abnormalities During the Treatment Period
LDL-cholesterol
31 Participants
15 Participants
2 Participants

SECONDARY outcome

Timeframe: PRN (2-8) and PRN (9-14) groups: Up to 52 weeks; Scheduled EOD + PRN group: Up to 12 weeks

Population: The analysis was performed on treated participants.

Elevations of on-treatment AST or ALT \> 3 x ULN concurrent with total bilirubin \> 2 x ULN were defined as elevations on the same collection date.

Outcome measures

Outcome measures
Measure
PRN (2-8) Group
n=1033 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 2 to 8 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
PRN (9-14) Group
n=481 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 9 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
Scheduled EOD + PRN Group
n=286 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 4 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose every other day (EOD); on the days that participants were not scheduled for dosing, the participants were allowed to dose on an as-needed basis (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 12 weeks.
Percentage of Participants With Elevations of AST or ALT > 3 x Upper Limit of Normal (ULN) Concurrent With Total Bilirubin > 2 x ULN During the Treatment Period
0.1 Percentage of participants
Interval 0.0 to 0.6
0 Percentage of participants
Interval 0.0 to 0.96
0 Percentage of participants
Interval 0.0 to 1.6

SECONDARY outcome

Timeframe: PRN (2-8) and PRN (9-14) groups: Up to 52 weeks; Scheduled EOD + PRN group: Up to 12 weeks

Population: The analysis was performed on treated participants.

An AE was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition on-treatment in a patient or clinical investigation patient administered an investigational (medicinal) product and that does not necessarily have a causal relationship with this treatment. Hepatic AEs were defined as all on-treatment PTs under the "Hepatic Disorders" Standardized Medical Dictionary (Version 21.1) for Regulatory Activities Query (SMQ), except those PTs in the "Congenital, Familial, Neonatal and Genetic Disorders of the Liver" SMQ.

Outcome measures

Outcome measures
Measure
PRN (2-8) Group
n=1033 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 2 to 8 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
PRN (9-14) Group
n=481 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 9 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
Scheduled EOD + PRN Group
n=286 Participants
To meet entry criteria, these participants had to have a self-reported historical rate of 4 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose every other day (EOD); on the days that participants were not scheduled for dosing, the participants were allowed to dose on an as-needed basis (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 12 weeks.
Number of Participants With Hepatic-related AEs and Hepatic-related AEs Leading to Discontinuation During the Treatment Period
Hepatic-related AE
16 Participants
10 Participants
0 Participants
Number of Participants With Hepatic-related AEs and Hepatic-related AEs Leading to Discontinuation During the Treatment Period
Hepatic-related AE leading to discontinuation
3 Participants
3 Participants
0 Participants

Adverse Events

PRN (2-8) Group

Serious events: 28 serious events
Other events: 224 other events
Deaths: 0 deaths

PRN (9-14) Group

Serious events: 16 serious events
Other events: 100 other events
Deaths: 0 deaths

Scheduled EOD + PRN Group

Serious events: 3 serious events
Other events: 27 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
PRN (2-8) Group
n=1033 participants at risk
To meet entry criteria, these participants had to have a self-reported historical rate of 2 to 8 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
PRN (9-14) Group
n=481 participants at risk
To meet entry criteria, these participants had to have a self-reported historical rate of 9 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
Scheduled EOD + PRN Group
n=286 participants at risk
To meet entry criteria, these participants had to have a self-reported historical rate of 4 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose every other day (EOD); on the days that participants were not scheduled for dosing, the participants were allowed to dose on an as-needed basis (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While ontreatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 12 weeks.
Gastrointestinal disorders
Gastritis
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Gastrointestinal disorders
Pancreatitis acute
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Gastrointestinal disorders
Peritoneal haemorrhage
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
General disorders
Chest pain
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
General disorders
Pyrexia
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Hepatobiliary disorders
Cholecystitis
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Hepatobiliary disorders
Cholecystitis chronic
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Appendicitis
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.62%
3/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Bronchitis
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Cellulitis
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Gastroenteritis viral
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Influenza
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Mastitis
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Pneumonia
0.19%
2/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Sepsis
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.35%
1/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Viral sepsis
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Injury, poisoning and procedural complications
Accidental overdose
0.29%
3/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Musculoskeletal and connective tissue disorders
Arthritis
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.19%
2/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive ductal breast carcinoma
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Nervous system disorders
Headache
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Nervous system disorders
Hemiplegia
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Nervous system disorders
Hemiplegic migraine
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Nervous system disorders
Migraine
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Nervous system disorders
Migraine with aura
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Psychiatric disorders
Suicidal ideation
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Renal and urinary disorders
Nephrolithiasis
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Reproductive system and breast disorders
Haemorrhagic ovarian cyst
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Reproductive system and breast disorders
Menorrhagia
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.35%
1/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Skin and subcutaneous tissue disorders
Lipodystrophy acquired
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.35%
1/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Vascular disorders
Aortic dissection
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Vascular disorders
Deep vein thrombosis
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Blood and lymphatic system disorders
Anaemia
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Gastrointestinal disorders
Appendiceal mucocoele
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Gastrointestinal disorders
Colitis ischaemic
0.00%
0/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Gastrointestinal disorders
Constipation
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.21%
1/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Gastrointestinal disorders
Diabetic gastroparesis
0.10%
1/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
0.00%
0/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.

Other adverse events

Other adverse events
Measure
PRN (2-8) Group
n=1033 participants at risk
To meet entry criteria, these participants had to have a self-reported historical rate of 2 to 8 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
PRN (9-14) Group
n=481 participants at risk
To meet entry criteria, these participants had to have a self-reported historical rate of 9 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose as needed (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While on-treatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 52 weeks.
Scheduled EOD + PRN Group
n=286 participants at risk
To meet entry criteria, these participants had to have a self-reported historical rate of 4 to 14 moderate to severe migraine attacks per month preceding enrollment in the group. Participants were allowed to dose every other day (EOD); on the days that participants were not scheduled for dosing, the participants were allowed to dose on an as-needed basis (PRN), up to 1 tablet per calendar day, with 75 mg of rimegepant tablet. While ontreatment, participants were allowed to treat migraine attacks of any severity (mild, moderate, or severe) for a planned duration up to 12 weeks.
Infections and infestations
Nasopharyngitis
7.0%
72/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
8.5%
41/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
3.1%
9/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Sinusitis
5.5%
57/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
5.8%
28/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
2.4%
7/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
Infections and infestations
Upper respiratory tract infection
10.5%
108/1033 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
7.9%
38/481 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.
4.2%
12/286 • Adverse events were reported from start of study drug treatment up to 52 weeks
The analysis was performed on treated participants.

Additional Information

Chief Medical Officer

Biohaven Pharmaceuticals, Inc.

Phone: 203-404-0410

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60