Trial in Adult Subjects With Acute Migraines

NCT ID: NCT03461757

Last Updated: 2023-02-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1811 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-27

Study Completion Date

2018-10-15

Brief Summary

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The purpose of this study is to compare the efficacy of BHV-3000 (rimegepant ODT) versus placebo in subjects with Acute Migraines.

Detailed Description

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Conditions

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Migraine, With or Without Aura

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Controlled Trial
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
Double-blind to Sponsor, Investigator and Participant

Study Groups

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Arm 1: Rimegepant 75 mg

Participants were administered a single sublingual dose of 75 mg of rimegepant ODT on occurrence of migraine that reached moderate or severe intensity up to 45 days after randomization.

Group Type EXPERIMENTAL

Rimegepant

Intervention Type DRUG

75 mg ODT QD

Arm 2: Placebo

Participants were administered a single sublingual dose of matching placebo for rimegepant (75 mg) ODT on occurrence of migraine that reached moderate or severe intensity up to 45 days after randomization.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo ODT to match rimegepant dose QD

Interventions

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Rimegepant

75 mg ODT QD

Intervention Type DRUG

Placebo

Placebo ODT to match rimegepant dose QD

Intervention Type DRUG

Other Intervention Names

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BHV-3000

Eligibility Criteria

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Inclusion Criteria

1\. Subject has at least 1 year history of migraines (with or without aura), consistent with a diagnosis according to the International Classification of Headache Disorder, 3rd Edition, Beta version \[1\] including the following:

1. Migraine attacks present for more than 1 year with the age of onset prior to 50 years of age
2. Migraine attacks, on average, lasting about 4-72 hours if untreated
3. Not more than 8 attacks of moderate to severe intensity per month within the last 3 months
4. Consistent migraine headaches of at least 2 migraine headache attacks of moderate or severe intensity in each of the 3 months prior to the Screening Visit and maintains this requirement during the Screening period
5. Less than 15 days with headache (migraine or non-migraine) per month in each of the 3 months prior to the Screening Visit and maintains this requirement during the Screening Period.
6. Subjects on prophylactic migraine medication are permitted to remain on therapy provided they have been on a stable dose for at least 3 months prior to screening visit and the dose is not expected to change during the course of the study.
7. Subjects with contraindications for use of triptans may be included provided they meet all other study entry criteria.

Exclusion Criteria

1. Subject with a history of HIV disease
2. Subject history with current evidence of uncontrolled, unstable or recently diagnosed cardiovascular disease, such as ischemic heart disease, coronary artery vasospasm, and cerebral ischemia. subjects with Myocardial Infarction (MI), Acute Coronary Syndrome (ACS), Percutaneous Coronary Intervention (PCI), cardiac surgery, stroke or transient ischemic attack (TIA) during the 6 months prior to screening
3. Uncontrolled hypertension (high blood pressure), or uncontrolled diabetes (however subjects can be included who have stable hypertension and/or diabetes for at least 3 months prior to being enrolled)
4. Subject has a current diagnosis of major depression, other pain syndromes, psychiatric conditions (e.g., schizophrenia), dementia, or significant neurological disorders (other than migraine) that, in the Investigator's opinion might interfere with study assessments.
5. Subject has a history of gastric, or small intestinal surgery (including Gastric Bypass, Gastric Banding, Gastric Sleeve, Gastric Balloon, etc.), or has disease that causes malabsorption
6. The subject has a history of current or evidence of any significant and/ or unstable medical conditions (e.g., history of congenital heart disease or arrhythmia, known suspected infection, hepatitis B or C, or cancer) that, in the investigator's opinion, would expose them to undue risk of a significant adverse event (AE) or interfere with assessments of safety or efficacy during the course of the trial.
7. History of, treatment for, or evidence of, alcohol or drug abuse within the past 12 months or subjects who have met DSM-V criteria for any significant substance use disorder within the past 12 months from the date of the screening visit.
8. Subjects are excluded if they have previously participated in any BHV-30000 (rimegepant) study within the last 2 years.
9. Participation in any other investigational clinical trial while participating in this clinical trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Coastal Clinical Research, LLC

Mobile, Alabama, United States

Site Status

Clinical Research Consortium, An AMR Company

Tempe, Arizona, United States

Site Status

Radiant Research, Inc.

Tucson, Arizona, United States

Site Status

Baptist Health Center for Clinical Research

Little Rock, Arkansas, United States

Site Status

Woodland International Research Group, LLC

Little Rock, Arkansas, United States

Site Status

Pharmacology Research Institute

Encino, California, United States

Site Status

eStudySite

La Mesa, California, United States

Site Status

Collaborative Neuroscience Network, LLC

Long Beach, California, United States

Site Status

Pharmacology Research Institute

Los Alamitos, California, United States

Site Status

Synergy San Diego

National City, California, United States

Site Status

Pharmacology Research Institute

Newport Beach, California, United States

Site Status

Optimus Medical Group

San Francisco, California, United States

Site Status

Diablo Clinical Research, Inc.

Walnut Creek, California, United States

Site Status

Yale University

New Haven, Connecticut, United States

Site Status

Ki Health Partners LLC DBA New England Institute for Clinical Research

Stamford, Connecticut, United States

Site Status

MD Clinical

Hallandale, Florida, United States

Site Status

AGA Clinical Trials

Hialeah, Florida, United States

Site Status

Multi-Specialty Research Associates, Inc.

Lake City, Florida, United States

Site Status

Qps Mra, Llc

Miami, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc

Orlando, Florida, United States

Site Status

Ormond Medical Arts Pharmaceutical Research

Ormond Beach, Florida, United States

Site Status

Synexus

Atlanta, Georgia, United States

Site Status

iResearch Atlanta, LLC

Decatur, Georgia, United States

Site Status

Meridian Clinical Research, LLC

Savannah, Georgia, United States

Site Status

Heartland Research Associates LLC

Augusta, Kansas, United States

Site Status

Heartland Research Associates, LLC

Wichita, Kansas, United States

Site Status

Cresent City Headache and Neurology Center LLC

Chalmette, Louisiana, United States

Site Status

New Orleans Center for Clinical Research

New Orleans, Louisiana, United States

Site Status

DelRicht Research

New Orleans, Louisiana, United States

Site Status

Boston Clinical Trials

Boston, Massachusetts, United States

Site Status

NECCR Primacare Research, LLC

Fall River, Massachusetts, United States

Site Status

Community Clinical Research Network/Milford Emergency Associates, Inc

Marlborough, Massachusetts, United States

Site Status

Clinical Research Institute, Inc.

Minneapolis, Minnesota, United States

Site Status

Clinical Research Institute, Inc.

Plymouth, Minnesota, United States

Site Status

StudyMetrix Research, LLC

City of Saint Peters, Missouri, United States

Site Status

Center for Pharmaceutical Research

Kansas City, Missouri, United States

Site Status

Sundance Clinical Research

St Louis, Missouri, United States

Site Status

Meridian Clinical Research, LLC

Norfolk, Nebraska, United States

Site Status

Hassman Research Institute

Berlin, New Jersey, United States

Site Status

Albuquerque Clinical Trials, Inc.

Albuquerque, New Mexico, United States

Site Status

SPRI Clinical Trials, LLC

Brooklyn, New York, United States

Site Status

CNS Research Science, Inc.

Jamaica, New York, United States

Site Status

Rochester Clinical Research, Inc.

Rochester, New York, United States

Site Status

PharmQuest, LLC

Greensboro, North Carolina, United States

Site Status

PMG Research of Raleigh

Raleigh, North Carolina, United States

Site Status

Wilmington Health, PLLC

Wilmington, North Carolina, United States

Site Status

Radiant Research, Inc.

Columbus, Ohio, United States

Site Status

Midwest Clinical Research Center

Dayton, Ohio, United States

Site Status

Hometown Urgent Care and Research

Dayton, Ohio, United States

Site Status

Neurology Diagnostics, Inc.

Dayton, Ohio, United States

Site Status

Aventiv Research Inc

Dublin, Ohio, United States

Site Status

Summit Research Network (Oregon) Inc.

Portland, Oregon, United States

Site Status

Clinical Research of Philadelphia, LLC

Philadelphia, Pennsylvania, United States

Site Status

Coastal Carolina Research

Mt. Pleasant, South Carolina, United States

Site Status

Meridian Clinical Research

Dakota Dunes, South Dakota, United States

Site Status

Volunteer Research Group

Knoxville, Tennessee, United States

Site Status

Clinical Research Institute, Inc.

Nashville, Tennessee, United States

Site Status

Nashville Neuroscience Group

Nashville, Tennessee, United States

Site Status

Tekton Research, Inc

Austin, Texas, United States

Site Status

FutureSearch Trials of Dallas, LP

Dallas, Texas, United States

Site Status

Ventavia Research Group, LLC

Fort Worth, Texas, United States

Site Status

Texas Center for Drug Development, Inc.

Houston, Texas, United States

Site Status

Red Star Research

Lake Jackson, Texas, United States

Site Status

DM Clinical Research

Tomball, Texas, United States

Site Status

Charlottesville Medical Research

Charlottesville, Virginia, United States

Site Status

Tidewater Integrated Medical Research

Virginia Beach, Virginia, United States

Site Status

Northwest Clinical Research Center

Bellevue, Washington, United States

Site Status

Seattle Women's: Health, Research, Gynecology

Seattle, Washington, United States

Site Status

Clinical Investigation Specialists, Inc.

Kenosha, Wisconsin, United States

Site Status

Countries

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United States

References

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Lipton RB, Blumenfeld A, Jensen CM, Croop R, Thiry A, L'Italien G, Morris BA, Coric V, Goadsby PJ. Efficacy of rimegepant for the acute treatment of migraine based on triptan treatment experience: Pooled results from three phase 3 randomized clinical trials. Cephalalgia. 2023 Feb;43(2):3331024221141686. doi: 10.1177/03331024221141686.

Reference Type DERIVED
PMID: 36739511 (View on PubMed)

Johnston KM, Powell L, Popoff E, Harris L, Croop R, Coric V, L'Italien G. Rimegepant, Ubrogepant, and Lasmiditan in the Acute Treatment of Migraine Examining the Benefit-Risk Profile Using Number Needed to Treat/Harm. Clin J Pain. 2022 Nov 1;38(11):680-685. doi: 10.1097/AJP.0000000000001072.

Reference Type DERIVED
PMID: 36125279 (View on PubMed)

Croop R, Goadsby PJ, Stock DA, Conway CM, Forshaw M, Stock EG, Coric V, Lipton RB. Efficacy, safety, and tolerability of rimegepant orally disintegrating tablet for the acute treatment of migraine: a randomised, phase 3, double-blind, placebo-controlled trial. Lancet. 2019 Aug 31;394(10200):737-745. doi: 10.1016/S0140-6736(19)31606-X. Epub 2019 Jul 13.

Reference Type DERIVED
PMID: 31311674 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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BHV3000-303

Identifier Type: -

Identifier Source: org_study_id

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