Efficacy and Tolerability of Rimegepant for the Acute Treatment of Migraine in Adults Unsuitable for Triptan Use

NCT ID: NCT05509400

Last Updated: 2025-07-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

632 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-18

Study Completion Date

2025-06-10

Brief Summary

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This study is being conducted to evaluate the efficacy and tolerability of rimegepant in a population of adults that are unsuitable for triptan medications due to a previous intolerance, lack of efficacy, or contraindication (including a history of clinically-relevant cardiovascular disease).

Detailed Description

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This study is being conducted to evaluate the efficacy and tolerability of rimegepant in a population of adults that are unsuitable for triptan medications due to a previous intolerance, lack of efficacy, or contraindication (including a history of clinically-relevant cardiovascular disease). Rimegepant will be further evaluated in this population with as needed use in a 12-week, open-label extension study.

Conditions

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Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Rimegepant

Rimegepant - Double-blind (DB) Phase: One dose of rimegepant 75 mg Oral Disintegrating Tablet (ODT)

Rimegepant/Rimegepant - Open-label Extension (OLE) Phase: participants receive one dose rimegepant 75 mg ODT as needed for a qualifying acute migraine. A qualifying migraine is an attack of moderate or severe headache pain intensity. Migraine headache pain intensity will be measured on a 4-point numeric rating scale (0=none, 1=mild, 2=moderate, 3=severe)

Group Type EXPERIMENTAL

Rimegepant

Intervention Type DRUG

DB Phase: Rimegepant 75 mg Orally Disintegrating Tablet (ODT)

Rimegepant

Intervention Type DRUG

OLE Phase: Rimegepant 75 mg ODT in association with each of the first 5 qualifying migraines

Placebo

Placebo - Double-blind (DB) Phase: One dose of matching placebo

Placebo/Rimegepant - Open-label Extension (OLE) Phase: participants receive one dose rimegepant 75 mg ODT for a qualifying migraine

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

DB Phase: matching placebo

Rimegepant

Intervention Type DRUG

OLE Phase: Rimegepant 75 mg ODT in association with each of the first 5 qualifying migraines

Interventions

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Rimegepant

DB Phase: Rimegepant 75 mg Orally Disintegrating Tablet (ODT)

Intervention Type DRUG

Placebo

DB Phase: matching placebo

Intervention Type DRUG

Rimegepant

OLE Phase: Rimegepant 75 mg ODT in association with each of the first 5 qualifying migraines

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Migraine attacks present for more than 1 year with the age of onset prior to 50 years of age.
* Migraine attacks, on average, lasting about 4 - 72 hours if untreated.
* 4 to 14 migraine days per month on average across the 3 months prior to the Screening Visit (month is defined as 28 days for the purpose of this protocol).
* Less than 15 headache days (migraine or non-migraine) per month in each of the 3 months prior to the Screening Visit and throughout the Screening Phase.
* Subjects must be able to distinguish migraine attacks from tension/cluster headaches.
* Subjects on prophylactic migraine medication (excluding CGRP antagonists) are permitted to remain on therapy if they have been on a stable dose for at least 3 months (12 weeks) prior to the Screening Visit, and if the dose is not expected to change during the course of the study.
* Triptan unsuitable

Exclusion Criteria

-Target Disease Exclusion:

1. History of cluster headache, basilar migraine, or hemiplegic migraine
2. Current medication overuse headaches
3. Headaches occurring 15 or more days per month (migraine or non-migraine) in any of the 3 months prior to the Screening Visit
4. Active chronic pain syndrome (such as fibromyalgia, chronic pelvic pain, complex regional pain syndrome \[CRPS\])
5. Other pain syndromes (including trigeminal neuralgia), dementia, or significant neurological disorders (other than migraine) that, in the Investigator's opinion, interfere with study assessments of safety or efficacy
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

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Clinical Research Institute

Los Angeles, California, United States

Site Status

Ki Health Partners LLC, dba New England Institute for Clinical Research

Stamford, Connecticut, United States

Site Status

Wr-Msra, Llc

Lake City, Florida, United States

Site Status

Sensible Healthcare LLC

Ocoee, Florida, United States

Site Status

Sandhill Research, LLC d/b/a Accel Research Sites Network - Ormond Clinical Research Unit

Ormond Beach, Florida, United States

Site Status

WR-Mount Vernon Clinical Research, LLC

Sandy Springs, Georgia, United States

Site Status

Collective Medical Research

Overland Park, Kansas, United States

Site Status

DelRicht Research

New Orleans, Louisiana, United States

Site Status

Boston Clinical Trials

Boston, Massachusetts, United States

Site Status

Community Clinical Research Network Inc

Marlborough, Massachusetts, United States

Site Status

Michigan Headache & Neurological Institute

Ann Arbor, Michigan, United States

Site Status

Rochester Medical Group

Rochester Hills, Michigan, United States

Site Status

DM Clinical Research - Detroit

Southfield, Michigan, United States

Site Status

Clinvest Research, LLC

Springfield, Missouri, United States

Site Status

St Charles Clinical Research

Weldon Spring, Missouri, United States

Site Status

DM Clinical Research - NY, NY

Brooklyn, New York, United States

Site Status

New York Neurology Associates

New York, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Headache Wellness Center, PC

Greensboro, North Carolina, United States

Site Status

Synexus Clinical Research US, Inc. - Anderson

Anderson, South Carolina, United States

Site Status

Red Star Research, LLC

Lake Jackson, Texas, United States

Site Status

DM Clinical Research

Tomball, Texas, United States

Site Status

Northwest Clinical Research Center

Bellevue, Washington, United States

Site Status

USC Clinical Trials Centre

Sippy Downs, Queensland, Australia

Site Status

Alfred Hospital

Melbourne, Victoria, Australia

Site Status

Klinikum Klagenfurt am Wörthersee

Klagenfurt, Carinthia, Austria

Site Status

Medical University Innsbruck

Innsbruck, Tyrol, Austria

Site Status

Cabinet Privé Dr. Simona Sava

Saint-Nicolas, Liège, Belgium

Site Status

GZA Ziekenhuizen

Antwerp, , Belgium

Site Status

UZ Brussel

Brussels, , Belgium

Site Status

UZ Gent

Ghent, , Belgium

Site Status

Jessa Ziekenhuis

Hasselt, , Belgium

Site Status

University of Calgary South Health Campus

Calgary, Alberta, Canada

Site Status

Aggarwal and Associates Limited

Brampton, Ontario, Canada

Site Status

Clinique Neuro-Lévis

Lévis, Quebec, Canada

Site Status

Alpha Recherche Clinique

Québec, Quebec, Canada

Site Status

ALPHA Recherche Clinique

Québec, , Canada

Site Status

University Hospital of Southern Denmark

Esbjerg, , Denmark

Site Status

Danish Headache Center

Glostrup Municipality, , Denmark

Site Status

Hospitalsenhed Midt

Viborg, , Denmark

Site Status

Helsinki Headache Center

Helsinki, Uusimaa, Finland

Site Status

Terveystalo Ruoholahti

Helsinki, , Finland

Site Status

Terveystalo Tampere Rautatienkatu

Tampere, , Finland

Site Status

Terveystalo Pulssi

Turku, , Finland

Site Status

Timone Hospital

Marseille, Provence-Alpes-Côte d'Azur Region, France

Site Status

Hospices Civils de Lyon - Hôpital Neurologique Pierre Wertheimer

Bron, , France

Site Status

CHU Clermont Ferrand - Hopital Gabriel Montpied

Clermont-Ferrand, , France

Site Status

Centre Hospitalier Annecy Genevois

Epagny Metz-Tessy, , France

Site Status

CHU de Lille - Hôpital Salengro

Lille, , France

Site Status

CHU Nice Hopital Cimiez

Nice, , France

Site Status

Hopital Lariboisiere

Paris, , France

Site Status

CHU Saint-Etienne - Hopital Nord

Saint-Etienne, , France

Site Status

Neurologische Praxis Prof. Dr. Hartmut Gobel

Kiel, Schleswig-Holstein, Germany

Site Status

University Hospital Jena

Jena, Thuringia, Germany

Site Status

Charité Universitätsmedizin Berlin, Neurologische Ambulanz, Kopfschmerzambulanz

Berlin, , Germany

Site Status

Kopfschmerzzentrum Frankfurt

Frankfurt, , Germany

Site Status

IRCCS Ospedale San Raffaele

Milan, MI, Italy

Site Status

AOU Luigi Vanvitelli

Napoli, Naples, Italy

Site Status

Fondazione Policlinico Campus BioMedico

Rome, RM, Italy

Site Status

Foundation IRCCS Neurological Institute Carlo Besta

Milan, , Italy

Site Status

AOU Policlinico di Modena

Modena, , Italy

Site Status

Fondazione Mondino - Istituto Neurologico Nazionale IRCCS

Pavia, , Italy

Site Status

Headache and Pain Unit - IRCCS San Raffaele

Rome, , Italy

Site Status

Clinical Research Institute S.C.

Tlalnepantla, State of Mexico, Mexico

Site Status

Centro de Investigación Médica de Aguascalientes (CIMA)

Aguascalientes, , Mexico

Site Status

Operadora Unidad de Investigación En Salud de Chihuahua, Sa de Cv

Mexico City, , Mexico

Site Status

Clinstile SA de CV

Mexico City, , Mexico

Site Status

Centrum Medyczne Neuromed

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Site Status

MIGRE Polskie Centrum Leczenia Migreny Anna Gryglas-Dworak

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Twoja Przychodnia Nowosolskie Centrum Medyczne

Nowa Sól, Lubusz Voivodeship, Poland

Site Status

Concept Medica

Warsaw, Masovian Voivodeship, Poland

Site Status

MICS Centrum Medyczne Damiana Walbrzyska

Warsaw, Masovian Voivodeship, Poland

Site Status

Instytut Zdrowia dr Boczarska-Jedynak Sp. z o.o. Sp. k.

Oświęcim, Małopolska, Poland

Site Status

Vita Longa Sp. Z o.o.

Katowice, , Poland

Site Status

MICS Centrum Medyczne Szczecin

Szczecin, , Poland

Site Status

Praktyka Lekarska

Warsaw, , Poland

Site Status

MTZ Clinical Research Powered by Pratia

Warsaw, , Poland

Site Status

Centrum Leczenia Bolu dr n med Lukasz Kmieciak

Lodz, Łódź Voivodeship, Poland

Site Status

University Hospital Marqués de Valdecilla

Santander, Cantabria, Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Virgen del Rocio University Hospital

Seville, , Spain

Site Status

Hospital Clínico Universitario de Valencia

Valencia, , Spain

Site Status

CTC Solna

Solna, Stockholms LÄN [se-01], Sweden

Site Status

CTC Uppsala

Uppsala, Uppsala County, Sweden

Site Status

Skåneuro Privatmottagning

Lund, , Sweden

Site Status

Hälsoklustret

Stockholm, , Sweden

Site Status

Akardo MedSite

Stockholm, , Sweden

Site Status

Re: Cognition Health Ltd.

Edgebaston, Birmingham, United Kingdom

Site Status

4 Medical Clinical Solutions London

Ilford, Essex, United Kingdom

Site Status

Lakeside Healthcare Group Research

Corby, Northamptonshire, United Kingdom

Site Status

Kings College London

London, , United Kingdom

Site Status

4 Medical Clinical Solutions

Swinton, , United Kingdom

Site Status

Countries

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United States Australia Austria Belgium Canada Denmark Finland France Germany Italy Mexico Poland Spain Sweden United Kingdom

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=BHV3000-406

To obtain contact information for a study center near you, click here.

Other Identifiers

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C4951004

Identifier Type: OTHER

Identifier Source: secondary_id

2022-001175-14

Identifier Type: REGISTRY

Identifier Source: secondary_id

2024-513269-37-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

BHV3000-406

Identifier Type: -

Identifier Source: org_study_id

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