ClinicalTrials.gg
CompletedNCT03461757Updated Feb 16, 2023Results posted

Trial in Adult Subjects With Acute Migraines

A Phase 3 interventional study of Rimegepant and Placebo in Migraine, With or Without Aura, sponsored by Pfizer. Completed at 69 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-02-16.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
1,811
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 32 studies testing rimegepant in Migraine Disorders — 13 open to participants now, 15 under way, 6 of them phase 3. rimegepant · Migraine Disorders.

Enrollment
3rd of 32
1,811 · median 618
Started
2018
with 1 other
Phase 3
14 of 32
5 open now
Registered
6th of 32
by date
Lead sponsor
24 of 32
Pfizer

Among the 32 studies testing rimegepant in Migraine Disorders, this one is the 3rd largest by enrollment, is one of 2 that started in 2018, is one of 14 in phase 3, and was the 6th registered.

Migraine Disorders

1,657 studies on the registry are indexed under Migraine Disorders; 339 are open to participants now.

Browse Migraine Disorders studies →

Open to participants now

13 of the 32 studies testing rimegepant in Migraine Disorders are open now, in 12 countries. Recruiting first, the newest first:

8 more — sign in →

By country, each count listing its studies:

All 13 open studies →

About rimegepant

rimegepant: first FDA approval 2020 (NURTEC ODT), first EMA approval 2022. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 217 Migraine Disorders studies recruiting now, 66 (30%) set no upper age limit and 136 (63%) stop at 75 or younger; 44 take children under 18; 37 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 32 studies testing rimegepant in Migraine Disorders, or all of them as a file.
02

Study summary

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

03

Conditions studied

  • Migraine, With or Without Aura

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key 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 for use of triptans may be included provided they meet all other study entry criteria.

Key Exclusion Criteria:

  1. Subject with a history of 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 (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, 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 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 clinical trial while participating in this clinical trial
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
1,811 participants (actual)

Study arms

  • Experimental
    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.

    Drug: Rimegepant

  • Placebo comparator
    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.

    Drug: Placebo

Interventions

  • 75 mg ODT QD

    Also known as: BHV-3000

  • DrugPlacebo

    Placebo ODT to match rimegepant dose QD

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Freedom From Pain at 2 Hours Post-dose

    Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the electronic diary (eDiary). Pain freedom was defined as pain level of none.

    Time frame: 2 hours post-dose

  2. Percentage of Participants With Freedom From Most Bothersome Symptom (MBS) at 2 Hours Post-dose

    MBS was reported as nausea, photophobia, or phonophobia at migraine onset using the eDiary. Symptom status (absent, present) was assessed post-dose using the eDiary separately for nausea, photophobia, and phonophobia. Freedom from MBS was defined as MBS reported at onset that was absent post-dose.

    Time frame: 2 hours post-dose

Secondary outcomes

  1. Percentage of Participants With Pain Relief at 2 Hours Post-dose

    Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Pain relief was defined as pain level of none or mild.

    Time frame: 2 hours post-dose

  2. Percentage of Participants With Freedom From Functional Disability at 2 Hours Post-dose

    Functional disability level was assessed in the eDiary on a 4-point scale: normal function, mild impairment, severe impairment, required bed rest. Freedom from functional disability was defined as normal function.

    Time frame: 2 hours post-dose

  3. Percentage of Participants With Sustained Pain Relief From 2 to 24 Hours Post-dose

    Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Sustained pain relief was defined as pain level of none or mild at 2 hours up to 24 hours post-dose with no rescue medication use through 24 hours post-dose.

    Time frame: From 2 hours up to 24 hours post-dose

  4. Percentage of Participants With Sustained Freedom From Most Bothersome Symptom (MBS) From 2 to 24 Hours Post-dose

    MBS was reported as nausea, photophobia, or phonophobia at migraine onset using the eDiary. Symptom status (absent, present) was assessed post-dose using the eDiary separately for nausea, photophobia, and phonophobia. Sustained freedom was defined as MBS reported at onset that was absent at 2 hours up to 24 hours post-dose with no rescue medication use through 24 hours post-dose.

    Time frame: From 2 hours up to 24 hours post-dose

  5. Percentage of Participants With Rescue Medication Use Within 24 Hours Post-dose

    Participants who did not experience relief of their migraine headache at the end of 2 hours after dosing with study medication (and after the 2-hour assessments had been completed on the eDiary) were permitted to use the following rescue medications: aspirin, ibuprofen, acetaminophen up to 1000 mg/day (this includes Excedrin Migraine), naproxen (or any other type of nonsteroidal anti-inflammatory drug), antiemetics (e.g., metoclopramide or promethazine), or baclofen. The participant's use of rescue medication was recorded by the participant in a paper diary.

    Time frame: 24 hours post-dose

  6. Percentage of Participants With Sustained Freedom From Functional Disability From 2 to 24 Hours Post-dose

    Functional disability level was assessed in the eDiary on a 4-point scale: normal function, mild impairment, severe impairment, required bed rest. Sustained freedom from functional disability was defined as normal function at 2 hours up to 24 hours post-dose with no rescue medication use through 24 hours post-dose.

    Time frame: From 2 hours up to 24 hours post-dose

  7. Percentage of Participants With Sustained Pain Relief From 2 to 48 Hours Post-dose

    Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Sustained pain relief was defined as pain level of none or mild at 2 hours up to 48 hours post-dose with no rescue medication use through 48 hours post-dose.

    Time frame: From 2 hours up to 48 hours post-dose

  8. Percentage of Participants With Sustained Freedom From Most Bothersome Symptom (MBS) From 2 to 48 Hours Post-dose

    MBS was reported as nausea, photophobia, or phonophobia at migraine onset using the eDiary. Symptom status (absent, present) was assessed post-dose using the eDiary separately for nausea, photophobia, and phonophobia. Sustained freedom was defined as MBS reported at onset that was absent at 2 hours up to 48 hours post-dose with no rescue medication use through 48 hours post-dose.

    Time frame: From 2 hours up to 48 hours post-dose

  9. Percentage of Participants With Sustained Freedom From Functional Disability From 2 to 48 Hours Post-dose

    Functional disability level was assessed in the eDiary on a 4-point scale: normal function, mild impairment, severe impairment, required bed rest. Sustained freedom from functional disability was defined as normal function at 2 hours up to 48 hours post-dose with no rescue medication use through 48 hours post-dose.

    Time frame: From 2 hours up to 48 hours post-dose

  10. Percentage of Participants With Freedom From Photophobia at 2 Hours Post-dose

    Photophobia (sensitivity to light) status was measured as absent or present in the eDiary. Freedom from photophobia was defined as photophobia absent.

    Time frame: 2 hours post-dose

  11. Percentage of Participants With Freedom From Functional Disability at 90 Minutes Post-dose

    Functional disability level was assessed in the eDiary on a 4-point scale: normal function, mild impairment, severe impairment, required bed rest. Freedom from functional disability was defined as normal function.

    Time frame: 90 minutes post-dose

  12. Percentage of Participants With Pain Relief at 90 Minutes Post-dose

    Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Pain relief was defined as pain level of none or mild.

    Time frame: 90 minutes post-dose

  13. Percentage of Participants With Sustained Pain Freedom From 2 to 24 Hours Post-dose

    Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Sustained pain freedom was defined as pain level of none at 2 hours up to 24 hours post-dose with no rescue medication use through 24 hours post-dose.

    Time frame: From 2 hours up to 24 hours post-dose

  14. Percentage of Participants With Freedom From Most Bothersome Symptom (MBS) at 90 Minutes Post-dose

    MBS was reported as nausea, photophobia, or phonophobia at migraine onset using the eDiary. Symptom status (absent, present) was assessed post-dose using the eDiary separately for nausea, photophobia, and phonophobia. Freedom from MBS was defined as MBS reported at onset that was absent post-dose.

    Time frame: 90 minutes post dose

  15. Percentage of Participants With Freedom From Pain at 90 Minutes Post-dose

    Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the electronic diary (eDiary). Pain freedom was defined as pain level of none.

    Time frame: 90 minutes post-dose

  16. Percentage of Participants With Freedom From Phonophobia at 2 Hours Post-dose

    Phonophobia (sensitivity to sound) status was measured as absent or present in the eDiary. Freedom from phonophobia was defined as phonophobia absent.

    Time frame: 2 hours post-dose

  17. Percentage of Participants With Sustained Pain Freedom From 2 to 48 Hours Post-dose

    Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Sustained pain freedom was defined as pain level of none at 2 hours up to 48 hours post-dose with no rescue medication use through 48 hours post-dose.

    Time frame: From 2 hours up to 48 hours post-dose

  18. Percentage of Participants With Pain Relief at 60 Minutes Post-dose

    Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Pain relief was defined as pain level of none or mild.

    Time frame: 60 minutes post-dose

  19. Percentage of Participants With Freedom From Functional Disability at 60 Minutes Post-dose

    Functional disability level was assessed in the eDiary on a 4-point scale: normal function, mild impairment, severe impairment, required bed rest. Freedom from functional disability was defined as normal function.

    Time frame: 60 minutes post-dose

  20. Percentage of Participants With Freedom From Nausea at 2 Hours Post-dose

    Nausea status was measured as absent or present in the eDiary. Freedom from nausea was defined as nausea absent.

    Time frame: 2 hours post-dose

  21. Percentage of Participants With Pain Relapse From 2 to 48 Hours Post-dose

    Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Pain relapse was defined as pain level of mild, moderate, or severe after 2 hours up to 48 hours post-dose for the participants who were pain-free at 2 hours post-dose.

    Time frame: From 2 hours up to 48 hours post-dose

07

Results

Posted Mar 27, 2020

Participant flow

The study was conducted at 69 centers in the United States.

Participant flow — Overall Study
MilestoneRimegepant 75 mg ODTPlacebo
Started732734
Treated682693
Completed679689
Not completed5345
Withdrew: Adverse event10
Withdrew: Lost to follow-up137
Withdrew: Not experienced moderate/severe migraine2825
Withdrew: Non-compliance with study treatment01
Withdrew: Pregnancy20
Withdrew: Protocol violation11
Withdrew: Withdrawal by subject77
Withdrew: Other reasons14

Outcome measures

PrimaryPercentage of Participants With Freedom From Pain at 2 Hours Post-dose

Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the electronic diary (eDiary). Pain freedom was defined as pain level of none.

Time frame:
2 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Freedom From Pain at 2 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Freedom From Pain at 2 Hours Post-dose21.2 (18.1 to 24.3)10.9 (8.5 to 13.2)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 10.4 · 95% CI 6.5 to 14.2
PrimaryPercentage of Participants With Freedom From Most Bothersome Symptom (MBS) at 2 Hours Post-dose

MBS was reported as nausea, photophobia, or phonophobia at migraine onset using the eDiary. Symptom status (absent, present) was assessed post-dose using the eDiary separately for nausea, photophobia, and phonophobia. Freedom from MBS was defined as MBS reported at onset that was absent post-dose.

Time frame:
2 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Freedom From Most Bothersome Symptom (MBS) at 2 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Freedom From Most Bothersome Symptom (MBS) at 2 Hours Post-dose35.1 (31.5 to 38.7)26.8 (23.5 to 30.2)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = 0.0009 · Risk difference (rd): 8.3 · 95% CI 3.4 to 13.2
SecondaryPercentage of Participants With Pain Relief at 2 Hours Post-dose

Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Pain relief was defined as pain level of none or mild.

Time frame:
2 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Pain Relief at 2 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Pain Relief at 2 Hours Post-dose59.3 (55.6 to 63.1)43.3 (39.5 to 47.0)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 16.1 · 95% CI 10.8 to 21.3
SecondaryPercentage of Participants With Freedom From Functional Disability at 2 Hours Post-dose

Functional disability level was assessed in the eDiary on a 4-point scale: normal function, mild impairment, severe impairment, required bed rest. Freedom from functional disability was defined as normal function.

Time frame:
2 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Freedom From Functional Disability at 2 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Freedom From Functional Disability at 2 Hours Post-dose38.1 (34.4 to 41.8)25.8 (22.5 to 29.1)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 20.1 · 95% CI 15.1 to 25.2
SecondaryPercentage of Participants With Sustained Pain Relief From 2 to 24 Hours Post-dose

Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Sustained pain relief was defined as pain level of none or mild at 2 hours up to 24 hours post-dose with no rescue medication use through 24 hours post-dose.

Time frame:
From 2 hours up to 24 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Sustained Pain Relief From 2 to 24 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Sustained Pain Relief From 2 to 24 Hours Post-dose47.8 (44.0 to 51.6)27.7 (24.4 to 31.1)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 20.1 · 95% CI 15.1 to 25.2
SecondaryPercentage of Participants With Sustained Freedom From Most Bothersome Symptom (MBS) From 2 to 24 Hours Post-dose

MBS was reported as nausea, photophobia, or phonophobia at migraine onset using the eDiary. Symptom status (absent, present) was assessed post-dose using the eDiary separately for nausea, photophobia, and phonophobia. Sustained freedom was defined as MBS reported at onset that was absent at 2 hours up to 24 hours post-dose with no rescue medication use through 24 hours post-dose.

Time frame:
From 2 hours up to 24 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Sustained Freedom From Most Bothersome Symptom (MBS) From 2 to 24 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Sustained Freedom From Most Bothersome Symptom (MBS) From 2 to 24 Hours Post-dose27.1 (23.7 to 30.4)17.7 (14.9 to 20.6)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 9.3 · 95% CI 4.9 to 13.7
SecondaryPercentage of Participants With Rescue Medication Use Within 24 Hours Post-dose

Participants who did not experience relief of their migraine headache at the end of 2 hours after dosing with study medication (and after the 2-hour assessments had been completed on the eDiary) were permitted to use the following rescue medications: aspirin, ibuprofen, acetaminophen up to 1000 mg/day (this includes Excedrin Migraine), naproxen (or any other type of nonsteroidal anti-inflammatory drug), antiemetics (e.g., metoclopramide or promethazine), or baclofen. The participant's use of rescue medication was recorded by the participant in a paper diary.

Time frame:
24 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Rescue Medication Use Within 24 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Rescue Medication Use Within 24 Hours Post-dose14.2 (11.6 to 16.8)29.2 (25.8 to 32.6)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): -15.0 · 95% CI -19.3 to -10.7
SecondaryPercentage of Participants With Sustained Freedom From Functional Disability From 2 to 24 Hours Post-dose

Functional disability level was assessed in the eDiary on a 4-point scale: normal function, mild impairment, severe impairment, required bed rest. Sustained freedom from functional disability was defined as normal function at 2 hours up to 24 hours post-dose with no rescue medication use through 24 hours post-dose.

Time frame:
From 2 hours up to 24 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Sustained Freedom From Functional Disability From 2 to 24 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Sustained Freedom From Functional Disability From 2 to 24 Hours Post-dose29.6 (26.1 to 33.1)16.9 (14.1 to 19.7)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 12.7 · 95% CI 8.3 to 17.2
SecondaryPercentage of Participants With Sustained Pain Relief From 2 to 48 Hours Post-dose

Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Sustained pain relief was defined as pain level of none or mild at 2 hours up to 48 hours post-dose with no rescue medication use through 48 hours post-dose.

Time frame:
From 2 hours up to 48 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Sustained Pain Relief From 2 to 48 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Sustained Pain Relief From 2 to 48 Hours Post-dose42.2 (38.4 to 45.9)25.2 (22.0 to 28.5)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 16.9 · 95% CI 12.0 to 21.9
SecondaryPercentage of Participants With Sustained Freedom From Most Bothersome Symptom (MBS) From 2 to 48 Hours Post-dose

MBS was reported as nausea, photophobia, or phonophobia at migraine onset using the eDiary. Symptom status (absent, present) was assessed post-dose using the eDiary separately for nausea, photophobia, and phonophobia. Sustained freedom was defined as MBS reported at onset that was absent at 2 hours up to 48 hours post-dose with no rescue medication use through 48 hours post-dose.

Time frame:
From 2 hours up to 48 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Sustained Freedom From Most Bothersome Symptom (MBS) From 2 to 48 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Sustained Freedom From Most Bothersome Symptom (MBS) From 2 to 48 Hours Post-dose23.2 (20.0 to 26.4)16.4 (13.6 to 19.2)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = 0.0018 · Risk difference (rd): 6.8 · 95% CI 2.5 to 11.0
SecondaryPercentage of Participants With Sustained Freedom From Functional Disability From 2 to 48 Hours Post-dose

Functional disability level was assessed in the eDiary on a 4-point scale: normal function, mild impairment, severe impairment, required bed rest. Sustained freedom from functional disability was defined as normal function at 2 hours up to 48 hours post-dose with no rescue medication use through 48 hours post-dose.

Time frame:
From 2 hours up to 48 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Sustained Freedom From Functional Disability From 2 to 48 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Sustained Freedom From Functional Disability From 2 to 48 Hours Post-dose26.0 (22.7 to 29.3)15.4 (12.7 to 18.1)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 10.6 · 95% CI 6.3 to 14.9
SecondaryPercentage of Participants With Freedom From Photophobia at 2 Hours Post-dose

Photophobia (sensitivity to light) status was measured as absent or present in the eDiary. Freedom from photophobia was defined as photophobia absent.

Time frame:
2 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Freedom From Photophobia at 2 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Freedom From Photophobia at 2 Hours Post-dose33.4 (29.6 to 37.2)24.5 (21.1 to 28.0)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = 0.0007 · Risk difference (rd): 8.8 · 95% CI 3.7 to 13.9
SecondaryPercentage of Participants With Freedom From Functional Disability at 90 Minutes Post-dose

Functional disability level was assessed in the eDiary on a 4-point scale: normal function, mild impairment, severe impairment, required bed rest. Freedom from functional disability was defined as normal function.

Time frame:
90 minutes post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Freedom From Functional Disability at 90 Minutes Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Freedom From Functional Disability at 90 Minutes Post-dose30.2 (26.7 to 33.7)21.3 (18.2 to 24.3)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = 0.0002 · Risk difference (rd): 8.9 · 95% CI 4.3 to 13.6
SecondaryPercentage of Participants With Pain Relief at 90 Minutes Post-dose

Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Pain relief was defined as pain level of none or mild.

Time frame:
90 minutes post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Pain Relief at 90 Minutes Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Pain Relief at 90 Minutes Post-dose49.6 (45.8 to 53.4)37.2 (33.6 to 40.9)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 12.4 · 95% CI 7.1 to 17.6
SecondaryPercentage of Participants With Sustained Pain Freedom From 2 to 24 Hours Post-dose

Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Sustained pain freedom was defined as pain level of none at 2 hours up to 24 hours post-dose with no rescue medication use through 24 hours post-dose.

Time frame:
From 2 hours up to 24 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Sustained Pain Freedom From 2 to 24 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Sustained Pain Freedom From 2 to 24 Hours Post-dose15.7 (12.9 to 18.4)5.6 (3.9 to 7.3)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 10.1 · 95% CI 6.9 to 13.4
SecondaryPercentage of Participants With Freedom From Most Bothersome Symptom (MBS) at 90 Minutes Post-dose

MBS was reported as nausea, photophobia, or phonophobia at migraine onset using the eDiary. Symptom status (absent, present) was assessed post-dose using the eDiary separately for nausea, photophobia, and phonophobia. Freedom from MBS was defined as MBS reported at onset that was absent post-dose.

Time frame:
90 minutes post dose
Reported as:
Number · percentage of participants
Percentage of Participants With Freedom From Most Bothersome Symptom (MBS) at 90 Minutes Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Freedom From Most Bothersome Symptom (MBS) at 90 Minutes Post-dose27.4 (24.0 to 30.7)21.5 (18.5 to 24.6)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = 0.0128 · Risk difference (rd): 5.8 · 95% CI 1.2 to 10.4
SecondaryPercentage of Participants With Freedom From Pain at 90 Minutes Post-dose

Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the electronic diary (eDiary). Pain freedom was defined as pain level of none.

Time frame:
90 minutes post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Freedom From Pain at 90 Minutes Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Freedom From Pain at 90 Minutes Post-dose15.1 (12.4 to 17.8)7.3 (5.4 to 9.3)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 7.8 · 95% CI 4.4 to 11.1
SecondaryPercentage of Participants With Freedom From Phonophobia at 2 Hours Post-dose

Phonophobia (sensitivity to sound) status was measured as absent or present in the eDiary. Freedom from phonophobia was defined as phonophobia absent.

Time frame:
2 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Freedom From Phonophobia at 2 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Freedom From Phonophobia at 2 Hours Post-dose41.7 (37.2 to 46.3)30.2 (25.9 to 34.4)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = 0.0003 · Risk difference (rd): 11.5 · 95% CI 5.3 to 17.7
SecondaryPercentage of Participants With Sustained Pain Freedom From 2 to 48 Hours Post-dose

Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Sustained pain freedom was defined as pain level of none at 2 hours up to 48 hours post-dose with no rescue medication use through 48 hours post-dose.

Time frame:
From 2 hours up to 48 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Sustained Pain Freedom From 2 to 48 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Sustained Pain Freedom From 2 to 48 Hours Post-dose13.5 (10.9 to 16.0)5.4 (3.7 to 7.1)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = < 0.0001 · Risk difference (rd): 8.0 · 95% CI 4.9 to 11.1
SecondaryPercentage of Participants With Pain Relief at 60 Minutes Post-dose

Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Pain relief was defined as pain level of none or mild.

Time frame:
60 minutes post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Pain Relief at 60 Minutes Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Pain Relief at 60 Minutes Post-dose36.8 (33.1 to 40.4)31.2 (27.8 to 34.7)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = 0.0314 · Risk difference (rd): 5.5 · 95% CI 0.5 to 10.6
SecondaryPercentage of Participants With Freedom From Functional Disability at 60 Minutes Post-dose

Functional disability level was assessed in the eDiary on a 4-point scale: normal function, mild impairment, severe impairment, required bed rest. Freedom from functional disability was defined as normal function.

Time frame:
60 minutes post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Freedom From Functional Disability at 60 Minutes Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Freedom From Functional Disability at 60 Minutes Post-dose22.3 (19.1 to 25.4)15.8 (13.1 to 18.6)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = 0.0025 · Risk difference (rd): 6.4 · 95% CI 2.3 to 10.6
SecondaryPercentage of Participants With Freedom From Nausea at 2 Hours Post-dose

Nausea status was measured as absent or present in the eDiary. Freedom from nausea was defined as nausea absent.

Time frame:
2 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Freedom From Nausea at 2 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Freedom From Nausea at 2 Hours Post-dose51.0 (46.1 to 55.9)45.2 (40.5 to 49.9)
Statistical analysis
  • Rimegepant 75 mg ODT vs Placebo · Cochran-Mantel-Haenszel · p = 0.0898 (P-Value ≥ 0.05; therefore, all secondary endpoints listed after this endpoint in the hierarchy were not tested.) · Risk difference (rd): 5.9 · 95% CI -0.9 to 12.7
SecondaryPercentage of Participants With Pain Relapse From 2 to 48 Hours Post-dose

Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the eDiary. Pain relapse was defined as pain level of mild, moderate, or severe after 2 hours up to 48 hours post-dose for the participants who were pain-free at 2 hours post-dose.

Time frame:
From 2 hours up to 48 hours post-dose
Reported as:
Number · percentage of participants
Percentage of Participants With Pain Relapse From 2 to 48 Hours Post-dose
percentage of participantsRimegepant 75 mg ODTPlacebo
Percentage of Participants With Pain Relapse From 2 to 48 Hours Post-dose36.6 (28.7 to 44.5)50.0 (38.7 to 61.2)

Adverse events

Collected over Serious adverse events (SAEs) were collected from informed consent up to the end of the study, and adverse events (AEs) were collected from randomization up to end of the study (up to 52 days).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Rimegepant 75 mg ODT0/682 (0%)0/682 (0%)0/682 (0%)
Placebo0/693 (0%)0/693 (0%)0/693 (0%)

Baseline characteristics

The analysis was performed on modified intent to treat (mITT) participants, defined as those who were randomized only once, took study medication, had moderate to severe pain level at migraine onset, and who provided at least 1 post-baseline efficacy measurement (i.e., after taking study medication).

Age, Continuous
Age, Continuous(Years)Rimegepant 75 mg ODTPlaceboTotal
Mean40.287 ± 12.079240.030 ± 11.871940.157 ± 11.9713
Sex: Female, Male
Sex: Female, Male(Participants)Rimegepant 75 mg ODTPlaceboTotal
Female5685791147
Male101103204
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Rimegepant 75 mg ODTPlaceboTotal
Hispanic or Latino116135251
Not Hispanic or Latino5535471100
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Rimegepant 75 mg ODTPlaceboTotal
American Indian or Alaska Native437
Asian81927
Native Hawaiian or Other Pacific Islander141125266
Black or African American11516
White4965211017
More than one race7916
Unknown or Not Reported202
Primary Migraine Type
Primary Migraine Type(Participants)Rimegepant 75 mg ODTPlaceboTotal
Migraine without Aura480462942
Migraine with Aura189220409
Randomization Strata, Prophylactic Migraine Medication Use
Randomization Strata, Prophylactic Migraine Medication Use(Participants)Rimegepant 75 mg ODTPlaceboTotal
Yes9394187
No5765881164
08

Study locations

69 sites
  • Coastal Clinical Research, LLC
    Mobile, Alabama 36608, United States
  • Clinical Research Consortium, An AMR Company
    Tempe, Arizona 85283, United States
  • Radiant Research, Inc.
    Tucson, Arizona 85712, United States
  • Baptist Health Center for Clinical Research
    Little Rock, Arkansas 72205, United States
  • Woodland International Research Group, LLC
    Little Rock, Arkansas 72211, United States
  • Pharmacology Research Institute
    Encino, California 91316, United States
  • eStudySite
    La Mesa, California 91942, United States
  • Collaborative Neuroscience Network, LLC
    Long Beach, California 90806, United States
  • Pharmacology Research Institute
    Los Alamitos, California 90720, United States
  • Synergy San Diego
    National City, California 91950, United States
  • Pharmacology Research Institute
    Newport Beach, California 92660, United States
  • Optimus Medical Group
    San Francisco, California 94102, United States
  • Diablo Clinical Research, Inc.
    Walnut Creek, California 94598, United States
  • Yale University
    New Haven, Connecticut 06519, United States
  • Ki Health Partners LLC DBA New England Institute for Clinical Research
    Stamford, Connecticut 06905, United States
  • MD Clinical
    Hallandale Beach, Florida 33009, United States
  • AGA Clinical Trials
    Hialeah, Florida 33012, United States
  • Multi-Specialty Research Associates, Inc.
    Lake City, Florida 32055, United States
  • Qps Mra, Llc
    Miami, Florida 33143, United States
  • Clinical Neuroscience Solutions, Inc
    Orlando, Florida 32801, United States
  • Ormond Medical Arts Pharmaceutical Research
    Ormond Beach, Florida 32174, United States
  • Synexus
    Atlanta, Georgia 30328, United States
  • iResearch Atlanta, LLC
    Decatur, Georgia 30030, United States
  • Meridian Clinical Research, LLC
    Savannah, Georgia 31406, United States
  • Heartland Research Associates LLC
    Augusta, Kansas 67010, United States
  • Heartland Research Associates, LLC
    Wichita, Kansas 67205, United States
  • Cresent City Headache and Neurology Center LLC
    Chalmette, Louisiana 70043, United States
  • New Orleans Center for Clinical Research
    New Orleans, Louisiana 70119, United States
  • DelRicht Research
    New Orleans, Louisiana 70124, United States
  • Boston Clinical Trials
    Boston, Massachusetts 02131, United States
  • NECCR Primacare Research, LLC
    Fall River, Massachusetts 02721, United States
  • Community Clinical Research Network/Milford Emergency Associates, Inc
    Marlborough, Massachusetts 01752, United States
  • Clinical Research Institute, Inc.
    Minneapolis, Minnesota 55042, United States
  • Clinical Research Institute, Inc.
    Plymouth, Minnesota 55441, United States
  • Center for Pharmaceutical Research
    Kansas City, Missouri 64114, United States
  • Sundance Clinical Research
    Saint Louis, Missouri 63141, United States
  • StudyMetrix Research, LLC
    Saint Peters, Missouri 63303, United States
  • Meridian Clinical Research, LLC
    Norfolk, Nebraska 68701, United States
  • Hassman Research Institute
    Berlin, New Jersey 08009, United States
  • Albuquerque Clinical Trials, Inc.
    Albuquerque, New Mexico 87102, United States
  • SPRI Clinical Trials, LLC
    Brooklyn, New York 11235, United States
  • CNS Research Science, Inc.
    Jamaica, New York 11432, United States
  • Rochester Clinical Research, Inc.
    Rochester, New York 14609, United States
  • PharmQuest, LLC
    Greensboro, North Carolina 27408, United States
  • PMG Research of Raleigh
    Raleigh, North Carolina 27609, United States
  • Wilmington Health, PLLC
    Wilmington, North Carolina 28401, United States
  • Radiant Research, Inc.
    Columbus, Ohio 43212, United States
  • Midwest Clinical Research Center
    Dayton, Ohio 45417, United States
  • Hometown Urgent Care and Research
    Dayton, Ohio 45424, United States
  • Neurology Diagnostics, Inc.
    Dayton, Ohio 45459, United States
  • Aventiv Research Inc
    Dublin, Ohio 43016, United States
  • Summit Research Network (Oregon) Inc.
    Portland, Oregon 97210, United States
  • Clinical Research of Philadelphia, LLC
    Philadelphia, Pennsylvania 19114, United States
  • Coastal Carolina Research
    Mount Pleasant, South Carolina 29464, United States
  • Meridian Clinical Research
    Dakota Dunes, South Dakota 57049, United States
  • Volunteer Research Group
    Knoxville, Tennessee 37920, United States
  • Clinical Research Institute, Inc.
    Nashville, Tennessee 37203, United States
  • Nashville Neuroscience Group
    Nashville, Tennessee 37203, United States
  • Tekton Research, Inc
    Austin, Texas 78745, United States
  • FutureSearch Trials of Dallas, LP
    Dallas, Texas 75231, United States
  • Ventavia Research Group, LLC
    Fort Worth, Texas 76104, United States
  • Texas Center for Drug Development, Inc.
    Houston, Texas 77081, United States
  • Red Star Research
    Lake Jackson, Texas 77566, United States
  • DM Clinical Research
    Tomball, Texas 77375, United States
  • Charlottesville Medical Research
    Charlottesville, Virginia 22911, United States
  • Tidewater Integrated Medical Research
    Virginia Beach, Virginia 23454, United States
  • Northwest Clinical Research Center
    Bellevue, Washington 98007, United States
  • Seattle Women's: Health, Research, Gynecology
    Seattle, Washington 98105, United States
  • Clinical Investigation Specialists, Inc.
    Kenosha, Wisconsin 53144, United States
09

References and documents

Publications

  • 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. PubMed 36125279 ↗
  • 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. PubMed 31311674 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2018 to primary completion in Oct 2018, 7 months.

Results were first posted in Mar 2020, 1 year 5 months after primary completion. A results delay was requested in Oct 2019.

Of 114 industry-sponsored phase 3 interventional studies under Migraine Disorders, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 31. This study's 7 months is below that.

Counting every sponsor, half of 140 studies reached it within 19 months; a quarter within 12 and three quarters within 40.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 6, 2018
First posted
Mar 12, 2018
StartActual
Feb 27, 2018
Primary completionActual
Oct 8, 2018
CompletionActual
Oct 15, 2018
Results delay requested
Oct 3, 2019
Results first posted
Mar 27, 2020
Last update
Feb 16, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 16, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03461757
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Mar 12, 2018
Start date
Feb 27, 2018
Primary completion
Oct 8, 2018
Completion
Oct 15, 2018
Results posted
Mar 27, 2020
Last update
Feb 16, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Rimegepant

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