ClinicalTrials.gg
RecruitingNCT04649242Updated Oct 27, 2026

Randomized Study in Children and Adolescents With Migraine: Acute Treatment

A Phase 3 interventional study of Rimegepant/BHV3000 and Matching placebo in Pediatric Migraine, sponsored by Pfizer. Recruiting at 246 sites in 9 countries. Open to participants aged 6 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2021; still recruiting 5 years 9 months later.
Updated Oct 27, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
2,100
Allocation
Randomized
Ages
6 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study is to test the safety and efficacy of BHV-3000 versus placebo in the acute treatment of moderate or severe migraine in children and adolescents.

02

Conditions studied

  • Pediatric Migraine

Keywords

  • Migraine
  • Acute treatment
  • Phonophobia
  • Photophobia
  • Nausea
  • Pediatric
  • Children
  • Adolescent
  • Pediatric Migraine
03

In context

Migraine Disorders

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

This study's planned enrollment of 2,100 is above the median of 80 across 1,269 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

Pfizer is the lead sponsor of 3,334 studies on the registry; 149 are open to participants now.

Of its 601 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. History of migraine (with or without aura) for > 6 months before Screening according to the IHS Classification ICHD-319 specifications for pediatric migraine. History may be verified using both medical records and recall by the participant and/or participant's parent(s)/legal representative(s).
  2. History of 1 to 8 moderate or severe attacks per month during the 2 months prior to enrollment, with attacks lasting > 3 hours without treatment, and attacks occurring at intervals > 24 hours.
  3. Prophylactic migraine medication are permitted if the dose has been stable for at least 12 weeks prior to the Baseline Visit, and the dose is not expected to change during the course of the study.

    1. Participants may remain on one (1) medication with possible migraine prophylactic effects, excluding CGRP antagonists [biologic or small molecule], during the treatment phases.
    2. Concomitant use of a CGRP antagonist, such as erenumab or fremanezumab, is prohibited.
    3. Previously discontinued prophylactic migraine medication must have done so at least 90 days prior to the Screening Visit.
  4. Verbally distinguish between migraine and other types of headaches.
  5. Participants must have a weight > 40 kg at the Screening Visit.
  6. Adequate venous access for blood sampling.
  7. Male and female participants ≥ 6 to \< 18 years of age (participants must not reach their 18th birthday during the study).

Exclusion criteria

Exclusion Criteria:

  1. History of cluster headache or hemiplegic migraine headache.
  2. Confounding and pain syndrome that may interfere with the participant's ability to participate in this study.
  3. Current psychiatric condition that is uncontrolled and/or untreated for a minimum of 6 months prior to the Screening Visit. Participants with a lifetime history of psychosis and/or mania.
  4. History of suicidal behavior or major psychiatric disorder.
  5. Current diagnosis or history of substance abuse; positive drug test at Screening.
  6. History of moderate or severe head trauma or other neurological disorder (including seizure disorder) or systemic medical disease that is likely to affect central nervous system functioning.
  7. Recent or planned surgery, requiring general anesthesia, \<8 weeks prior to the Screening Visit.
  8. Participant has had gastrointestinal surgery that interferes with physiological absorption and motility (i.e., gastric bypass, duodenectomy, or gastric banding).
  9. Current diagnosis of viral hepatitis or a history of liver disease.
  10. Conditions considered clinically relevant in the context of the study such as uncontrolled hypertension (high blood pressure), diabetes, a life-threatening allergy
Terms in these criteria, in plain language(1)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
2,100 participants (estimated)

Study arms

  • Active comparator
    BHV3000 (active drug)

    BHV3000 (rimegepant) 75 mg or 50 mg ODT

    Drug: Rimegepant/BHV3000

  • Placebo comparator
    Placebo

    Matching 75 mg or 50 mg ODT placebo

    Drug: Matching placebo

Interventions

  • DrugRimegepant/BHV3000

    Drug page: Rimegepant

    BHV3000 (rimegepant) 75 mg or 50 mg ODT

  • DrugMatching placebo

    Matching 75 mg or 50 mg ODT placebo

06

What researchers measure

Primary outcomes

  1. To evaluate the efficacy of rimegepant compared with placebo in the acute treatment of migraine in adolescent population (≥ 12 to <18 years of age) as measured by pain freedom using the number of patients reporting no pain.

    Pain freedom will be assessed in adolescent population (≥ 12 to \< 18 years of age) on a 4-point numeric rating scale (0=none, 1=mild, 2=moderate, 3=severe).

    Time frame: 2 hours post-dose

Secondary outcomes

  1. To compare rimegepant with placebo for pain freedom in children and adolescents combined.

    Pain freedom will be assessed in children and adolescents (≥ 6 to \< 18 years of age) using a 4-point numeric rating scale (0=none, 1=mild, 2=moderate, 3=severe). Pain freedom will be assessed in children (\> 6 to \< 12 years of age) using the 5-Face VAS (Face 5 = 'severe pain', Faces 4 and 3 = 'moderate pain', Face 2 = 'mild pain', Face 1 = 'no pain').

    Time frame: 2 hours post-dose

  2. To compare rimegepant with placebo on freedom from the most bothersome symptom (MBS) associated with migraine in adolescents.

    Freedom from MBS (nausea, phonophobia or photophobia) will be measured using a binary scale (0=absent, 1=present).

    Time frame: 2 hours post-dose

  3. To compare rimegepant with placebo on the probabilities of requiring rescue medication within in adolescents.

    Use of rescue medication will be assessed using the numbers of participants that take rescue medication.

    Time frame: Within 24 hours and 48 hours of initial treatment

  4. To compare rimegepant with placebo on sustained pain freedom in adolescents.

    Sustained pain freedom will be assessed using the number of participants that do not use any rescue medications and do not experience any headache pain post dose.

    Time frame: 2 to 24 hours post-dose

  5. To compare rimegepant with placebo on sustained pain freedom in adolescents.

    Sustained pain freedom will be assessed using the number of participants that do not use any rescue medications and do not experience any headache pain post dose.

    Time frame: 2 to 48 hours post-dose

  6. To compare rimegepant with placebo on the ability to function normally as reported on the Functional Disability scale in adolescents.

    The proportion of participants able to function normally will be assessed using the number that self-report as "normal" on the Functional Disability scale.

    Time frame: 2 hours post-dose

  7. To compare rimegepant with placebo for pain freedom in children.

    Pain freedom will be assessed using the number of children (≥ 6 to \< 12 years of age) that report no pain measured by a 5-Face VAS (Face 5 = 'severe pain', Faces 4 and 3 = 'moderate pain', Face 2 = 'mild pain', Face 1 = 'no pain').

    Time frame: 2 hours post-dose

  8. To compare rimegepant with placebo on freedom from the most bothersome symptom (MBS) associated with migraine in children and combined children and adolescents.

    Freedom from the most bothersome symptom (nausea, phonophobia or photophobia) will be assessed using the number of participants that report the absence of MBS measured using a binary scale (0=absent, 1=present).

    Time frame: 2 hours post-dose

  9. To compare rimegepant with placebo on the probabilities of requiring rescue medication in children and combined children and adolescents.

    The probabilities of requiring rescue medication will be assessed using the numbers of participants that take rescue medication within initial treatment.

    Time frame: Within 24 hours and 48 hours of initial treatment.

  10. To compare rimegepant with placebo on sustained pain freedom in children and combined children and adolescents.

    Sustained pain freedom will be assessed using the number of participants that do not use any rescue medications and do not experience any headache pain post dose.

    Time frame: 2 to 24 hours post-dose

  11. To compare rimegepant with placebo on sustained pain freedom in children and combined children and adolescents.

    Sustained pain freedom will be assessed using the number of participants that do not use any rescue medications and do not experience any headache pain post dose.

    Time frame: 2 to 48 hours post-dose

  12. To compare rimegepant with placebo on freedom from photophobia in adolescents, children and combined children and adolescents.

    Freedom from photophobia will be assessed by the number of participants that report the absence of photophobia post dose that reported the presence of photophobia at baseline.

    Time frame: 2 hours post-dose

  13. To compare rimegepant with placebo on freedom from phonophobia in adolescents, children and combined children and adolescents.

    Freedom from phonophobia will be assessed by the number of participants that report the absence of phonophobia post dose that reported the presence of phonophobia at baseline.

    Time frame: 2 hours post-dose

  14. To compare rimegepant with placebo on freedom from nausea in adolescents, children and combined children and adolescents.

    Freedom from nausea will be assessed by the number of participants that report the absence of nausea post dose that reported the presence of nausea at baseline.

    Time frame: 2 hours post-dose

  15. To compare rimegepant with placebo on pain relief in adolescents, children and combined children and adolescents.

    Pain relief will be assessed using the number of participants that report a pain level of moderate or severe at baseline and then report a pain level of none or mild post dose.

    Time frame: 2 hours post-dose

  16. To compare rimegepant with placebo in adolescents, children and combined children and adolescents on pain relief.

    Time to first report of pain relief will be based on the first time point a participant reports a pain level of none or mild.

    Time frame: Time to patients first report of pain relief of none or mild post dose up to 48 hours.

07

Study locations

122 of 246 sites recruiting
  • Achieve Clinical Research, LLC d/b/a Accel Research Sites-Neurology and Neurodiagnostic of Alabama
    Birmingham, Alabama 35244, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Perseverance Research Center, LLC
    Scottsdale, Arizona 85253, United States
    Recruiting
  • Physicians Research Group
    Tempe, Arizona 85284, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Advanced Research Center, Inc.
    Anaheim, California 92805, United States
    Recruiting
  • Adult & Child Neurology Medical Associates
    Costa Mesa, California 92627, United States
    Recruiting
  • ProScience Research Group
    Culver City, California 90230, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Memorial Health Services
    Fountain Valley, California 92708, United States
    Recruiting
  • Neuro-Pain Research Center
    Fresno, California 93710, United States
    Recruiting
  • Altman Clinical and Translational Research Institute, University of California San Diego
    La Jolla, California 92037, United States
    Recruiting
  • Adult & Child Neurology Medical Associates
    Long Beach, California 90806, United States
    Recruiting
  • Miller Children's & Women's Hospital Long Beach
    Long Beach, California 90806, United States
    Recruiting
  • National Research Institute
    Los Angeles, California 90057, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Velocity Clinical Research - North Hollywood
    North Hollywood, California 91606, United States
    Active, not recruiting

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  • Children's Hospital of Orange County - Inpatient Pharmacy
    Orange, California 92868, United States
    Not yet recruiting
  • Children's Hospital of Orange County - Neuroscience Center
    Orange, California 92868, United States
    Not yet recruiting
  • Children's Hospital of Orange County
    Orange, California 92868, United States
    Not yet recruiting
  • The Neurology Group
    Pomona, California 91767, United States
    Recruiting
  • University of California, Davis Midtown Clinic
    Sacramento, California 95816, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • UC Davis Medical Center, Investigational Drug Service (IDS) Pharmacy
    Sacramento, California 95817, United States
    Active, not recruiting

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  • University of California, Davis Clinical and Translational Science Center Clinical Research (CCRC)
    Sacramento, California 95817, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Velocity Clinical Research, San Bernardino
    San Bernardino, California 92408, United States
    Active, not recruiting

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  • Pacific Clinical Research Management Group LLC
    Upland, California 91786, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Sunwise Clinical Research
    Walnut Creek, California 94596, United States
    Recruiting
  • Children's Hospital Colorado- lnvestigational Drug Services
    Aurora, Colorado 80045, United States
    Recruiting
  • Children's Hospital Colorado
    Aurora, Colorado 80045, United States
    Recruiting
  • Colorado Springs Neurological Associates, PC
    Colorado Springs, Colorado 80907, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Colorado Springs Neurological Associates, PC
    Colorado Springs, Colorado 80919, United States
    Active, not recruiting

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  • CT Clinical Research
    Cromwell, Connecticut 06416, United States
    Recruiting
  • Connecticut Children's Medical Center
    Hartford, Connecticut 06106, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Ki Health Partners, LLc, dba New England Institute for Clinical Research
    Stamford, Connecticut 06905, United States
    Recruiting
  • Nemours Children's Hospital, Delaware
    Wilmington, Delaware 19803, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Children's National Medical Center
    Washington D.C., District of Columbia 20010, United States
    Recruiting
  • Topaz Clinical Research, Inc.
    Apopka, Florida 32703, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Beautiful Minds Clinical Research Center
    Cutler Bay, Florida 33157, United States
    Terminated

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  • DeLand Clinical Research Unit
    DeLand, Florida 32720, United States
    Terminated

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  • Sarkis Clinical Trials
    Gainesville, Florida 32607, United States
    Active, not recruiting

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  • Multi-Specialty Research Associates, Inc.
    Lake City, Florida 32055, United States
    Active, not recruiting

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  • Watson Clinic Center for Research, Inc.
    Lakeland, Florida 33805, United States
    Terminated

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  • Watson Clinic LLP
    Lakeland, Florida 33805, United States
    Terminated

    Not enrolling at this site — choose another above.

  • AppleMed Research Group, LLC
    Miami, Florida 33126, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Medical Research Center of Miami II, Inc
    Miami, Florida 33134, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • South Florida Research Phase I-IV, Inc
    Miami, Florida 33166, United States
    Recruiting
  • Brainstorm Research
    Miami, Florida 33176, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Advanced Research for Health Improvement, LLC/ Dr. Cordero's Pediatric Office
    Naples, Florida 34102, United States
    Active, not recruiting

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  • Aqualane Clinical Research
    Naples, Florida 34105, United States
    Recruiting
  • Coastal Clinical Research Specialists
    Orange Park, Florida 32073, United States
    Active, not recruiting

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  • Clinical Associates of Orlando, LLC
    Orlando, Florida 32819, United States
    Recruiting
  • Bioresearch Institute
    Pembroke Pines, Florida 33026, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Forcare Clinical Research
    Tampa, Florida 33613, United States
    Active, not recruiting

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  • Premiere Research Institute at Palm Beach Neurology
    West Palm Beach, Florida 33407, United States
    Active, not recruiting

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  • Children's Healthcare of Atlanta, Inc.
    Atlanta, Georgia 30329, United States
    Active, not recruiting

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  • Childrens Healthcare of Atlanta
    Atlanta, Georgia 30329, United States
    Active, not recruiting

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  • Rare Disease Research, LLC
    Atlanta, Georgia 30329, United States
    Active, not recruiting

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  • Pivotal Clinical Research & Associates, LLC
    Brunswick, Georgia 31520, United States
    Active, not recruiting

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  • CenExel iResearch, LLC
    Decatur, Georgia 30030, United States
    Recruiting
  • Chicago Headache Center & Research Institute
    Chicago, Illinois 60657, United States
    Recruiting
  • AMR-Baber Research Inc
    Naperville, Illinois 60563, United States
    Recruiting
  • Options Research Group, LLC
    Westfield, Indiana 46074, United States
    Recruiting
  • Velocity Clinical Research, Sioux City
    Sioux City, Iowa 51106, United States
    Recruiting
  • Integrated Clinical Trial Services
    West Des Moines, Iowa 50265, United States
    Recruiting
  • Clinical Associates Midwest, LLC
    Kansas City, Kansas 66214, United States
    Recruiting
  • College Park Family Care Center Physicians Group- Neurology Research Dept.
    Overland Park, Kansas 66212, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Kentucky Neuroscience Institute Child Neurology-- "Patients Seen"
    Lexington, Kentucky 40504, United States
    Active, not recruiting

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  • UK Center for Clinical and Translational Science (CCTS) -- "Patients Seen"
    Lexington, Kentucky 40536, United States
    Active, not recruiting

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  • University of Kentucky Hospital
    Lexington, Kentucky 40536, United States
    Active, not recruiting

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  • Ochsner Clinic Foundation
    New Orleans, Louisiana 70121, United States
    Active, not recruiting

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  • Neurology and Headache Center, Inc.
    Shreveport, Louisiana 71105, United States
    Active, not recruiting

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  • Boston Clinical Trials
    Boston, Massachusetts 02131, United States
    Active, not recruiting

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  • MedVadis Research Corporation
    Waltham, Massachusetts 02451, United States
    Active, not recruiting

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  • Michigan Head Pain & Neurological Institute
    Ann Arbor, Michigan 48104, United States
    Recruiting
  • Corewell Health, for and on behalf of Spectrum Health Hospital and Corewell Health Medical Group
    Grand Rapids, Michigan 49503, United States
    Recruiting
  • Corewell Health, Helen DeVos Children's Hospital
    Grand Rapids, Michigan 49503, United States
    Recruiting
  • Wellnow Urgent Care and Research
    Kalamazoo, Michigan 49048, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Beaumont Hospital Royal Oak Campus
    Royal Oak, Michigan 48073, United States
    Active, not recruiting

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  • Brackenridge Outpatient Research Pharmacy
    Rochester, Minnesota 55905, United States
    Recruiting
  • Clinical Research Trials Unit
    Rochester, Minnesota 55905, United States
    Recruiting
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
    Recruiting
  • Precise Research Centers
    Flowood, Mississippi 39232, United States
    Recruiting
  • Sharlin Health Neuroscience Research Center
    Ozark, Missouri 65721, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Clinvest Research, LLC
    Springfield, Missouri 65810, United States
    Active, not recruiting

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  • Boeson Research
    Great Falls, Montana 59405, United States
    Active, not recruiting

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  • Boeson Research
    Kalispell, Montana 59901, United States
    Active, not recruiting

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  • Heart & Hands Midwifery
    Kalispell, Montana 59901, United States
    Active, not recruiting

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  • Blue Moose Pediatrics
    Missoula, Montana 59804, United States
    Active, not recruiting

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  • Boeson Research Laboratory
    Missoula, Montana 59804, United States
    Active, not recruiting

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  • Boeson Research
    Missoula, Montana 59804, United States
    Active, not recruiting

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  • Alivation Research, LLC.
    Lincoln, Nebraska 68526, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Children's Hospital & Medical Center
    Omaha, Nebraska 68114, United States
    Recruiting
  • HMH Jersey Shore University Medical Center
    Neptune City, New Jersey 07753, United States
    Recruiting
  • HOPE Tower at Jersey Shore University Medical Center
    Neptune City, New Jersey 07753, United States
    Recruiting
  • Dent Neurosciences Research Center
    Amherst, New York 14226, United States
    Recruiting
  • True North Neurology
    Commack, New York 11725, United States
    Recruiting
  • Northwell Health IRB
    Great Neck, New York 11021, United States
    Recruiting
  • Northwell Health Division of Pediatric Neurology Outpatient EEG Lab
    Lake Success, New York 11042, United States
    Recruiting
  • Northwell Health/ Division of Pediatric Neurology
    Lake Success, New York 11042, United States
    Recruiting
  • NYU Langone Hospital-Long Island, Clinical Research Center
    Mineola, New York 11501, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • NYU Langone Hospital-Long Island, Pediatric Neurology
    Mineola, New York 11501, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • New York Neurology Associates
    New York, New York 10003, United States
    Recruiting
  • Weill Cornell Medicine
    New York, New York 10021, United States
    Recruiting
  • Mount Sinai Hospital - Pharmacy Department
    New York, New York 10029, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

Showing the first 100 of 246 sites across 9 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

Data sharing details ↗ · www.pfizer.com

09

Updates

1 registry update since Sep 25, 2026
Sites
Beaumont Hospital Royal Oak Campus is now Active, not recruiting
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    Beaumont Hospital Royal Oak Campus is now Active, not recruiting
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04649242
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Dec 2, 2020
Start date
Jan 15, 2021
Primary completion
Jan 9, 2029 (estimated)
Completion
Jan 9, 2029 (estimated)
Last update
Oct 27, 2026

Study contacts

Pfizer Pfizer CT.gov Call Center
Contact
ClinicalTrials.gov_Inquiries@pfizer.com
1-800-718-1021
Pfizer CT.gov Call Center
study director · Pfizer

Oversight

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

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