ClinicalTrials.gg
RecruitingNCT05156398Updated Oct 14, 2026

Efficacy and Safety Study of Rimegepant for the Preventative Treatment of Migraine in Pediatric Subjects

A Phase 3 interventional study of Rimegepant and Placebo in Migraine, sponsored by Pfizer. Recruiting at 93 sites in 7 countries. Open to participants aged 6 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-10-14.

Sponsored by Pfizer · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Started Feb 2022; still recruiting 4 years 8 months later.
Updated Oct 14, 2026Site recruiting status changedPrimary completion moved+3 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
640
Allocation
Randomized
Ages
6 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study is to compare the efficacy and safety of rimegepant to placebo as a preventative treatment for migraine in children and adolescents ≥ 6 to \<18 years with episodic migraine.

02

Conditions studied

  • Migraine

Keywords

  • Migraine
  • Migraine prevention
  • Phonophobia
  • Photophobia
  • Nausea
  • Pediatric migraine
  • Adolescent 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 640 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. Subject has at least a 6 month history of migraine (with or without aura) and including the following:

    1. 14 or less headache days per month during the 3 month period prior to the Screening Visit
    2. 6 or more migraine days during the Observation Period
    3. 14 or less headache days during the Observation Period
    4. Pediatric Migraine Disability Assessment Scale (PedMIDAS) Disability Score of >10 to ≤50, indicating mild (score of 11 to 30) or moderate (score of 31 to 50) disruption in daily activities, as assessed at the Baseline (Randomization) Visit
    5. Ability to verbally distinguish migraine attacks from tension/cluster or other types of headaches
    6. Migraine attacks, on average, lasting 4 - 72 hours if untreated
    7. Subjects on prophylactic migraine medication are permitted to remain on therapy if the dose has been stable for at least 3 months (12 weeks) prior to the Screening Phase, and the dose is not expected to change during the course of the study. 2) Male and female subjects ≥ 6 to \<18 years; subjects must be less than 18 at the time of signing assent / consent.

      3)Subjects must have a weight of ≥40 kg (child cohort requirement ≥15 kg) at the Screening Visit.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with a history of basilar migraine, cluster headaches, or hemiplegic migraine
  2. The subject has a continuous migraine (defined as an unrelenting headache) within 1 month prior to Screening Visit.
  3. The subject has a history or diagnosis of complications of migraine
  4. The subject has a confounding and pain syndrome that may interfere with the subject's ability to participate in this study.
  5. The subject has any current psychiatric condition that is uncontrolled and/or untreated for a minimum of 6 months prior to the Screening Visit. Subjects with a lifetime history of psychosis and/or mania are excluded.
  6. History of suicidal behavior or the subject is at risk of self-harm or harm to others.
  7. History of major psychiatric disorder.
  8. The subject has a current diagnosis or history of substance abuse
  9. The subject has a history of moderate or severe head trauma or other neurological disorder (including seizure disorder) or systemic medical disease that is, in the investigator's opinion, likely to affect central nervous system functioning.
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
Prevention
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
640 participants (estimated)

Study arms

  • Active comparator
    Rimegepant / BHV3000

    Rimegepant 75mg or 50mg (2 X 25mg) ODT

    Drug: Rimegepant

  • Placebo comparator
    Matching Placebo

    Matching placebo 75mg or 50mg (2 X 25mg) ODT

    Drug: Placebo

Interventions

  • Rimegepant 75mg or 50mg (2 X 25mg) ODT

    Also known as: BHV3000

  • DrugPlacebo

    Matching placebo 75mg or 50mg (2 X 25mg) ODT

    Also known as: Matching Placebo

06

What researchers measure

Primary outcomes

  1. Change from baseline in the mean number of migraine days per month as measured over the 12-week double-blind phase of the study in adolescents with episodic migraine

    Reduction from baseline in mean number of migraine days per month

    Time frame: 3 months (12 weeks)

Secondary outcomes

  1. Achievement of at least a 50% reduction from baseline in mean monthly migraine days over the course of the double-blind phase in adolescents with episodic migraine

    Time frame: 3 months (12 weeks)

  2. Change from baseline in the mean number of migraine days per month in the first 4 weeks (Weeks 1 through 4) of the double-blind treatment phase in adolescents with episodic migraine.

    Time frame: Weeks 1 through 4 of treatment

  3. The mean change from baseline in the Pediatric Quality of Life (PedsQL™) total score at Week 12 of the double-blind treatment phase in adolescents with episodic migraine.

    Time frame: Total score at week 12

  4. Change from baseline in the mean number of migraine days per month over the entire course of the double-blind treatment phase in children and children and adolescents combined with episodic migraine.

    Time frame: 3 months (12 weeks)

  5. Change from baseline on the proportion of subjects that have at least a 50% reduction in the mean number of moderate to severe migraine days per month.

    Measured over the entire course of the double-blind treatment phase in children and children and adolescents combined with episodic migraine.

    Time frame: 3 months (12 weeks)

  6. Compare the use of acute migraine-specific medications (triptans) based on the change from baseline in monthly acute migraine specific medication days.

    Measured in each month and over the course of the entire double-blind treatment phase in adolescents, children and adolescents and children combined.

    Time frame: 3 months (12 weeks)

  7. Evaluate the safety and tolerability of rimegepant as a preventative treatment for migraine in children and adolescents.

    This will be evaluated by the number of subjects with treatment related adverse events by severity.

    Time frame: 72 Weeks

  8. Evaluate the frequency of hepatic-related adverse events in subjects treated with rimegepant.

    Measured by discontinuations in treated subjects due to elevated liver function tests.

    Time frame: 72 Weeks

07

Study locations

61 of 93 sites recruiting
  • The Belinga Clinic
    Fort Smith, Arkansas 72901, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Advanced Investigative Medicine, Inc.
    Hawthorne, California 90250, United States
    Recruiting
  • Velocity Clinical Research San Diego
    La Mesa, California 91942, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Colorado Springs Neurological Associates
    Colorado Springs, Colorado 80907, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Advanced Neurosciences Research, LLC
    Fort Collins, Colorado 80528, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Velocity Clinical Research, Washington DC
    Washington D.C., District of Columbia 20016, United States
    Recruiting
  • Accel Research Sites Network - Edgewater Clinical Research Unit
    Edgewater, Florida 32132, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Direct Helpers Research Center
    Hialeah, Florida 33012, United States
    Recruiting
  • New Med Research, Inc
    Hollywood, Florida 33020, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Complete Health Research
    Ormond Beach, Florida 32174, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • D&H Tamarac Research Center LLC
    Tamarac, Florida 33321, United States
    Recruiting
  • Santos Research Center, CORP
    Tampa, Florida 33615, United States
    Recruiting
  • Clinical Trial Office
    Augusta, Georgia 30904, United States
    Recruiting
  • Augusta University
    Augusta, Georgia 30912, United States
    Recruiting
  • WR-Mount Vernon Clinical Research, LLC
    Sandy Springs, Georgia 30328, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Meridian Clinical Research, LLC
    Savannah, Georgia 31406, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Extraordinary Family Healthcare
    Snellville, Georgia 30078, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Renew Health Clinical Research LLC
    Snellville, Georgia 30078, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Northwest Clinical Trials, Inc.
    Boise, Idaho 83704, United States
    Recruiting
  • Diamond Headache Clinic
    Chicago, Illinois 60642, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Nola Research Works, LLC
    New Orleans, Louisiana 70125, United States
    Recruiting
  • NRST - Detroit
    Detroit, Michigan 48203, United States
    Not yet recruiting
  • Clinical Research Institute
    Minneapolis, Minnesota 55402, United States
    Not yet recruiting
  • Safe Haven Clinical Research
    Clinton, Mississippi 39056, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Roy Blunt NextGen Precision Health Building
    Columbia, Missouri 65211, United States
    Recruiting
  • University of Missouri Health Care - Investigation Pharmacy
    Columbia, Missouri 65212, United States
    Recruiting
  • University of Missouri-Clinical and Translational Sciences Unit
    Columbia, Missouri 65212, United States
    Recruiting
  • University of Missouri
    Columbia, Missouri 65212, United States
    Recruiting
  • Velocity Clinical Research, Grand Island
    Grand Island, Nebraska 68803, United States
    Recruiting
  • Papillion Research Center/CCT Research
    Papillion, Nebraska 68046, United States
    Recruiting
  • Renown Regional Medical Center
    Reno, Nevada 89502, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Dent Neurosciences Research Center, Inc.
    Amherst, New York 14226, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Montefiore Medical Center
    The Bronx, New York 10461, United States
    Recruiting
  • Carolina Institute for Clinical Research, LLC
    Fayetteville, North Carolina 28303, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
    Recruiting
  • Velocity Clinical Research
    Cincinnati, Ohio 45242, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Lynn Health Science Institute
    Oklahoma City, Oklahoma 73112, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Coastal Pediatric Research
    Charleston, South Carolina 29414, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Tribe Clinical Research LLC
    Greenville, South Carolina 29607, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Avera McKennan Hospital & University Health Center
    Sioux Falls, South Dakota 57105, United States
    Recruiting
  • Avera Research Institute
    Sioux Falls, South Dakota 57108, United States
    Recruiting
  • Avera Medical Group Pediatrics - Dawley Farm
    Sioux Falls, South Dakota 57110, United States
    Recruiting
  • Monroe Carell Jr Children's Hospital at Vanderbilt
    Nashville, Tennessee 37232, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Alina Clinical Trials, LLC.
    Dallas, Texas 75209, United States
    Recruiting
  • North Texas Center for Clinical Research
    Frisco, Texas 75034, United States
    Recruiting
  • DM Clinical Research - Cy Fair
    Houston, Texas 77065, United States
    Recruiting
  • SCLA Management - Drop Box
    Houston, Texas 77077, United States
    Recruiting
  • SCLA Management Office
    Houston, Texas 77077, United States
    Recruiting
  • NeuroCare Plus
    Houston, Texas 77094, United States
    Recruiting
  • Red Star Research, LLC
    Lake Jackson, Texas 77566, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • DCT-McAllen Primary Care Research, LLC dba Discovery Clinical Trials
    McAllen, Texas 78503, United States
    Recruiting
  • DCT-Stone Oak, LLC dba Discovery Clinical Trials
    San Antonio, Texas 78258, United States
    Recruiting
  • Texas Institute for Neurological Disorders
    Sherman, Texas 75092, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • DM Clinical Research (Administrative Office Only)
    Tomball, Texas 77375, United States
    Recruiting
  • Victoria Clinical Research Group
    Victoria, Texas 77901, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Meridian Clinical Research, LLC
    Portsmouth, Virginia 23703, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Children's and Women's Health Centre of British Columbia
    Vancouver, British Columbia V6H 3V4, Canada
    Terminated

    Not enrolling at this site — choose another above.

  • Centre Hospitalier Intercommunal de Creteil
    Créteil, 94000, France
    Recruiting
  • Centre Hospitalier Universitaire de Montpellier
    Montpellier, 34295, France
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Hopital des Enfants
    Toulouse, 31059, France
    Recruiting
  • UOSVD Centro Epilessia ed EEG dellEta Evolutiva
    Bari, BARI / Puglia 70132, Italy
    Recruiting
  • Sapienza Universita di Roma Polo Pontino - ICOT, Headache clinic
    Latina, Latina/lazio 04100, Italy
    Recruiting
  • IRCCS San Raffaele
    Rome, Lazio 00166, Italy
    Recruiting
  • Istituto Neurologico "Carlo Besta" Fondazione IRCCS
    Milan, Lombardy 20133, Italy
    Recruiting
  • Divisione di Neurologia, Ospedale Pediatrico Bambino Gesu
    Rome, Rome/lazio 00165, Italy
    Recruiting
  • ASST Spedali Civili di Brescia
    Brescia, 25069, Italy
    Recruiting
  • Jinnouchi Neurosurgical Clinic
    Kasuga-shi, Fukuoka 816-0802, Japan
    Recruiting
  • Hikita Pediatric Clinic
    Kiryu-shi, Gunma 376-0035, Japan
    Recruiting
  • Konan Medical Center
    Higashinada-ku Kobe-shi, Hyōgo 658-0064, Japan
    Recruiting
  • Yamaguchi Clinic
    Nishinomiya-shi, Hyōgo 663-8204, Japan
    Recruiting
  • Mito Kyodo General Hospital
    Mito, Ibaraki 310-0015, Japan
    Not yet recruiting
  • Tanaka Neurosurgery & Headache Clinic
    Kagoshima, Kagoshima-ken 890-0052, Japan
    Recruiting
  • Atago Hospital
    Kochi, Kochi 780-0051, Japan
    Recruiting
  • Sendai Headache and Neurology Clinic
    Taihaku-ku Sendai-shi, Miyagi 982-0014, Japan
    Recruiting
  • Tennouji Dai Brain Clinic
    Abeno-ku Osaka-shi, Osaka 545-0053, Japan
    Recruiting
  • Tominaga Clinic
    Naniwa-ku, Osaka 556-0015, Japan
    Recruiting
  • Saitama Neuropsychiatric Institute
    Chuo-ku Saitama-shi, Saitama 338-8577, Japan
    Recruiting
  • Tokyo Headache Clinic
    Shibuya-ku, Tokyo 151-0051, Japan
    Recruiting
  • Tokyo Medical University Hospital
    Shinjuku-ku, Tokyo 160-0023, Japan
    Recruiting
  • Clinical Research Center Sp. z o.o. MEDIC-R Sp. k.
    Poznan, Greater Poland Voivodeship 61-731, Poland
    Recruiting
  • Wojewodzki Specjalistyczny Szpital Dzieciecy
    Krakow, Lesser Poland Voivodeship 31-503, Poland
    Recruiting
  • MIGRE Polskie Centrum Leczenia Migreny Anna Gryglas-Dworak
    Wroclaw, Lower Silesian Voivodeship 52-210, Poland
    Recruiting
  • NZOZ Neuromed M. i M. Nastaj Sp. P.
    Lublin, Lublin Voivodeship 20-064, Poland
    Recruiting
  • MTZ Clinical Research Powered by Pratia
    Warsaw, Masovian Voivodeship 02-172, Poland
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • NZOZ Wielospecjalistyczna Poradnia Lekarska SYNAPSIS
    Katowice, Silesian Voivodeship 40-123, Poland
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Neurologia Slaska Centrum Medyczne
    Katowice, Silesian Voivodeship 40-689, Poland
    Recruiting
  • Next Stage Sp. Z o.o.
    Warsaw, WOJ. Mazowieckie 02-121, Poland
    Recruiting
  • Hospital Universitari Parc Tauli
    Sabadell, Barcelona 08208, Spain
    Recruiting
  • Hospital Clinico Universitario de Valladolid (HCUV)
    Valladolid, Castille and León 47003, Spain
    Recruiting
  • Hospital Alvaro Cunqueiro
    Vigo, Galicia 36312, Spain
    Recruiting
  • Instituto de Investigaciones del Sueno
    Madrid, 28036, Spain
    Recruiting
  • Virgen del Rocio Hospital
    Seville, 41013, Spain
    Recruiting
  • Hospital Universitario y Politecnico La Fe
    Valencia, 46026, Spain
    Recruiting
08

References and documents

Publications

  • Shin L, Mentz O, Gelfand AA, de Prado BM, Shapiro H, Oh A, Onifade OO, Saunders J, Raj N, Szperka CL. Gepants for headache prevention in children and adolescents: A multicenter chart review study. Headache. 2026 Jan;66(1):239-248. doi: 10.1111/head.15087. Epub 2025 Nov 14. PubMed 41235617 ↗

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

2 registry updates since Sep 25, 2026
Sites
7 sites added, 7 sites removed. MTZ Clinical Research Powered by Pratia is now Active, not recruiting
Show 7 added (4 Spain, 2 Italy, 1 United States)
  • NRST - Detroit · Detroit, United States
  • ASST Spedali Civili di Brescia · Brescia, Italy
  • Hospital Universitari Parc Tauli · Sabadell, Spain
  • Hospital Universitario y Politecnico La Fe · Valencia, Spain
  • ASST Spedali Civili di Brescia · Brescia, Italy
  • Hospital Universitari Parc Tauli · Sabadell, Spain
  • Hospital Universitario y Politecnico La Fe · Valencia, Spain
Show 7 removed
  • NRST - Detroit · Highland Park, United States
  • ASST Spedali Civili di Brescia · Brescia, Italy
  • Hospital Universitari Parc Tauli · Sabadell, Spain
  • Hospital Universitario y Politecnico La Fe · Valencia, Spain
  • ASST Spedali Civili di Brescia · Brescia, Italy
  • Hospital Universitari Parc Tauli · Sabadell, Spain
  • Hospital Universitario y Politecnico La Fe · Valencia, Spain
across 2 updates, Sep 28, 2026 – Oct 14, 2026
Primary completion
Nov 29, 2031→Mar 27, 2029
Sep 28, 2026
Study completion
Nov 27, 2032→Oct 30, 2032
Sep 28, 2026
Show all 2 updates
  1. Oct 14, 2026
    3 sites added, 3 sites removed
    Show 3 added (2 Spain, 1 Italy)
    • ASST Spedali Civili di Brescia · Brescia, Italy
    • Hospital Universitari Parc Tauli · Sabadell, Spain
    • Hospital Universitario y Politecnico La Fe · Valencia, Spain
    Show 3 removed
    • ASST Spedali Civili di Brescia · Brescia, Italy
    • Hospital Universitari Parc Tauli · Sabadell, Spain
    • Hospital Universitario y Politecnico La Fe · Valencia, Spain
    + 1 other change: verification date
  2. Sep 28, 2026
    4 sites added, 4 sites removed. MTZ Clinical Research Powered by Pratia is now Active, not recruiting
    Show 4 added (2 Spain, 1 United States, 1 Italy)
    • NRST - Detroit · Detroit, United States
    • ASST Spedali Civili di Brescia · Brescia, Italy
    • Hospital Universitari Parc Tauli · Sabadell, Spain
    • Hospital Universitario y Politecnico La Fe · Valencia, Spain
    Show 4 removed
    • NRST - Detroit · Highland Park, United States
    • ASST Spedali Civili di Brescia · Brescia, Italy
    • Hospital Universitari Parc Tauli · Sabadell, Spain
    • Hospital Universitario y Politecnico La Fe · Valencia, Spain
    Primary completion Nov 29, 2031→Mar 27, 2029
    Study completion Nov 27, 2032→Oct 30, 2032
    + 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
NCT05156398
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Dec 14, 2021
Start date
Feb 28, 2022
Primary completion
Mar 27, 2029 (estimated)
Completion
Oct 30, 2032 (estimated)
Last update
Oct 14, 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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