CClinicalTrials.gg
RecruitingNCT06641466Updated Jul 9, 2026

A Study to Learn About the Study Medicine Called Rimegepant in Women When Used for Intermittent Prevention of Menstrual Migraine

A Phase 3 interventional study of Rimegepant and Placebo Comparator in Menstrual Migraine, sponsored by Pfizer. Recruiting at 123 sites in 15 countries. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-07-09.

Sponsored by Pfizer · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Started Mar 2025; still recruiting 1 year 6 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
723
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of rimegepant when administered during the peri-menstrual period (PMP) for intermittent prevention of migraine in women who experience menstrual migraine attacks.

02

Conditions studied

  • Menstrual Migraine
03

In context

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Participant has regular menstrual cycles ≥24 days and ≤34 days
  2. A minimum 1-year history of migraine (with or without aura) consistent with a diagnosis according to the International Classification of Headache Disorders, 3rd Edition
  3. A history of menstrual migraine attacks of at least 3 months
  4. Participant reported history of experiencing at least 1 migraine attack during the perimenstrual period in at least 2 out of 3 menstrual cycles immediately prior to screening.
  5. If the participant is receiving a permitted background continuous prophylactic migraine medication, the medication dose must be stable for at least 3 months prior to the Screening visit and, the dose is not expected to change during the course of the study

Exclusion criteria

Exclusion Criteria:

  1. Greater than 6 migraine days per month that are outside of the perimenstrual period in the 3 months prior to Screening
  2. A diagnosis of chronic migraine or a history of more than 14 headache days per month on average, in the 3 months prior to Screening
  3. History of retinal migraine, basilar migraine or hemiplegic migraine
  4. Current diagnosis of schizophrenia, bipolar, or borderline personality disorder
  5. Other pain syndromes (eg, fibromyalgia, complex regional pain syndrome), or significant neurological disorders (other than migraine), or other medical conditions (including endocrine and gynecological eg, severe dysmenorrhea
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Single group
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
723 participants (estimated)

Study arms

  • Experimental
    Rimegepant 75 mg Orally Disintegrating Tablet (ODT) 7-Day Dosing

    Drug: Rimegepant

  • Experimental
    Rimegepant 75 mg Orally Disintegrating Tablet (ODT) Acute Treatment Dosing

    Drug: Rimegepant

  • Placebo comparator
    Placebo

    Drug: Placebo Comparator

  • Active comparator
    Standard of Care

    Drug: Standard of Care

Interventions

  • DrugRimegepant

    Rimegepant 75 mg ODT for 7 days

  • DrugPlacebo Comparator

    Matching placebo oral disintegrating tablets for 7 days

  • DrugStandard of Care

    Standard of care for acute treatment as needed

  • DrugRimegepant

    Rimegepant 75 mg ODT for acute treatment as needed

06

What researchers measure

Primary outcomes

  1. Mean change from the Observation Period in number of migraine days per 5-day perimenstrual period across each cycle of the Double-Blind Treatment Phase

    Change from Observation Period in the number of migraine days per the 5-day perimenstrual period

    Time frame: 5 months (5 menstrual cycles)

Secondary outcomes

  1. Mean change from the Observation Period in number of headache days per 5-day perimenstrual period across each cycle of the Double-Blind Treatment Phase

    Change from the Observation Period in number of headache days per 5-day perimenstrual period

    Time frame: 5 months (5 menstrual cycles)

  2. Percentage of participants with ≥50% reduction from the Observation Period in number of migraine days per 5-day perimenstrual period across each cycle of the Double-Blind Treatment Phase (50% responder)

    Patients with ≥50% reduction from the Observation Period in number of migraine days per 5-day perimenstrual period

    Time frame: 5 months (5 menstrual cycles)

  3. Mean change from the Observation Period in number of acute migraine medication days per 5-day perimenstrual period across each cycle of the Double-Blind Treatment Phase

    Change from the Observation Period in number of acute migraine medication days per 5-day perimenstrual period

    Time frame: 5 months (5 menstrual cycles)

  4. Mean change from the Observation Period in number of acute migraine-specific medication days per 5-day perimenstrual period across each cycle of the Double-Blind Treatment Phase

    Change from the Observation Period in number of acute migraine specific medication days per 5-day perimenstrual period

    Time frame: 5 months (5 menstrual cycles)

  5. Mean change from the Observation Period in number of migraine days with moderate-severe functional disability per 5-day perimenstrual period across each cycle of the Double-Blind Treatment Phase

    Change from the Observation Period in number of migraine days with moderate-severe functional disability per 5-day perimenstrual period

    Time frame: 5 months (5 menstrual cycles)

  6. Mean change from the Observation Period in number of moderate-severe headache days per 5-day perimenstrual period across each cycle of the Double-Blind Treatment Phase

    Change from the Observation Period in number of moderate-severe headache days per 5-day perimenstrual period

    Time frame: 5 months (5 menstrual cycles)

  7. Mean change from the Observation Period in number of moderate-severe migraine days per 5-day perimenstrual period across each cycle of the Double-Blind Treatment Phase

    Change from the Observation Phase in number of moderate-severe migraine days per 5-day perimenstrual period

    Time frame: 5 months (5 menstrual cycles)

  8. Mean change from baseline in the MiCOAS Cognition score at postdosing (ie, 1 day after the 7-day dosing period) across each cycle of the Double-Blind Treatment Phase

    Change from baseline in the MiCOAS Cognition score at post-dosing across each cycle

    Time frame: 5 months (5 menstrual cycles)

  9. Mean change from the Observation Period in monthly migraine days (per cycle, normalized to 28-days) across each cycle of the Double-Blind Treatment Phase

    Change from the Observation Phase in monthly migraine days

    Time frame: 5 months (5 menstrual cycles)

  10. Mean change from the Observation Period in monthly headache days (per cycle, normalized to 28-days) across each cycle of the Double-Blind Treatment Phase

    Change from the Observation Phase in monthly headache days

    Time frame: 5 months (5 menstrual cycles)

  11. Mean change from the Observation Phase in monthly acute migraine-specific medication days (per cycle, normalized to 28-days) across each cycle of the Double-Blind Treatment Phase

    Change from the Observation Phase in monthly acute migraine-specific medication days

    Time frame: 5 months (5 menstrual cycles)

07

Study locations

123 of 123 sites recruiting
  • Mayo Clinic Hospital
    Phoenix, Arizona 85054, United States
    Recruiting
  • Mayo Clinic Specialty Building
    Phoenix, Arizona 85054, United States
    Recruiting
  • Mayo Clinic Arizona
    Scottsdale, Arizona 85259, United States
    Recruiting
  • Hope Clinical Research, Inc.
    Canoga Park, California 91303, United States
    Recruiting
  • Axiom Research
    Colton, California 92324, United States
    Recruiting
  • Diablo Clinical Research, Inc.
    Walnut Creek, California 94598, United States
    Recruiting
  • VIN - Aventura
    Aventura, Florida 33180, United States
    Recruiting
  • Velocity Clinical Research, Hallandale Beach
    Hallandale, Florida 33009, United States
    Recruiting
  • Jacksonville Center for Clinical Research
    Jacksonville, Florida 32216, United States
    Recruiting
  • Urban Family Practice Associates
    Marietta, Georgia 30067, United States
    Recruiting
  • Clinical Research Atlanta
    Stockbridge, Georgia 30281, United States
    Recruiting
  • St Luke's Clinic - Neurology
    Meridian, Idaho 83642, United States
    Recruiting
  • Alliance for Multispecialty Research - Medisphere Medical Research Center
    Evansville, Indiana 47714, United States
    Recruiting
  • Michigan Headache & Neurological Institute
    Ann Arbor, Michigan 48104, United States
    Recruiting
  • Clinvest Headlands Llc
    Springfield, Missouri 65807, United States
    Recruiting
  • St. Charles Clinical Research
    Weldon Spring, Missouri 63304, United States
    Recruiting
  • McGill Family Practice
    Papillion, Nebraska 68046, United States
    Recruiting
  • Excel Clinical Research, LLC
    Las Vegas, Nevada 89109, United States
    Recruiting
  • Rochester Clinical Research
    Rochester, New York 14609, United States
    Recruiting
  • Montefiore Medical Center
    The Bronx, New York 10461, United States
    Recruiting
  • Carolina Women's Research and Wellness Center
    Durham, North Carolina 27713, United States
    Recruiting
  • Dayton Center for Neurological Disorders
    Centerville, Ohio 45459, United States
    Recruiting
  • Thomas Jefferson University, Jefferson Headache Center
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
  • Clinical Research of Philadelphia
    Philadelphia, Pennsylvania 19114, United States
    Recruiting
  • Velocity Clinical Research, Providence
    East Greenwich, Rhode Island 02818, United States
    Recruiting
  • Alliance for Multispecialty Research, LLC
    Knoxville, Tennessee 37909, United States
    Recruiting
  • AMR Clinical
    Knoxville, Tennessee 37909, United States
    Recruiting
  • Alliance for Multispecialty Research, LLC
    Knoxville, Tennessee 37920, United States
    Recruiting
  • FutureSearch Trials of Neurology
    Austin, Texas 78731, United States
    Recruiting
  • FutureSearch Trials of Dallas
    Dallas, Texas 75251, United States
    Recruiting
  • Charlottesville Medical Research
    Charlottesville, Virginia 22911, United States
    Recruiting
  • MedStar Health Neurology/MedStar Georgetown Headache Center
    McLean, Virginia 22101, United States
    Recruiting
  • Fundación para la lucha contra las enfermedades neurológicas de la infancia
    CABA, Buenos Aires 1428, Argentina
    Recruiting
  • IDIM - Instituto de Investigaciones Metabólicas
    Buenos Aires, Buenos Aires F.D. C1012AAR, Argentina
    Recruiting
  • Mautalen Salud e Investigación
    Buenos Aires, Buenos Aires F.D. C1128AAF, Argentina
    Recruiting
  • Hospital Cordoba
    Cordoba Capital, Córdoba Province 5004, Argentina
    Recruiting
  • Sanatorio del Sur
    San Miguel de Tucumán, Tucumán Province 4000, Argentina
    Recruiting
  • Clínica Privada Gallia
    Córdoba, 5021, Argentina
    Recruiting
  • CaRe Clinic
    Red Deer, Alberta T4P 1K4, Canada
    Recruiting
  • OCT Research ULC
    Kelowna, British Columbia V1Y 1Z9, Canada
    Recruiting
  • Centre for Neurology Studies
    Surrey, British Columbia V3V 0E8, Canada
    Recruiting
  • Centricity Research Halifax Multispecialty
    Halifax, Nova Scotia B3S 1N2, Canada
    Recruiting
  • Aggarwal and Associates Limited
    Brampton, Ontario L6T 0G1, Canada
    Recruiting
  • Bluewater Clinical Research Group Inc.
    Sarnia, Ontario N7T 4X3, Canada
    Recruiting
  • Centre de Recherche Saint-Louis inc.
    Lévis, Quebec G6W 0Y3, Canada
    Recruiting
  • Peking University People's Hospital
    Beijing, Beijing Municipality 100044, China
    Recruiting
  • The First Affiliated Hospital of Chongqing Medical University
    Chongqing, Chongqing Municipality 400016, China
    Recruiting
  • Hebei General Hospital
    Shijiazhuang, Hebei 050051, China
    Recruiting
  • The Second Affiliated Hospital of Nanjing Medical University
    Nanjing, Jiangsu 210011, China
    Recruiting
  • The First Affiliated Hospital of Soochow University
    Suzhou, Jiangsu 215006, China
    Recruiting
  • Shaanxi provincial people's hospital
    Xi'an, Shaanxi 710068, China
    Recruiting
  • Xianyang Hospital of Yan'an University
    Xianyang, Shaanxi 712000, China
    Recruiting
  • Huashan Hospital, Fudan University
    Shanghai, Shanghai Municipality 200040, China
    Recruiting
  • Qingdao Central Hospital, University of Health and Rehabilitation Sciences
    Qingdao, 266042, China
    Recruiting
  • Shanghai East Hospital
    Shanghai, 200123, China
    Recruiting
  • Rigshospitalet, Glostrup
    Glostrup Municipality, 2600, Denmark
    Recruiting
  • Region Midtjylland, Regionshospitalet Viborg
    Viborg, 8800, Denmark
    Recruiting
  • Klinische Forschung Schwerin GmbH
    Schwerin, Mecklenburg-Vorpommern 19055, Germany
    Recruiting
  • Charité Universitaetsmedizin Berlin - Campus Mitte
    Berlin, 10117, Germany
    Recruiting
  • FutureMeds GmbH
    Berlin, 10629, Germany
    Recruiting
  • Neurologie Berlin
    Berlin, 12163, Germany
    Recruiting
  • Lalitha PVS Institute of Medical Sciences
    Guntur, Andhra Pradesh 522001, India
    Recruiting
  • Marengo CIMS Hospital, Ahmedabad
    Ahmedabad, Gujarat 380060, India
    Recruiting
  • Mallikatta Neuro Centre
    Mangaluru, Karnataka 575002, India
    Recruiting
  • Topiwala National Medical College & B. Y. L. Nair Charitable Hospital
    Mumbai, Maharashtra 400008, India
    Recruiting
  • Getwell Hospital and Research Institute
    Nagpur, Maharashtra 440012, India
    Recruiting
  • Chopda Medicare & Research Centre Pvt. Ltd: Magnum Heart Institute
    Nashik, Maharashtra 422005, India
    Recruiting
  • Jawahar Lal Nehru Medical College
    Ajmer, Rajasthan 305001, India
    Recruiting
  • Sanjay Gandhi Post Graduate Institute of Medical Sciences
    Lucknow, Uttar Pradesh 226014, India
    Recruiting
  • Ospedale Civile SS. Nicola e Filippo Avezzano Pronto Soccorso
    Avezzano, L'aquila 67051, Italy
    Recruiting
  • Fondazione Policlinico Universitario Campus Biomedico
    Rome, Lazio 00128, Italy
    Recruiting
  • Ospedale Bellaria- Azienda USL di Bologna
    Bologna, 40139, Italy
    Recruiting
  • Azienda Ospedaliera Universitaria Careggi
    Florence, 50134, Italy
    Recruiting
  • Ospedale San Raffaele
    Milan, 20132, Italy
    Recruiting
  • Fondazione Istituto Neurologico C. Mondino
    Pavia, 27100, Italy
    Recruiting
  • IRCCS San Raffaele Roma
    Roma, 00166, Italy
    Recruiting
  • Konan Medical Center
    Kobe, Hyōgo 658-0064, Japan
    Recruiting
  • Tatsuoka Neurology Clinic
    Kyoto-shi Shimogyo-ku, Kyoto 600-8811, Japan
    Recruiting
  • Sendai Headache and Neurology Clinic
    Sendai, Miyagi 982-0014, Japan
    Recruiting
  • Tokyo Headache Clinic
    Shibuya-ku, Tokyo 151-0051, Japan
    Recruiting
  • Nagaseki Headache Clinic
    Kai, Yamanashi 400-0124, Japan
    Recruiting
  • Tanaka Neurosurgery&Headache Clinic
    Kagoshima, 890-0052, Japan
    Recruiting
  • Tanaka Neurosurgical Clinic
    Kagoshima, 892-0844, Japan
    Recruiting
  • Centro de Investigación Médico Biológica y Terapia Avanzada
    Guadalajara, Jalisco 44130, Mexico
    Recruiting
  • Clinstile, S.A. de C.V.
    Mexico City, Mexico City 06700, Mexico
    Recruiting
  • Medical Care and Research SA de CV
    Mérida, Yucatán 97070, Mexico
    Recruiting
  • San Peregrino Unidad de Investigación
    Aguascalientes, 20230, Mexico
    Recruiting
  • Operadora Unidad de Investigación en Salud de Chihuahua
    Chihuahua City, 31203, Mexico
    Recruiting
  • PCR Cuautitlán Izcalli
    Cuautitlán Izcalli, 54750, Mexico
    Recruiting
  • Clinical Research Institute S.C.
    Tlalnepantla, 54055, Mexico
    Recruiting
  • Canisius-Wilhelmina Ziekenhuis
    Nijmegen, Gelderland 6532 SZ, Netherlands
    Recruiting
  • Isala Klinieken Stichting
    Zwolle, Overijssel 8025 AB, Netherlands
    Recruiting
  • Leids Universitair Medisch Centrum (LUMC)
    Leiden, South Holland 2333 ZA, Netherlands
    Recruiting
  • Specjalistyczne Gabinety Sp. z o. o.
    Krakow, Lesser Poland Voivodeship 30-539, Poland
    Recruiting
  • Instytut Zdrowia Dr Boczarska Jedynak
    Oświęcim, Lesser Poland Voivodeship 32-600, Poland
    Recruiting
  • MIGRE Polskie Centrum Leczenia Migreny
    Wroclaw, Lower Silesian Voivodeship 52-210, Poland
    Recruiting
  • NZOZ Neuromed M.i M. Nastaj
    Lublin, Lublin Voivodeship 20-064, Poland
    Recruiting
  • Indywidualna Praktyka Lekarska Dr Hab. Med. Anna Szczepanska-Szerej
    Lublin, Lublin Voivodeship 20-582, Poland
    Recruiting
  • FutureMeds Warszawa Centrum
    Warsaw, Masovian Voivodeship 00-215, Poland
    Recruiting
  • Dr Sękowska Leczenie Bólu
    Warsaw, Masovian Voivodeship 01-018, Poland
    Recruiting

Showing the first 100 of 123 sites across 15 countries.

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.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06641466
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Oct 15, 2024
Start date
Mar 11, 2025
Primary completion
Nov 29, 2026 (estimated)
Completion
Mar 30, 2027 (estimated)
Last update
Jul 9, 2026

Study contacts

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

Oversight

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

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