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Active, not recruitingNCT07906262Updated Oct 30, 2026

Efficacy of Rimegepant 75 mg for the Acute Treatment of Migraine: a Bayesian Individual Participant Data Meta-analysis Standardized to Defined Target Populations

An observational study in Migraine, sponsored by Pfizer. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Pfizer · Observational

Updated Oct 30, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
1
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 47 studies in Migraine Disorders by Pfizer — 10 open to participants now, 14 under way, 6 of them phase 3. Migraine Disorders · Pfizer.

Started
2026
with 4 others
Observational
9 of 47
2 open now
Primary completion
2026-12
later than 2 of 13 live
Registered
47th of 47
by date

Among the 47 studies in Migraine Disorders by Pfizer, this one is one of 5 that started in 2026, is one of 9 observational ones, reaches primary completion later than 2 of the 13 other live ones, and was the 47th registered.

By phase

47 studies; the count open now beside each. This study's row is marked.

Phase 318 · 5 open
Observationalthis study9 · 2 open
Phase 17 · 1 open
Phase 46 · 2 open
Phase 2/35 · 0 open
Other kind1 · 0 open
Phase 21 · 0 open

By the year they started

First in 2007; this study’s year is marked. 5 started in 2026.

Size and results

Median enrollment 723 across the 37 interventional studies, 528 across the 9 observational. Of the 30 that completed or were terminated, 24 (80%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 47 studies in Migraine Disorders by Pfizer, or all of them as a file.
02

Study summary

This non-interventional study will evaluate the efficacy of rimegepant 75 mg compared with placebo for the acute treatment of moderate or severe migraine attacks using individual participant data (IPD) from six completed randomized, double-blind, placebo-controlled clinical trials. The analysis includes data from adult participants with migraine with or without aura enrolled across studies conducted in the United States, China, South Korea, Japan, and multiple European and other international locations.

Although the efficacy of rimegepant has been established in individual trials and previous pooled analyses, conventional meta-analyses provide average treatment effects based on the mix of participants enrolled in the included studies and may not reflect outcomes expected in specific patient populations. The primary objective is to estimate the average treatment effects of rimegepant 75 mg relative to placebo for moderate or severe migraine attacks with respect to pain and symptom relief in prespecified target populations, including regional populations from Europe, the United States, China, South Korea, and Japan. A secondary objective is to evaluate treatment effects within clinically relevant subgroups defined by demographic and clinical characteristics.

Because this study uses existing data from completed clinical trials, no new participant recruitment, treatment assignment, or data collection will be conducted. The findings will contribute to the evidence base for rimegepant in the acute treatment of migraine.

Read the detailed description

Migraine is a disabling neurological disorder characterized by recurrent attacks of moderate to severe headache that are commonly accompanied by symptoms such as nausea, photophobia, and phonophobia. Acute treatment aims to relieve symptoms during individual migraine attacks and restore normal functioning. Rimegepant is an oral calcitonin gene-related peptide (CGRP) receptor antagonist approved for the acute treatment of migraine with or without aura in adults. Multiple randomized, double-blind, placebo-controlled clinical trials have demonstrated the efficacy of a single 75 mg dose of rimegepant across diverse patient populations and geographic regions. Previous pooled analyses and aggregate-data meta-analyses have shown that rimegepant provides clinically meaningful improvements in key acute migraine efficacy outcomes compared with placebo. However, conventional pooled analyses estimate treatment effects based on the combined populations enrolled in the contributing studies and are not standardized to any specific patient population. Because treatment response may vary according to demographic, geographic, and clinical characteristics, average effects derived from pooled study populations may not accurately reflect the benefits expected in specific populations of interest. This study is a non-interventional, Bayesian individual participant data (IPD) meta-analysis that will use participant-level data from six completed randomized, double-blind, placebo-controlled clinical trials evaluating rimegepant 75 mg for the acute treatment of migraine. The contributing studies were conducted in the United States, China, South Korea, Japan, and multiple European and other international locations. The primary objective is to estimate the average treatment effects of rimegepant 75 mg relative to placebo for moderate or severe migraine attacks. A secondary objective is to estimate treatment effects within clinically relevant patient subgroups. The primary efficacy endpoints are pain freedom at 2 hours postdose, freedom from the most bothersome symptom at 2 hours postdose, and pain relief at 2 hours postdose. Secondary endpoints include pain freedom and pain relief at earlier time points; return to normal functioning; sustained pain freedom and sustained pain relief through 24 and 48 hours after dosing; freedom from nausea, photophobia, and phonophobia; and use of rescue medication within 24 hours after dosing. By integrating participant-level data from multiple clinical trials and applying modern standardization methods, this study aims to provide robust and clinically relevant estimates of the efficacy of rimegepant 75 mg across defined geographic populations and patient subgroups. The findings are expected to support evidence-based interpretation of rimegepant efficacy for the acute treatment of migraine.

03

Conditions studied

  • Migraine

Keywords

  • Migraine
  • Acute Migraine
  • Migraine With Aura;
  • Migraine WithoutAura,
  • Rimegepant;
  • CGRP Receptor Antagonist
  • IndividualParticipant Data Meta-analysis
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population consists of adult participants with migraine with or without aura who were enrolled in six completed randomized, double-blind, placebo-controlled clinical trials evaluating rimegepant 75 mg for the acute treatment of migraine. Participants were recruited across multiple geographic regions, including the United States, Europe, China, South Korea, and Japan. Individual participant data from these completed trials will be pooled and analyzed to estimate treatment effects in predefined target populations and clinically relevant subgroups.

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

  • Participants enrolled in one of six completed randomized, double-blind, placebo-controlled clinical trials of rimegepant 75 mg for the acute treatment of migraine.
  • Adults diagnosed with migraine with or without aura according to the eligibility criteria of the parent clinical trial.
  • Randomized to receive either rimegepant 75 mg or placebo for treatment of a qualifying moderate or severe migraine attack.
  • Availability of participant-level data required for the planned analyses.

Exclusion criteria

Exclusion Criteria:

  • Participants with missing treatment assignment information.
  • Participants lacking data necessary for evaluation of the relevant efficacy endpoints or prespecified covariates used in the analyses.
  • Participants excluded from the parent clinical trials according to the original study-specific eligibility criteria.
05

Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
1 participant (actual)

Groups and cohorts

  • Rimegepant 75 mg

    Participants from the included randomized, double-blind, placebo-controlled clinical trials who were randomized to receive rimegepant 75 mg for the acute treatment of a moderate or severe migraine attack.

    Drug: Rimegepant

  • Placebo

    Participants from the included randomized, double-blind, placebo-controlled clinical trials who were randomized to receive placebo for the acute treatment of a moderate or severe migraine attack.

    Drug: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Pain Freedom at 2 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants who achieve pain freedom 2 hours after treatment of a moderate or severe migraine attack.

    Time frame: 2 hours after administration of study treatment

  2. Freedom From the Most Bothersome Symptom at 2 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants who are free from their prespecified most bothersome migraine-associated symptom 2 hours after treatment.

    Time frame: 2 hours after administration of study treatment

  3. Pain Relief at 2 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants achieving pain relief 2 hours after treatment of a moderate or severe migraine attack.

    Time frame: 2 hours after administration of study treatment

Secondary outcomes

  1. Pain Freedom at 1 Hour Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants who achieve pain freedom 1 hour after treatment of a moderate or severe migraine attack.

    Time frame: 1 hour after administration of study treatment

  2. Pain Relief at 1 Hour Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants achieving pain relief 1 hour after treatment of a moderate or severe migraine attack.

    Time frame: 1 hour after administration of study treatment

  3. Return to Normal Function at 1 Hour Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants with normal function 1 hour after treatment.

    Time frame: 1 hour after administration of study treatment

  4. Return to Normal Function at 2 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants with normal function 2 hours after treatment.

    Time frame: 2 hours after administration of study treatment

  5. Sustained Pain Freedom From 2 to 24 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants with sustained pain freedom from 2 through 24 hours after treatment.

    Time frame: 2 to 24 hours after administration of study treatment

  6. Sustained Pain Freedom From 2 to 48 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants with sustained pain freedom from 2 through 48 hours after treatment.

    Time frame: 2 to 48 hours after administration of study treatment

  7. Sustained Pain Relief From 2 to 24 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants with sustained pain relief from 2 through 24 hours after treatment.

    Time frame: 2 to 24 hours after administration of study treatment

  8. Sustained Pain Relief From 2 to 48 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants with sustained pain relief from 2 through 48 hours after treatment.

    Time frame: 2 to 48 hours after administration of study treatment

  9. Freedom From Nausea at 1 Hour Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants free from nausea 1 hour after treatment among participants with nausea present at dosing.

    Time frame: 1 hour after administration of study treatment

  10. Freedom From Nausea at 2 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants free from nausea 2 hours after treatment among participants with nausea present at dosing.

    Time frame: 2 hours after administration of study treatment

  11. Freedom From Photophobia at 1 Hour Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants free from photophobia 1 hour after treatment among participants with photophobia present at dosing.

    Time frame: 1 hour after administration of study treatment

  12. Freedom From Photophobia at 2 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants free from photophobia 2 hours after treatment among participants with photophobia present at dosing.

    Time frame: 2 hours after administration of study treatment

  13. Freedom From Phonophobia at 1 Hour Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants free from phonophobia 1 hour after treatment among participants with phonophobia present at dosing.

    Time frame: 1 hour after administration of study treatment

  14. Freedom From Phonophobia at 2 Hours Postdose

    Average treatment effect of rimegepant 75 mg relative to placebo on the proportion of participants free from phonophobia 2 hours after treatment among participants with phonophobia present at dosing.

    Time frame: 2 hours after administration of study treatment

  15. Rescue Medication Use Within 24 Hours Postdose

    Rescue medication use within 24 hours post dose is a binary outcome indicating whether an evaluable participant used rescue medication after administration of study treatment and within 24 hours post dose. The treatment effect of rimegepant 75 mg relative to placebo will be summarized using the risk difference (RD) as the primary effect measure and the risk ratio (RR) as the secondary effect measure.

    Time frame: Within 24 hours after administration of study treatment

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — 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

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2026 (actual). Primary completion is estimated for Dec 2026, 2 months after the start.

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

Registered
Oct 9, 2026
First posted
Oct 30, 2026
StartActual
Oct 12, 2026
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Oct 30, 2026
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.
Registered
First appeared on the registry. No changes since
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    First appeared on the registry

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
NCT07906262
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Oct 30, 2026
Start date
Oct 12, 2026
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Oct 30, 2026

Study contacts

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 ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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