Recruiting
Phase 3

Rimegepant

Sponsor:

Pfizer

Code:

NCT05156398

Conditions

Migraine

Eligibility Criteria

Sex: All

Age: 6 - 17

Healthy Volunteers: Not accepted

Interventions

Rimegepant

Placebo

Study Details

Brief 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.

Conditions

Migraine

Study ID

NCT05156398

Start date

Feb 28, 2022

Status verified date

Aug, 2026

Completion date

Nov 27, 2032

Anticipated

Primary completion date

Nov 29, 2031

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 6 - 17

Healthy Volunteers: Not accepted

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:

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 clinically significant 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.

Study Design

Enrollment

640 participants

Anticipated

Allocation

Randomized

Intervention Model

Sequential

Primary purpose

Prevention

Interventions and Outcome Measures

Arms

active comparator: Rimegepant / BHV3000

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

placebo comparator: Matching Placebo

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

Interventions

Rimegepant

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

Placebo

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

Primary outcome measure

  • 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 [ Time Frame: 3 months (12 weeks) ]

Central Contacts and Locations

Central contacts

Locations

Advanced Investigative Medicine, Inc.

Recruiting

Hawthorne, California, United States, 90250

Velocity Clinical Research, Washington DC

Recruiting

Washington D.C., District of Columbia, United States, 20016

Direct Helpers Research Center

Recruiting

Hialeah, Florida, United States, 33012

D&H Tamarac Research Center LLC

Recruiting

Tamarac, Florida, United States, 33321

Santos Research Center, CORP

Recruiting

Tampa, Florida, United States, 33615

Clinical Trial Office

Recruiting

Augusta, Georgia, United States, 30904

Augusta University

Recruiting

Augusta, Georgia, United States, 30912

Northwest Clinical Trials, Inc.

Recruiting

Boise, Idaho, United States, 83704

Nola Research Works, LLC

Recruiting

New Orleans, Louisiana, United States, 70125

Roy Blunt NextGen Precision Health Building

Recruiting

Columbia, Missouri, United States, 65211

University of Missouri Health Care - Investigation Pharmacy

Recruiting

Columbia, Missouri, United States, 65212

University of Missouri-Clinical and Translational Sciences Unit

Recruiting

Columbia, Missouri, United States, 65212

University of Missouri

Recruiting

Columbia, Missouri, United States, 65212

Velocity Clinical Research, Grand Island

Recruiting

Grand Island, Nebraska, United States, 68803

Papillion Research Center/CCT Research

Recruiting

Papillion, Nebraska, United States, 68046

Montefiore Medical Center

Recruiting

The Bronx, New York, United States, 10461

Cincinnati Children's Hospital Medical Center

Recruiting

Cincinnati, Ohio, United States, 45229

Avera McKennan Hospital & University Health Center

Recruiting

Sioux Falls, South Dakota, United States, 57105

Avera Research Institute

Recruiting

Sioux Falls, South Dakota, United States, 57108

Avera Medical Group Pediatrics - Dawley Farm

Recruiting

Sioux Falls, South Dakota, United States, 57110

Alina Clinical Trials, LLC.

Recruiting

Dallas, Texas, United States, 75209

North Texas Center for Clinical Research

Recruiting

Frisco, Texas, United States, 75034

DM Clinical Research - Cy Fair

Recruiting

Houston, Texas, United States, 77065

SCLA Management - Drop Box

Recruiting

Houston, Texas, United States, 77077

SCLA Management Office

Recruiting

Houston, Texas, United States, 77077

NeuroCare Plus

Recruiting

Houston, Texas, United States, 77094

DCT-McAllen Primary Care Research, LLC dba Discovery Clinical Trials

Recruiting

McAllen, Texas, United States, 78503

DCT-Stone Oak, LLC dba Discovery Clinical Trials

Recruiting

San Antonio, Texas, United States, 78258

DM Clinical Research (Administrative Office Only)

Recruiting

Tomball, Texas, United States, 77375

More Information

Sponsor

Pfizer

Last update posted

Aug 24, 2026

Last verified

Aug, 2026

Keywords

  • Migraine
  • Migraine prevention
  • Phonophobia
  • Photophobia
  • Nausea
  • Pediatric migraine
  • Adolescent migraine

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Pfizer on 2026-08-24.