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A Study to Learn About the Study Medicine Called Rimegepant in Adolescents With Frequent Migraine

Phase 3
Recruiting
Conditions
Migraine
Interventions
Drug: Placebo
Registration Number
NCT06616194
Lead Sponsor
Pfizer
Brief Summary

The purpose of this study is to learn about the effect of a study medicine called rimegepant in adolescents who have frequent migraine attacks.

Rimegepant is a tablet that dissolves when you put it on or under your tongue.

The study will enroll participants who have headache for 15 days (or more) every month, of which 8 days (or more) of migraine every month, and each untreated attack lasts for an average of 4-72 hours

In the 1st part of the study approximately half of the participants will receive a rimegepant tablet every other day, and approximately half of the participants will receive an inactive oral tablet (that looks the same as the rimegepant tablet) every other day.

Participant experiences when they are taking the study medicine will be compared to when they are taking the inactive tablet. This will help to determine if the study medicine is safe and effective. The 1st phase of the study will last 3 months.

In the 2nd part of the study all the participants who stay on study will receive rimegepant tablet every other day. This 2nd phase of the study will last 1 year. This will help determine if the study medicine is safe when taken for a long period.

Those who will participate in both phases will have up to 19 visits at the study clinic, about one every 4 weeks (this may vary from 2 to 8 weeks interval during the study). Home health visits may occur as well. A health check and blood sample will be conducted at all visits. Participants will have to complete a daily diary to record the migraine attacks.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • At least a 6 month history of migraine (with or without aura)
  • 15 or more headache days/month
  • 8 or more migraine days/month
  • Migraine lasting 4-72 hours if untreated
Exclusion Criteria
  • Unrelenting headache
  • Current psychiatric condition uncontrolled or untreated
  • History of suicidal behavior or the subject is at risk of self-harm
  • History of alcohol abuse and/or illicit drug use
  • History of severe drug allergy
  • Use of more than one medication for migraine prevention/prophylaxis
  • Participation in another clinical trial at the same time

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
RimegepantRimegepantExperimental medicine under study
PlaceboPlaceboA placebo does not have any medicine in it but looks just like the medicine being studied.
Primary Outcome Measures
NameTimeMethod
Number of migraine days per month12 Weeks

Efficacy of rimegepant relative to placebo, measured as mean change from the baseline in the number of migraine days per month

Secondary Outcome Measures
NameTimeMethod
Efficacy of rimegepant relative to placebo measured as the mean change from baseline in the number of acute migraine-specific medication days per month12 Weeks

Change in the use of acute migraine-specific medication days per month

Efficacy of rimegepant relative to placebo measured the mean change from baseline in the number of headache days per month12 Weeks

Change in headache days per month

Efficacy of rimegepant relative to placebo measured as the percentage of participants with at least 50% reduction from baseline in number of moderate or severe migraine days per month12 weeks

Change in moderate or severe migraine days per month

Efficacy of rimegepant relative to placebo measured as the mean change from baseline in the Pediatric Quality of Life (PedsQL™) total score12 Weeks

Change in the Quality of Life

Efficacy of rimegepant relative to placebo measure as the mean change from baseline in the number of acute headache medication days per month, and acute migraine-specific medication days per month12 Weeks

Change in headache and migraine rescue medication(s) used

Safety of rimegepant relative to placebo, and safety of rimegepant given for a long period of time measured as the number and percentage of participants with adverse event by severity and overallUp to 15 months

Safety and tolerability of the study drug

Safety of rimegepant relative to placebo, and safety of rimegepant given for long period of time measured as the number and percentage of participants with liver-related adverse event and action takenUp to 15 Months

Safety monitoring of adverse events of special interest

Efficacy of rimegepant relative to placebo measured as mean change from baseline in the PedMIDAS total score12 Weeks

Change in the Quality of Life

Trial Locations

Locations (42)

Seattle Children's Hospital

🇺🇸

Seattle, Washington, United States

University Of Alberta Hospital

🇨🇦

Edmonton, Alberta, Canada

Stollery Children's Hospital

🇨🇦

Edmonton, Alberta, Canada

Peking University People's Hospital

🇨🇳

Beijing, Beijing, China

Fakultni Thomayerova nemocnice

🇨🇿

Prague, Praha 4, Czechia

Tampereen yliopistollinen sairaala

🇫🇮

Tampere, Pirkanmaa, Finland

Nagykanizsai Kanizsai Dorottya Korhaz

🇭🇺

Nagykanizsa, Zala, Hungary

Sir Ganga Ram Hospital

🇮🇳

New Delhi, Delhi, India

Fortis Memorial Research Institute

🇮🇳

Gurugram, Haryana, India

JSS Hospital

🇮🇳

Mysore, Karnataka, India

Ospedale San Paolo Bari

🇮🇹

Bari, Puglia, Italy

MIGRE Polskie Centrum Leczenia Migreny

🇵🇱

Wroclaw, Dolnośląskie, Poland

AthleticoMed

🇵🇱

Bydgoszcz, Kujawsko-pomorskie, Poland

Specjalistyczne Gabinety Sp. z o.o.

🇵🇱

Kraków, Małopolskie, Poland

IN MEDIC s.r.o.

🇸🇰

Bardejov, Slovakia

KONZILIUM s.r.o.

🇸🇰

Dubnica nad Vahom, Slovakia

Hospital Universitario HM Puerta del Sur

🇪🇸

Madrid, Madrid, Comunidad DE, Spain

CHUVI- Hospital Alvaro Cunqueiro

🇪🇸

Vigo, Pontevedra [pontevedra], Spain

Hospital Universitario HM Sanchinarro

🇪🇸

Madrid, Spain

Hospital Universitario Virgen Del Rocio

🇪🇸

Sevilla, Spain

Hospital Clínico Universitario de Valladolid

🇪🇸

Valladolid, Spain

Hospital Universitari i Politecnic La Fe

🇪🇸

València, Spain

Michigan Headache & Neurological Institute

🇺🇸

Ann Arbor, Michigan, United States

Clinvest Headlands Llc

🇺🇸

Springfield, Missouri, United States

Rutgers University

🇺🇸

New Brunswick, New Jersey, United States

Wake Forest University Baptist Medical Center ( WFUBMC )

🇺🇸

Winston-Salem, North Carolina, United States

Avera Medical Group Pediatric Specialists

🇺🇸

Sioux Falls, South Dakota, United States

Avera Research Institute - Sioux Falls

🇺🇸

Sioux Falls, South Dakota, United States

Dell Children's Medical Center

🇺🇸

Austin, Texas, United States

The University of Texas Health Science Center at Houston

🇺🇸

Houston, Texas, United States

Wasatch Clinical Research, LLC

🇺🇸

Salt Lake City, Utah, United States

Granger Medical Holladay - Holladay Clinic

🇺🇸

Salt Lake City, Utah, United States

CaRe Clinic

🇨🇦

Red Deer, Alberta, Canada

Artemis hospital

🇮🇳

Gurugram, Haryana, India

Mallikatta Neuro Centre

🇮🇳

Mangalore, Karnataka, India

Konan Medical Center

🇯🇵

Kobe, Hyogo, Japan

Yamaguchi Clinic

🇯🇵

Nishinomiya, Hyōgo, Japan

Tominaga Clinic

🇯🇵

Osaka-Shi, Osaka, Japan

Tokyo Headache Clinic

🇯🇵

Shibuya-ku, Tokyo, Japan

Nagaseki Headache Clinic

🇯🇵

Kai, Yamanashi, Japan

Tanaka Neurosurgery&Headache Clinic

🇯🇵

Kagoshima, Japan

Tennoji Department of Neurosurgery

🇯🇵

Osaka, Japan

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