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Preventive Treatment of MigrainePhase 3NCT07729462

A Study to Learn About the Study Medicine Called Rimegepant in Adults When Used for the Prevention of Chronic Migraine

A Phase 3 study testing Rimegepant in people with Preventive Treatment of Migraine, run by Pfizer at 21 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Rimegepant is a calcitonin gene-related peptide (CGRP) receptor antagonist approved for the acute treatment of migraine attacks in adults and for the preventive treatment of episodic migraine in adults when administered every other day. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Preventive Treatment of Migraine
What is being tested?
Rimegepant
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
400 participants
Where
21 sitesin 2 countries
Study dates
26 Aug 2026to 19 Jan 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female participants ≥18 years of age.
  • Diagnosis of chronic migraine, with or without aura, according to International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria.
  • History of migraine for at least 1 year before screening.
  • Migraine onset before 50 years of age and chronic migraine onset before 65 years of age.
  • Migraine attacks lasting 4 to 72 hours when untreated or unsuccessfully treated.
  • During the 3 months prior to screening, an average of:
Show all 11Show fewer
  • ≥15 monthly headache days (MHDs),
  • including ≥8 monthly migraine days (MMDs),
  • and ≥1 non-headache day per month.
  • Completion of the Observation Phase and fulfillment of all protocol-defined eligibility requirements prior to randomization.
  • Willing and able to comply with study procedures, including completion of the electronic diary.

Who cannot join

  • Prior use of rimegepant for migraine prevention.
  • History of treatment failure of:
  • 2 gepants, or
  • 2 CGRP-targeting biologics, or
  • 1 gepant and ≥1 CGRP-targeting biologic.
  • Failure of >4 migraine preventive medications, including at least 2 with different mechanisms of action.
Show all 11Show fewer
  • Any medical or psychiatric condition, or clinically significant laboratory abnormality, that in the investigator's judgment may increase risk to the participant or interfere with study participation or interpretation of results. This includes, but is not limited to, uncontrolled hypertension or a history of Raynaud's phenomenon.
  • Pregnant, breastfeeding, planning to become pregnant, or planning to initiate breastfeeding during the study.
  • Positive amphetamine screening result unless attributable to prescribed stimulant therapy that has been stable for at least 3 months prior to Visit 1 and is expected to remain stable throughout study participation.
  • Use of investigational products or participation in another clinical study within protocol-defined exclusion windows.
  • Any other condition that, in the opinion of the investigator or sponsor, would make study participation unsafe or compromise study conduct.

Trial locations and contacts

21 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

21 sites in 2 countries

United States19 sites, 19 recruiting
  • Michigan Headache & Neurological Institute

    Ann Arbor, Michigan, 48104

    Recruiting
  • FutureSearch Trials of Neurology

    Austin, Texas, 78731

    Recruiting
  • Austin Clinical Trial Partners

    Austin, Texas, 78737

    Recruiting
  • Neurology Offices of South Florida PLLC

    Boca Raton, Florida, 33428

    Recruiting
  • Hope Clinical Research

    Canoga Park, California, 91303

    Recruiting
  • StudyMetrix Research

    City of Saint Peters, Missouri, 63303

    Recruiting
  • FutureSearch Trials of Dallas

    Dallas, Texas, 75251

    Recruiting
  • Neuro-Pain Research Center

    Fresno, California, 93710

    Recruiting
  • Josephson Wallack Munshower Neurology,PC

    Indianapolis, Indiana, 46256

    Recruiting
  • Clinical Research Institute

    Los Angeles, California, 90048

    Recruiting
  • Clinical Neuroscience Solutions, LLC.

    Memphis, Tennessee, 38119

    Recruiting
  • Hightower Clinical

    Oklahoma City, Oklahoma, 73120

    Recruiting
  • Collective Medical Research

    Overland Park, Kansas, 66212

    Recruiting
  • Papillion Research Center / Avacare

    Papillion, Nebraska, 68046

    Recruiting
  • Highland Clinical Research

    Salt Lake City, Utah, 84124

    Not yet recruiting
  • Clinical Endpoints

    Scottsdale, Arizona, 85258

    Recruiting
  • Upstate Clinical Research Associates, LLC

    Williamsville, New York, 14221

    Not yet recruiting
  • Conquest Research-Winter Park

    Winter Park, Florida, 32789

    Recruiting
  • New England Regional Headache Center, Inc.

    Worcester, Massachusetts, 01609

    Not yet recruiting

Other trials in United States

Israel2 sites, 2 recruiting
  • Shaare Zedek Medical Center

    Jerusalem, Jerusalem, 9103102

    Recruiting
  • Sourasky Medical Center

    Tel Aviv, 6423906

    Recruiting

Other trials in Israel

About this study

Official title: AN INTERVENTIONAL EFFICACY AND SAFETY, PHASE 3, DOUBLE-BLIND, RANDOMIZED, 2-ARM STUDY TO INVESTIGATE THE PREVENTION OF CHRONIC MIGRAINE WITH RIMEGEPANT COMPARED WITH PLACEBO IN PARTICIPANTS 18 YEARS OF AGE OR OLDER

Rimegepant is a calcitonin gene-related peptide (CGRP) receptor antagonist approved for the acute treatment of migraine attacks in adults and for the preventive treatment of episodic migraine in adults when administered every other day. This study evaluates once daily rimegepant for the preventive treatment of chronic migraine.

After a 28-day observation period without study intervention, eligible participants will be randomized in a 1:1 ratio to receive either rimegepant 75 mg orally disintegrating tablet (ODT) or matching placebo once daily for 12 weeks under double-blind conditions. Participants who remain eligible at the end of the double-blind treatment phase will enter a 12-week open-label treatment period, during which all participants will receive open-label rimegepant 75 mg once daily. During this period, participants may also take an additional rimegepant tablet for the acute treatment of breakthrough migraine attacks, up to 10 doses per month. A 28-day follow-up period completes the approximately 32-week study.

Read more

The primary objective of the study is to determine whether once-daily rimegepant is more effective than placebo in reducing monthly migraine days relative to the observation period in adults with chronic migraine. Secondary objectives include evaluating differences between rimegepant and placebo in migraine responder rates, headache severity, acute migraine medication use, quality of life, work productivity, cognitive functioning, and safety and tolerability.

Approximately 400 adults aged 18 years or older with a diagnosis of chronic migraine for at least 1 year will be enrolled at multiple study sites.

Read the detailed description

This Phase 3, multicenter, randomized, double-blind, placebo-controlled study will evaluate the efficacy, safety, and tolerability of rimegepant 75 mg administered once daily for the preventive treatment of chronic migraine in adults. Approximately 400 participants with chronic migraine will complete a 28-day Observation Phase and then be randomized in a 1:1 ratio to receive either rimegepant 75 mg or placebo during a 12-week Double-Blind Treatment (DBT) Phase.

The primary objective is to determine whether once-daily rimegepant is superior to placebo in reducing monthly migraine days in adults with chronic migraine. Secondary objectives include evaluation of migraine responder rates, headache frequency and severity, acute migraine medication use, quality of life, headache-related disability, work productivity, cognitive functioning, and patient-reported improvement.

Participants will record migraine and headache information using an electronic diary and will complete protocol-specified efficacy and safety assessments throughout the study. Safety evaluations will include monitoring of adverse events, clinical laboratory assessments, vital signs, electrocardiograms, and other protocol-defined safety measures.

Eligible participants who complete the DBT Phase and remain eligible may enter a 12-week Open-Label Extension (OLE) Phase, during which all participants will receive open-label rimegepant 75 mg once daily. During the OLE Phase, participants may also take an additional dose of rimegepant 75 mg for the acute treatment of breakthrough migraine attacks, up to 10 doses per month. Following completion or discontinuation of study treatment, participants will enter a 28-day Follow-Up Phase.

The study is designed to determine whether once-daily rimegepant provides superior efficacy to placebo for the preventive treatment of chronic migraine in adults and to further characterize the safety and tolerability profile of daily rimegepant administration.

Being tested
Rimegepant, Placebo
Keywords
Migraine Prevention

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RimegepantDrug

    Rimegepant 75 mg orally disintegrating tablet (ODT) administered once daily during the 12-week double-blind treatment phase. Participants who enter the 12-week open-label extension phase will receive open-label rimegepant 75 mg once daily. During the open-label extension phase, participants may also take an additional dose of rimegepant 75 mg for the acute treatment of breakthrough headache attacks, up to 10 doses per month.

  • PlaceboDrug

    Matching placebo orally disintegrating tablet administered once daily during the 12-week double-blind treatment phase. Participants who enter the 12-week open-label extension phase will receive open-label rimegepant 75 mg once daily. During the open-label extension phase, participants may also take an additional dose of rimegepant 75 mg for the acute treatment of breakthrough headache attacks, up to 10 doses per month.

Study groups in NCT07729462
Study groupRoleWhat they receive
Rimegepant 75 mg orally disintegrating tablet (ODT) once dailyExperimentalParticipants will receive rimegepant 75 mg orally disintegrating tablet (ODT) once daily during the 12-week double-blind treatment phase. Eligible participants may subsequently enter a 12-week open-label extension phase and receive open-label rimegepant 75 mg once daily. During the open-label extension phase, participants may also take an additional dose of rimegepant 75 mg for the acute treatment of breakthrough migraine attacks, up to 10 doses per month.
Receives: Drug: Rimegepant
Matching placebo once daily for 12 weeks during the double-blind treatment phasePlacebo comparatorParticipants will receive matching placebo once daily during the 12-week double-blind treatment phase. Eligible participants may subsequently enter a 12-week open-label extension phase and receive open-label rimegepant 75 mg once daily. During the open-label extension phase, participants may also take an additional dose of rimegepant 75 mg for the acute treatment of breakthrough migraine attacks, up to 10 doses per month.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Observation Phase in Monthly Migraine Days (MMDs) Over the Entire Double-Blind Treatment Phase

    Change from the Observation Phase in the number of monthly migraine days (MMDs) over the 12-week Double-Blind Treatment Phase. Monthly migraine days will be assessed using participant-reported electronic diary data.

    Measured: 12 Weeks

Secondary outcomes (7)
  1. Percentage of Participants Achieving a ≥50% Reduction From the Observation Phase in Monthly Migraine Days (MMDs) Over the Entire Double-Blind Treatment Phase

    A responder is defined as a participant who achieves a reduction of at least 50% from the Observation Phase in monthly migraine days (MMDs). Monthly migraine days will be determined using participant-reported electronic diary data.

    Measured: 12 Weeks

  2. Change From Observation Phase in Moderate or Severe Monthly Headache Days Over the Entire Double-Blind Treatment Phase

    Change from the Observation Phase in the number of moderate or severe monthly headache days. Headache intensity will be recorded using participant-reported electronic diary data.

    Measured: 12 Weeks

  3. Change From Observation Phase in Monthly Acute Migraine Medication Use Days Over the Entire Double-Blind Treatment Phase

    Change from the Observation Phase in the number of monthly acute migraine medication use days. Acute migraine medication use will be captured using participant-reported electronic diary data.

    Measured: 12 Weeks

  4. Change From Baseline in Migraine-Specific Quality of Life Questionnaire (MSQ) Restrictive Role Function Domain Score

    The Migraine-Specific Quality of Life Questionnaire (MSQ) version 2.1 Restrictive Role Function domain assesses limitations in daily social and work-related activities due to migraine. Scores range from 0 to 100, with higher scores indicating better functioning and fewer migraine-related limitations.

    Measured: Week 12

  5. Change From Observation Phase in Monthly Migraine Days Over the Entire Double-Blind Treatment Phase in Participants With Historical Medication Overuse Headache and Medication Overuse

    Change from the Observation Phase in the number of monthly migraine days among participants with both historical medication overuse headache and medication overuse during the Observation Phase. Monthly migraine days will be determined using participant-reported electronic diary data.

    Measured: 12 Weeks

  6. Change From Baseline in MSQ Restrictive Role Function Domain Score in Participants With Historical Medication Overuse Headache and Medication Overuse

    The Migraine-Specific Quality of Life Questionnaire (MSQ) version 2.1 Restrictive Role Function domain assesses limitations in daily social and work-related activities due to migraine. Scores range from 0 to 100, with higher scores indicating better functioning and fewer migraine-related limitations. This analysis will be performed among participants with both historical medication overuse headache and medication overuse during the Observation Phase.

    Measured: Week 12

  7. Percentage of Participants Achieving Medication Overuse Headache Remission

    Percentage of participants with both historical medication overuse headache and medication overuse during the Observation Phase who achieve medication overuse headache remission during the Double-Blind Treatment Phase.

    Measured: 12 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jul 2026
  2. Study start26 Aug 2026
  3. Primary completion21 Oct 2028 (estimated)
  4. Study completion19 Jan 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized, double-blind, placebo-controlled, parallel-group study in which participants are assigned 1:1 to rimegepant 75 mg once daily or placebo for 12 weeks, followed by a 12-week open-label extension in which all participants receive rimegepant.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07729462
Sponsor's protocol ID
C4951085
Other IDs
2026-525295-25-00
Status last verified
Oct 2026
First submitted
22 Jul 2026
Last updated
14 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Rimegepant in people with Preventive Treatment of Migraine, run by Pfizer at 21 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in United States, Israel. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Pfizer CT.gov Call Center (1-800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Observation Phase in Monthly Migraine Days (MMDs) Over the Entire Double-Blind Treatment Phase (time frame: 12 Weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2026.

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