Clinical trial Recruiting at 61 sites Phase 3 Interventional Ages 6 to 17

Long-term safety of rimegepant for treating migraines in children

Official title: Phase 3, Multicenter, Open-label Study to Assess the Long-term Safety and Tolerability of Rimegepant for the Acute Treatment of Migraine (With or Without Aura) in Children and Adolescents ≥ 6 to < 18 Years of Age

Run by Pfizer · NCT04743141 · Data updated 2026-11-12

This study is testing the long-term safety of rimegepant, a migraine medication, for children and teens aged 6 to under 18 who have frequent migraine attacks.

More Acute Treatment of Migraine trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages6 Years to 17 Years
SexAll
Enrollment600 (estimated)
SponsorPfizer
Industry-sponsored
Locations124 sites (Scottsdale, Arizona and 123 other locations)
StatusRecruiting
StartedApril 28, 2021
Main results expectedJuly 31, 2030
Study endsJuly 31, 2030
Registry record updatedOctober 27, 2026
Trial IDNCT04743141 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children and adolescents aged 6 to less than 18 years with a history of migraines and a specific frequency of migraine attacks.

Probably not a fit

Patients with cluster headaches or hemiplegic migraines, as well as those with uncontrolled psychiatric conditions, may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the long-term safety of rimegepant, a medication for the acute treatment of migraines, specifically in pediatric patients aged 6 to less than 18 years. Participants must have a history of migraines and experience a certain number of moderate to severe attacks monthly. The study aims to gather data on the safety profile of rimegepant over an extended period, ensuring that it is a viable treatment option for children and adolescents suffering from migraines.

Why it matters

Potential benefit: If successful, this study could provide a safe and effective treatment option for children and adolescents suffering from acute migraines.

How similar studies have gone: Other studies have shown promising results with similar approaches in treating migraines, but this specific focus on pediatric patients is less common.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. History of migraine (with or without aura) for ≥ 6 months before Screening.
2. History of 1 to 8 moderate or severe attacks per month during the 2 months prior to screening.
3. 1 or more migraine days requiring treatment during the Observation Phase.
4. Prophylactic migraine medication is permitted if the dose has been stable for at least 12 weeks prior to the Screening Visit.
5. Ability to distinguish between migraine and other types of headaches.
6. Weight \> 15 kg. For EU countries only: Participants 12 to \< 18 years of age must have a body weight of \>25kg.
7. Adequate venous access for blood sampling.
8. Male and female participants 6 to \< 18 years of age (participants must not reach their 18th birthday on or before the Baseline visit).

Exclusion Criteria:

1. History of cluster headache or hemiplegic migraine headache.
2. Confounding and clinically significant pain syndrome.
3. Current uncontrolled and/or untreated psychiatric condition for a minimum of 6 months prior to the Screening Visit (lifetime history of psychosis and/or mania are excluded).
4. History of suicidal behavior or at risk of self-harm/harm to others.
5. History of major psychiatric disorder.
6. Current diagnosis or history of substance abuse
7. Reported current use of or tested positive at Screening for drugs of abuse.

Where it's running

  • Perseverance Research Center, LLC
    Scottsdale, Arizona, United States
    Recruiting
  • Advanced Research Center, Inc.
    Anaheim, California, United States
    Recruiting
  • Neuro-Pain Research Center
    Fresno, California, United States
    Recruiting
  • Altman Clinical and Translational Research Institute, University of California San Diego
    La Jolla, California, United States
    Recruiting
  • Adult & Child Neurology Medical Associates
    Long Beach, California, United States
    Recruiting
  • Memorialcare Miller Children's & Women's Hospital Long Beach
    Long Beach, California, United States
    Recruiting
Show 44 more locations
  • The Neurology Group
    Pomona, California, United States
    Recruiting
  • Sunwise Clinical Research
    Walnut Creek, California, United States
    Recruiting
  • Children's Hospital Colorado- Investigational Drug Services
    Aurora, Colorado, United States
    Recruiting
  • Children's Hospital Colorado
    Aurora, Colorado, United States
    Recruiting
  • CT Clinical Research
    Cromwell, Connecticut, United States
    Recruiting
  • Ki Health Partners, LLc, dba New England Institute for Clinical Research
    Stamford, Connecticut, United States
    Recruiting
  • Children's National Medical Center
    Washington D.C., District of Columbia, United States
    Recruiting
  • South Florida Research Phase I-IV, Inc
    Miami, Florida, United States
    Recruiting
  • Clinical Associates of Orlando, LLC
    Orlando, Florida, United States
    Recruiting
  • CenExel iResearch, LLC
    Decatur, Georgia, United States
    Recruiting
  • Chicago Headache Center & Research Institute
    Chicago, Illinois, United States
    Recruiting
  • AMR-Baber Research Inc
    Naperville, Illinois, United States
    Recruiting
  • Options Research Group, LLC
    Westfield, Indiana, United States
    Recruiting
  • Integrated Clinical Trial Services, Inc.
    West Des Moines, Iowa, United States
    Recruiting
  • Clinical Associates Midwest, LLC
    Kansas City, Kansas, United States
    Recruiting
  • Michigan Head Pain and Neurological Institute
    Ann Arbor, Michigan, United States
    Recruiting
  • Corewell Health, for and on behalf of Spectrum Health Hospital and Corewell Health Medical Group
    Grand Rapids, Michigan, United States
    Recruiting
  • Corewell Health, Helen DeVos Children's Hospital
    Grand Rapids, Michigan, United States
    Recruiting
  • Beaumont Hospital, Royal Oak Campus
    Royal Oak, Michigan, United States
    Recruiting
  • Children's Hospital & Medical Center
    Omaha, Nebraska, United States
    Recruiting
  • HMH Jersey Shore University Medical Center
    Neptune City, New Jersey, United States
    Recruiting
  • Hope Tower
    Neptune City, New Jersey, United States
    Recruiting
  • Dent Neurosciences Research Center
    Amherst, New York, United States
    Recruiting
  • True North Neurology
    Commack, New York, United States
    Recruiting
  • New York Neurology Associates
    New York, New York, United States
    Recruiting
  • OnSite Clinical Solutions, LLC
    Charlotte, North Carolina, United States
    Recruiting
  • Cincinnati Children's Hospital
    Cincinnati, Ohio, United States
    Recruiting
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio, United States
    Recruiting
  • Providence Neuroscience Institute: Research Coordinators' Office
    Portland, Oregon, United States
    Recruiting
  • Providence Pediatric Specialty Clinic
    Portland, Oregon, United States
    Recruiting
  • Velocity Clinical Research-Providence
    East Greenwich, Rhode Island, United States
    Recruiting
  • Dell Children's Medical Center
    Austin, Texas, United States
    Recruiting
  • Child Neurology Consultants of Austin - Central Austin
    Austin, Texas, United States
    Recruiting
  • Houston Clinical Trials, LLC
    Bellaire, Texas, United States
    Recruiting
  • ANESC Research
    El Paso, Texas, United States
    Recruiting
  • Pain and Headache Centers of Texas
    Houston, Texas, United States
    Recruiting
  • SCLA Management
    Houston, Texas, United States
    Recruiting
  • NeuroCare Plus
    Houston, Texas, United States
    Recruiting
  • JBR Clinical Research
    Salt Lake City, Utah, United States
    Recruiting
  • Wasatch Clinical Research , LLC(Administrative Location)
    Salt Lake City, Utah, United States
    Recruiting
  • Pediatric Associates of Charlottesville, PLC (Private Pediatric Practice)
    Charlottesville, Virginia, United States
    Recruiting
  • Pediatric Research of Charlottesville, LLC (Regulatory Only)
    Charlottesville, Virginia, United States
    Recruiting
  • Pediatric Research of Charlottesville, LLC
    Charlottesville, Virginia, United States
    Recruiting
  • Children's Hospital of The King's Daughters
    Norfolk, Virginia, United States
    Recruiting

+74 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Rimegepant 75 mg ODT for acute migraine in adults in India

    A single-arm study in adults in India will test whether a 75 mg orally disintegrating tablet of rimegepant is safe to use for treating a migraine attack when triptans didn’t work or can’t be used.

    Recruiting at 6 sites Phase 4 Pfizer · Visakhapatnam, Andhra Pradesh and 6 other locations · NCT07685769

  • Second dose of rimegepant for acute migraine in adults

    This study tests whether taking a second 75 mg dose of rimegepant is safe and tolerable for adults who still have pain after an initial dose to treat an acute migraine attack.

    Recruiting at 19 sites Phase 4 Pfizer · Canoga Park, California and 23 other locations · NCT07609914

  • Zavegepant (nasal spray) for treating migraine in children 6 to under 12

    This trial will test a single weight-based dose of zavegepant nasal spray to see how safe it is and how the medicine is processed in children 6 to under 12 with migraine.

    Recruiting at 11 sites Phase 1 Pfizer · Washington D.C., District of Columbia and 13 other locations · NCT06995729

  • Daily rimegepant for chronic migraine prevention

    A 12-week test to see if taking rimegepant by mouth every day can reduce monthly migraine days in adults with chronic migraine compared with placebo.

    Recruiting at 18 sites Phase 3 Pfizer · Scottsdale, Arizona and 20 other locations · NCT07729462

  • Long-term safety test of elismetrep for acute migraine

    This study tests whether intermittent use of elismetrep is safe and tolerable over the long term for people who have migraine attacks.

    Recruiting at 113 sites Phase 3 TriGemX Bio, Inc. · Birmingham, Alabama and 112 other locations · NCT07674654

  • Gepants for Acute Migraine in the Emergency Department

    This study tests whether rimegepant or zavegepant given in the ED can relieve an acute migraine for adults.

    Recruiting Phase 1 University of South Florida · Tampa, Florida · NCT07667621

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.