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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 6 Years to 17 Years |
| Sex | All |
| Enrollment | 600 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Locations | 124 sites (Scottsdale, Arizona and 123 other locations) |
| Status | Recruiting |
| Started | April 28, 2021 |
| Main results expected | July 31, 2030 |
| Study ends | July 31, 2030 |
| Registry record updated | October 27, 2026 |
| Trial ID | NCT04743141 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
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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
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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
- Study coordinator: Pfizer Pfizer CT.gov Call Center
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
- Phone: 1-800-718-1021
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.
-
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.
-
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.
-
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.
-
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.
-
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.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.