Preventing migraines in children with rimegepant
Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Rimegepant in Migraine Prevention in Children and Adolescents ≥ 6 to <18 Years of Age
Run by Pfizer · NCT05156398 · Data updated 2026-11-12
This study is testing if a new medication called rimegepant can help kids and teens aged 6 to 17 who get migraines by reducing how often they have them and improving their quality of life.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 6 Years to 17 Years |
| Sex | All |
| Enrollment | 640 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Locations | 93 sites (Fort Smith, Arkansas and 92 other locations) |
| Status | Recruiting |
| Started | February 28, 2022 |
| Main results expected | March 27, 2029 |
| Study ends | October 30, 2032 |
| Registry record updated | October 14, 2026 |
| Trial ID | NCT05156398 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are children and adolescents aged 6 to 17 years with a documented history of episodic migraines.
✕Probably not a fit
Patients who do not have a history of migraines or those with chronic migraine 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 effectiveness and safety of rimegepant compared to a placebo for preventing migraines in children and adolescents aged 6 to under 18 years who experience episodic migraines. Participants must have a history of migraines and meet specific criteria regarding the frequency and severity of their headaches. The study aims to determine if rimegepant can reduce the number of migraine days and improve overall quality of life for young patients suffering from this condition.
Why it matters
Potential benefit: If successful, this treatment could significantly reduce the frequency and severity of migraines in pediatric patients.
How similar studies have gone: Previous studies have shown promising results for migraine prevention in adults using similar treatments, but this specific approach in pediatric populations is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
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.
Where it's running
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Advanced Investigative Medicine, Inc.
Hawthorne, California, United States Recruiting -
Velocity Clinical Research, Washington DC
Washington D.C., District of Columbia, United States Recruiting -
Direct Helpers Research Center
Hialeah, Florida, United States Recruiting -
D&H Tamarac Research Center LLC
Tamarac, Florida, United States Recruiting -
Santos Research Center, CORP
Tampa, Florida, United States Recruiting -
Clinical Trial Office
Augusta, Georgia, United States Recruiting
Show 44 more locations
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Augusta University
Augusta, Georgia, United States Recruiting -
Northwest Clinical Trials, Inc.
Boise, Idaho, United States Recruiting -
Nola Research Works, LLC
New Orleans, Louisiana, United States Recruiting -
Roy Blunt NextGen Precision Health Building
Columbia, Missouri, United States Recruiting -
University of Missouri Health Care - Investigation Pharmacy
Columbia, Missouri, United States Recruiting -
University of Missouri-Clinical and Translational Sciences Unit
Columbia, Missouri, United States Recruiting -
University of Missouri
Columbia, Missouri, United States Recruiting -
Velocity Clinical Research, Grand Island
Grand Island, Nebraska, United States Recruiting -
Papillion Research Center/CCT Research
Papillion, Nebraska, United States Recruiting -
Montefiore Medical Center
The Bronx, New York, United States Recruiting -
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting -
Avera McKennan Hospital & University Health Center
Sioux Falls, South Dakota, United States Recruiting -
Avera Research Institute
Sioux Falls, South Dakota, United States Recruiting -
Avera Medical Group Pediatrics - Dawley Farm
Sioux Falls, South Dakota, United States Recruiting -
Alina Clinical Trials, LLC.
Dallas, Texas, United States Recruiting -
North Texas Center for Clinical Research
Frisco, Texas, United States Recruiting -
DM Clinical Research - Cy Fair
Houston, Texas, United States Recruiting -
SCLA Management - Drop Box
Houston, Texas, United States Recruiting -
SCLA Management Office
Houston, Texas, United States Recruiting -
NeuroCare Plus
Houston, Texas, United States Recruiting -
DCT-McAllen Primary Care Research, LLC dba Discovery Clinical Trials
McAllen, Texas, United States Recruiting -
DCT-Stone Oak, LLC dba Discovery Clinical Trials
San Antonio, Texas, United States Recruiting -
DM Clinical Research (Administrative Office Only)
Tomball, Texas, United States Recruiting -
Centre Hospitalier Intercommunal de Creteil
Créteil, France Recruiting -
Hopital des Enfants
Toulouse, France Recruiting -
UOSVD Centro Epilessia ed EEG dellEta Evolutiva
Bari, BARI / Puglia, Italy Recruiting -
Sapienza Universita di Roma Polo Pontino - ICOT, Headache clinic
Latina, Latina/lazio, Italy Recruiting -
IRCCS San Raffaele
Rome, Lazio, Italy Recruiting -
Istituto Neurologico "Carlo Besta" Fondazione IRCCS
Milan, Lombardy, Italy Recruiting -
Divisione di Neurologia, Ospedale Pediatrico Bambino Gesu
Rome, Rome/lazio, Italy Recruiting -
ASST Spedali Civili di Brescia
Brescia, Italy Recruiting -
Jinnouchi Neurosurgical Clinic
Kasuga-shi, Fukuoka, Japan Recruiting -
Hikita Pediatric Clinic
Kiryu-shi, Gunma, Japan Recruiting -
Konan Medical Center
Higashinada-ku Kobe-shi, Hyōgo, Japan Recruiting -
Yamaguchi Clinic
Nishinomiya-shi, Hyōgo, Japan Recruiting -
Tanaka Neurosurgery & Headache Clinic
Kagoshima, Kagoshima-ken, Japan Recruiting -
Atago Hospital
Kochi, Kochi, Japan Recruiting -
Sendai Headache and Neurology Clinic
Taihaku-ku Sendai-shi, Miyagi, Japan Recruiting -
Tennouji Dai Brain Clinic
Abeno-ku Osaka-shi, Osaka, Japan Recruiting -
Tominaga Clinic
Naniwa-ku, Osaka, Japan Recruiting -
Saitama Neuropsychiatric Institute
Chuo-ku Saitama-shi, Saitama, Japan Recruiting -
Tokyo Headache Clinic
Shibuya-ku, Tokyo, Japan Recruiting -
Tokyo Medical University Hospital
Shinjuku-ku, Tokyo, Japan Recruiting -
Clinical Research Center Sp. z o.o. MEDIC-R Sp. k.
Poznan, Greater Poland Voivodeship, Poland Recruiting
+43 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
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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.