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

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

PhasePhase 3
Study typeInterventional
Ages6 Years to 17 Years
SexAll
Enrollment640 (estimated)
SponsorPfizer
Industry-sponsored
Locations93 sites (Fort Smith, Arkansas and 92 other locations)
StatusRecruiting
StartedFebruary 28, 2022
Main results expectedMarch 27, 2029
Study endsOctober 30, 2032
Registry record updatedOctober 14, 2026
Trial IDNCT05156398 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

  • 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
  • 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

Similar studies

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

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.