Clinical trial Recruiting at 19 sites Phase 4 Interventional Ages 18 and up

Second dose of rimegepant for acute migraine in adults

Official title: A PHASE 4, SINGLE-ARM, OPEN-LABEL STUDY TO EVALUATE THE SAFETY, TOLERABILITY AND EFFECTIVENESS OF REDOSING OF RIMEGEPANT IN PARTICIPANTS 18 YEARS OF AGE OR OLDER FOR THE ACUTE TREATMENT OF MIGRAINE

Run by Pfizer · NCT07609914 · Data updated 2026-11-12

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.

More Acute Treatment of Migraine trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment400 (estimated)
SponsorPfizer
Industry-sponsored
Locations24 sites (Canoga Park, California and 23 other locations)
StatusRecruiting
StartedMay 28, 2026
Main results expectedJune 7, 2028
Study endsJune 7, 2028
Registry record updatedOctober 14, 2026
Trial IDNCT07609914 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 and older with a history of migraine (with or without aura) who have used acute migraine treatment and meet predefined migraine and headache day criteria.

Probably not a fit

Patients who experience safety concerns or intolerable side effects with a second dose, or who do not meet the eligibility criteria, may not benefit.

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

What this trial studies

This Phase 4 study focuses on safety and tolerability of redosing rimegepant 75 mg orally disintegrating tablet for acute migraine treatment. Participants are adults with a history of migraine who have residual or relapsed headache after an initial dose and meet specific migraine frequency criteria. The trial monitors safety outcomes during an observation period following redosing to determine if a second dose is feasible within the approved label. No placebo or comparator is described; the design centers on real-world use and tolerability of a second dose. Results could inform guidelines on redosing in relapse scenarios.

Why it matters

Potential benefit: If safe and well tolerated, a second dose of rimegepant could provide additional relief during a migraine attack without needing a different medication.

How similar studies have gone: Prior guidelines and studies support the use of a second dose in some patients for relapse, but specific safety data for redosing rimegepant are limited and this study addresses that gap.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion:

* Eligible participants include adult participants aged 18 years of age or older with a minimum 1-year history of migraine (with or without aura) consistent with International Classification of Headache Disorders, 3rd Edition
* Eligible participants must be currently using acute migraine treatment in accordance with the local label and have all of the following on average across the 12 weeks prior to the Screening Visit and, during the first 28 days of the observation phase (OP): (1) 6-14 monthly migraine days (MMDs); (2) \<15 monthly headache days (MHDs) (migraine or non-migraine); and (3) \<7 monthly non-migraine headache days.

Exclusion:

* Participants with headaches occurring ≥15 days per month (migraine or non-migraine) on average across the 12 weeks prior to the Screening Visit and ≥7 non-migraine headache days per month on average across the 12 weeks prior to the Screening Visit would not be eligible.

Where it's running

  • Hope Clinical Research
    Canoga Park, California, United States
    Recruiting
  • Neuro-Pain Research Center
    Fresno, California, United States
    Recruiting
  • Clinical Research Institute
    Los Angeles, California, United States
    Recruiting
  • Neurology Offices of South Florida
    Boca Raton, Florida, United States
    Recruiting
  • AppleMedical Research Group, Inc.
    Miami, Florida, United States
    Recruiting
  • Brainstorm Research
    Miami, Florida, United States
    Recruiting
Show 18 more locations
  • Clinical Neuroscience Solutions
    Orlando, Florida, United States
    Recruiting
  • New England Regional Headache Center
    Worcester, Massachusetts, United States
    Recruiting
  • Michigan Headache & Neurological Institute
    Ann Arbor, Michigan, United States
    Recruiting
  • Minneapolis Clinic of Neurology - Burnsville Office
    Burnsville, Minnesota, United States
    Recruiting
  • Proven Endpoints, LLC
    Ridgeland, Mississippi, United States
    Recruiting
  • M3 Wake Research - Las Vegas Rainbow
    Las Vegas, Nevada, United States
    Recruiting
  • Headache Wellness Center
    Greensboro, North Carolina, United States
    Recruiting
  • FutureSearch Trials of Neurology
    Austin, Texas, United States
    Recruiting
  • FutureSearch Trials of Dallas
    Dallas, Texas, United States
    Recruiting
  • Red Star Research, LLC
    Lake Jackson, Texas, United States
    Recruiting
  • Medstar Health - Department of Neurology
    McLean, Virginia, United States
    Recruiting
  • Shaare Zedek Medical Center
    Jerusalem, Jerusalem, Israel
    Recruiting
  • Sourasky Medical Center
    Tel Aviv, Israel
    Recruiting
  • Cedar Crosse Research Center
    Chicago, Illinois, United States
    Not yet recruiting
  • Josephson Wallack Munshower Neurology
    Indianapolis, Indiana, United States
    Not yet recruiting
  • Alliance Clinical Research Las Vegas (Excel Clinical Research)
    Las Vegas, Nevada, United States
    Not yet recruiting
  • Abington Neurological Associates
    Abington, Pennsylvania, United States
    Not yet recruiting
  • Sheba Medical Center
    Ramat Gan, Central District, Israel
    Not yet recruiting

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

  • 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

  • Long-term safety of rimegepant for treating migraines in children

    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.

    Recruiting at 61 sites Phase 3 Pfizer · Scottsdale, Arizona and 123 other locations · NCT04743141

  • 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.