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.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Locations | 24 sites (Canoga Park, California and 23 other locations) |
| Status | Recruiting |
| Started | May 28, 2026 |
| Main results expected | June 7, 2028 |
| Study ends | June 7, 2028 |
| Registry record updated | October 14, 2026 |
| Trial ID | NCT07609914 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
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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
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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
- Study coordinator: 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.
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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.
-
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.
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Long-term safety of rimegepant for treating migraines in children
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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.
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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.
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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.