Using Rimegepant to prevent menstrual migraines in women
Official title: AN INTERVENTIONAL EFFICACY AND SAFETY, PHASE 3, DOUBLE-BLIND, PARALLEL GROUP STUDY TO INVESTIGATE INTERMITTENT PREVENTION OF MENSTRUAL MIGRAINE WITH RIMEGEPANT COMPARED WITH PLACEBO IN WOMEN PARTICIPANTS 18 TO 45 YEARS OF AGE
Run by Pfizer · NCT06641466 · Data updated 2026-11-12
This study is testing if rimegepant can help women with a history of menstrual migraines have fewer and less severe headaches during their periods.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 45 Years |
| Sex | Women only |
| Enrollment | 723 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Locations | 123 sites (Phoenix, Arizona and 122 other locations) |
| Status | Recruiting |
| Started | March 11, 2025 |
| Main results expected | November 29, 2026 |
| Study ends | March 30, 2027 |
| Registry record updated | July 9, 2026 |
| Trial ID | NCT06641466 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are women with regular menstrual cycles who experience menstrual migraines and have a history of migraine attacks during the peri-menstrual period.
✕Probably not a fit
Patients with chronic migraines or those experiencing more than six migraine days per month outside the peri-menstrual period 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 efficacy and safety of rimegepant, a medication, for the intermittent prevention of menstrual migraines in women. Participants will receive either rimegepant or a placebo during the peri-menstrual period. Eligible women must have a history of menstrual migraines and regular menstrual cycles. The study aims to determine if rimegepant can effectively reduce the frequency and severity of migraine attacks during this specific time.
Why it matters
Potential benefit: If successful, this treatment could significantly reduce the burden of menstrual migraines for women.
How similar studies have gone: Other studies have explored similar approaches for migraine prevention, but the specific use of rimegepant for menstrual migraines is a novel application.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Participant has regular menstrual cycles ≥24 days and ≤34 days 2. A minimum 1-year history of migraine (with or without aura) consistent with a diagnosis according to the International Classification of Headache Disorders, 3rd Edition 3. A history of menstrual migraine attacks of at least 3 months 4. Participant reported history of experiencing at least 1 migraine attack during the perimenstrual period in at least 2 out of 3 menstrual cycles immediately prior to screening. 5. If the participant is receiving a permitted background continuous prophylactic migraine medication, the medication dose must be stable for at least 3 months prior to the Screening visit and, the dose is not expected to change during the course of the study Exclusion Criteria: 1. Greater than 6 migraine days per month that are outside of the perimenstrual period in the 3 months prior to Screening 2. A diagnosis of chronic migraine or a history of more than 14 headache days per month on average, in the 3 months prior to Screening 3. History of retinal migraine, basilar migraine or hemiplegic migraine 4. Current diagnosis of schizophrenia, bipolar, or borderline personality disorder 5. Other pain syndromes (eg, fibromyalgia, complex regional pain syndrome), or significant neurological disorders (other than migraine), or other medical conditions (including endocrine and gynecological eg, severe dysmenorrhea
Where it's running
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Mayo Clinic Hospital
Phoenix, Arizona, United States Recruiting -
Mayo Clinic Specialty Building
Phoenix, Arizona, United States Recruiting -
Mayo Clinic Arizona
Scottsdale, Arizona, United States Recruiting -
Hope Clinical Research, Inc.
Canoga Park, California, United States Recruiting -
Axiom Research
Colton, California, United States Recruiting -
Diablo Clinical Research, Inc.
Walnut Creek, California, United States Recruiting
Show 44 more locations
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VIN - Aventura
Aventura, Florida, United States Recruiting -
Velocity Clinical Research, Hallandale Beach
Hallandale, Florida, United States Recruiting -
Jacksonville Center for Clinical Research
Jacksonville, Florida, United States Recruiting -
Urban Family Practice Associates
Marietta, Georgia, United States Recruiting -
Clinical Research Atlanta
Stockbridge, Georgia, United States Recruiting -
St Luke's Clinic - Neurology
Meridian, Idaho, United States Recruiting -
Alliance for Multispecialty Research - Medisphere Medical Research Center
Evansville, Indiana, United States Recruiting -
Michigan Headache & Neurological Institute
Ann Arbor, Michigan, United States Recruiting -
Clinvest Headlands Llc
Springfield, Missouri, United States Recruiting -
St. Charles Clinical Research
Weldon Spring, Missouri, United States Recruiting -
McGill Family Practice
Papillion, Nebraska, United States Recruiting -
Excel Clinical Research, LLC
Las Vegas, Nevada, United States Recruiting -
Rochester Clinical Research
Rochester, New York, United States Recruiting -
Montefiore Medical Center
The Bronx, New York, United States Recruiting -
Carolina Women's Research and Wellness Center
Durham, North Carolina, United States Recruiting -
Dayton Center for Neurological Disorders
Centerville, Ohio, United States Recruiting -
Thomas Jefferson University, Jefferson Headache Center
Philadelphia, Pennsylvania, United States Recruiting -
Clinical Research of Philadelphia
Philadelphia, Pennsylvania, United States Recruiting -
Velocity Clinical Research, Providence
East Greenwich, Rhode Island, United States Recruiting -
Alliance for Multispecialty Research, LLC
Knoxville, Tennessee, United States Recruiting -
AMR Clinical
Knoxville, Tennessee, United States Recruiting -
Alliance for Multispecialty Research, LLC
Knoxville, Tennessee, United States Recruiting -
FutureSearch Trials of Neurology
Austin, Texas, United States Recruiting -
FutureSearch Trials of Dallas
Dallas, Texas, United States Recruiting -
Charlottesville Medical Research
Charlottesville, Virginia, United States Recruiting -
MedStar Health Neurology/MedStar Georgetown Headache Center
McLean, Virginia, United States Recruiting -
Fundación para la lucha contra las enfermedades neurológicas de la infancia
Caba, Buenos Aires, Argentina Recruiting -
IDIM - Instituto de Investigaciones Metabólicas
Buenos Aires, Buenos Aires F.D., Argentina Recruiting -
Mautalen Salud e Investigación
Buenos Aires, Buenos Aires F.D., Argentina Recruiting -
Hospital Cordoba
Cordoba Capital, Córdoba Province, Argentina Recruiting -
Sanatorio del Sur
San Miguel de Tucumán, Tucumán Province, Argentina Recruiting -
Clínica Privada Gallia
Córdoba, Argentina Recruiting -
CaRe Clinic
Red Deer, Alberta, Canada Recruiting -
OCT Research ULC
Kelowna, British Columbia, Canada Recruiting -
Centre for Neurology Studies
Surrey, British Columbia, Canada Recruiting -
Centricity Research Halifax Multispecialty
Halifax, Nova Scotia, Canada Recruiting -
Aggarwal and Associates Limited
Brampton, Ontario, Canada Recruiting -
Bluewater Clinical Research Group Inc.
Sarnia, Ontario, Canada Recruiting -
Centre de Recherche Saint-Louis inc.
Lévis, Quebec, Canada Recruiting -
Peking University People's Hospital
Beijing, Beijing Municipality, China Recruiting -
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, China Recruiting -
Hebei General Hospital
Shijiazhuang, Hebei, China Recruiting -
The Second Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, China Recruiting -
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China Recruiting
+73 more sites. See ClinicalTrials.gov for the full list.
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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Using fremanezumab to prevent menstrual migraines
This study is testing if a new migraine treatment called fremanezumab works just as well for menstrual migraines as it does for other types of migraines in women who have frequent headaches.
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.