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A Study to Learn About the Safety of Taking an Additional Dose of the Medicine Rimegepant in Adults With Migraine

RecruitingPhase 4

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

Who can join

Ages 18 and older · All sexes

Full eligibility 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.

About the study

Acute treatments for migraine may not provide sufficient pain relief after an initial dose, and a second dose of a given medication may be needed to fully abort an attack. International Headache Society (IHS) global practice recommendations for the Acute Treatment of Migraine suggest a second dose of the same medication within the recommended dose limit in people with headache relapse after successful initial treatment of a migraine attack.

The primary purpose of this study is to evaluate the safety and tolerability of redosing of rimegepant when taken for the acute treatment of a migraine attack, as it is possible that some patients may benefit from a second dose of rimegepant in this setting.

What is being tested

Sponsor: Pfizer · Participants: 400 · Started: May 28, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07609914

Locations in the U.S.

CaliforniaHope Clinical Research, Canoga Park
Neuro-Pain Research Center, Fresno
Clinical Research Institute, Los Angeles
FloridaNeurology Offices of South Florida, Boca Raton
AppleMedical Research Group, Inc., Miami (Not yet recruiting)
Brainstorm Research, Miami
Clinical Neuroscience Solutions, Orlando
IndianaJosephson Wallack Munshower Neurology, Indianapolis (Not yet recruiting)
MassachusettsNew England Regional Headache Center, Worcester
MichiganMichigan Headache & Neurological Institute, Ann Arbor
MinnesotaMinneapolis Clinic of Neurology - Burnsville Office, Burnsville
MississippiProven Endpoints, LLC, Ridgeland
NevadaAlliance Clinical Research Las Vegas (Excel Clinical Research), Las Vegas (Not yet recruiting)
M3 Wake Research - Las Vegas Rainbow, Las Vegas (Not yet recruiting)
North CarolinaHeadache Wellness Center, Greensboro
TexasFutureSearch Trials of Neurology, Austin
FutureSearch Trials of Dallas, Dallas
Red Star Research, LLC, Lake Jackson
VirginiaMedstar Health - Department of Neurology, McLean

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.