| CTRI Number |
CTRI/2025/02/081278 [Registered on: 25/02/2025] Trial Registered Prospectively |
| Last Modified On: |
16/01/2026 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Other |
|
Public Title of Study
|
Efficacy and Safety Study of Rimegepant for the Preventative Treatment of Migraine in adolescent Subjects |
|
Scientific Title of Study
|
An Interventional, Efficacy, and Safety, Phase 3, Randomized, Double-Blind,
Placebo-Controlled Study With an Open-Label Extension to Investigate Rimegepant in Migraine Prevention in Adolescents 12 to Less Than 18 Years of Age With Chronic Migraine |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| 2023-505601-16-00 |
EudraCT |
| C4951013 Protocol Amendment 1 dt 19-Mar-2024 |
Protocol Number |
| NCT05156398 |
ClinicalTrials.gov |
|
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Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
|
| Designation |
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| Affiliation |
|
| Address |
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| Phone |
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| Fax |
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| Email |
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Details of Contact Person Scientific Query
|
| Name |
Dr Seema Pai |
| Designation |
Senior Director Clinical Site Operations - India Cluster |
| Affiliation |
Pfizer Limited |
| Address |
The Capital, 1802-1901, Plot No. C-70, G Block, Bandra Kurla Complex, Bandra (East)
Mumbai MAHARASHTRA 400051 India |
| Phone |
02266932000 |
| Fax |
|
| Email |
seema.pai@pfizer.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Seema Pai |
| Designation |
Senior Director Clinical Site Operations - India Cluster |
| Affiliation |
Pfizer Limited |
| Address |
The Capital, 1802-1901, Plot No. C-70, G Block, Bandra Kurla Complex, Bandra (East)
MAHARASHTRA 400051 India |
| Phone |
02266932000 |
| Fax |
|
| Email |
seema.pai@pfizer.com |
|
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Source of Monetary or Material Support
|
| Pfizer Inc. 66 Hudson Boulevard East New York, NY 10001 |
|
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Primary Sponsor
|
| Name |
Pfizer Inc. |
| Address |
66 Hudson Boulevard East New York, NY 10001 |
| Type of Sponsor |
Pharmaceutical industry-Global |
|
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Details of Secondary Sponsor
|
| Name |
Address |
| Pfizer Limited |
The Capital, 1802-1901, Plot No. C-70, G Block, Bandra Kurla Complex, Bandra(E) Mumbai
MAHARASHTRA
400051
India |
|
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Countries of Recruitment
|
Canada Czech Republic Finland Hungary India Italy Poland Slovakia United States of America Japan Spain |
Sites of Study
Modification(s)
|
| No of Sites = 7 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Sheffali Gulati |
All India Institute of Medical Sciences |
Ansari Nagar, New Delhi, Delhi – 110029, India. New Delhi DELHI |
9810386847
sheffaligulati@gmail.com |
| Dr Sumit Singh |
Artemis Hospital |
Clinical Research Department,
4th Floor HR Building,
Sector 51 Gurugram 122001 Gurgaon HARYANA |
9810052615
sumit.singh@artemishospitals.com |
| Dr Amit Bhalchandra Yeole |
Chopda Medicare & Research Centre Pvt. Ltd; Magnum Heart Institute |
3/5, Patil Lane No. 1, Laxmi Nagar, Near K.B.H. Vidyalaya, Canada Corner, Nashik – 422005, Maharashtra, India Nashik MAHARASHTRA |
7588554530
amit_yeole37@rediffmail.com |
| Dr Saurabh Bansal |
Fortis Memorial Research Institute |
Clinical Research Department, 2nd Floor, Sector 44, Opp. Millenium City Centre Metro Station, Gurugram 122002, Haryana, India. Gurgaon HARYANA |
7528910202
saurabh.bansal@fortishealthcare.com |
| Dr Harsha S |
JSS Hospital |
Clinical research room, Master health checkup, 2nd floor, MG Road Agrahara Myosore Karnataka 570004 Mysore KARNATAKA |
9019423712
drharshaneur@gmail.com |
| Dr Shankara Nellikunja |
Mallikatta Neuro Centre |
3rd Floor, Opp Mallikatta Circle Kadri Mangalore 575002 Dakshina Kannada KARNATAKA |
8242444933
dr.shankaramnc@gmail.com |
| Dr Anshu Rohtagi |
Sir Ganga Ram Hospital |
Clinical Research Department, 5th floor, near Lift No 12, Sir Ganga Ram Hospital Marg Rajinder Nagar New Delhi
110060, New Delhi DELHI |
9810159046
rohatgianshu@yahoo.com |
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Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 7 |
| Name of Committee |
Approval Status |
| Artemis Health Sciences Institutional Ethics Committee |
Approved |
| Institute Ethics Committee All India Institute of Medical Sciences |
Approved |
| Institutional Ethics Committee, Fortis Memorial Research Institute |
Approved |
| Institutional Ethics Committee, JSS Medical College |
Approved |
| Magna-Care Ethics Committee, Chopda Medicare and Research Centre Pvt. Ltd., |
Approved |
| Mangala Institutional Ethics Committee |
Approved |
| Sir Ganga Ram Hospital Ethics Committee |
Approved |
|
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Regulatory Clearance Status from DCGI
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: G998||Other specified disorders of nervous system in diseases classified elsewhere, |
|
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Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Matching Placebo |
Participants will receive 75mg Orally disintegrating Placebo tablets to be administered every other day. The study duration is 76 weeks. |
| Intervention |
Rimegepant (PF-07899801) |
Participants will receive Rimegepant 75mg orally disintegrating tablets to be administered every other day. The study duration is 76 weeks. |
|
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Inclusion Criteria
|
| Age From |
12.00 Year(s) |
| Age To |
18.00 Year(s) |
| Gender |
Both |
| Details |
Subject has at least a 6 month history of migraine (with or without aura) and including the following:
- 15 or more headache days per month during the 3 month period prior to the Screening Visit
- 8 or more migraine days per month during the 3 month period prior to the Screening Visit
- 15 or more headache days during the Observation Period
- 8 or more migraine days during the OP
- Ability to verbally distinguish migraine attacks from tension/cluster or other types of headaches
- Migraine attacks, on average, lasting 4 to 72 hours if untreated |
|
| ExclusionCriteria |
| Details |
1. Target Disease Exclusion:
- Continuous migraine (defined as an unrelenting headache) within 1 month prior to
Screening Visit.
- Atypical migraine types, complications of a migraine, or a confounding and
clinically significant pain syndrome that may interfere with the participant’s
ability to participate in this study as assessed by the principal investigator (PI).
2. Any medical condition or laboratory abnormality, including any clinically significant
out-of-range vital signs, that may increase the risk of study participation or, in the
investigator’s judgment, make the participant inappropriate for the study
3. Any current psychiatric condition that is uncontrolled and/or untreated.
4. Any “yes†response on the Columbia-Suicide Severity Rating Scale (C-SSRS) for the
period of 30 days prior to Screening.
5. History of alcohol abuse and/or illicit drug use meeting Diagnostic and Statistical
Manual-5 (DSM-5®)2 criteria for substance use disorder within 6 months of screening
(excluding nicotine and caffeine).
6. Allergies and Adverse Drug Reactions:
- History of severe drug allergy (such as anaphylaxis, or known hypersensitivity or
intolerance to rimegepant or its excipients). |
|
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Method of Generating Random Sequence
|
Not Applicable |
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Method of Concealment
|
Centralized |
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Blinding/Masking
|
Participant, Investigator and Outcome Assessor Blinded |
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Primary Outcome
|
| Outcome |
TimePoints |
| Mean change from the observation phase in the number of migraine days per month over the entire double blind treatment phase |
3 months or 12 weeks
|
|
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Secondary Outcome
|
| Outcome |
TimePoints |
| Mean change from OP in number of moderate to severe headache days per months over entire DBT phase 1 to 12 weeks |
1. Treatment effect of rimegepant relative to placebo in adolescent patients with chronic migraine in terms of difference in mean changes from OP in number of moderate or severe headache days per month over entire DBT Phase.
Timeframe - 12 weeks |
| Percentage of participants with more than 50 percent reduction from the OP |
The difference in the percentage of participants with more than 50 percent reduction from the OP
Time Frame - 12 weeks |
| Mean change from baseline in the PedsQL 4.0 Generic core scales total score at week 2 of DBT phase |
The difference in mean changes from baseline in the PedsQL total score at week 12 of the DBT phase.
Time frame - 12 weeks |
|
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Target Sample Size
|
Total Sample Size="200" Sample Size from India="12"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 3 |
|
Date of First Enrollment (India)
|
07/03/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
14/12/2024 |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="3" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Open to Recruitment |
| Recruitment Status of Trial (India) |
Open to Recruitment |
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Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
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Brief Summary
|
Rimegepant has obtained approval in the United States (US), United Kingdom (UK), European Union (EU), and other countries for the acute treatment of migraine with and without aura in adults, and, in some countries, the preventive treatment of episodic migraine in adults. Currently, rimegepant is being studied for the acute treatment of migraine in children and adolescents, as well as for the prevention of migraine in children and adolescents with episodic migraine.
The purpose of this study is to compare the efficacy and safety of rimegepant to placebo as a preventative treatment for migraine in adolescents of 12 to 18 years of age with chronic migraine. |