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Safety and Tolerability Study of Daily Dosing Rimegepant in Episodic Migraine Prevention

A Phase 4, Open-label Study to Evaluate the Safety and Tolerability of Daily Dosing of Rimegepant in Episodic Migraine Prevention

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05207865
Enrollment
441
Registered
2022-01-26
Start date
2022-03-15
Completion date
2024-07-02
Last updated
2025-09-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Episodic Migraine, Migraine, Phonophobia, Photophobia

Brief summary

The purpose of this study is to further evaluate the long-term safety and tolerability of daily dosing of rimegepant for the prevention of episodic migraine.

Detailed description

This is a post marketing required study being conducted to further evaluate the long-term safety and tolerability of a more frequent daily dosing regimen of rimegepant for the prevention of episodic migraine.

Interventions

DRUGRimegepant

rimegepant ODT 75mg daily

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Subject has at least 1 year history of episodic migraine (with or without aura) consistent with a diagnosis according to the International Classification of Headache Disorders, 3rd Edition, including the following: * Age of onset of migraines prior to 50 years of age * Migraine attacks, on average, lasting 4 -72 hours if untreated * Per subject report, 4-14 migraine attacks per month within the last 3 months prior to the Screening Visit (month is defined as 4 weeks for the purpose of this protocol) * Subjects ≥ 18 years Key

Exclusion criteria

* Subject history with current evidence of uncontrolled, unstable or recently diagnosed cardiovascular disease, such as ischemic heart disease, coronary artery vasospasm, and cerebral ischemia. Subjects with myocardial infarction (MI), acute coronary syndrome (ACS), percutaneous coronary intervention (PCI), cardiac surgery, stroke or transient ischemic attack (TIA) during the 6 months (24 weeks) prior to the Screening Visit. * Uncontrolled hypertension (high blood pressure) or uncontrolled diabetes. * The subject has a history or current evidence of any unstable medical conditions (e.g., history of congenital heart disease or arrhythmia, known or suspected infection, hepatitis B or C, or cancer) that, in the investigator's opinion, would expose them to undue risk of a significant adverse event (AE) or interfere with assessments of safety or efficacy during the course of the study * History of use of opioid- or barbiturate- (e.g. butalbital) containing medication for 4 or more days per month during the 3 months (12 weeks) prior to the Screening Visit * WOCBP who are unwilling or unable to use an acceptable contraceptive method or abstinence to avoid pregnancy for the entire study and for 28 days after the last dose of study drug * Women who are pregnant or breastfeeding * Women with a positive pregnancy test at screening or prior to study drug administration

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With On-Treatment Adverse Events (AEs) (Frequency >=5%) According to IntensityFrom start of study treatment (Day 1) up to 7 days after the last dose of study treatment (Up to 25 weeks)An AE was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered an investigational (medicinal) product and did not necessarily have causal relationship with treatment. On-treatment AEs were those AEs which occurred after the study treatment start date until 7 days after last dose of study treatment. AEs were classified according to intensity as: mild: transient and required minimal treatment or therapeutic intervention, event did not interfere with usual activities of daily living; moderate: alleviated with additional specific therapeutic intervention, event interfered with activities of daily living, causing discomfort; severe: interrupted activities of daily living, affected clinical status, or required intensive treatment. AEs occurring in \>=5% participants are reported in this OM.
Number of Participants With On-Treatment Serious Adverse Events (SAEs)From start of study treatment (Day 1) up to 7 days after the last dose of study treatment (Up to 25 weeks)An SAE was any event that resulted in death; was life threatening; required inpatient hospitalization or prolongation of existing hospitalization; was persistent or caused significant disability/incapacity or congenital anomaly/birth defect in the offspring of a participant who received Rimegepant, or other important medical events. On-treatment AEs were those AEs which occurred after the study treatment start date until 7 days after last dose of study treatment.
Number of Participants With AEs Leading to Study Drug DiscontinuationFrom start of study treatment (Day 1) up to 7 days after the last dose of study treatment (Up to 25 weeks)An AE was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered an investigational (medicinal) product and did not necessarily have causal relationship with treatment. Number of participants with AEs leading to study drug discontinuations are reported in this outcome measure.
Number of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleFrom start of study treatment (Day 1) up to 7 days after the last dose of study treatment (Up to 25 weeks)The following laboratory parameters were assessed: eosinophils, hemoglobin low and high, leukocytes low, lymphocytes low and high, neutrophils, platelets, alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bicarbonate, bilirubin, calcium low and high, cholesterol, creatine kinase, creatinine, glomerular filtration rate estimated, glucose low and high, lactate dehydrogenase, low-density lipoprotein (LDL) cholesterol, LDL cholesterol fasting and not fasting, potassium low and high, sodium low and high, triglycerides, triglycerides fasting and not fasting, uric acid, urine glucose and urine protein. Laboratory abnormalities were graded according to NCI CTCAE v5.0; where grade 3=severe and grade 4=life-threatening except for glucose, LDL cholesterol, and urinalysis where DAIDS v2.1 was used. (grade 3= severe and grade 4= life-threatening).
Number of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleFrom start of study treatment (Day 1) up to 7 days after the last dose of study treatment (Up to 25 weeks)The following laboratory parameters were assessed: eosinophils, hemoglobin, leukocytes low, lymphocytes low and high, neutrophils, platelets, alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, blood urine nitrogen, calcium low and high, cholesterol, creatine, glucose low and high, potassium low and high, protein, sodium low and high, urine glucose and urine protein. Laboratory abnormality events were graded according to FDA toxicity grading scale (grade 3= severe and grade 4= life-threatening).

Countries

United States

Participant flow

Pre-assignment details

Out of the 441 enrolled participants, only 250 received study treatment; 184 participants failed screening, 6 participants were lost to follow-up and 1 participant withdrew consent.

Participants by arm

ArmCount
Rimegepant
Participants received a single dose of Rimegepant 75 mg ODT daily for 24 weeks during the open-label treatment phase.
250
Total250

Withdrawals & dropouts

PeriodReasonFG000
Follow-up PhaseLost to Follow-up1
Follow-up PhaseNon-compliance1
Follow-up PhaseNot collected11
Follow-up PhaseNot reported2
Open-Label Treatment PhaseAdverse Event7
Open-Label Treatment PhaseLost to Follow-up8
Open-Label Treatment PhaseNon-compliance3
Open-Label Treatment PhaseOther17
Open-Label Treatment PhasePhysician Decision2
Open-Label Treatment PhasePregnancy1
Open-Label Treatment PhaseProtocol-specified withdrawal criterion met14
Open-Label Treatment PhaseProtocol Violation1
Open-Label Treatment PhaseWithdrawal by Subject10

Baseline characteristics

CharacteristicRimegepant
Age, Continuous42.6 Years
STANDARD_DEVIATION 14.05
Ethnicity (NIH/OMB)
Hispanic or Latino
35 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
215 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
11 Participants
Race (NIH/OMB)
Black or African American
23 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
216 Participants
Sex: Female, Male
Female
206 Participants
Sex: Female, Male
Male
44 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 2500 / 235
other
Total, other adverse events
48 / 2502 / 235
serious
Total, serious adverse events
0 / 2502 / 235

Outcome results

Primary

Number of Participants With AEs Leading to Study Drug Discontinuation

An AE was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered an investigational (medicinal) product and did not necessarily have causal relationship with treatment. Number of participants with AEs leading to study drug discontinuations are reported in this outcome measure.

Time frame: From start of study treatment (Day 1) up to 7 days after the last dose of study treatment (Up to 25 weeks)

Population: Safety analysis set included participants in the enrolled analysis set who took \>= 1 dose of study drug (rimegepant), i.e., nonmissing study drug start date.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RimegepantNumber of Participants With AEs Leading to Study Drug Discontinuation7 Participants
Primary

Number of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading Scale

The following laboratory parameters were assessed: eosinophils, hemoglobin low and high, leukocytes low, lymphocytes low and high, neutrophils, platelets, alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bicarbonate, bilirubin, calcium low and high, cholesterol, creatine kinase, creatinine, glomerular filtration rate estimated, glucose low and high, lactate dehydrogenase, low-density lipoprotein (LDL) cholesterol, LDL cholesterol fasting and not fasting, potassium low and high, sodium low and high, triglycerides, triglycerides fasting and not fasting, uric acid, urine glucose and urine protein. Laboratory abnormalities were graded according to NCI CTCAE v5.0; where grade 3=severe and grade 4=life-threatening except for glucose, LDL cholesterol, and urinalysis where DAIDS v2.1 was used. (grade 3= severe and grade 4= life-threatening).

Time frame: From start of study treatment (Day 1) up to 7 days after the last dose of study treatment (Up to 25 weeks)

Population: Safety analysis set included participants in the enrolled analysis set who took \>= 1 dose of study drug (rimegepant), i.e., nonmissing study drug start date. All participants reported under Number of Participants Analyzed contributed data to the table; however, may not have evaluable data for every row and Number Analyzed signifies participants evaluable for specified rows.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleEosinophils0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleHemoglobin, low0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleHemoglobin, high0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleLeukocytes, low0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleLymphocytes, low1 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleLymphocytes, high0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleNeutrophils0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScalePlatelets0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleAlanine Aminotransferase0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleAlbumin0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleAlkaline Phosphatase0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleAspartate Aminotransferase0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleBicarbonate0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleBilirubin0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleCalcium, low0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleCalcium, high0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleCholesterol0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleCreatine Kinase9 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleCreatinine0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleGlomerular Filtration Rate, Estimated0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleGlucose, low1 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleGlucose, high0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleLactate Dehydrogenase0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleLDL Cholesterol22 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleLDL Cholesterol, fasting14 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleLDL Cholesterol, not fasting9 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScalePotassium, low0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScalePotassium, high3 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleSodium, low0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleSodium, high0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleTriglycerides2 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleTriglycerides, fasting2 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleTriglycerides, not fasting0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleUric Acid0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleUrine Glucose1 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Common Technical Criteria for Adverse Events- Division of Acquired Immune Deficiency Syndrome (CTCAE/DAIDS) Toxicity Grading ScaleUrine Protein0 Participants
Primary

Number of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading Scale

The following laboratory parameters were assessed: eosinophils, hemoglobin, leukocytes low, lymphocytes low and high, neutrophils, platelets, alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, blood urine nitrogen, calcium low and high, cholesterol, creatine, glucose low and high, potassium low and high, protein, sodium low and high, urine glucose and urine protein. Laboratory abnormality events were graded according to FDA toxicity grading scale (grade 3= severe and grade 4= life-threatening).

Time frame: From start of study treatment (Day 1) up to 7 days after the last dose of study treatment (Up to 25 weeks)

Population: Safety analysis set included participants in the enrolled analysis set who took \>= 1 dose of study drug (rimegepant), i.e., nonmissing study drug start date. All participants reported under Number of Participants Analyzed contributed data to the table; however, may not have evaluable data for every row and Number Analyzed signifies participants evaluable for specified rows.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleEosinophils0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleHemoglobin4 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleLeukocytes, low0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleLeukocytes, high0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleLymphocytes1 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleNeutrophils0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScalePlatelets0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleAlanine Aminotransferase0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleAlbumin0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleAlkaline Phosphatase0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleAspartate Aminotransferase0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleBilirubin1 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleBlood Urine Nitrogen1 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleCalcium, low0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleCalcium, high0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleCholesterol54 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleCreatinine0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleGlucose, low4 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleGlucose, high19 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScalePotassium, low0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScalePotassium, high10 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleProtein1 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleSodium, low0 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleSodium, high6 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleUrine Glucose1 Participants
RimegepantNumber of Participants With Grade 3 to 4 Laboratory Abnormalities On-Treatment Using Food and Drug Administration (FDA) Toxicity Grading ScaleUrine Protein0 Participants
Primary

Number of Participants With On-Treatment Adverse Events (AEs) (Frequency >=5%) According to Intensity

An AE was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered an investigational (medicinal) product and did not necessarily have causal relationship with treatment. On-treatment AEs were those AEs which occurred after the study treatment start date until 7 days after last dose of study treatment. AEs were classified according to intensity as: mild: transient and required minimal treatment or therapeutic intervention, event did not interfere with usual activities of daily living; moderate: alleviated with additional specific therapeutic intervention, event interfered with activities of daily living, causing discomfort; severe: interrupted activities of daily living, affected clinical status, or required intensive treatment. AEs occurring in \>=5% participants are reported in this OM.

Time frame: From start of study treatment (Day 1) up to 7 days after the last dose of study treatment (Up to 25 weeks)

Population: Safety analysis set included participants in the enrolled analysis set who took greater than or equal to (\>=) 1 dose of study drug (rimegepant), i.e., nonmissing study drug start date.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RimegepantNumber of Participants With On-Treatment Adverse Events (AEs) (Frequency >=5%) According to IntensityMild33 Participants
RimegepantNumber of Participants With On-Treatment Adverse Events (AEs) (Frequency >=5%) According to IntensityModerate17 Participants
RimegepantNumber of Participants With On-Treatment Adverse Events (AEs) (Frequency >=5%) According to IntensityModerate or severe17 Participants
Primary

Number of Participants With On-Treatment Serious Adverse Events (SAEs)

An SAE was any event that resulted in death; was life threatening; required inpatient hospitalization or prolongation of existing hospitalization; was persistent or caused significant disability/incapacity or congenital anomaly/birth defect in the offspring of a participant who received Rimegepant, or other important medical events. On-treatment AEs were those AEs which occurred after the study treatment start date until 7 days after last dose of study treatment.

Time frame: From start of study treatment (Day 1) up to 7 days after the last dose of study treatment (Up to 25 weeks)

Population: Safety analysis set included participants in the enrolled analysis set who took \>= 1 dose of study drug (rimegepant), i.e., nonmissing study drug start date.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RimegepantNumber of Participants With On-Treatment Serious Adverse Events (SAEs)0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026