Acute Migraine
Conditions
Keywords
Migraine
Brief summary
This trial is to evaluate the long-term safety and tolerability of Rimegepant 75mg ODT in Chinese subjects with migraine
Interventions
One rimegepant (BHV3000) 75mg orally disintegrating tablet (up to 1 tablet per day) at the time of their migraine attack
Sponsors
Study design
Eligibility
Inclusion criteria
At least a one-year history of migraines (with or without aura), consistent with a diagnosis according to the International Classification of Headache Disorders, 3rd edition beta version, including the following: * Age of onset of migraines prior to 50 years of age * Migraine attacks, on average, lasting 4 - 72 hours if untreated * 6-18 migraine attacks of moderate or severe intensity per month within the last 3 months prior to the Screening Visit * 6 or more migraine days requiring treatment during Observation Phase * Ability to distinguish migraine attacks from tension/cluster headaches * Subjects on prophylactic migraine medication are permitted to remain on therapy if the dose has been stable dose for at least 2 months prior to the Baseline Visit, and the dose is not expected to change during the course of the study. subjects who previously discontinued prophylactic migraine medication must have done so at least 5 half-lives of the prophylactic medication prior to the Screening Visit * Subjects with contraindications for use of triptans may be included provided they meet all other study entry criteria Age and Reproductive Status: * Male or female subjects ≥ 18 years * Women of childbearing potential (WOCBP) must voluntarily use 1 acceptable methods of contraception to avoid pregnancy and to minimize the risk of pregnancy from signing of informed consent through 28 days after study drug administration. WOCBP is defined in Section 12.3. No contraception methods are required for male subjects in this study.
Exclusion criteria
Target Disease Exclusion: \* Subjects has a history of basilar migraine with brain stem aura or hemiplegic migraine Medical History and Comorbidities: * History of HIV disease * Current evidence of poorly controlled, unstable, or recently diagnosed cardiovascular or cerebrovascular disease such as ischemic heart disease, coronary vasospasm, and cerebral ischemia. Myocardial infarction (MI), acute coronary syndrome (ACS), percutaneous coronary intervention (PCI), cardiac surgery, stroke, or transient ischemic attack (TIA) during 6 months prior to screening * Poorly controlled hypertension (high blood pressure) or poorly controlled diabetes (but subjects with stable hypertension and/or diabetes for at least 3 months prior to screening may be included in the study). Blood pressure greater than 150 mmHg systolic or 100 mmHg diastolic after 10 minutes of rest is exclusionary * Subjects with a current diagnosis of major depression or a major depressive episode within the last 12 months, other pain syndromes, psychiatric disorders, dementia, or significant neurological disorders (other than migraine) that, in the opinion of the investigator, might interfere with study assessments * History of gastric or small intestinal surgery (including gastric bypass, gastric banding, gastric sleeve, gastric water ball, etc.) or diseases resulting in malabsorption * Subject has a history or diagnosis of Gilibert's Syndrome or any other active hepatic or biliary disorder * History or presence of significant and/or unstable medical conditions (e.g., history of congenital heart disease or cardiac arrhythmia, known suspected infection, hepatitis B or C or neoplasm) that, in the opinion of the investigator, would expose the subjects to undue risk of a significant adverse events (AE) or interfere with the assessment of safety or effectiveness during the trial * History or evidence of alcohol or drug abuse within the past 12 months, or treatment for alcohol or drug abuse, or meeting Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria for any significant substance abuse disorder within the past 12 months prior to the Screening Visit * Subjects should be excluded if they have a positive drug screen for drugs of abuse and are considered medically significant by the investigator, would compromise subject safety, or interfere with the interpretation of study results. In addition: * Subjects with detectable levels of cocaine, amphetamines, and phencyclidine in drug abuse screening need to be excluded. Subjects who are positive for amphetamines on the urine drug screen may have their urine samples evaluated for further analysis at the investigator's discretion to rule out a false positive result * Subjects with detectable levels of marijuana during substance abuse screening may not be excluded if they do not meet DSMV criteria for substance abuse or dependence in the subject's opinion as documented by the investigator, and a positive result does not signal a clinical condition that would impact the subject safety or interpretation of the study results * Diagnosis of hematologic or solid malignancy within 5 years prior to screening. Subjects with a history of localized basal cell or squamous cell skin cancer may be included in the study if they are cancer-free prior to the screening visit for this study * Subjects with a current diagnosis of schizophrenia, major depression requiring treatment with atypical antipsychotics, bipolar disorder or borderline personality disorder * Body mass index (BMI) ≥ 35 kg/ m2 * Subjects with a history of gallstones or cholecystectomy * Use of St. John's Wort, products containing St. John's Wort, Coltsfoot root, or extracts within 14 days prior to the baseline visit * Use of narcotic drugs such as opioids (e.g., morphine, codeine, oxycodone, and hydrocodone) within 2 days prior to the baseline visit. Allergy and Adverse Reactions: \*. History of drug or other allergy that, in the opinion of the investigator, would make the subject unsuitable for participation in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | From Week 52 to Week 54 of the follow-up safety period | Chemistry Test Abnormalities included: hypernatremia, hyponatremia, hyperkalemia, hypokalemia, hypoglycemia, creatinine increased, blood lactate dehydrogenase increased, hypoalbuminemia, CPK increased, aspartate aminotransferase increased, alanine aminotransferase increased, blood bilirubin increased, alkaline phosphatase increased, chronic kidney disease, cholesterol high, hypertriglyceridemia. As per NCI CTCAE v5.0-G1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated, G2: moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental ADL, G3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. G4: life-threatening consequences; urgent intervention indicated. Grade 5: death related to AE. G3 and 4 abnormalities were reported in this outcome measure. |
| Treatment Safety Period: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | From Day 1 of study treatment up to Week 52 of the treatment safety period | An adverse event was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily have a causal relationship with the investigational product. TEAEs were events that started after the first dose of trial drug and did not occur or worsen relative to the first dose. |
| Follow-up Safety Period: Number of Participants With TEAEs | From Week 52 to Week 54 of the follow-up safety period | An adverse event was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily have a causal relationship with the investigational product. TEAEs were events that started after the first dose of trial drug and did not occur or worsen relative to the first dose. |
| Treatment Safety Period: Number of Participants With Serious Adverse Events (SAEs) | From Day 1 of study treatment up to Week 52 of the treatment safety period | An adverse event was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily have a causal relationship with the investigational product. SAE referred to any untoward medical occurrence that met any of the following criteria at any dose for a participant that received the investigational product: death, life-threatening, permanent or severe disability or incapacity, hospitalization or prolongation of hospitalization required or congenital anomaly or birth defect. |
| Follow-up Safety Period: Number of Participants With SAEs | From Week 52 to Week 54 of the follow-up safety period | An adverse event was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily have a causal relationship with the investigational product. SAE referred to any untoward medical occurrence that met any of the following criteria at any dose for a participant that received the investigational product: death, life-threatening, permanent or severe disability or incapacity, hospitalization or prolongation of hospitalization required or congenital anomaly or birth defect. |
| Treatment Safety Period: Number of Participants With AEs Leading to Study Drug Discontinuation | From Day 1 of study treatment up to Week 52 of the treatment safety period | An AE was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily had a causal relationship with the investigational product. AEs that led to study drug discontinuation were reported in this outcome measure. |
| Follow-up Safety Period: Number of Participants With AEs Leading to Study Drug Discontinuation | From Week 52 to Week 54 of the follow-up safety period | An AE was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily had a causal relationship with the investigational product. AEs that led to study drug discontinuation were reported in this outcome measure. |
| Treatment Safety Period: Number of Participants With Electrocardiogram (ECG) Abnormalities | From Day 1 of study treatment up to Week 52 of the treatment safety period | ECG abnormalities criteria included: QT Interval Corrected Using Fridericia's Formula (QTcF) millisecond (msec): less than or equal to (\<=)450, 450 - \<=480, 480- \<=500, greater than (\>)500. |
| Follow-up Safety Period: Number of Participants With ECG Abnormalities | From Week 52 to Week 54 of the follow-up safety period | ECG abnormalities criteria included: QTcF msec: \<=450, 450 - \<=480, 480- \<=500, \>500. |
| Treatment Safety Period: Number of Participants With Vital Signs Abnormalities | From Day 1 of study treatment up to Week 52 of the treatment safety period | Vital signs abnormalities included blood pressure (BP) millimeters of mercury (mmHg): systolic BP \<90 and \>140; diastolic BP \<50 and \>90 and pulse rate (beats per minute) :\<40 and \>120. |
| Follow-up Safety Period: Number of Participants With Vital Signs Abnormalities. | From Week 52 to Week 54 of the follow-up safety period | Vital signs abnormalities included BP mmHg: systolic BP \<90 and \>140; diastolic BP \<50 and \>90 and pulse rate (beats per minute) :\<40 and \>120. |
| Treatment Safety Period: Number of Participants With Hematology Test Abnormalities | From Day 1 of study treatment up to Week 52 of the treatment safety period | Hematology parameters included: hemoglobin increased, anemia, leukocytosis, white blood cell decreased, platelet count decreased, neutrophil count decreased, lymphocyte count increased, lymphocyte count decreased. As per National Cancer Institute of Common Terminology Criteria for Adverse Events (NCI CTCAE) version(v)5.0-Grade(G) 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated, Grade 2: moderate; minimal, local or non-invasive intervention indicated; limiting age appropriate instrumental activities of daily living (ADL), Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. Grade 4: life-threatening consequences; urgent intervention indicated. Grade 5: death related to AE. Grade 3 and 4 abnormalities were reported in this outcome measure. |
| Follow-up Safety Period: Number of Participants With Hematology Test Abnormalities | From Week 52 to Week 54 of the follow-up safety period | Hematology parameters included: hemoglobin increased, anemia, leukocytosis, white blood cell decreased, platelet count decreased, neutrophil count decreased, lymphocyte count increased, lymphocyte count decreased. As per NCI CTCAE v5.0-Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated, Grade 2: moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental ADL, Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. Grade 4: life-threatening consequences; urgent intervention indicated. Grade 5: death related to AE. Grade 3 and 4 abnormalities were reported in this outcome measure. |
| Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | From Day 1 of study treatment up to Week 52 of the treatment safety period | Chemistry Test Abnormalities included: hypernatremia, hyponatremia, hyperkalemia, hypokalemia, hypoglycemia, creatinine increased, blood lactate dehydrogenase increased, hypoalbuminemia, creatine phosphokinase (CPK) increased, aspartate aminotransferase increased, alanine aminotransferase increased, blood bilirubin increased, alkaline phosphatase increased, chronic kidney disease, cholesterol high, hypertriglyceridemia. As per NCI CTCAE v5.0-G1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated, G2: moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental ADL, G3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. G4: life-threatening consequences; urgent intervention indicated. G5: death related to AE. G3 and 4 abnormalities were reported in this outcome measure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Baseline (observation period); Week 1 to 4, 5 to 8, 9 to 12, 13 to 16, 17 to 20, 21 to 24, 25 to 28, 29 to 32, 33 to 36, 37 to 40, 41 to 44, 45 to 48, 49 to 52 and Overall (Week 1 to 52) | The number of migraine days and severity of migraine attacks was analyzed for every 4-week interval and overall period during long-term treatment with rimegepant in participants was compared to the observation period. Pain intensity of migraine was graded into mild, moderate, or severe and severity was judged by investigator. |
Countries
China
Participant flow
Recruitment details
A total of 241 participants were enrolled in the study. 240 participants received study treatment.
Participants by arm
| Arm | Count |
|---|---|
| Rimegepant 75mg ODT Chinese participants with migraine received 75 mg of rimegepant ODT (PRN use, up to 1 tablet per day) for 52 weeks. | 240 |
| Total | 240 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 1 |
| Overall Study | Non-Compliance with Study Schedule | 9 |
| Overall Study | Other | 11 |
| Overall Study | Withdrawal by Subject | 12 |
Baseline characteristics
| Characteristic | Rimegepant 75mg ODT |
|---|---|
| Age, Continuous | 39.1 Years STANDARD_DEVIATION 10.97 |
| Race/Ethnicity, Customized Han | 231 Participants |
| Race/Ethnicity, Customized Unknown or not reported | 9 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 240 Participants |
| Race (NIH/OMB) Black or African American | 0 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 | 0 Participants |
| Sex: Female, Male Female | 192 Participants |
| Sex: Female, Male Male | 48 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 1 / 240 |
| other Total, other adverse events | 201 / 240 |
| serious Total, serious adverse events | 7 / 240 |
Outcome results
Follow-up Safety Period: Number of Participants With AEs Leading to Study Drug Discontinuation
An AE was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily had a causal relationship with the investigational product. AEs that led to study drug discontinuation were reported in this outcome measure.
Time frame: From Week 52 to Week 54 of the follow-up safety period
Population: FUSS included all participants in the SS with last contact date in the follow-up safety analysis period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With AEs Leading to Study Drug Discontinuation | 0 Participants |
Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities
Chemistry Test Abnormalities included: hypernatremia, hyponatremia, hyperkalemia, hypokalemia, hypoglycemia, creatinine increased, blood lactate dehydrogenase increased, hypoalbuminemia, CPK increased, aspartate aminotransferase increased, alanine aminotransferase increased, blood bilirubin increased, alkaline phosphatase increased, chronic kidney disease, cholesterol high, hypertriglyceridemia. As per NCI CTCAE v5.0-G1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated, G2: moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental ADL, G3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. G4: life-threatening consequences; urgent intervention indicated. Grade 5: death related to AE. G3 and 4 abnormalities were reported in this outcome measure.
Time frame: From Week 52 to Week 54 of the follow-up safety period
Population: FUSS included all participants in the SS with last contact date in the follow-up safety analysis period.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Hypernatremia | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Hyponatremia | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Hyperkalemia | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Hypokalemia | 1 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Hypoglycemia | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Creatinine increased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Blood lactate dehydrogenase increased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Hypoalbuminemia | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | CPK increased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Aspartate aminotransferase increased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Alanine aminotransferase increased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Blood bilirubin increased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Alkaline phosphatase increased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Chronic kidney disease | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Cholesterol high | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Chemistry Test Abnormalities | Hypertriglyceridemia | 0 Participants |
Follow-up Safety Period: Number of Participants With ECG Abnormalities
ECG abnormalities criteria included: QTcF msec: \<=450, 450 - \<=480, 480- \<=500, \>500.
Time frame: From Week 52 to Week 54 of the follow-up safety period
Population: FUSS included all participants in the SS with last contact date in the follow-up safety analysis period.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With ECG Abnormalities | <=450 | 209 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With ECG Abnormalities | 450 - <= 480 | 2 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With ECG Abnormalities | 480 - <= 500 | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With ECG Abnormalities | >500 | 2 Participants |
Follow-up Safety Period: Number of Participants With Hematology Test Abnormalities
Hematology parameters included: hemoglobin increased, anemia, leukocytosis, white blood cell decreased, platelet count decreased, neutrophil count decreased, lymphocyte count increased, lymphocyte count decreased. As per NCI CTCAE v5.0-Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated, Grade 2: moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental ADL, Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. Grade 4: life-threatening consequences; urgent intervention indicated. Grade 5: death related to AE. Grade 3 and 4 abnormalities were reported in this outcome measure.
Time frame: From Week 52 to Week 54 of the follow-up safety period
Population: FUSS included all participants in the SS with last contact date in the follow-up safety analysis period.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Hematology Test Abnormalities | Hemoglobin increased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Hematology Test Abnormalities | Anemia | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Hematology Test Abnormalities | Leukocytosis | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Hematology Test Abnormalities | White blood cell decreased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Hematology Test Abnormalities | Platelet count decreased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Hematology Test Abnormalities | Neutrophil count decreased | 1 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Hematology Test Abnormalities | Lymphocyte count increased | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Hematology Test Abnormalities | Lymphocyte count decreased | 0 Participants |
Follow-up Safety Period: Number of Participants With SAEs
An adverse event was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily have a causal relationship with the investigational product. SAE referred to any untoward medical occurrence that met any of the following criteria at any dose for a participant that received the investigational product: death, life-threatening, permanent or severe disability or incapacity, hospitalization or prolongation of hospitalization required or congenital anomaly or birth defect.
Time frame: From Week 52 to Week 54 of the follow-up safety period
Population: FUSS included all participants in the SS with last contact date in the follow-up safety analysis period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With SAEs | 0 Participants |
Follow-up Safety Period: Number of Participants With TEAEs
An adverse event was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily have a causal relationship with the investigational product. TEAEs were events that started after the first dose of trial drug and did not occur or worsen relative to the first dose.
Time frame: From Week 52 to Week 54 of the follow-up safety period
Population: Follow-up safety analysis set (FUSS) included all participants in the SS with last contact date in the follow-up safety analysis period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With TEAEs | 24 Participants |
Follow-up Safety Period: Number of Participants With Vital Signs Abnormalities.
Vital signs abnormalities included BP mmHg: systolic BP \<90 and \>140; diastolic BP \<50 and \>90 and pulse rate (beats per minute) :\<40 and \>120.
Time frame: From Week 52 to Week 54 of the follow-up safety period
Population: FUSS included all participants in the SS with last contact date in the follow-up safety analysis period. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Vital Signs Abnormalities. | Systolic BP <90 | 1 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Vital Signs Abnormalities. | Systolic BP >140 | 1 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Vital Signs Abnormalities. | Diastolic BP <50 | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Vital Signs Abnormalities. | Diastolic BP >90 | 5 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Vital Signs Abnormalities. | Pulse rate <40 | 0 Participants |
| Rimegepant 75 mg ODT | Follow-up Safety Period: Number of Participants With Vital Signs Abnormalities. | Pulse rate >120 | 0 Participants |
Treatment Safety Period: Number of Participants With AEs Leading to Study Drug Discontinuation
An AE was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily had a causal relationship with the investigational product. AEs that led to study drug discontinuation were reported in this outcome measure.
Time frame: From Day 1 of study treatment up to Week 52 of the treatment safety period
Population: Safety analysis set included all participants who received at least one dose of investigational product.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With AEs Leading to Study Drug Discontinuation | 1 Participants |
Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities
Chemistry Test Abnormalities included: hypernatremia, hyponatremia, hyperkalemia, hypokalemia, hypoglycemia, creatinine increased, blood lactate dehydrogenase increased, hypoalbuminemia, creatine phosphokinase (CPK) increased, aspartate aminotransferase increased, alanine aminotransferase increased, blood bilirubin increased, alkaline phosphatase increased, chronic kidney disease, cholesterol high, hypertriglyceridemia. As per NCI CTCAE v5.0-G1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated, G2: moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental ADL, G3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. G4: life-threatening consequences; urgent intervention indicated. G5: death related to AE. G3 and 4 abnormalities were reported in this outcome measure.
Time frame: From Day 1 of study treatment up to Week 52 of the treatment safety period
Population: Safety analysis set included all participants who received at least one dose of investigational product.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Hypernatremia | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Hyponatremia | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Hyperkalemia | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Hypokalemia | 1 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Hypoglycemia | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Creatinine increased | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Blood lactate dehydrogenase increased | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Hypoalbuminemia | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | CPK increased | 4 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Aspartate aminotransferase increased | 1 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Alanine aminotransferase increased | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Blood bilirubin increased | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Alkaline phosphatase increased | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Chronic kidney disease | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Cholesterol high | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Chemistry Test Abnormalities | Hypertriglyceridemia | 2 Participants |
Treatment Safety Period: Number of Participants With Electrocardiogram (ECG) Abnormalities
ECG abnormalities criteria included: QT Interval Corrected Using Fridericia's Formula (QTcF) millisecond (msec): less than or equal to (\<=)450, 450 - \<=480, 480- \<=500, greater than (\>)500.
Time frame: From Day 1 of study treatment up to Week 52 of the treatment safety period
Population: Safety analysis set included all participants who received at least one dose of investigational product.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Electrocardiogram (ECG) Abnormalities | <=450 | 225 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Electrocardiogram (ECG) Abnormalities | 450 - <= 480 | 6 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Electrocardiogram (ECG) Abnormalities | 480 - <= 500 | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Electrocardiogram (ECG) Abnormalities | > 500 | 0 Participants |
Treatment Safety Period: Number of Participants With Hematology Test Abnormalities
Hematology parameters included: hemoglobin increased, anemia, leukocytosis, white blood cell decreased, platelet count decreased, neutrophil count decreased, lymphocyte count increased, lymphocyte count decreased. As per National Cancer Institute of Common Terminology Criteria for Adverse Events (NCI CTCAE) version(v)5.0-Grade(G) 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated, Grade 2: moderate; minimal, local or non-invasive intervention indicated; limiting age appropriate instrumental activities of daily living (ADL), Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. Grade 4: life-threatening consequences; urgent intervention indicated. Grade 5: death related to AE. Grade 3 and 4 abnormalities were reported in this outcome measure.
Time frame: From Day 1 of study treatment up to Week 52 of the treatment safety period
Population: Safety analysis set included all participants who received at least one dose of investigational product.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Hematology Test Abnormalities | Hemoglobin increased | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Hematology Test Abnormalities | Anemia | 1 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Hematology Test Abnormalities | Leukocytosis | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Hematology Test Abnormalities | White blood cell decreased | 1 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Hematology Test Abnormalities | Platelet count decreased | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Hematology Test Abnormalities | Neutrophil count decreased | 1 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Hematology Test Abnormalities | Lymphocyte count increased | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Hematology Test Abnormalities | Lymphocyte count decreased | 1 Participants |
Treatment Safety Period: Number of Participants With Serious Adverse Events (SAEs)
An adverse event was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily have a causal relationship with the investigational product. SAE referred to any untoward medical occurrence that met any of the following criteria at any dose for a participant that received the investigational product: death, life-threatening, permanent or severe disability or incapacity, hospitalization or prolongation of hospitalization required or congenital anomaly or birth defect.
Time frame: From Day 1 of study treatment up to Week 52 of the treatment safety period
Population: Safety analysis set included all participants who received at least one dose of investigational product.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Serious Adverse Events (SAEs) | 7 Participants |
Treatment Safety Period: Number of Participants With Treatment Emergent Adverse Events (TEAEs)
An adverse event was any untoward medical occurrence in a clinical trial participant administered an investigational product that may present with symptoms/signs, disease, or laboratory abnormalities and which did not necessarily have a causal relationship with the investigational product. TEAEs were events that started after the first dose of trial drug and did not occur or worsen relative to the first dose.
Time frame: From Day 1 of study treatment up to Week 52 of the treatment safety period
Population: Safety analysis set (SS) included all participants who received at least one dose of investigational product.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | 203 Participants |
Treatment Safety Period: Number of Participants With Vital Signs Abnormalities
Vital signs abnormalities included blood pressure (BP) millimeters of mercury (mmHg): systolic BP \<90 and \>140; diastolic BP \<50 and \>90 and pulse rate (beats per minute) :\<40 and \>120.
Time frame: From Day 1 of study treatment up to Week 52 of the treatment safety period
Population: Safety analysis set included all participants who received at least one dose of investigational product. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Vital Signs Abnormalities | Systolic BP <90 | 12 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Vital Signs Abnormalities | Systolic BP >140 | 9 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Vital Signs Abnormalities | Diastolic BP <50 | 1 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Vital Signs Abnormalities | Diastolic BP >90 | 17 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Vital Signs Abnormalities | Pulse rate <40 | 0 Participants |
| Rimegepant 75 mg ODT | Treatment Safety Period: Number of Participants With Vital Signs Abnormalities | Pulse rate >120 | 0 Participants |
Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period
The number of migraine days and severity of migraine attacks was analyzed for every 4-week interval and overall period during long-term treatment with rimegepant in participants was compared to the observation period. Pain intensity of migraine was graded into mild, moderate, or severe and severity was judged by investigator.
Time frame: Baseline (observation period); Week 1 to 4, 5 to 8, 9 to 12, 13 to 16, 17 to 20, 21 to 24, 25 to 28, 29 to 32, 33 to 36, 37 to 40, 41 to 44, 45 to 48, 49 to 52 and Overall (Week 1 to 52)
Population: Efficacy analysis set (EAS) included all participants in the FAS with\>= 14 electronic (e)Diary days (not necessarily consecutive) in both the observational period analysis period and\>= 1 month (4-week interval) of the long-term treatment analysis period. Number Analyzed signifies number of participants evaluable for the specified rows.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 1 to Week 4 | -1.7 Days | Standard Deviation 3.8 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 5 to Week 8 | -2.4 Days | Standard Deviation 4.5 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 9 to Week 12 | -3.4 Days | Standard Deviation 4.2 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 13 to Week 16 | -3.7 Days | Standard Deviation 4.6 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 17 to Week 20 | -4.4 Days | Standard Deviation 4.6 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 21 to Week 24 | -4.8 Days | Standard Deviation 4.6 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 25 to Week 28 | -5.2 Days | Standard Deviation 4.6 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 29 to Week 32 | -4.8 Days | Standard Deviation 4.7 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 33 to Week 36 | -5.2 Days | Standard Deviation 4.5 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 37 to Week 40 | -5.5 Days | Standard Deviation 5.1 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 41 to Week 44 | -5.7 Days | Standard Deviation 4.7 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 45 to Week 48 | -5.6 Days | Standard Deviation 4.7 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Week 49 to Week 52 | -5.6 Days | Standard Deviation 5.5 |
| Rimegepant 75 mg ODT | Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall Period | Overall | -2.8 Days | Standard Deviation 4.1 |