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A Study to Learn About the Long-term Safety of Rimegepant for the Acute Treatment of Migraine in Chinese Participants

A Multicenter, Open Label, Long-term Safety Study of BHV3000 for the Acute Treatment of Migraine in Chinese Subjects

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05371652
Enrollment
241
Registered
2022-05-12
Start date
2022-05-19
Completion date
2024-02-06
Last updated
2025-02-20

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

Conditions

Acute Migraine

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

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

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

MeasureTime frameDescription
Follow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesFrom Week 52 to Week 54 of the follow-up safety periodChemistry 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 periodAn 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 TEAEsFrom Week 52 to Week 54 of the follow-up safety periodAn 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 periodAn 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 SAEsFrom Week 52 to Week 54 of the follow-up safety periodAn 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 DiscontinuationFrom Day 1 of study treatment up to Week 52 of the treatment safety periodAn 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 DiscontinuationFrom Week 52 to Week 54 of the follow-up safety periodAn 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) AbnormalitiesFrom Day 1 of study treatment up to Week 52 of the treatment safety periodECG 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 AbnormalitiesFrom Week 52 to Week 54 of the follow-up safety periodECG abnormalities criteria included: QTcF msec: \<=450, 450 - \<=480, 480- \<=500, \>500.
Treatment Safety Period: Number of Participants With Vital Signs AbnormalitiesFrom Day 1 of study treatment up to Week 52 of the treatment safety periodVital 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 periodVital 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 AbnormalitiesFrom Day 1 of study treatment up to Week 52 of the treatment safety periodHematology 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 AbnormalitiesFrom Week 52 to Week 54 of the follow-up safety periodHematology 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 AbnormalitiesFrom Day 1 of study treatment up to Week 52 of the treatment safety periodChemistry 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

MeasureTime frameDescription
Change From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodBaseline (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

ArmCount
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
Total240

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1
Overall StudyNon-Compliance with Study Schedule9
Overall StudyOther11
Overall StudyWithdrawal by Subject12

Baseline characteristics

CharacteristicRimegepant 75mg ODT
Age, Continuous39.1 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 typeEG000
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

Primary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With AEs Leading to Study Drug Discontinuation0 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesHypernatremia0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesHyponatremia0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesHyperkalemia0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesHypokalemia1 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesHypoglycemia0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesCreatinine increased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesBlood lactate dehydrogenase increased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesHypoalbuminemia0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesCPK increased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesAspartate aminotransferase increased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesAlanine aminotransferase increased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesBlood bilirubin increased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesAlkaline phosphatase increased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesChronic kidney disease0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesCholesterol high0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Chemistry Test AbnormalitiesHypertriglyceridemia0 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With ECG Abnormalities<=450209 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With ECG Abnormalities450 - <= 4802 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With ECG Abnormalities480 - <= 5000 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With ECG Abnormalities>5002 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Hematology Test AbnormalitiesHemoglobin increased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Hematology Test AbnormalitiesAnemia0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Hematology Test AbnormalitiesLeukocytosis0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Hematology Test AbnormalitiesWhite blood cell decreased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Hematology Test AbnormalitiesPlatelet count decreased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Hematology Test AbnormalitiesNeutrophil count decreased1 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Hematology Test AbnormalitiesLymphocyte count increased0 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Hematology Test AbnormalitiesLymphocyte count decreased0 Participants
Primary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With SAEs0 Participants
Primary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With TEAEs24 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Vital Signs Abnormalities.Systolic BP <901 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Vital Signs Abnormalities.Systolic BP >1401 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Vital Signs Abnormalities.Diastolic BP <500 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Vital Signs Abnormalities.Diastolic BP >905 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Vital Signs Abnormalities.Pulse rate <400 Participants
Rimegepant 75 mg ODTFollow-up Safety Period: Number of Participants With Vital Signs Abnormalities.Pulse rate >1200 Participants
Primary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With AEs Leading to Study Drug Discontinuation1 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesHypernatremia0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesHyponatremia0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesHyperkalemia0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesHypokalemia1 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesHypoglycemia0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesCreatinine increased0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesBlood lactate dehydrogenase increased0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesHypoalbuminemia0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesCPK increased4 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesAspartate aminotransferase increased1 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesAlanine aminotransferase increased0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesBlood bilirubin increased0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesAlkaline phosphatase increased0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesChronic kidney disease0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesCholesterol high0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Chemistry Test AbnormalitiesHypertriglyceridemia2 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Electrocardiogram (ECG) Abnormalities<=450225 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Electrocardiogram (ECG) Abnormalities450 - <= 4806 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Electrocardiogram (ECG) Abnormalities480 - <= 5000 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Electrocardiogram (ECG) Abnormalities> 5000 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Hematology Test AbnormalitiesHemoglobin increased0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Hematology Test AbnormalitiesAnemia1 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Hematology Test AbnormalitiesLeukocytosis0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Hematology Test AbnormalitiesWhite blood cell decreased1 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Hematology Test AbnormalitiesPlatelet count decreased0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Hematology Test AbnormalitiesNeutrophil count decreased1 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Hematology Test AbnormalitiesLymphocyte count increased0 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Hematology Test AbnormalitiesLymphocyte count decreased1 Participants
Primary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Serious Adverse Events (SAEs)7 Participants
Primary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Treatment Emergent Adverse Events (TEAEs)203 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Vital Signs AbnormalitiesSystolic BP <9012 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Vital Signs AbnormalitiesSystolic BP >1409 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Vital Signs AbnormalitiesDiastolic BP <501 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Vital Signs AbnormalitiesDiastolic BP >9017 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Vital Signs AbnormalitiesPulse rate <400 Participants
Rimegepant 75 mg ODTTreatment Safety Period: Number of Participants With Vital Signs AbnormalitiesPulse rate >1200 Participants
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 1 to Week 4-1.7 DaysStandard Deviation 3.8
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 5 to Week 8-2.4 DaysStandard Deviation 4.5
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 9 to Week 12-3.4 DaysStandard Deviation 4.2
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 13 to Week 16-3.7 DaysStandard Deviation 4.6
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 17 to Week 20-4.4 DaysStandard Deviation 4.6
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 21 to Week 24-4.8 DaysStandard Deviation 4.6
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 25 to Week 28-5.2 DaysStandard Deviation 4.6
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 29 to Week 32-4.8 DaysStandard Deviation 4.7
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 33 to Week 36-5.2 DaysStandard Deviation 4.5
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 37 to Week 40-5.5 DaysStandard Deviation 5.1
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 41 to Week 44-5.7 DaysStandard Deviation 4.7
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 45 to Week 48-5.6 DaysStandard Deviation 4.7
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodWeek 49 to Week 52-5.6 DaysStandard Deviation 5.5
Rimegepant 75 mg ODTChange From Observation Period in the Number of Migraine Days by Pain Intensity at Every 4 Week Interval and Overall PeriodOverall-2.8 DaysStandard Deviation 4.1

Source: ClinicalTrials.gov · Data processed: Feb 8, 2026