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Phase 3 Completed N=1,186 Randomized Triple-blind Treatment

Safety and Efficacy in Adult Subjects With Acute Migraines

Source: ClinicalTrials.gov NCT03237845 ↗
Enrolled (actual)
1,186
Serious AEs
0.3%
Results posted
Dec 2020
Primary outcomePrimary: Percentage of Participants With Freedom From Pain at 2 Hours Post-dose — 19.6; 12.0 Percentage of participants — p=0.0006
◆ Published Evidence
Highly cited
396citations · ~57 / year
Rimegepant, an Oral Calcitonin Gene-Related Peptide Receptor Antagonist, for Migraine.
The New England journal of medicine · 2019 · Open access · Likely link

Summary

The purpose of this study is to compare the efficacy of BHV-3000 (rimegepant) versus placebo in subjects with Acute Migraines

Linked Publications (3)

  • Rimegepant, an Oral Calcitonin Gene-Related Peptide Receptor Antagonist, for Migraine.
    The New England journal of medicine · 2019 · 396 citations · Open access · Likely link
  • Efficacy of rimegepant for the acute treatment of migraine based on triptan treatment experience: Pooled results from three phase 3 randomized clinical trials.
    Cephalalgia : an international journal of headache · 2023 · 50 citations · Open access · Likely link
  • Efficacy and safety of rimegepant for the acute treatment of migraine in Black or African American adults: A post hoc pooled subgroup analysis from three randomized, placebo-controlled clinical trials.
    Headache · 2026 · 0 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Freedom From Pain at 2 Hours Post-dose
19.6; 12.0 0.0006 sig
PRIMARY
Percentage of Participants With Freedom From Most Bothersome Symptom (MBS) at 2 Hours Post-dose
37.6; 25.2 < 0.0001 sig
SECONDARY
Percentage of Participants With Freedom From Photophobia at 2 Hours Post-dose
37.4; 22.3 < 0.0001 sig
SECONDARY
Percentage of Participants With Freedom From Phonophobia at 2 Hours Post-dose
36.7; 26.8 0.0039 sig
SECONDARY
Percentage of Participants With Pain Relief at 2 Hours Post-dose
58.1; 42.8 < 0.0001 sig
SECONDARY
Percentage of Participants With Freedom From Nausea at 2 Hours Post-dose
48.1; 43.3 0.2084
SECONDARY
Percentage of Participants With Rescue Medication Use Within 24 Hours Post-dose
21.0; 37.0
SECONDARY
Percentage of Participants With Sustained Pain Freedom From 2 to 24 Hours Post-dose
12.3; 7.1
SECONDARY
Percentage of Participants With Sustained Pain Relief From 2 to 24 Hours Post-dose
42.6; 26.5
SECONDARY
Percentage of Participants With Sustained Pain Freedom From 2 to 48 Hours Post-dose
9.9; 6.0
SECONDARY
Percentage of Participants With Sustained Pain Relief From 2 to 48 Hours Post-dose
36.3; 22.6
SECONDARY
Percentage of Participants With Pain Relapse From 2 to 48 Hours Post-dose
49.6; 50.0
SECONDARY
Percentage of Participants With Freedom From Functional Disability at 2 Hours Post-dose
32.6; 23.4

Eligibility Criteria

Key Inclusion Criteria

  • Patient has at least 1 year history of migraines (with or without aura), consistent with a diagnosis according to the International Classification of Headache Disorder, 3rd Edition, Beta version[1] including the following:
  • Not more than 8 attacks of moderate or severe intensity per month within last 3 months
  • Consistent migraine headaches of at least 2 migraine headache attacks of moderate or severe intensity in each of the 3 months prior to the Screening Visit and maintains this requirement during the Screening Period
  • Less than 15 days with headache (migraine or non-migraine) per month in each of the 3 months prior to the Screening Visit and maintains this requirement during the Screening Period
  • Patients on prophylactic migraine medication are permitted to remain on therapy provided they have been on a stable dose for at least 3 months prior to study entry.
  • Patients with contraindications for use of triptans may be included provided they meet all other study entry criteria.

Key Exclusion Criteria

  • Patient history of HIV disease
  • Patient history with current evidence of uncontrolled, unstable or recently diagnosed cardiovascular disease, such as ischemic heart disease, coronary artery vasospasm, and cerebral ischemia. Patients with Myocardial Infarction (MI), Acute Coronary Syndrome (ACS),Percutaneous Coronary Intervention (PCI), cardiac surgery, stroke or transient ischemic attack (TIA) during the 6 months prior to screening.
  • Uncontrolled hypertension (high blood pressure), or uncontrolled diabetes (however patients can be included who have stable hypertension and/or diabetes for 3 months prior to being enrolled)
  • Patient has a current diagnosis of major depression, other pain syndromes, psychiatric conditions (eg, schizophrenia), dementia, or significant neurological disorders (other than migraine) that, in the Investigator's opinion, might interfere with study assessments
  • Patient has a history of gastric, or small intestinal surgery, or has a disease that causes malabsorption.
  • The patient has a history or current evidence of any significant and/or unstable medical conditions (eg, history of congenital heart disease or arrhythmia, known suspected infection, hepatitisB 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 ofthe trial
  • History of, treatment for, or evidence of, alcohol or drug abuse within the past 12 months or patients who have met DSM-V criteria for any significant substance use disorder within thepast 12 months from the date of the screening visit.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03237845) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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