Clinical trial • Phase III • Neurology

RIMEGEPANT for Acute migraine

Phase III trial of RIMEGEPANT for Acute migraine. open-label. 502 participants.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Acute migraine
Trial Stage
Phase III
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
07-06-2024
First CTIS Authorization Date
21-06-2024

Trial design

open-label Phase III trial across 8 sites in Spain, Poland.

Open Label
Yes
Target Sample Size
502
Trial Duration For Participant
50

Eligibility

Recruits 502 paediatric patients.

Vulnerable Population
Vulnerable population: children and adolescents aged ≥6 to <18 years. Assent and consent handling: age-specific assent forms are provided (assent forms for 6–12 years and 12–17 years) and parent/guardian consent forms are used; subject information and informed consent forms (examples in documents: L5a_ICD Assent 6_12yo, L5b_ICD Assent 6 to 12 yo, L1a_ICD Assent 12_17yo, L2a_ICD Parent Guardian, L3a_ICD Pregnant Partner, L4a_ICD Adult) are available in country-specific versions (Polish and Spanish public documents are present).

Inclusion criteria

  • {"criterion_text":"- History of migraine (with or without aura) for ≥ 6 months before Screening.\n- History of 1 to 8 moderate or severe attacks per month during the 2 months prior to screening.\n- Participant had 1 or more migraine days requiring treatment during the Observation Phase.\n- Participants on prophylactic migraine medication are permitted to remain on therapy if the dose has been stable for at least 12 weeks prior to the Screening Visit.\n- Participants are required to verbally distinguish between migraine and other types of headaches.\n- Participants must have a body weight > 15 kg. For EU countries only: Participants 12 to < 18 years of age must have a body weight of >25 kg.\n- Participants must have adequate venous access for blood sampling. 8.\n- Participants 6 to < 18 years of age (participants must not reach their 18th birthday on or before enrollment into the study).Baseline visit)."}

Exclusion criteria

  • {"criterion_text":"- Participant has a history of cluster headache or hemiplegic migraine headache. 2.\n- The participant has a confounding and clinically significant pain syndrome that may interfere with their ability to participate in this study.\n- The participant has any current psychiatric condition that is uncontrolled and/or untreated for a minimum of 6 months prior to the Screening Visit. Participants with a lifetime history of psychosis and/or mania are excluded.\n- History of suicidal behavior or the participant is at risk of self-harm or harm to others.\n- History of major psychiatric disorder.\n- The participant has a current diagnosis or history of substance abuse.\n- The participant has reported current use of or has tested positive at the Screening visit for drugs of abuse."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The frequency and severity of on-treatment and treatment-emergent adverse events (TEAEs) that occur in at least 5% of treated participants, the frequency of serious adverse events (SAEs) , adverse events (AEs) leading to discontinuation and clinically significant laboratory abnormalities during the treatment period will be assessed. Clinically significant laboratory abnormalities will be identified as on-treatment Grade 3 to 4 laboratory test results.","definition_or_measurement_approach":"Assessment of frequency and severity of on-treatment and treatment-emergent adverse events (TEAEs) occurring in ≥5% of treated participants; frequency of SAEs; AEs leading to discontinuation; clinically significant laboratory abnormalities defined as on-treatment Grade 3 to 4 laboratory test results."}

Secondary endpoints

  • {"endpoint_text":"- The frequency and severity of hepatic-related adverse events (AEs) and frequency of hepatic-related AEs leading to treatment discontinuation will be tabulated from case report forms and will be based on unique participants reporting such events. Severity will be assessed as the worst severity observed while the participant is on treatment.","definition_or_measurement_approach":"Hepatic-related AEs tabulated from case report forms based on unique participants; frequency of hepatic-related AEs leading to treatment discontinuation; severity assessed as worst severity observed while participant is on treatment."}

Recruitment

Planned Sample Size
502
Recruitment Window Months
112
Consent Approach
Informed consent obtained from parent/guardian; assent obtained from minor participants with age-specific assent forms for 6–12 years and 12–17 years. Subject information and informed consent forms are available in country-specific versions (documents available in Polish and Spanish; recruitment arrangements documents include English titles as well).

Geography

Total Number Of Sites
8
Total Number Of Participants
98

Spain

Earliest CTIS Part Ii Submission Date
22-05-2024
Latest Decision Or Authorization Date
09-03-2026
Processing Time Days
656
Number Of Sites
3
Number Of Participants
38

Sites

Site Name
University Hospital Virgen Del Rocio S.L.
Department Name
Neurology
Principal Investigator Name
Maria Carmen González Oria
Contact Person Name
Maria Carmen González Oria
Contact Person Email
carmengoria@hotmail.com
Site Name
Hospital Universitari Vall D Hebron
Department Name
Neurology
Principal Investigator Name
Patricia Pozo Rosich
Contact Person Name
Patricia Pozo Rosich
Contact Person Email
ppozo@vhebron.net
Site Name
Hospital Clinico Universitario De Valladolid
Department Name
Neurology
Principal Investigator Name
Ángel Luis Guerrero Peral
Contact Person Name
Ángel Luis Guerrero Peral
Contact Person Email
gueneurol@gmail.com

Poland

Earliest CTIS Part Ii Submission Date
22-05-2024
Latest Decision Or Authorization Date
08-03-2026
Processing Time Days
655
Number Of Sites
5
Number Of Participants
60

Sites

Site Name
Centrum Leczenia Migre
Principal Investigator Name
Anna Gryglas-Dworak
Contact Person Name
Anna Gryglas-Dworak
Contact Person Email
anna.gryglas@gmail.com
Site Name
Centrum Medyczne Plejady Magdalena Celinska Loewenhoff Michal Zolnowski sp.k.
Principal Investigator Name
Marta Żołnowska
Contact Person Name
Marta Żołnowska
Contact Person Email
marta.zolnowska@gmail.com
Site Name
Clinical Research Center Sp. z o.o. Medic-R sp.k.
Principal Investigator Name
Ilona Pieczonka-Ruszkowska
Contact Person Name
Ilona Pieczonka-Ruszkowska
Site Name
Wojewodzki Specjalistyczny Szpital Dzieciecy Im Sw Ludwika W Krakowie
Department Name
Oddział Kliniczny Dzieci Starszych z Pododdziałem Neurologicznym, Reumatologicznym
Principal Investigator Name
Barbara Prawdzic-Seńkowska
Contact Person Name
Barbara Prawdzic-Seńkowska
Contact Person Email
b.senkowska@gmail.com
Site Name
Centrum Medyczne Oporow
Principal Investigator Name
Anna Dobrzycka-Ambrożewicz
Contact Person Name
Anna Dobrzycka-Ambrożewicz

Sponsor

Primary sponsor

Full Name
Pfizer Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Q Squared Solutions Limited
Responsibilities
Central Laboratory services
Name
Endpoint Clinical Inc.
Responsibilities
IVRS - treatment randomization
Name
Eresearchtechnology Inc.
Responsibilities
Cardiac Safety Assessment: central ECG services; eDiary solutions provider
Name
Syneos Health Netherlands B.V.
Responsibilities
Vendor management and other vendor/CRO services

Third parties

  • {"country":"United Kingdom","full_name":"Q Squared Solutions Limited","duties_or_roles":"Central Laboratory services","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"IVRS - treatment randomization","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"Cardiac Safety Assessment: central ECG services; eDiary solutions provider","organisation_type":"Pharmaceutical company"}
  • {"country":"Netherlands","full_name":"Syneos Health Netherlands B.V.","duties_or_roles":"Vendor management; (other duties coded: 1, 5, 6 in record)","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
VYDURA 75 mg oral lyophilisate
Active Substance
RIMEGEPANT
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Marketing authorisation (prodAuthStatus 2; marketingAuthNumber EU/1/22/1645/002)
Starting Dose
75 mg
Dose Levels
75 mg
Maximum Dose
75 mg
Investigational Product Name
50 mg oral lyophilisate
Active Substance
RIMEGEPANT
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Not authorised (prodAuthStatus 1)
Starting Dose
50 mg
Dose Levels
50 mg
Maximum Dose
50 mg
Investigational Product Name
35 mg oral lyophilisate
Active Substance
RIMEGEPANT
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Not authorised (prodAuthStatus 1)
Starting Dose
35 mg
Dose Levels
35 mg
Maximum Dose
35 mg
Investigational Product Name
25 mg oral lyophilisate
Active Substance
RIMEGEPANT
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Not authorised (prodAuthStatus 1)
Starting Dose
25 mg
Dose Levels
25 mg
Maximum Dose
50 mg

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