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
- Contact Person Email
- Ilona.pieczonka-ruszkowska@cr-center.pl
- 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
- Contact Person Email
- anna.dobrzycka-ambrozewicz@cmoporow.com
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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