AzTrials
AzTrials

MigrainePhase 2NCT01430442

Dose Ranging Study of Rimegepant (BMS-927711) for the Acute Treatment of Migraine

A Phase 2 study testing Rimegepant and Sumatriptan in people with Migraine and Acute Treatment of Migraine, run by Pfizer at 41 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary purpose of this study is to evaluate the efficacy of rimegepant (BMS-927711) compared with placebo in the acute treatment of migraine as measured by Pain Freedom (headache pain intensity level reported as "no pain") at 2 hours post dose using a four point numeric rating scale (no pain, mild pain, moderate… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Migraine, Acute Treatment of Migraine
What is being tested?
Rimegepant and Sumatriptan
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,026 participants
Where
41 sitesUnited States
Study dates
Oct 2011to May 2012
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient with at least 1-year history of migraines (with or without aura) including the following:
  • Migraine attacks more than 1 year with age of onset prior to 50 years of age
  • Migraine attacks, on average, last about 4 - 72 hours if untreated
  • No more than 8 attacks of moderate to severe intensity per month within last 3 months
  • Patient must be able to distinguish migraine attacks from tension/cluster attacks and must have consistent migraine headaches of at least 2 migraine headaches attacks of moderate to severe intensity in each of the last 3 months
  • Less than 15 days of headache (migraine or non-migraine) per month in each of 3 months prior to screening
  • Male and female ≥ 18 years and ≤ age 65
  • No clinically significant abnormality identified on the medical or laboratory evaluation

Who cannot join

  • Patient has a history of basilar migraine or hemiplegic migraine
  • Patient does not receive migraine relief from triptan migraine treatment
  • Medications that may alter the pH of the stomach (acid reducing agents), such as H-2 antagonists, Proton Pump inhibitors (PPI), antacids
  • History of ergotamine or triptan intake greater than/equal 10 days per month on a regular basis for greater than 3 months
  • History of non-narcotic analgesic intake on greater then/equal 15 days per month for greater than/equal 3 months

Trial locations and contacts

41 sites in 1 country.

41 sites in 1 country

United States41 sites
  • The Innovative Clinical Research Center

    Alexandria, Virginia, 22304

  • Michigan Head Pain And Neurological Institute

    Ann Arbor, Michigan, 48104

  • Premier Research Group Limited

    Austin, Texas, 78705

  • Futuresearch Trials Of Neurology

    Austin, Texas, 78731

  • Clinsearch, Llc

    Chattanooga, Tennessee, 37421

  • Diamond Headache Clinic, Ltd.

    Chicago, Illinois, 60642

  • Community Research

    Cincinnati, Ohio, 45227

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Radiant Research, Inc.

    Denver, Colorado, 80239

  • Regional Clinical Research Inc.

    Endwell, New York, 13760

  • Pharmquest

    Greensboro, North Carolina, 27408

  • The Center For Pharmaceutical Research. Pc

    Kansas City, Missouri, 64114

  • R/D Clinical Research, Inc.

    Lake Jackson, Texas, 77566

  • Central New York Clinical Research

    Manlius, New York, 13104

  • Miami Research Associates

    Miami, Florida, 33143

  • Milford Emergency Associates, Inc.

    Milford, Massachusetts, 01757

  • Clinical Research Institute, Inc.

    Minneapolis, Minnesota, 55402

  • Coastal Carolina Research Center, Inc.

    Mt. Pleasant, South Carolina, 29464

  • Renstar Medical Research

    Ocala, Florida, 34471

  • Compass Research, Llc

    Orlando, Florida, 32806

  • Broward Research Group

    Pembroke Pines, Florida, 33026

  • Thomas Jefferson University

    Philadelphia, Pennsylvania, 19107

  • Clinical Research Of Philadelphia, Llc

    Philadelphia, Pennsylvania, 19114

  • Wake Research Associates

    Raleigh, North Carolina, 27612

  • Rochester Clinical Research, Inc.

    Rochester, New York, 14609

  • J. Lewis Research, Inc

    Salt Lake City, Utah, 84109

  • J. Lewis Research, Inc

    Salt Lake City, Utah, 84121

  • University Of California, San Francisco

    San Francisco, California, 94115

  • California Medical Clinic For Headache

    Santa Monica, California, 90404

  • Mayo Clinic Arizona

    Scottsdale, Arizona, 85259

  • Swedish Pain And Headache Center

    Seattle, Washington, 98104

  • Encompass Clinical Research

    Spring Valley, California, 91978

  • Clinvest/ A Division Of Banyan Group, Inc.

    Springfield, Missouri, 65807

  • Mercy Health Research

    St Louis, Missouri, 63141

  • Comprehensive Clinical Development, Inc

    St. Petersburg, Florida, 33716

  • Clinical Res. Advantage Inc/ Desert Clinical Research Llc

    Tempe, Arizona, 85282

  • Tidewater Integrated Medical Research

    Virginia Beach, Virginia, 23454

  • Diablo Clinical Research, Inc.

    Walnut Creek, California, 94598

  • Omega Medical Research

    Warwick, Rhode Island, 02886

  • Medvadis Research Corporation

    Watertown, Massachusetts, 02472-3930

  • Pmg Research Of Winston-Salem

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: Phase IIb: Double-Blind, Randomized, Placebo Controlled, Dose-ranging Trial of BMS-927711 for the Acute Treatment of Migraine

The primary purpose of this study is to evaluate the efficacy of rimegepant (BMS-927711) compared with placebo in the acute treatment of migraine as measured by Pain Freedom (headache pain intensity level reported as "no pain") at 2 hours post dose using a four point numeric rating scale (no pain, mild pain, moderate pain, severe pain) while identifying an optimal dose to support the Phase 3 clinical trials.

Read the detailed description

Intervention Model: Parallel Versus Comparator + Placebo

Being tested
Rimegepant, Placebo, Sumatriptan
Medical subject headings
Migraine Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RimegepantDrug

    Rimegepant capsules

  • PlaceboDrug

    Rimegepant placebo-matching capsules

  • SumatriptanDrug

    Also called Imitrex®

    Rimegepant matching sumatriptan and Rimegepant matching placebo capsules

Study groups in NCT01430442
Study groupRoleWhat they receive
Treatment A: Rimegepant, 10 mgExperimentalParticipants received a single dose (one capsule) of rimegepant 10 milligram (mg) orally and three rimegepant placebo-matching capsules, orally, anytime within 45 days of randomization, once they experienced a migraine headache of moderate to severe intensity.
Receives: Drug: Rimegepant; Drug: Placebo
Treatment B: Rimegepant, 25 mgExperimentalParticipants received a single dose (one capsule) of rimegepant 25 mg orally; and three rimegepant placebo-matching capsules, orally, anytime within 45 days of randomization, once they experienced a migraine headache of moderate to severe intensity.
Receives: Drug: Rimegepant; Drug: Placebo
Treatment C: Rimegepant, 75 mgExperimentalParticipants received a single dose (one capsule) of rimegepant 75 mg orally; and three rimegepant placebo-matching capsules, orally, anytime within 45 days of randomization, once they experienced a migraine headache of moderate to severe intensity.
Receives: Drug: Rimegepant; Drug: Placebo
Treatment D: Rimegepant, 150 mgExperimentalParticipants received a single dose (one capsule) of rimegepant 150 mg orally; and three rimegepant placebo-matching capsules, orally, anytime within 45 days of randomization, once they experienced a migraine headache of moderate to severe intensity.
Receives: Drug: Rimegepant; Drug: Placebo
Treatment E: Rimegepant, 300 mgExperimentalParticipants received a single dose (two 150 mg capsules) of rimegepant 300 mg orally; and two rimegepant placebo-matching capsules, orally, anytime within 45 days of randomization, once they experienced a migraine headache of moderate to severe intensity.
Receives: Drug: Rimegepant; Drug: Placebo
Treatment F: Rimegepant, 600 mgExperimentalParticipants received a single dose (four capsules of 150 mg each) of rimegepant 600 mg orally; anytime within 45 days of randomization, once they experienced a migraine headache of moderate to severe intensity.
Receives: Drug: Rimegepant; Drug: Placebo
Treatment P: Rimegepant Placebo-Matching CapsulesPlacebo comparatorParticipants received a single dose (4 capsules) of rimegepant placebo-matching capsules orally, anytime within 45 days of randomization once they experienced a migraine headache of moderate to severe intensity.
Receives: Drug: Placebo
Treatment G: Sumatriptan 100 mgActive comparatorParticipants received a single dose (one capsule) of rimegepant-matching sumatriptan 100 mg orally and three rimegepant matching placebo capsules orally, anytime within 45 days of randomization once they experienced a migraine headache of moderate to severe intensity.
Receives: Drug: Placebo; Drug: Sumatriptan

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Pain Free Participants (Pain Freedom) at 2 Hours Post-dose

    Pain freedom was defined as participants reporting a value of "none" on the four-point numeric rating scale (none=0, mild =1, moderate =2, severe =3) from baseline. Participants with baseline moderate pain or severe pain were included in the analysis.

    Measured: Baseline, 2 hours post-dose

Secondary outcomes (4)
  1. Number of Participants With Total Migraine Freedom at 2 Hours Post Dose

    Total migraine freedom is defined as complete absence of migraine symptoms. A participant was positive for total migraine freedom at a particular time point if he/she reports the absence of: pain, nausea, photophobia, and phonophobia. This corresponds to reporting "none" on each of the four-point numeric rating scale (none =0, mild =1, moderate =2, severe =3) from baseline associated with these symptoms. Participants with baseline moderate pain or severe pain were included in the analysis.

    Measured: Baseline, 2 hours post dose

  2. Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and Discontinuation Due to Adverse Events

    An AE was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition, unfavorable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not related to study drug. A SAE was defined as an event which was fatal or life threatening, required or prolonged hospitalization, was significantly or permanently disabling or incapacitating, constituted a congenital anomaly or a birth defect, or suspected transmission of an infectious agent, or encompassed any other clinically significant event that could jeopardize the subject or require medical or surgical intervention to prevent one of the aforementioned outcomes.

    Measured: AEs: from first dose to end of treatment visit (up to 7 weeks); SAE: from signing of informed consent to 30 days after the last dose (up to 11 weeks).

  3. Number of Participants Achieving Sustained Pain Freedom From 2 to 24 Hours Post Dose

    Participants were considered to have sustained pain freedom if all of their reported pain readings in the interval are "none" on the four point numeric rating scale (no pain=0, mild pain=1, moderate pain=2, severe pain=3). The intervals are inclusive of the endpoints. Sustained pain freedom was analyzed with a Cochran Mantel Haenszel (CMH) test for general association that compares the ED90 to placebo, and controls for baseline pain severity.

    Measured: 2 hours to 24 hours post dose

  4. Number of Participants Achieving Sustained Pain Freedom From 2 to 48 Hours Post Dose

    Participants were considered to have sustained pain freedom if all of their reported pain readings in the interval are "none" on the four point numeric rating scale (no pain=0, mild pain=1, moderate pain=2, severe pain=3). The intervals are inclusive of the endpoints. Sustained pain freedom was analyzed with a CMH test for general association that compares the ED90 to placebo, and controls for baseline pain severity.

    Measured: 2 hours to 48 hours post dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Sep 2011 (estimated)
  2. Study startOct 2011
  3. Primary completionMay 2012
  4. Study completionMay 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,026 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01430442
Sponsor's protocol ID
CN170-003
Status last verified
Dec 2022
First submitted
7 Sep 2011
Last updated
28 Feb 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Marcus R, Goadsby PJ, Dodick D, Stock D, Manos G, Fischer TZ. BMS-927711 for the acute treatment of migraine: a double-blind, randomized, placebo controlled, dose-ranging trial. Cephalalgia. 2014 Feb;34(2):114-25. doi: 10.1177/0333102413500727. Epub 2013 Aug 21.

    PubMed 23965396

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Rimegepant and Sumatriptan in people with Migraine and Acute Treatment of Migraine, run by Pfizer at 41 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 41 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Sep 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Pain Free Participants (Pain Freedom) at 2 Hours Post-dose (time frame: Baseline, 2 hours post-dose). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01430442, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Feb 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in