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Rizatriptan

Phase 3

Migraine Disorders | Small molecule | Neurology |Organon & Co.|Last Updated: May 10, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment1,959

FDA Designations

No designations recorded

Clinical trial landscape

Rizatriptan · 3 trials · 3 indications

Phase 3 3
NCT01001234A Study to Evaluate the Efficacy and Tolerability of Rizatriptan for Treatment of Acute Migraine in Children and Adolescents (MK-0462-082 AM7)Migraine, Acute
COMPLETED1,382 Analytics
NCT00894556A Study to Evaluate the Efficacy and Tolerability of Rizatriptan for Treatment of Acute Migraine (0462-087)Acute Migraine
COMPLETED109 Analytics
NCT01286207Long-Term Exposure to Rizatriptan 5-mg and 10-mg Oral Tablet (Combined Extension Protocols MK-0462-022, MK-0462-025, MK-0462-029)Migraine Disorders
COMPLETED1,959 Analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Tolerability of Rizatriptan for Treatment of Acute Migraine in Children and Adolescents (MK-0462-082 AM7)
Migraine, AcuteUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Tolerability of Rizatriptan for Treatment of Acute Migraine (0462-087)
Acute MigraineUnlock trial analytics
PHASE3COMPLETED
Long-Term Exposure to Rizatriptan 5-mg and 10-mg Oral Tablet (Combined Extension Protocols MK-0462-022, MK-0462-025, MK-0462-029)
Migraine DisordersUnlock trial analytics

Study Endpoints

Primary Endpoints

Pain Freedom at 2 Hours Post Dose in Participants Between 12 and 17 Years of Age
2 hours post Stage 2 dose

Pain intensity was assessed using a 5-Face Pain Scale ranging from 1=no pain to 5=very bad pain. Pain freedom was defined as a reduction in severity from a rating of 3, 4 or 5 (moderate or severe pain) at the Stage 2 baseline (15 minutes post Stage 1 dose) to a rating of 1 (no pain) at 2 hours post Stage 2 dose. Missing data were imputed by carrying forward the preceding Stage 2 pain intensity values. Missing Stage 2 baseline values were imputed by carrying forward the Stage 1 baseline value, if available.

Pain Relief (PR)
2 hours post dose

Pain severity was rated by the participants in a paper diary. Pain severity rating scale: 0 (no pain), 1 (mild pain), 2 (moderate pain), or 3 (severe pain). Pain relief (PR) is defined as a reduction in headache severity from Grade 3/2 at baseline to Grade 1/0 post dose.

Percent of Patient's Headaches With Pain Relief at 2 Hours After the Initial Dose of Test Drug
2 hours after initial dose of test drug

Headache severity was rated on a 4-point scale (0 = no headache; 1 = mild pain; 2 = moderate pain; 3 = severe pain) immediately before initial dose and at 2 hours thereafter. Pain relief was defined as a reduction of headache severity from grades 2/3 at baseline to 0/1.

Number of Participants With Serious Clinical Adverse Experiences
Up to 12 months

Serious clinical adverse experiences (CAEs) are any adverse events (AEs) occurring at any dose that; results in death; or is life threatening; or results in a persistent or significant disability/incapacity; or results in or prolongs an existing inpatient hospitalization; or is a congenital anomaly/birth defect; or is a cancer; or is an overdose.

Number of Participants With Drug-related Clinical Adverse Experiences
Up to 12 months

Patients with drug-related (as assessed by an investigator who is a qualified physician according to his/her best clinical judgment) CAEs.

Number of Participants Who Discontinued Due to Clinical Adverse Experiences
Up to 12 months
Number of Participants With Drug-related Lab Adverse Experiences
Up to 12 weeks

Patients with drug-related (as assessed by an investigator who is a qualified physician according to his/her best clinical judgment) laboratory adverse experience (LAE). A LAE is defined as any unfavorable and unintended change in the chemistry of the body temporally associated with the use of the SPONSOR'S product, whether or not considered related to the use of the product.

Secondary Endpoints

Pain Relief at 2 Hours Post Dose in Participants Between 12 and 17 Years of Age
2 hours post Stage 2 dose
Pain Freedom at 2 Hours Post Dose in Participants Between 6 and 17 Years of Age
2 hours post Stage 2 dose
Pain Relief at 2 Hours Post Dose in Participants Between 6 and 17 Years of Age
2 hours post Stage 2 dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Stage 1: rizatriptanEXPERIMENTAL -
Stage 1: placeboPLACEBO_COMPARATOR -
Stage 2: rizatriptanEXPERIMENTAL -
Stage 2: placeboPLACEBO_COMPARATOR -
Treatment Sequence AEXPERIMENTALRizatriptan - Rizatriptan - Placebo
Treatment Sequence BEXPERIMENTALRizatriptan - Placebo - Rizatriptan
Treatment Sequence CEXPERIMENTALPlacebo - Rizatriptan - Rizatriptan
Baseline PhaseOTHERSumatriptan
Rizatriptan 5 mgEXPERIMENTALRizatriptan 5 mg orally once for treatment of index migraine attack, followed by two additional doses within 24 hours of the initial dose for migraine recurrence(s)
Rizatriptan 10 mgEXPERIMENTALRizatriptan 10 mg orally once for treatment of index migraine attack, followed by two additional doses within 24 hours of the initial dose for migraine recurrence(s)
Standard CareACTIVE_COMPARATORStandard care at onset of migraine attack

Interventions

NameTypeDescription
rizatriptanDRUGFor participants randomized to rizatriptan in Stage 1: a single 5 or 10 mg rizatriptan orally disintegrating tablet (ODT) was to be taken within 30 minutes of onset of qualifying migraine (defined as a migraine of moderate or severe intensity). Rizatriptan dose administered was based on participant weight at Screening: those \<40 kg received 5 mg tablet, those ≥40 kg received 10 mg tablet.
placeboDRUGFor participants randomized to placebo in Stage 1: a single placebo ODT was to be taken within 30 minutes of onset of qualifying migraine.
Comparator: PlaceboDRUGPlacebo to Rizatriptan
Comparator: SumatriptanDRUGsingle dose of generic sumatriptan 100 mg at onset of migraine attack
Rizatriptan 5 mgDRUGRizatriptan 5 mg orally once for treatment of index migraine attack, followed by two additional doses within 24 hours of the initial dose for migraine recurrence(s)
Rizatriptan 10 mgDRUGRizatriptan 10 mg orally once for treatment of index migraine attack, followed by two additional doses within 24 hours of the initial dose for migraine recurrence(s)
Standard CareDRUGActive standard care
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Eligibility Criteria

Age Range6 Years to 17 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patient weighs at least 20 kg (44 pounds) * Patient has had a history of migraine with or without aura \> 6 months with \>= 1 to \<= 8 moderate or severe migraine attacks per month in the 2 months prior to screening Visit 1 * Patient has a history of migraine defined by Intern...

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Frequently asked questions about Rizatriptan

What is rizatriptan used for?

Rizatriptan is used for the acute treatment of migraine, including migraine-associated nausea. It is being studied in adults and in children and adolescents aged 6 years and older. The drug is a small molecule in development for migraine disorders and acute migraine.

What does rizatriptan target?

Rizatriptan is a triptan that works by binding to serotonin receptors, which constricts blood vessels in the brain and reduces inflammation, helping to relieve migraine pain. It is a small molecule developed for the acute treatment of migraine.

Who makes rizatriptan?

Rizatriptan is being developed by Organon & Co., a company traded on the New York Stock Exchange under the ticker symbol OGN. The drug is in Phase 3 clinical development for the treatment of migraine.

What phase is rizatriptan in?

Rizatriptan is in Phase 3 clinical development. It is an investigational drug, not yet approved by the FDA, and is being studied for the acute treatment of migraine in adults and children.

What clinical trials is rizatriptan in?

Rizatriptan has completed four Phase 3 trials, including NCT00250458 for migraine-associated nausea, NCT00894556 for acute migraine, NCT01001234 for acute migraine in children and adolescents, and NCT01286207 for long-term exposure in migraine disorders.

Is rizatriptan the same as Maxalt?

Rizatriptan is the generic name for the migraine medication marketed as Maxalt. The drug is being studied under the name rizatriptan in clinical trials for acute migraine treatment.