Recent Updates
Recently added Catalysts

rizatriptan benzoate

Phase 3FDA approved

Acute Migraine With or Without Aura in Adolescents | Small molecule | Neurology |Organon & Co.|Trials Updated: May 23, 2024

rizatriptan benzoate development status

FDA approval on record Jun 29, 1998
Approval holderOrganon Llc
ApplicationNDA020864
Highest phase Phase 3
Registered trials 13 across 4 sponsors since Sep 2004

Label indication MAXALT ® and MAXALT-MLT ® are indicated for the acute treatment of migraine with or without aura in adults and in pediatric patients 6 to 17 years old. Limitations of Use MAXALT should only be used where a clear diagnosis of migraine has been established. FDA label

rizatriptan benzoate target and mechanism

Molecular targetHTR1B, HTR1D
Target classAgonist
ModalitySmall molecule
ChEMBLCHEMBL905

Also known as rizatriptan benzoate (MK0462), MK-0462, Maxalt, rizatriptan

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

UNCONTROLLED
Total Trials12
Total Enrollment8,963

FDA Designations

No designations recorded

rizatriptan benzoate clinical trials

rizatriptan benzoate · 12 trials · 6 indications

Phase 3 11Phase 1 1
NCT01004263A Study to Evaluate the Safety and Tolerability of Rizatriptan for Long Term Treatment of Acute Migraine in Children and Adolescents (MK-0462-086 AM3)Acute Migraine With or Without Aura in Adolescents
COMPLETED674 Analytics
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
NCT00812006A Study of Rizatriptan for the Treatment of Acute Migraine in Patients on Topiramate for Migraine ProphylaxisMigraine
COMPLETED108 Analytics
NCT00516737Study to Test Rizatriptan in the Early Treatment of Acute Migraine (0462-081)Migraine
COMPLETED207 Analytics
NCT00250458Study to Test a Marketed Product in the Treatment of Migraine-associated NauseaMigraine
COMPLETED346 Analytics
NCT00898677Rizatriptan 5 mg and 10 mg, Sumatriptan 100 mg, and Placebo Comparison Study (0462-030)Migraine Headache
COMPLETED1,268 Analytics
NCT00897104MK0462 5 mg, Sumatriptan 50 mg, and Placebo Comparison Study (0462-029)Migraine Headache
COMPLETED933 Analytics
NCT00899379Treatment of Multiple Attacks of Acute Migraine (0462-025)Migraine Headache
COMPLETED473 Analytics
NCT00897949MK0462 in Treatment of Migraine With Recurrence (MK0462-022)Migraine Headache
COMPLETED1,473 Analytics
PHASE3COMPLETED
A Study to Evaluate the Safety and Tolerability of Rizatriptan for Long Term Treatment of Acute Migraine in Children and Adolescents (MK-0462-086 AM3)
Acute Migraine With or Without Aura in AdolescentsUnlock trial 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
A Study of Rizatriptan for the Treatment of Acute Migraine in Patients on Topiramate for Migraine Prophylaxis
MigraineUnlock trial analytics
PHASE3COMPLETED
Study to Test Rizatriptan in the Early Treatment of Acute Migraine (0462-081)
MigraineUnlock trial analytics
PHASE3COMPLETED
Study to Test a Marketed Product in the Treatment of Migraine-associated Nausea
MigraineUnlock trial analytics
PHASE3COMPLETED
Rizatriptan 5 mg and 10 mg, Sumatriptan 100 mg, and Placebo Comparison Study (0462-030)
Migraine HeadacheUnlock trial analytics
PHASE3COMPLETED
MK0462 5 mg, Sumatriptan 50 mg, and Placebo Comparison Study (0462-029)
Migraine HeadacheUnlock trial analytics
PHASE3COMPLETED
Treatment of Multiple Attacks of Acute Migraine (0462-025)
Migraine HeadacheUnlock trial analytics
PHASE3COMPLETED
MK0462 in Treatment of Migraine With Recurrence (MK0462-022)
Migraine HeadacheUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Adverse Events (AEs) Within 24 Hours Post Any Dose
Up to 24 hours post dose

An AE is any unfavorable and unintended change in the structure, function or chemistry of the body temporally associated with study drug administration. Participants reported AEs in a diary and these were collected by the study site at visits at 1, 2, 3, 4, 6, 9, and 12 months after Screening visit. Participants with an AE occurring within 24 hours after any dose administered during the study are counted once in this summary.

Number of Participants With AEs Within 14 Days Post Any Dose
Up to 14 days post dose

An AE is any unfavorable and unintended change in the structure, function or chemistry of the body temporally associated with study drug administration. Participants reported AEs in a diary and these were collected by the study site at visits at 1, 2, 3, 4, 6, 9, and 12 months after Screening visit. AEs were assessed in a phone contact 14 days after the last dose of study medication. Participants with an AE occurring within 14 days after any dose administered during the study are counted once in this summary.

Number of Participants Discontinued From Study Due to AEs Occurring Within 24 Hours Post Dose
Up to 24 hours post dose

An AE is any unfavorable and unintended change in the structure, function or chemistry of the body temporally associated with study drug administration. Participants who discontinued due to an AE occurring within 24 hours post dose are counted in this summary.

Number of Participants Discontinued From Study Due to AEs Occurring Within 14 Days Post Dose
Up to 14 days post dose

An AE is any unfavorable and unintended change in the structure, function or chemistry of the body temporally associated with study drug administration. Participants who discontinued due to an AE occurring within 14 days post dose are counted in this summary.

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.

Number of Participants Who Are Pain Free at 2 Hours Post-Dose
2 hours post-dose

Pain severity was rated by the participants in a paper diary. Pain severity rating scale: 0 (no pain), 1 (mild), 2 (moderate), or 3 (severe). Pain free = rating of 0 (no pain) at 2 hours post-dose.

Participants With Elimination of Nausea at 2 Hours Postdose
At 2 hours after treatment

Participants reporting the absence of nausea at 2 hours post treatment. Absence or presence of nausea was recorded by the participants in an electronic diary. Absence is defined as no nausea at 2 hours post-treatment.

Pain Relief at 2 Hours After Dose
2 hours after dose

Patients reporting pain relief defined as a reduction of headache severity from grades 2 or 3 (moderate or severe pain) at baseline to grades 0 or 1 (no headache or mild pain) at 2 hours after treatment

Time to Relief Within 2 Hours After Dose
within 2 hours after dose

Patients reporting time to relief defined as the first time point at which a patient reported headache severity grade 1 or 0 (mild pain or no headache) within 2 hours after dose

Pain Relief at 2 Hours After Treatment
2 hours after treatment

Participants reporting pain relief defined as a reduction of headache severity from grades 2 or 3 (moderate or severe pain) at baseline to grades 0 or 1 (no headache or mild pain) at 2 hours after treatment

Time to Relief Within 2 Hours After Treatment
within 2 hours after treatment

Participants reporting time to relief (defined as the first time that a participant reported grade 0 or 1 in headache severity within 2 hours after treatment (for the comparison of rizatriptan 5 mg and sumatriptan 50 mg).

Pain Relief at 2 Hours During the First Migraine Attack Period
2 hours

Patients reporting pain relief defined as a reduction of headache severity from grades 2 or 3 (moderate or severe) at baseline to grades 0 or 1 (no headache or mild) at 2 hours after initial dosing for the first migraine attack

Pain Relief at 2 Hours After the Initial Dose of Test Drug
2 hours after initial dose of test drug

Patients reporting pain relief (defined as a reduction of headache severity from grades 2/3 at baseline to 0/1) at 2 hours after the initial dose of test drug. Pain severity was subjectively rated by patients on a scale from grade 0 to 3: Grade 0 - No headache, Grade 1 - Mild pain, Grade 2 - Moderate pain, Grade 3 - Severe pain.

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.

Safety and Tolerability of Single Doses of Rizatriptan in Pediatric Migraineurs
24 Hours

All adverse experiences spontaneously reported by subject and/or observed by investigator and repeated clinical evaluation of physical examinations, vital signs, 12-lead ECG (electrocardiogram) and laboratory safety tests (hematology/blood chemistry/urinalysis)

Secondary Endpoints

Percentage of Participant's Migraine Attacks With Pain Freedom at 2 Hours Post Dose
2 hours post dose
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
Unlock Study Endpoints

Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RizatriptanEXPERIMENTALRizatriptan benzoate
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
AEXPERIMENTALTreatment Sequence A: rizatriptan, rizatriptan, placebo
BEXPERIMENTALSequence B: rizatriptan, placebo, rizatriptan
CEXPERIMENTALSequence C: placebo, rizatriptan, rizatriptan
1EXPERIMENTALActive Drug
2PLACEBO_COMPARATORMatching Pbo Comparator
3ACTIVE_COMPARATORsumatriptan 100 mg
4PLACEBO_COMPARATORplacebo
Treatment Sequence 1EXPERIMENTALPlacebo-Rizatriptan-Rizatriptan-Rizatriptan
Treatment Sequence 2EXPERIMENTALRizatriptan-Placebo-Rizatriptan-Rizatriptan
Treatment Sequence 3EXPERIMENTALRizatriptan-Rizatriptan-Placebo-Rizatriptan
Treatment Sequence 4EXPERIMENTALRizatriptan-Rizatriptan-Rizatriptan-Placebo
Treatment Sequence 5EXPERIMENTALRizatriptan-Rizatriptan-Rizatriptan-Rizatriptan
Rizatriptan 10 mgEXPERIMENTAL -
Rizatriptan 5 mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Standard CareACTIVE_COMPARATORStandard care at onset of migraine attack
Panel A RizatriptanEXPERIMENTALSubjects allocated to Panel A and randomized to receive a single dose of rizatriptan 5 mg orally disintegrating tablet (ODT) on Day 1. Subjects weighing 20-39 kg were allocated to Panel A.
Panel A PlaceboPLACEBO_COMPARATORSubjects allocated to Panel A and randomized to receive a single dose of rizatriptan 5 mg orally disintegrating tablet (ODT) placebo on Day 1. Subjects weighing 20-39 kg were allocated to Panel A.
Panel B RizatriptanEXPERIMENTALSubjects allocated to Panel B and randomized to receive a single dose of rizatriptan 10 mg orally disintegrating tablet (ODT) on Day 1. Subjects weighing 40 kg and above were allocated to Panel B.
Panel B PlaceboPLACEBO_COMPARATORSubjects allocated to Panel B and randomized to receive a single dose of rizatriptan 10 mg orally disintegrating tablet (ODT) placebo on Day 1. Subjects weighing 40 kg and above were allocated to Panel B.
Panel C RizatriptanEXPERIMENTALSubjects allocated to Panel C and randomized to receive a single dose of rizatriptan ODT on Day 1. Subjects in Panel C weighing 20-39 kg received a 5 mg dose and subjects weighing 40 kg and above received a 10 mg dose. Panel C was added to the study by amendment to increase the number of male subjects in the 12-17 year old age group.
Panel C PlaceboPLACEBO_COMPARATORSubjects allocated to Panel C and randomized to receive a single dose of rizatriptan ODT placebo on Day 1. Subjects in Panel C weighing 20-39 kg received a 5 mg placebo dose and subjects weighing 40 kg and above received a 10 mg placebo dose. Panel C was added to the study by amendment to increase the number of male subjects in the 12-17 year old age group.

Interventions

NameTypeDescription
rizatriptan benzoateDRUGSingle dose of 5 mg or 10 mg orally disintegrating tablet at onset of migraine attack
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
Comparator: rizatriptan benzoateDRUGRizatriptan 10 mg Orally Disintegrating Tablet (ODT); one dose, treatment of a single migraine attack
Comparator: RizatriptanDRUGOne dose Rizatriptan 10 mg orally disintegrating tablet / oral lyophilisate to treat one migraine attack.
rizatriptan benzoate (MK0462)DRUGsingle dose 5 mg rizatriptan p.o.
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
rizatriptan benzoate (5 mg)DRUGA single dose of rizatriptan 5 mg administered on Day 1.
rizatriptan benzoate (10 mg)DRUGA single dose of rizatriptan 10 mg administered on Day 1.
Rizatriptan 5 mg PlaceboDRUGA single dose of rizatriptan 5 mg placebo administered on Day 1.
Rizatriptan 10 mg PlaceboDRUGA single dose of rizatriptan 10 mg placebo administered on Day 1.
Unlock Study Design Details

Eligibility Criteria

Age Range12 Years to 17 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patient is between 12 and 17 years of age inclusive at screening Visit 1 * Patient weighs at least 20 kg (44 pounds) * Patient has had a history of unilateral or bilateral migraine headache with or without aura \>6 months with ≥1 to ≤8 mild, moderate or severe migraine attacks...

Unlock Eligibility Criteria

Frequently asked questions about rizatriptan benzoate

What is rizatriptan benzoate used for?

Rizatriptan benzoate is used to treat acute migraine with or without aura and migraine headache. It is studied in adolescents and adults, including treatment of multiple attacks and migraine with recurrence. It is a small molecule therapy in the neurology therapeutic area.

What does rizatriptan benzoate target?

Rizatriptan benzoate targets the serotonin receptors HTR1B and HTR1D, where it acts as an agonist. This receptor activity underlies its use in acute migraine treatment.

Who makes rizatriptan benzoate?

Rizatriptan benzoate is developed by Organon & Co., which trades under the ticker OGN. The company is the sponsor associated with the clinical development program for this migraine therapy.

What phase is rizatriptan benzoate in?

Rizatriptan benzoate is in Phase 3 development. Four Phase 3 trials have been completed, with no active trials currently listed. The program has enrolled a total of 4,147 participants across these completed studies.

What clinical trials is rizatriptan benzoate in?

Completed Phase 3 trials include NCT01004263 in adolescents with acute migraine, NCT00899379 in multiple attacks of acute migraine, NCT00898677 comparing rizatriptan 5 mg and 10 mg with sumatriptan 100 mg and placebo, and NCT00897949 in migraine with recurrence.

Is rizatriptan benzoate the same as MK0462?

Yes, rizatriptan benzoate is also known as MK0462, and trial records reference rizatriptan benzoate 5 mg and a rizatriptan benzoate comparator. These names refer to the same migraine treatment asset developed by Organon.