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rizatriptan benzoate

Phase 3

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

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment674

FDA Designations

No designations recorded

Clinical trial landscape

rizatriptan benzoate · 8 trials · 4 indications

Phase 3 7Phase 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
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
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 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
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 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.

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.

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
Sustained Pain Relief (SPR)
2 - 24 hours post dose
Pain Freedom (PF)
2 hours post dose
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RizatriptanEXPERIMENTALRizatriptan benzoate
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 -
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
Comparator: placeboDRUGPlacebo to rizatriptan 10 mg ODT orally for a moderate or severe migraine attack
Comparator: rizatriptan benzoateDRUGRizatriptan 10 mg Orally Disintegrating Tablet (ODT); one dose, treatment of a single migraine attack
Comparator: sumatriptanDRUGsingle dose administration of sumatriptan 100 p.o.
rizatriptan benzoate (MK0462)DRUGsingle dose 5 mg rizatriptan p.o.
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.
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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...

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Frequently asked questions about rizatriptan benzoate

What is rizatriptan benzoate used for?

Rizatriptan benzoate is used for the acute treatment of migraine, including migraine headache and acute migraine with or without aura in adolescents. It is being studied for migraine disorders in both pediatric and adult populations.

What does rizatriptan benzoate target?

Rizatriptan benzoate is a small molecule that acts as a selective serotonin receptor agonist, specifically targeting 5-HT1B and 5-HT1D receptors to constrict cranial blood vessels and inhibit pro-inflammatory neuropeptide release, which helps relieve migraine symptoms.

Who makes rizatriptan benzoate?

Rizatriptan benzoate is developed by Organon & Co., a company traded on the New York Stock Exchange under the ticker symbol OGN.

What phase is rizatriptan benzoate in?

Rizatriptan benzoate is in Phase 3 clinical development for migraine indications. It is an investigational drug and has not been approved by the FDA for these uses.

What clinical trials is rizatriptan benzoate in?

Rizatriptan benzoate has completed four clinical trials, including NCT00604812 in pediatric subjects with migraines, NCT00898677 comparing rizatriptan to sumatriptan and placebo, NCT00899379 for multiple acute migraine attacks, and NCT01004263 for long-term safety in children and adolescents.

Is rizatriptan benzoate the same as Maxalt?

Rizatriptan benzoate is the active ingredient in the brand-name medication Maxalt, which is used to treat acute migraine attacks. The drug is being studied under its generic name in these clinical trials.