Status: Planned
First registered on:
24/03/2023
Last updated on:
27/03/2023
1. Study identification
EU PAS Register NumberEUPAS103990
Official titlePost-authorisation Safety Study of Rimegepant in Patients with Migraine and History of Cardiovascular Disease in European Countries
Study title acronym
Study typeObservational study
Brief description of the studyAs part of the risk management plan for rimegepant in Europe, this post-authorisation safety study (PASS) is being conducted to evaluate whether there is an increased risk of major adverse cardiovascular events (MACE) among patients with migraine and history of cardiovascular disease (CVD) initiating treatment with rimegepant compared with that among patients with migraine, with history of CVD, and being treated with other treatments for migraine, either continuing the current treatment or initiating a new one, other than rimegepant. The study will also describe the use of rimegepant in the initial years after approval in the same population.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 3 (required)
Regulatory procedure number (RMP Category 1 and 2 studies only)NA
Other study registration identification numbers and URLs as applicableNA
2. Research centres and Investigator details
Coordinating study entity
Centre namePfizer
Centre locationUnited States
Details of (Primary) lead investigator
Title Dr
Last name Monica
First name Bertoia
Is this study being carried out with the collaboration of a research network?
Yes
RTI
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
International study
Denmark
Netherlands
Spain
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed01/03/202301/03/2023
Start date of data collection01/10/2025
Start date of data analysis
Date of interim report, if expected
Date of final study report01/04/2029
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesPfizer100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Monica
First name Bertoia
Address line 166 Hudson Boulevard East
Address line 2
Address line 3
CityNew York
Postcode10001
CountryUnited States
Phone number (incl. country code)16178176148
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Monica
First name Bertoia
Address line 166 Hudson Boulevard East
Address line 2
Address line 3
CityNew York
Postcode10001
CountryUnited States
Phone number (incl. country code)16178176148
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Product NameVydura
CountryDenmark
Substance INN(s)Rimegepant
Product NameVydura
CountryNetherlands
Substance INN(s)Rimegepant
Product NameVydura
CountrySpain
Substance INN(s)Rimegepant
Product NameVydura
CountryUnited Kingdom
Substance INN(s)Rimegepant
7. Medical conditions to be studied
Medical condition(s)Yes
Migraine headaches
8. Population under study
Age
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects1
Additional information
The study population will include adults with migraine and history of CVD registered in each electronic health care data source who are on treatment with a qualifying acute or preventive migraine medication during the study period. All individuals meeting this criteria will be included in the analysis.
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Prescription event monitoring
Administrative database, e.g. claims database
Routine primary care electronic patient registry
Pharmacy dispensing records
11. Scope of the study
What is the scope of the study?
Risk assessment
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
Does the use of rimegepant increase the risk of major adverse cardiovascular event (MACE) compared with other treatments for migraine in patients with migraine and history of cardiovascular disease (CVD) who have been recently treated for migraine?
Are there primary outcomes?Yes
Major adverse cardiovascular event (MACE)
Are there secondary outcomes?Yes
Individual components of major adverse cardiovascular event (MACE) including acute myocardial infarction, stroke, coronary heart disease death, cerebrovascular death, coronary bypass surgery, and coronary revascularization.
13. Study design
What is the design of the study?
Cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Follow-up starts the day after the index date and ends at the diagnosis of the first event of interest or when 1 of the following censoring events occurs:
End of the study period
Disenrollment from the database or migration
Death
365 days after the index date with rimegepant or comparator
Lost to follow-up
Initiation of rimegepant (only applicable to comparator groups)
15. Data analysis plan
Please provide a brief summary of the analysis method
Each research partner will conduct analyses separately within each data source, and results will be pooled via meta-analytic methods, if appropriate. The analysis will comprise 4 different steps: select the study population, assign exposure and define follow-up, describe the study cohorts and patterns of rimegepant use, and estimate exposure propensity scores. Stabilised propensity score weights will be used in the comparative analyses. Crude and adjusted incidence rates of MACE with their 95% CIs will be estimated using a Poisson regression model with robust estimation of variance.
Cumulative incidence of MACE will be estimated using the Kaplan-Meier estimator for
each of the 4 exposure groups. Finally, for each comparison, crude and adjusted RRs and risk differences will be estimated using the Kaplan-Meier estimator, and 95% CIs will be derived using bootstrap methods. Adjusted HRs will be estimated with a Cox model.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
None
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
