Rimegepant, sold under the brand name Nurtec ODT among others, is a medication used for the acute treatment of migraine with or without aura in adults and the prophylactic/ preventive treatment of episodic migraine in adults.[6][8] It is taken by mouth to dissolve on or under the tongue.[6] It works by blocking CGRP receptors.[9]
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Trade names | Nurtec ODT, Vydura |
Other names | BHV-3000, BMS-927711 |
AHFS/Drugs.com | Monograph |
MedlinePlus | a620031 |
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Routes of administration | By mouth |
Drug class | Calcitonin gene-related peptide receptor antagonist |
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Formula | C28H28F2N6O3 |
Molar mass | 534.568 g·mol−1 |
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In the United States, rimegepant was approved for treating acute migraine in February 2020,[10] and its approval was extended to preventing episodic migraine in June 2021.[6] It is produced and marketed by Pfizer.[11] In March 2021, rimegepant was approved for medical use in the United Arab Emirates and in Israel.[12][13][14] It was approved for medical use in Canada in December 2023.[3]
Rimegepant is indicated for the treatment of acute migraine with or without aura in adults and for the preventative treatment of episodic migraine in adults.[6][8][7]
Rimegepant is a small molecule calcitonin gene-related peptide (CGRP) receptor antagonist.[9]
Rimegepant was developed by Biohaven Pharmaceuticals, which markets the drug in the United States after receiving FDA approval in February 2020.[10][15] Approval was based on evidence from one clinical trial of 1,351 subjects with migraine headaches.[8]
On 24 February 2022, the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Vydura, intended for the prophylaxis and acute treatment of migraine.[16] The applicant for this medicinal product is Biohaven Pharmaceutical Ireland DAC.[16] Rimegepant was approved for medical use in the European Union in April 2022.[7][17]
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