Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Rimegepant
Drug ID BADD_D02590
Description Rimegepant is an oral antagonist of the CGRP receptor developed by Biohaven Pharmaceuticals.[L11028] It received FDA approval on February 27, 2020 for the acute treatment migraine headache.[L11974] While several parenteral antagonists of CGRP and its receptor have been approved for migraine therapy (e.g. [erenumab], [fremanezumab], [galcanezumab]), rimegepant and [ubrogepant] were the only CGRP antagonists that possessed oral bioavailability[A189207] until the approval of [atogepant] in 2021.[L38814] The current standard of migraine therapy involves abortive treatment with "triptans", such as [sumatriptan], but these medications are contraindicated in patients with pre-existing cerebrovascular and cardiovascular disease due to their vasoconstrictive properties.[A189207] Antagonism of the CGRP pathway has become an attractive target for migraine therapy as, unlike the triptans, oral CGRP antagonists have no observed vasoconstrictive properties and are therefore safer for use in patients with contraindications to standard therapy.[A189330,A189207]
Indications and Usage Rimegepant is indicated for the acute treatment of migraine with or without aura in adults.[L11971]
Marketing Status approved; investigational
ATC Code N02CD06
DrugBank ID DB12457
KEGG ID D10662
MeSH ID C578443
PubChem ID 51049968
TTD Drug ID D0V9VG
NDC Product Code 46016-1370
UNII 997WVV895X
Synonyms rimegepant sulfate | rimegepant | BMS-927711 | (5S,6S,9R)-5-amino-6-(2,3-difluorophenyl)-6,7,8,9-tetrahydro-5H-cyclohepta(b)pyridin-9-yl 4-(2-oxo-2,3-dihydro-1H-imidazo(4,5-b)pyridin-1-yl)piperidine-1-carboxylate | Nurtec ODT
Chemical Information
Molecular Formula C28H28F2N6O3
CAS Registry Number 1289023-67-1
SMILES C1CC(C2=C(C=CC=N2)C(C1C3=C(C(=CC=C3)F)F)N)OC(=O)N4CCC(CC4)N5C6=C(NC5=O)N=CC=C6
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice.
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Urticaria10.01.06.001; 23.04.02.0010.001132%
Vertigo04.04.01.003; 17.02.12.0020.000340%
Vomiting07.01.07.0030.001958%
Hypoaesthesia oral07.05.05.003; 17.02.06.0210.000226%-
Paraesthesia oral07.05.05.035; 17.02.06.0080.000260%-
Hot flush08.01.03.027; 21.02.02.001; 24.03.01.0050.000226%
Adverse drug reaction08.06.01.0090.000453%-
Unevaluable event08.01.03.0510.000226%-
Treatment failure08.06.01.0170.000679%-
Medication overuse headache08.06.02.015; 17.14.01.0150.000453%-
Drug effective for unapproved indication08.06.01.037; 12.09.02.0010.000226%-
Drug ineffective for unapproved indication08.06.01.038; 12.09.02.0020.000679%-
Illness08.01.03.0910.000340%-
Therapeutic product effect decreased08.06.01.0500.001245%-
Therapeutic product effect delayed08.06.01.0510.000340%-
Therapeutic product effect incomplete08.06.01.0520.001019%-
Therapeutic response shortened08.06.01.0620.000260%-
Therapy non-responder08.06.01.0630.000226%-
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