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ZNS

Phase 3

Migraine | Small molecule | Neurology |AstraZeneca PLC|Last Updated: Jan 11, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment374
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03275922Efficacy & Safety Of Zomig Nasal Spray For Acute Migraine Treatment In Subjects 6 To 11 Years, With OLEPHASE3 COMPLETED 374Nov 27, 2017Sep 28, 2020Jan 11, 202147 United States
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Study Endpoints
Primary Endpoints
Pain-free status at 2 hours post treatment
2 hours post-dose

Headache pain intensity is assessed by the subjects immediately prior to treatment and 2 hours post-dose using a 4-point headache pain intensity scale (severe = 3, moderate = 2, mild = 1, or none = 0).

Secondary Endpoints
Proportion of subjects who achieve pain-free status at 24 hours post-dose
24 hours post-dose
Headache response at 24 hours post-dose
24 hours post-dose
Sustained headache response at 24 hours post-dose
24 hours post-dose
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Run-in - ZNS - Placebo - OLEOTHERAfter Run-in period, subjects will be randomized to ZNS followed by placebo ZNS. Upon successful completion of Part 1, subjects may enroll into OLE (Part 2).
Run-in - Placebo - ZNS - OLEOTHERAfter Run-in period, subjects will be randomized to placebo ZNS followed by ZNS. Upon successful completion of Part 1, subjects may enroll into OLE (Part 2).
Interventions
NameTypeDescription
Placebo ZNSDRUGPlacebo Zolmitriptan Nasal Spray
ZNSDRUGZolmitriptan Nasal Spray
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Eligibility Criteria
Age Range6 Years — 11 Years
SexALL
Healthy VolunteersNo
Study Sites47

Inclusion Criteria 1. Parent or legal guardian is able to provide written informed consent and subject is able to provide assent. 2. Subjects ages 6 to 11 years throughout the double-blind portion of the studyAn established diagnosis of migraine 3. By history, average migraine frequency of ≥ 2 atta...

Countries:United States
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