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BHV-7000

Phase 2

Bipolar Disorder | Small molecule | Psychiatry |Biohaven Ltd.|Trials Updated: Oct 14, 2026

BHV-7000 development status

Highest phase Phase 2
Registered trials 9 across 1 sponsor since Nov 2023

BHV-7000 target and mechanism

Molecular targetKv7.2 7.3
Target classPotassium Channel
ModalitySmall molecule

Also known as BHV-700, opakalim

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials8
Total Enrollment2,293

FDA Designations

No designations recorded

BHV-7000 clinical trials

BHV-7000 · 8 trials · 6 indications

Phase 2 6Phase 1 2
NCT06423781Long-term Safety Study of BHV-7000 in Participants With Major Depressive Disorder (MDD)Major Depressive Disorder
COMPLETED233 Analytics
NCT06443463Long-term Safety and Tolerability of BHV-7000Focal Epilepsy
ENROLLING BY_INVITATION660 Analytics
NCT06419582BHV-7000 Acute Treatment of Bipolar ManiaBipolar Disorder
COMPLETED274 Analytics
NCT06419608Efficacy and Safety Study of BHV-7000 Monotherapy in Major DepressionMajor Depressive Disorder
COMPLETED336 Analytics
NCT06309966Study to Determine if BHV-7000 is Effective and Safe in Adults With Refractory Focal Onset EpilepsyFocal Epilepsy
ACTIVE NOT_RECRUITING390 Analytics
NCT06132893A Study to Determine if BHV-7000 is Effective and Safe in Adults With Refractory Focal Onset EpilepsyFocal Epilepsy
ACTIVE NOT_RECRUITING390 Analytics
PHASE2COMPLETED
Long-term Safety Study of BHV-7000 in Participants With Major Depressive Disorder (MDD)
Major Depressive DisorderUnlock trial analytics
PHASE2ENROLLING BY_INVITATION
Long-term Safety and Tolerability of BHV-7000
Focal EpilepsyUnlock trial analytics
PHASE2COMPLETED
BHV-7000 Acute Treatment of Bipolar Mania
Bipolar DisorderUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety Study of BHV-7000 Monotherapy in Major Depression
Major Depressive DisorderUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Study to Determine if BHV-7000 is Effective and Safe in Adults With Refractory Focal Onset Epilepsy
Focal EpilepsyUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
A Study to Determine if BHV-7000 is Effective and Safe in Adults With Refractory Focal Onset Epilepsy
Focal EpilepsyUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Serious AEs (SAEs), AEs Leading to Study Drug Discontinuation, and AEs judged to be related to study medication
Up to 104 weeks

Safety and tolerability of BHV-7000 as assessed by frequency of unique subjects with SAEs; AEs leading to discontinuation; AEs judged to be related to study medication

Number of Participants With Clinically Significant Laboratory Abnormalities
Up to 104 weeks

To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with grade 3 or 4 laboratory abnormalities.

Number of Participants With Vital Sign Abnormalities
Up to 104 weeks
Number of Participants With Electrocardiogram (ECG) Abnormalities specific to QTc elevation
Up to 104 weeks
Number of Participants With Deaths, Serious AEs (SAEs), AEs Leading to Study Drug Discontinuation, and moderate or severe AEs
Up to 104 weeks

To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with deaths, SAEs, AEs leading to discontinuation, and moderate and severe AEs.

Number of Subjects with Clinically Significant Laboratory Abnormalities
Up to 104 weeks

To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with grade 3 or 4 laboratory abnormalities.

Change in Young Mania Rating Scale (YMRS) total score from baseline to day 21
Baseline (day 1) to day 21

The YMRS is a clinician administered scale that consists of 11 items used to assess the subject's symptoms of mania (total scores range from 0 to 60). The higher the YMRS score, the more severe the subject's symptoms of mania.

Change in Montgomery- Åsberg Depression Rating Scale (MADRS) total score from baseline to week 6
Baseline to Week 6

The MADRS is a clinician- rated scale to assess depressive symptoms which consists of 10 items. Each item is scored on 7-point scale (0 \[absence of symptoms\] to 6 \[severe\]). A higher score represents a higher severity of the level of depression (total scores range from 0 to 60).

Change from Baseline in 28-day average seizure frequency
Baseline, Week 8 to Week 16

To compare the efficacy of 75mg of BHV-7000 to placebo as an adjunctive therapy for refractory focal onset epilepsy as measured by the change from OP (observational phase) in 28-day average seizure frequency. The primary objective will be measured by comparing the observation phase (8 weeks) to the 8-week double-blind treatment phase.

Part B: Change from Baseline in 28-day average seizure frequency
Baseline, Week 8 to Week 20 of Part B

To compare the efficacy of each of 2 doses of BHV-7000 to placebo as an adjunctive therapy for refractory focal onset epilepsy as measured by the change from OP (observational phase) in 28-day average seizure frequency. The primary objective will be measured by comparing the observation phase (8 weeks) to the 12-week double-blind treatment phase.

Part A: Number of Participants With Deaths, Serious AEs (SAEs), AEs Leading to Study Drug Discontinuation, and moderate or severe AEs
Week 8 to Week 20 of Part A

To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with deaths, SAEs, AEs leading to discontinuation, and moderate and severe AEs.

Part A: Number of Participants With Clinically Significant Laboratory Abnormalities
Week 8 to Week 20 of Part A

To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with grade 3 and 4 laboratory abnormalities.

Reduction in patient-specific seizure surrogate rate
28 days

Per-participant percentage reduction in patient-specific seizure surrogate rate in the treatment period relative to retrospective baseline.

Reduction in seizure onset pattern rate
28 days

Per-participant percentage reduction in seizure onset pattern rate in the treatment period relative to retrospective baseline.

Reduction in long episode rate
28 days

Per-participant reduction in long episode rate during the treatment period relative to the retrospective baseline.

Reduction in saturation rate
28 days

Per-participant reduction in saturation rate during the treatment period relative to the retrospective baseline, for those patients who have saturations.

Mean of the daily average maximum pain intensity scores collected every 2 hours.
The last 3 weeks of each 4-week crossover treatment period

Participants will be asked to record peak (worst) pain experienced in the previous 2 hours using an 11-point Likert scale (0-10) where 0=no pain and 10=worst possible pain

Secondary Endpoints

Change in Clinical Global Clinical Impression - Severity Scale (CGI-S) total score
Baseline (day 1) to day 21
Percentage of participants showing treatment response
Baseline (day 1) to day 21
Percentage of participants showing treatment remission
Baseline (day 1) to day 21
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BHV-7000EXPERIMENTAL -
BHV-7000 50 mgEXPERIMENTAL -
BHV-7000 75 mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
BHV-7000 25 mg Part AEXPERIMENTAL -
BHV-7000 50 mg Part AEXPERIMENTAL -
Placebo Part APLACEBO_COMPARATOR -
BHV-7000 75 mg Part BEXPERIMENTAL -
Placebo Part BPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
BHV-7000DRUGBHV-7000 75 mg taken once daily
PlaceboDRUGMatching placebo taken once daily for 21 days
BHV-700DRUG75 mg daily for the 4-week treatment period (dose which may be adjusted based on tolerability)
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites66

Key Inclusion Criteria: 1. Eligible subjects should have successfully completed the Treatment/Randomization Phase of parent studies. 2. WOCBP must have a negative urine pregnancy test at Baseline Visit. 3. WOCBP must not be breastfeeding or lactating at Baseline Visit or at any point during the stu...

Countries:United StatesArgentinaAustraliaAustriaBelgiumChileCroatiaCzechiaDenmarkFinlandFranceGermanyGreeceHungaryIndiaItalyMexicoNetherlandsPolandPortugalRomaniaSlovakiaSloveniaSouth AfricaSpainSwitzerlandUnited Kingdom
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Recent Changes (Last 90 Days)

MEDIUMSep 30, 2026NCT06132893Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMSep 30, 2026NCT06132893Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWAug 24, 2026NCT06132893lastUpdatePostDate: changed
LOWAug 24, 2026NCT06132893lastUpdatePostDate: changed
LOWAug 14, 2026NCT06309966lastUpdatePostDate: changed
LOWAug 14, 2026NCT06309966lastUpdatePostDate: changed
LOWAug 14, 2026NCT06309966lastUpdatePostDate: changed

Frequently asked questions about BHV-7000

What is BHV-7000?

BHV-7000 is an investigational small molecule being developed by Biohaven Ltd. for neurological and psychiatric conditions. It is in Phase 2 clinical development and is being studied in bipolar disorder, epilepsy, familial erythromelalgia, focal epilepsy, and major depressive disorder. It has not been approved by the FDA.

What does BHV-7000 target?

BHV-7000 targets Kv7.2/7.3, a potassium channel. By acting on this potassium channel target, the drug is designed to modulate neuronal excitability, which is the basis for its study in seizure disorders and mood disorders such as bipolar disorder and major depressive disorder.

Who makes BHV-7000?

Biohaven Ltd. is developing BHV-7000. Biohaven Ltd. trades on the New York Stock Exchange under the ticker BHVN. The company is running the clinical development program for the drug across epilepsy, mood disorders, and familial erythromelalgia indications.

What phase is BHV-7000 in?

BHV-7000 is in Phase 2 clinical development. It is investigational and has not been approved by the FDA. The program includes Phase 1 and Phase 2 studies, with a completed Phase 2 long-term safety study in major depressive disorder and an ongoing Phase 2 long-term safety study in focal epilepsy.

What clinical trials is BHV-7000 in?

BHV-7000 trials include NCT06443463, a Phase 2 long-term safety and tolerability study in focal epilepsy enrolling 660 participants across many countries, and NCT06423781, a completed Phase 2 long-term safety study in major depressive disorder with 233 participants. Earlier studies include NCT07262268 in familial erythromelalgia and NCT07125261 in epilepsy.

Is BHV-7000 the same as BHV-700?

Yes, BHV-7000 and BHV-700 refer to the same investigational drug from Biohaven Ltd. BHV-700 is an alternative name used for BHV-7000, so search results and publications using either name describe the same Kv7.2/7.3 potassium channel compound in clinical development.