Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Zavegepant · 9 trials · 5 indications
Pain freedom was defined as pain intensity being none at the specified time point. Participants recorded their headache pain intensity using 4-point numeric rating scale (0= none, 1= mild, 2= moderate, 3= severe).
MBS was selected from nausea, phonophobia or photophobia before dosing by the participants. In this outcome measure, percentage of participants who recorded an MBS (present) before dosing and did not have the MBS (absent) at the time of evaluation (i.e., 2 hours post-dose) were reported.
Pain levels were assessed on a 4-point scale (none, mild, moderate, severe) using the electronic clinical outcome assessment (eCOA) handheld device. Pain freedom was defined as pain level of none post-dose.
Minimal pain is defined as 0 or 1 on the 0-4 numerical rating scale.
An AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in participants or clinical investigation participants administered an investigational (medicinal) product that does not necessarily have a causal relationship with this treatment. An SAE was defined as any event that met any of the following criteria at any dose: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect in the offspring of a participant who received study drug; other important medical events that may not have resulted in death, be life-threatening, or required hospitalization, based upon appropriate medical judgment, they may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the other serious outcomes.
Clinically significant laboratory abnormalities were defined as Grades 3 to 4 laboratory test results according to numeric laboratory test criteria found in Common Technical Criteria for Adverse Events Version 5.0 (2017) if available; otherwise, according to Division of Acquired Immune Deficiency Syndrome. Table for Grading the Severity of Adult and Pediatric Adverse Events Corrected Version 2.1 (2017) for glucose, low-density lipoprotein (LDL)-cholesterol, uric acid, and urinalysis. Laboratory test groups of clinical interest included hematology, serum chemistry, and urinalysis. Participants must have had a non-missing measurement in to be included for a given parameter. Laboratory results were presented in US units.
Cmax is defined as the maximum observed plasma concentration of zavegepant after administration of a single dose
Tmax is defined as the time to reach maximum observed plasma concentration
AUC (0 - inf) is defined as area under the concentration-time curve from time 0 to infinity.
AUCinf = Area under the breast milk concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).
Area under the breast milk concentration time-curve from zero to the last measured concentration (AUClast)
AUC24= Area under the breast milk concentration versus time curve from time zero (pre-dose) to time 24 hours
Maximum plasma concentration (Cmax) was measured.
AUClast, area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration (Clast), was measured.
AUCinf, area under the plasma concentration-time curve from time 0 extrapolated to infinite time, was measured.
Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants pharmacokinetic (PK) samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
t1/2 was calculated as loge (2) per kel, where kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Vz/F is influenced by the fraction absorbed. Tasso device used was Tasso-Plus (for liquid blood sample collection). In Period 1, for the treated participants PK samples were collected using Tasso-Plus and simultaneously standard venous phlebotomy. Data was to be reported for Tasso-Plus vs. venous phlebotomy concentrations (same participants).
| Arm | Type | Description |
|---|---|---|
| Zavegepant | EXPERIMENTAL | Zavegepant intranasal 10 mg |
| Placebo | PLACEBO_COMPARATOR | Placebo |
| Zavegepant (BHV-3500) | EXPERIMENTAL | 10 mg intranasal (IN) up to 8 times per month, up to 1 year |
| Zavegepant 5 mg | EXPERIMENTAL | Participants administered a single intranasal dose of zavegepant 5 mg on occurrence of migraine that reached moderate or severe intensity within 45 days after randomization. The dose was administered using Aptar Unidose System (UDS) liquid spray device. |
| Zavegepant 10 mg | EXPERIMENTAL | Participants administered a single intranasal dose of zavegepant 10 mg on occurrence of migraine that reached moderate or severe intensity within 45 days after randomization. The dose was administered using Aptar UDS liquid spray device. |
| Zavegepant 20 mg | EXPERIMENTAL | Participants administered a single intranasal dose of zavegepant 20 mg on occurrence of migraine that reached moderate or severe intensity within 45 days after randomization. The dose was administered using Aptar UDS liquid spray device. |
| Zavegepant 10mg | EXPERIMENTAL | Intranasal (IN) 10mg spray on Day 1 |
| Zavegepant 10 mg Intranasal (IN) | EXPERIMENTAL | All participants will receive zavegepant 10 mg IN spray in period 1 and a butterscotch candy + zavegepant 10 mg IN spray in period 2 |
| Name | Type | Description |
|---|---|---|
| Zavegepant | DRUG | The participants will receive single active dose sufficient to treat 1 migraine headache of moderate or severe intensity within Treatment Phase. |
| Placebo | DRUG | Single dose of matching placebo taken within Treatment Phase. |
| Zavegepant 20 mg | DRUG | Participants will administer zavegepant 10 mg twice in quick succession (once into the left nostril, once into the right nostril, for a total of 20mg) to treat up to 3 separate cluster headache attacks maintaining a minimum interval of 48 hours between administrations. |
| Zavegepant (BHV-3500) | DRUG | 10 mg IN up to 8 times per month, up to 1 year |
| Zavegepant matching placebo | DRUG | A single dose of placebo matched to zavegepant |
| Intranasal Aptar Pharma Unit Dose System | DEVICE | A single-dose intranasal device |
| Zavegepant 10mg | DRUG | intransal spray 10mg |
| Zavegepant 10 mg IN | DRUG | All participants will receive zavegepant 10 mg IN spray in period 1 and a butterscotch candy + zavegepant 10 mg IN spray in period 2 |
Inclusion Criteria: * Asian participants aged 18 years or older at screening. * Participants with minimum 1 year history of migraine (with or without aura) prior to the Screening Visit, consistent with a diagnosis according to the International Classification of Headache Disorders, 3rd Edition, inc...
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| AbbVie, Inc. | ABBV | 13 | PHASE3 | Atogepant |
| Pfizer Inc. | PFE | 9 | PHASE3 | Rimegepant |
| Eli Lilly and Company | LLY | 2 | PHASE3 | Galcanezumab |
| Amgen Inc. | AMGN | 2 | PHASE3 | Erenumab Dose 1 |
| Ki Health Partners. LLC | RVNC | 1 | - | Daxibotulinumtonix A |
Zavegepant is an investigational small molecule being studied for cluster headache, acute migraine, and acute treatment of migraine. It is also used in healthy volunteer studies to assess pharmacokinetics and breast milk transfer. The drug is in Phase 2 development for these neurology indications.
Zavegepant is being developed by Pfizer, Inc., which trades under the ticker PFE. The company is conducting clinical trials of the drug across multiple countries, including the United States and China.
Zavegepant is in Phase 2 clinical development. It remains investigational and has not been approved by regulatory authorities. The drug is being evaluated for cluster headache and acute migraine, with ongoing trials in pediatric migraine patients.
Zavegepant has completed three Phase 1 trials: NCT05948085 comparing venous versus microsampling concentrations, NCT05960032 in healthy Chinese adults, and NCT06453356 in breastfeeding women. An active Phase 1 trial, NCT06995729, is recruiting children aged 6 years and older with a history of migraine.
Yes, Zavegepant 20 mg refers to the same drug, Zavegepant. The 20 mg designation specifies the dosage strength used in certain studies or formulations. Both names refer to the identical investigational compound being developed by Pfizer.
Zavegepant is a small molecule designed to target pathways involved in migraine and cluster headache. As a neurology therapeutic, it is being studied for its ability to treat acute migraine episodes and cluster headache attacks, though its precise molecular target has not been disclosed in available trial information.