Recent Updates
Recently added Catalysts

Zavegepant

Phase 3

Migraine | Small molecule | Neurology |Pfizer, Inc.|Last Updated: May 22, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment5,546
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05989048A Study to Learn About Zavegepant as the Acute Treatment of Migraine in Asian AdultsPHASE3 COMPLETED 1,414Nov 29, 2023May 30, 2025May 22, 202661 China, South Korea +1
NCT04571060Randomized Trial in Adult Participants With Acute MigrainesPHASE3 COMPLETED 1,978Oct 27, 2020Oct 22, 2021Apr 24, 202394 United States
NCT03872453Acute Treatment Trial in Adult Subjects With MigrainesPHASE2 COMPLETED 2,154Mar 25, 2019Nov 11, 2019Sep 25, 202382 United States
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Percentage of Participants With Pain Freedom at 2 Hours Post-dose
At 2 hours post-dose

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).

Percentage of Participants With Freedom From Most Bothersome Symptom (MBS) at 2 Hours Post-dose
At 2 hours post-dose

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.

Percentage of Participants With Freedom From Pain at 2 Hours Post-dose
2 hours post-dose

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.

Secondary Endpoints
Percentage of Participants With Pain Relief at 15 Minutes Post-dose
At 15 minutes post-dose
Percentage of Participants With Pain Relief at 30 Minutes Post-dose
At 30 minutes post-dose
Percentage of Participants With Pain Relief at 2 Hours Post-dose
At 2 hours post-dose
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ZavegepantEXPERIMENTALZavegepant intranasal 10 mg
PlaceboPLACEBO_COMPARATORPlacebo
Zavegepant 5 mgEXPERIMENTALParticipants 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 mgEXPERIMENTALParticipants 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 mgEXPERIMENTALParticipants 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.
Interventions
NameTypeDescription
ZavegepantDRUGThe participants will receive single active dose sufficient to treat 1 migraine headache of moderate or severe intensity within Treatment Phase.
PlaceboDRUGSingle dose of matching placebo taken within Treatment Phase.
Zavegepant matching placeboDRUGA single dose of placebo matched to zavegepant
Intranasal Aptar Pharma Unit Dose SystemDEVICEA single-dose intranasal device
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites61

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...

Countries:ChinaSouth KoreaTaiwanUnited States
Unlock Eligibility Criteria