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TNX-1900

Phase 2

Chronic Migraine | Small molecule | Neurology |Tonix Pharmaceuticals Holding Corp.|Trials Updated: Sep 16, 2025

TNX-1900 development status

Highest phase Phase 2
Registered trials 5 across 4 sponsors since Sep 2017

TNX-1900 target and mechanism

Molecular targetoxytocin
Target classHormone
ModalitySmall molecule

Also known as intranasal oxytocin

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment128

FDA Designations

No designations recorded

TNX-1900 clinical trials

TNX-1900 · 2 trials · 5 indications

Phase 2 1Phase 1 1
NCT05679908A Study to Evaluate the Efficacy and Safety of TNX-1900 in Patients With Chronic MigraineChronic Migraine
COMPLETED88 Analytics
PHASE2COMPLETED
A Study to Evaluate the Efficacy and Safety of TNX-1900 in Patients With Chronic Migraine
Chronic MigraineUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Change in the Number of Monthly Migraine Headache Days
Last 28 days before Visit 2 (Day 1) and last 28 days before Visit 5 (Week 12)

Mean change in the number of monthly migraine headache days from the last 28 days of Baseline to the last 28 days of treatment (ie, month 3). A migraine headache day is any calendar day (0:00 to 23:59) in which the patient records in the e-diary: * An attack lasting 4 hours or more and meeting the ICHD-3 criteria for migraine without aura, or * A migraine with aura, or * An attack that meets ICHD-3 criteria for probable migraine, (a migraine subtype fulfilling all but one criteria (B-D) for migraine without aura), or * An attack of any duration that was believed by the patient to be a migraine and was relieved by a triptan, ergot derivative, or other migraine-specific abortive medication.

Dot-probe task - anxious behavior between low dose oxytocin and placebo
20 minutes following intervention at each main visit

Difference in response times (in milliseconds) to dots appearing in the location of the previously shown negative versus the neutral face between 6 IU oxytocin vs placebo in the dot-probe task.

Secondary Endpoints

Proportion of Patients Experiencing a ≥ 50% Reduction in the Number of Migraine Headache Days
Last 28 days before Visit 2 (Day 1) treatment and last 28 days before Visit 5 (Week 12)
Mean Change in the Number of Days Using Rescue Medication
Last 28 days before Visit 2 (Day 1) treatment and last 28 days before Visit 5 (Week 12)
Patient Global Impression of Change (PGIC)
Visit 5 (Week 12)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
TNX-1900 High DoseEXPERIMENTAL30 IU oxytocin taken intranasally twice daily.
TNX-1900 Low DoseEXPERIMENTAL30 IU oxytocin taken intranasally once daily. Placebo taken intranasally once daily.
PlaceboPLACEBO_COMPARATORPlacebo taken intranasally twice daily.
Part A Arm 1EXPERIMENTALMain visit 1: 6 IU intranasal oxytocin; Main visit 2: 24 IU intranasal oxytocin; Main visit 3: intranasal placebo
Part A Arm 2EXPERIMENTALMain visit 1: 6 IU intranasal oxytocin; Main visit 2: intranasal placebo; Main visit 3: 24 IU intranasal oxytocin
Part A Arm 3EXPERIMENTALMain visit 1: 24 IU intranasal oxytocin; Main visit 2: 6 IU intranasal oxytocin; Main visit 3: intranasal placebo
Part A Arm 4EXPERIMENTALMain visit 1: 24 IU intranasal oxytocin; Main visit 2: intranasal placebo; Main visit 3: 6 IU intranasal oxytocin
Part A Arm 5EXPERIMENTALMain visit 1: intranasal placebo; Main visit 2: 6 IU intranasal oxytocin; Main visit 3: 24 IU intranasal oxytocin
Part A Arm 6EXPERIMENTALMain visit 1: intranasal placebo; Main visit 2: 24 IU intranasal oxytocin; Main visit 3: 6 IU intranasal oxytocin
Part B Arm 1ACTIVE_COMPARATORIntranasal oxytocin 6 IU three times a day for 14 days
Part B Arm 2EXPERIMENTALIntranasal placebo three times a day for 14 days

Interventions

NameTypeDescription
TNX-1900DRUGPatients will spray TNX-1900 once into each nostril.
Placebo Nasal SprayDRUGPatients will spray placebo nasal spray once into each nostril.
Intranasal Oxytocin (IN-OXT)DRUG6 IU single dose
PlaceboDRUGIntranasal placebo three times a day for 2 weeks
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites26

Major Inclusion Criteria: * Men and women aged 18 to 65 years, inclusive, at the time of Visit 1. * History of migraine with or without aura for at least 1 year and onset at \< 50 years of age. Patient must also have a history of chronic migraine \> 3 months prior to Visit 1 as defined by IHS ICHD-...

Countries:United States
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Frequently asked questions about TNX-1900

What is TNX-1900 used for?

TNX-1900 is being developed for the treatment of chronic migraine. It is a small molecule therapeutic candidate from Tonix Pharmaceuticals. The drug has been studied in a Phase 2 clinical trial in patients with chronic migraine.

What does TNX-1900 target?

TNX-1900 targets oxytocin, a hormone. By interacting with oxytocin, the drug is designed to modulate pathways involved in migraine. This mechanism is being explored for the management of chronic migraine.

Who is developing TNX-1900?

TNX-1900 is being developed by Tonix Pharmaceuticals Holding Corp., which trades on the Nasdaq under the ticker symbol TNXP. The company is focused on central nervous system disorders and is advancing TNX-1900 for chronic migraine.

What phase is TNX-1900 in?

TNX-1900 is in Phase 2 clinical development for chronic migraine. The Phase 2 trial has been completed. The drug is investigational and has not been approved by the FDA for any indication.

What clinical trials is TNX-1900 in?

TNX-1900 has been evaluated in a Phase 2 clinical trial, NCT05679908, titled "A Study to Evaluate the Efficacy and Safety of TNX-1900 in Patients With Chronic Migraine." The trial was completed and enrolled 88 patients in the United States.