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TNX-1900

Phase 2

Chronic Migraine | Small molecule | Neurology |Tonix Pharmaceuticals Holding Corp.|Last Updated: Feb 25, 2025

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-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment88
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05679908A Study to Evaluate the Efficacy and Safety of TNX-1900 in Patients With Chronic MigrainePHASE2 COMPLETED 88Dec 6, 2022Oct 23, 2023Feb 25, 202526 United States
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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.

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.
Interventions
NameTypeDescription
TNX-1900DRUGPatients will spray TNX-1900 once into each nostril.
Placebo Nasal SprayDRUGPatients will spray placebo nasal spray once into each nostril.
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Eligibility Criteria
Age Range18 Years — 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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