Long-term Safety Study of BHV-3500 (Zavegepant*) for the Acute Treatment of Migraine

Recruitment Status
COMPLETED - HAS RESULTS
(See Contacts and Locations)Verified April 2023 by Pfizer
Sponsor
Pfizer
Information Provided by (Responsible Party)
Pfizer
Clinicaltrials.gov Identifier
NCT04408794
Other Study ID Numbers:
BHV3500-202
First Submitted
May 25, 2020
First Posted
May 28, 2020
Results First Posted
February 16, 2023
Last Update Posted
May 17, 2023
Last Verified
April 2023

ClinicalTrials.gov processed this data on May 2023Link to the current ClinicalTrials.gov record .

History of Changes

Study Details

Study Description

Condition or DiseaseIntervention/Treatment
Acute Migraine
Drug: Zavegepant (BHV-3500)

Study Design

Study TypeInterventional
Actual Enrollment974 participants
Design AllocationN/A
Interventional ModelSingle Group Assignment
MaskingNone (Open Label)
Primary PurposeTreatment
Official TitleA Phase 2/3 Open-label, Long-Term, Safety Trial of BHV3500 (Zavegepant*) Intranasal (IN) for the Acute Treatment of Migraine
Study Start DateJune 28, 2020
Actual Primary Completion DateDecember 8, 2021
Actual Study Completion DateDecember 22, 2021

Groups and Cohorts

Group/CohortIntervention/Treatment
Zavegepant (BHV-3500)
10 mg intranasal (IN) up to 8 times per month, up to 1 year
Drug: Zavegepant (BHV-3500)
10 mg IN up to 8 times per month, up to 1 year

Outcome Measures

Primary Outcome Measures
  1. Number Of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and AEs Leading To Discontinuation
    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.
  2. Number Of Participants With Clinically Significant Laboratory Abnormalities
    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.

Eligibility Criteria

Ages Eligible for Study(Adult, Older Adult)
Sexes Eligible for StudyAll
Accepts Healthy VolunteersNo
Inclusion Criteria
2-8 moderate to severe migraines/month within the last 3 months
Migraine attacks present for more than 1 year with age of onset of migraines prior to 50 years of age
Migraine attacks, on average, lasting about 4-72 hours if untreated
Less than 15 days with headaches (migraine or non-migraine) per month in each of the 3 months prior to the screening visit
Ability to distinguish migraine attacks from tension/cluster headaches
Participants with contraindications for use of triptans may be included provided they meet all other study entry criteria
Exclusion Criteria
History of human immunodeficiency virus disease
History of basilar or hemiplegic migraine
Current diagnosis of major depressive disorder requiring treatment with atypical antipsychotics, schizophrenia, bipolar disorder, or borderline personality disorder
History of nasal surgery in the 6 months preceding the screening visit
History of gallstones or cholecystectomy
History of gastric, or small intestinal surgery (including gastric bypass, gastric banding, gastric sleeve, gastric balloon, etcetera), or other disease or condition (for example, chronic pancreatitis, ulcerative colitis, etcetera) that causes malabsorption.
Body mass index ≥ 33
Hemoglobin A1c ≥6.5%

Contacts and Locations

Sponsors and CollaboratorsPfizer
Locations
Medical Affiliated Research Center | Huntsville Alabama, United States, 35801Coastal Clinical Research, LLC, An AMR Co. | Mobile Alabama, United States, 36608Tucson Neuroscience Research | Tucson Arizona, United States, 85710Baptist Health Center for Clinical Research | Little Rock Arkansas, United States, 72205Pharmacology Research Institute | Encino California, United States, 91316eStudySite | La Mesa California, United States, 91942Synergy San Diego | Lemon Grove California, United States, 91945Collaborative Neuroscience Network, LLC | Long Beach California, United States, 90806Pharmacology Research Institute | Los Alamitos California, United States, 90720Wr-Pri, Llc | Newport Beach California, United States, 92660Artemis Institute for Clinical Research | San Diego California, United States, 92103Artemis Institute for Clinical Research | San Marcos California, United States, 92078California Medical Clinic for Headache | Santa Monica California, United States, 90404California Neuroscience Research Medical Group, Inc. | Sherman Oaks California, United States, 91403CT Clinical Research | Cromwell Connecticut, United States, 06416Ki Health Partners, LLC dba New England Institute for Clinical Research | Stamford Connecticut, United States, 06905Clinical Neuroscience Solutions, Inc. | Jacksonville Florida, United States, 32256Multi-Specialty Research Associates, Inc. | Lake City Florida, United States, 32055Clinical Neuroscience Solutions, Inc. | Orlando Florida, United States, 32801Clinical Neuroscience Solutions, Inc. | Orlando Florida, United States, 32819Ormond Medical Arts Pharmaceutical Research Center | Ormond Beach Florida, United States, 32174Meridien Research | Tampa Florida, United States, 33634iResearch Atlanta, LLC | Decatur Georgia, United States, 30030Meridian Clinical Research, LLC | Savannah Georgia, United States, 31406Northwest Clinical Trials Inc. | Boise Idaho, United States, 83704Community Hospital of Anderson and Madison County Inc | Anderson Indiana, United States, 46011Fort Wayne Neurological Center | Fort Wayne Indiana, United States, 46804Collective Medical Research | Prairie Village Kansas, United States, 66208Crescent City Headache and Neurology Center | Chalmette Louisiana, United States, 70043Boston Clinical Trials | Boston Massachusetts, United States, 02131Community Clinical Research Network | Marlborough Massachusetts, United States, 01752Boston Neuro Research Center | South Dartmouth Massachusetts, United States, 02747Medvadis Research Corporation | Waltham Massachusetts, United States, 02451Michigan Headache and Neurological Institute | Ann Arbor Michigan, United States, 48104Clinical Research Institute, Inc. | Minneapolis Minnesota, United States, 55402StudyMetrix Research | City of Saint Peters Missouri, United States, 63303Clinvest Research LLC | Springfield Missouri, United States, 65810Sundance Clinical Research, LLC | St Louis Missouri, United States, 63141Dartmouth-Hitchcock Heater Road | Lebanon New Hampshire, United States, 03766Albuquerque Clinical Trials, Inc. | Albuquerque New Mexico, United States, 87102Regional Clinical Research | Endwell New York, United States, 13760Fieve Clinical Research, Inc | New York New York, United States, 10017Rochester Clinical Research, Inc. | Rochester New York, United States, 14609Montefiore Medical Center: Headache Center | The Bronx New York, United States, 10461Headache Wellness Center | Greensboro North Carolina, United States, 27405PharmQuest LLC | Greensboro North Carolina, United States, 27408Wilmington Health, PLLC | Wilmington North Carolina, United States, 28401OK Clinical Research LLC | Edmond Oklahoma, United States, 73034Tekton Research, Inc. | Yukon Oklahoma, United States, 73099Summit Research Network | Portland Oregon, United States, 97210Clinical Research of Philadelphia, LLC | Philadelphia Pennsylvania, United States, 19114Preferred Primary Care Physicians, Inc. | Pittsburgh Pennsylvania, United States, 15236Preferred Primary Care Physicians, Inc. | Union Pennsylvania, United States, 15401Coastal Carolina Research Center | Mt. Pleasant South Carolina, United States, 29464Volunteer Research Group | Knoxville Tennessee, United States, 37920Clinical Neuroscience Solutions, Inc. | Memphis Tennessee, United States, 38119FutureSearch Trials of Neurology | Austin Texas, United States, 78731FutureSearch Trials of Dallas, LP | Dallas Texas, United States, 75231Red Star Research LLC | Lake Jackson Texas, United States, 77566DM Clinical Research | Tomball Texas, United States, 77375Wasatch Clinical Research, LLC | Salt Lake City Utah, United States, 84107J. Lewis Research, Inc. / Jordan River Family Medicine | South Jordan Utah, United States, 84095Charlottesville Medical Research Center, LLC | Charlottesville Virginia, United States, 22911Tidewater Integrated Medical Research | Virginia Beach Virginia, United States, 23454Northwest Clinical Research Center | Bellevue Washington, United States, 98007Seattle Women's: Health, Research, Gynecology | Seattle Washington, United States, 98105Clinical Investigation Specialist, Inc. | Kenosha Wisconsin, United States, 53144
Study Documents (Full Text)
Documents provided by PfizerStudy Protocol  July 9, 2020Documents provided by PfizerStatistical Analysis Plan  February 6, 2022