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| ID | Type | Description | Link |
|---|---|---|---|
| C5301029 | Other Identifier | Pfizer |
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The purpose of this study is to evaluate the long-term safety of BHV-3500/vazegepant intranasal in the acute treatment of migraine.
* BHV-3500, formerly "vazegepant", is now referred to as "zavegepant" (za ve' je pant). The World Health Organization (WHO) International Nonproprietary Names (INN) Expert Committee revised the name to "zavegepant" which was accepted by the United States Adopted Names (USAN ) Council for use in the U.S. and is pending formal adoption by the INN for international use.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Zavegepant (BHV-3500) | Experimental | 10 mg intranasal (IN) up to 8 times per month, up to 1 year |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zavegepant (BHV-3500) | Drug | 10 mg IN up to 8 times per month, up to 1 year |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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. | From study drug dosing up to the end of the study (up to 52 weeks) |
| 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. | From study drug dosing up to the end of the study (up to 52 weeks) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical Affiliated Research Center | Huntsville | Alabama | 35801 | United States | ||
| Coastal Clinical Research, LLC, An AMR Co. |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41379282 | Derived | Lipton RB, Mosher L, Fountaine RJ. Patient-Reported Outcomes During the Acute Treatment of Migraine with Zavegepant Nasal Spray: Results from a 52-Week, Open-Label Study. Pain Ther. 2026 Feb;15(1):325-340. doi: 10.1007/s40122-025-00800-z. Epub 2025 Dec 11. | |
| 40391567 | Derived | Berman G, Mullin K, Smith T, Mosher L, Sweeney S, Fountaine RJ. Long-term safety and tolerability of zavegepant 10-mg nasal spray with concomitant use of anti-calcitonin gene-related peptide monoclonal antibodies or other select preventive migraine medications: Results from a phase 2/3 open-label study. Headache. 2025 Jul-Aug;65(7):1180-1189. doi: 10.1111/head.14954. Epub 2025 May 20. |
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A total of 974 participants were enrolled for this open-label study, of which 900 participants entered the observational phase (OP) and 608 participants entered the long-term treatment (LTT) phase, of whom 603 participants received treatment with zavegepant. A total of 286 participants failed to enter the LTT phase after the OP due to failure to meet inclusion/exclusion criteria.
The study was conducted at 63 sites in the United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | Zavegepant 10 mg | Participants self-administered zavegepant 10 mg nasal spray, taken up to 8 times per month (28 days), for up to 52 weeks. The dose was self-administered using an Aptar Unidose System (UDS) liquid spray device. |
| Title | Milestones | Reasons Not Completed | ||||
|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 10, 2020 | Feb 13, 2023 |
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| Mobile |
| Alabama |
| 36608 |
| United States |
| Tucson Neuroscience Research | Tucson | Arizona | 85710 | United States |
| Baptist Health Center for Clinical Research | Little Rock | Arkansas | 72205 | United States |
| Pharmacology Research Institute | Encino | California | 91316 | United States |
| eStudySite | La Mesa | California | 91942 | United States |
| Synergy San Diego | Lemon Grove | California | 91945 | United States |
| Collaborative Neuroscience Network, LLC | Long Beach | California | 90806 | United States |
| Pharmacology Research Institute | Los Alamitos | California | 90720 | United States |
| Wr-Pri, Llc | Newport Beach | California | 92660 | United States |
| Artemis Institute for Clinical Research | San Diego | California | 92103 | United States |
| Artemis Institute for Clinical Research | San Marcos | California | 92078 | United States |
| California Medical Clinic for Headache | Santa Monica | California | 90404 | United States |
| California Neuroscience Research Medical Group, Inc. | Sherman Oaks | California | 91403 | United States |
| CT Clinical Research | Cromwell | Connecticut | 06416 | United States |
| Ki Health Partners, LLC dba New England Institute for Clinical Research | Stamford | Connecticut | 06905 | United States |
| Clinical Neuroscience Solutions, Inc. | Jacksonville | Florida | 32256 | United States |
| Multi-Specialty Research Associates, Inc. | Lake City | Florida | 32055 | United States |
| Clinical Neuroscience Solutions, Inc. | Orlando | Florida | 32801 | United States |
| Clinical Neuroscience Solutions, Inc. | Orlando | Florida | 32819 | United States |
| Ormond Medical Arts Pharmaceutical Research Center | Ormond Beach | Florida | 32174 | United States |
| Meridien Research | Tampa | Florida | 33634 | United States |
| iResearch Atlanta, LLC | Decatur | Georgia | 30030 | United States |
| Meridian Clinical Research, LLC | Savannah | Georgia | 31406 | United States |
| Northwest Clinical Trials Inc. | Boise | Idaho | 83704 | United States |
| Community Hospital of Anderson and Madison County Inc | Anderson | Indiana | 46011 | United States |
| Fort Wayne Neurological Center | Fort Wayne | Indiana | 46804 | United States |
| Collective Medical Research | Prairie Village | Kansas | 66208 | United States |
| Crescent City Headache and Neurology Center | Chalmette | Louisiana | 70043 | United States |
| Boston Clinical Trials | Boston | Massachusetts | 02131 | United States |
| Community Clinical Research Network | Marlborough | Massachusetts | 01752 | United States |
| Boston Neuro Research Center | South Dartmouth | Massachusetts | 02747 | United States |
| Medvadis Research Corporation | Waltham | Massachusetts | 02451 | United States |
| Michigan Headache and Neurological Institute | Ann Arbor | Michigan | 48104 | United States |
| Clinical Research Institute, Inc. | Minneapolis | Minnesota | 55402 | United States |
| StudyMetrix Research | City of Saint Peters | Missouri | 63303 | United States |
| Clinvest Research LLC | Springfield | Missouri | 65810 | United States |
| Sundance Clinical Research, LLC | St Louis | Missouri | 63141 | United States |
| Dartmouth-Hitchcock Heater Road | Lebanon | New Hampshire | 03766 | United States |
| Albuquerque Clinical Trials, Inc. | Albuquerque | New Mexico | 87102 | United States |
| Regional Clinical Research | Endwell | New York | 13760 | United States |
| Fieve Clinical Research, Inc | New York | New York | 10017 | United States |
| Rochester Clinical Research, Inc. | Rochester | New York | 14609 | United States |
| Montefiore Medical Center: Headache Center | The Bronx | New York | 10461 | United States |
| Headache Wellness Center | Greensboro | North Carolina | 27405 | United States |
| PharmQuest LLC | Greensboro | North Carolina | 27408 | United States |
| Wilmington Health, PLLC | Wilmington | North Carolina | 28401 | United States |
| OK Clinical Research LLC | Edmond | Oklahoma | 73034 | United States |
| Tekton Research, Inc. | Yukon | Oklahoma | 73099 | United States |
| Summit Research Network | Portland | Oregon | 97210 | United States |
| Clinical Research of Philadelphia, LLC | Philadelphia | Pennsylvania | 19114 | United States |
| Preferred Primary Care Physicians, Inc. | Pittsburgh | Pennsylvania | 15236 | United States |
| Preferred Primary Care Physicians, Inc. | Union | Pennsylvania | 15401 | United States |
| Coastal Carolina Research Center | Mt. Pleasant | South Carolina | 29464 | United States |
| Volunteer Research Group | Knoxville | Tennessee | 37920 | United States |
| Clinical Neuroscience Solutions, Inc. | Memphis | Tennessee | 38119 | United States |
| FutureSearch Trials of Neurology | Austin | Texas | 78731 | United States |
| FutureSearch Trials of Dallas, LP | Dallas | Texas | 75231 | United States |
| Red Star Research LLC | Lake Jackson | Texas | 77566 | United States |
| DM Clinical Research | Tomball | Texas | 77375 | United States |
| Wasatch Clinical Research, LLC | Salt Lake City | Utah | 84107 | United States |
| J. Lewis Research, Inc. / Jordan River Family Medicine | South Jordan | Utah | 84095 | United States |
| Charlottesville Medical Research Center, LLC | Charlottesville | Virginia | 22911 | United States |
| Tidewater Integrated Medical Research | Virginia Beach | Virginia | 23454 | United States |
| Northwest Clinical Research Center | Bellevue | Washington | 98007 | United States |
| Seattle Women's: Health, Research, Gynecology | Seattle | Washington | 98105 | United States |
| Clinical Investigation Specialist, Inc. | Kenosha | Wisconsin | 53144 | United States |
| 39210835 | Derived | Mullin K, Croop R, Mosher L, Fullerton T, Madonia J, Lipton RB. Long-term safety of zavegepant nasal spray for the acute treatment of migraine: A phase 2/3 open-label study. Cephalalgia. 2024 Aug;44(8):3331024241259456. doi: 10.1177/03331024241259456. |
|
| Treated/Safety Analysis Set | Participants in the enrolled analysis set who took study drug, that is, non-missing study drug start date/time. |
|
| COMPLETED |
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| NOT COMPLETED |
|
|
Safety analysis set included participants in the enrolled analysis set who took the study drug, that is, non-missing study drug start date/time.
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| ID | Title | Description |
|---|---|---|
| BG000 | Zavegepant 10 mg | Participants self-administered zavegepant 10 mg nasal spray, taken up to 8 times per month (28 days), for up to 52 weeks. The dose was self-administered using an Aptar UDS liquid spray device. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | 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. | Safety analysis set included participants in the enrolled analysis set who took the study drug, that is, non-missing study drug start date/time. | Posted | Number | Participants | From study drug dosing up to the end of the study (up to 52 weeks) |
|
|
| ||||||||||||||||||||||||||||||||||||
| Primary | 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. | Safety analysis set included participants in the enrolled analysis set who took the study drug, that is, non-missing study drug start date/time. | Posted | Number | Participants | From study drug dosing up to the end of the study (up to 52 weeks) |
|
|
From study drug dosing up to the end of the study (up to 52 weeks)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Zavegepant 10 mg | Participants self-administered zavegepant 10 mg nasal spray, taken up to 8 times per month (28 days), for up to 52 weeks. The dose was self-administered using an Aptar UDS liquid spray device. | 0 | 603 | 7 | 603 | 336 | 603 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Appendicitis | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
| |
| Herpes zoster meningoencephalitis | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
| |
| Bile duct stenosis | Hepatobiliary disorders | MedDRA 24.0 | Systematic Assessment |
| |
| Concussion | Injury, poisoning and procedural complications | MedDRA 24.0 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 24.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Systematic Assessment |
| |
| Multiple sclerosis | Nervous system disorders | MedDRA 24.0 | Systematic Assessment |
| |
| Pleurisy | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dysgeusia | Nervous system disorders | MedDRA 24.0 | Systematic Assessment |
| |
| Nasal discomfort | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Systematic Assessment |
| |
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Systematic Assessment |
| |
| Throat irritation | Respiratory, thoracic and mediastinal disorders | MedDRA 24.0 | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA 24.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 24.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 24.0 | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Medical Officer | Biohaven Pharmaceuticals, Inc. | 203-404-0410 | clinicaltrials@biohavenpharma.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Feb 7, 2022 | Feb 13, 2023 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| D006261 | Headache |
| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Unknown or Not Reported |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Title | Measurements |
|---|---|
|
|