Biohaven’s Migraine Empire Expands As Zavegepant Conquers Phase III

Second Drug Is Market’s First Intranasal CGRP Inhibitor

The company will seek US FDA approval after intranasally administered zavegepant passes its second pivotal test in the treatment of migraine attacks, followed by ex-US approvals with partner Pfizer. 

Young female student with headache
Ultra-rapid onset in as soon as 15 minutes could keep migraine patients from leaving school or work • Source: Alamy

Biohaven Pharmaceutical Holding Company Ltd.’s migraine franchise is set to expand from one drug with two indications to two drugs with two different routes of administration. The company reported positive Phase III results in the acute treatment of migraine attacks for the intranasally administered CGRP antagonist zavegepant on 6 December that will support a US Food and Drug Administration filing early next year.

Zavegepant likely is not as big of a commercial opportunity as Biohaven’s approved migraine prevention and acute treatment Nurtec ODT (rimegepant), a fast-dissolving oral CGRP inhibitor, but it nevertheless expands the company’s offerings at a time when the migraine market is becoming

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