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Safety and Efficacy of BHV-3000 (Rimegepant) Orally Disintegrating Tablet for the Acute Treatment of Chronic Rhinosinusitis

Phase 3
Completed
Conditions
Chronic Rhinosinusitis (CRS) With and Without Nasal Polyps
Interventions
Drug: Matching placebo
Registration Number
NCT05248997
Lead Sponsor
Pfizer
Brief Summary

The purpose of this study is to compare the efficacy and safety of rimegepant versus placebo in the acute treatment of chronic rhinosinusitis (CRS) with and without nasal polyps.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
261
Inclusion Criteria
  • At least two episodes of facial pain/pressure/fullness of moderate or severe intensity on a 4-point rating scale (0 = None, 1 = Mild, 2 = Moderate, 3 = Severe) in the past 30 days prior to the Screening Visit.
  • Subject agrees to study-required medication restrictions and the restriction of not starting new medication to treat CRS symptoms during the course of the study.
  • Subject agrees to study-required birth control methods during the course of the study, and female subjects must not be breastfeeding.
  • No clinically significant abnormality identified on the medical or laboratory evaluation.
Exclusion Criteria
  • Subject has primary headache disorder.
  • Subject has history of nasal or facial surgery within the 6 months prior to screening.
  • Subject has ongoing rhinitis medicamentosa.
  • Subject has diagnosed or suspected invasive fungal rhinosinusitis.
  • Subject is currently receiving aspirin desensitization or maintenance therapy for Samter's Triad.
  • Subject has a history of recurrent acute sinusitis (four or more episodes per year of acute bacterial rhinosinusitis (ABRS) without signs or symptoms of rhinosinusitis between episodes).
  • Body Mass Index > 35.0kg/m2
  • Subject history of exclusionary medical conditions such as HIV disease, cardiovascular conditions, uncontrolled hypertension or diabetes, psychiatric conditions, drug or alcohol abuse, malignancies, drug allergies, or any significant and/or unstable medical conditions.
  • Subjects taking/using excluded therapies.
  • Participation in clinical trial with non-biological investigational agents or investigational interventional treatments.
  • Subjects who have previously participated in any BHV-3000/ BMS-927711/ rimegepant study.
  • Planned participation in any other investigational clinical trial while participating in this clinical trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
rimegepant 75 mg ODTrimegepant 75 mg ODTOne dose of rimegepant 75 mg ODT
Matching PlaceboMatching placeboOne dose of matching placebo
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Facial Pain/Pressure/Fullness on NRS at 2 Hours Post-DoseBaseline, 2 hours post-dose

Facial pain/pressure/fullness was assessed using an NRS score ranging in integers from 0 to 10, with 0 being "no facial pain/pressure/fullness" and 10 being "worst imaginable facial pain/pressure/fullness." Higher scores signified worse condition.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Total Nasal Symptom Score (TNSS) at 2 Hours Post-DoseBaseline, 2 hours post-dose

TNSS was calculated as the sum of 3 symptom scores: facial pain/pressure/fullness, score ranged from 0 (no facial pain/pressure/fullness) to 10 (worst imaginable facial pain/pressure/fullness); nasal obstruction (congestion), score ranged from 0 (no nasal obstruction (congestion) to 10 (worst imaginable nasal obstruction (congestion); and nasal discharge, score ranged from 0 (no nasal discharge) to 10 (worst nasal discharge). TNSS overall score ranged from 0 (no nasal symptom) to 30 (worst nasal symptom); higher scores signified worse condition.

Change From Baseline in Nasal Obstruction (Congestion) at 2 Hours Post-DoseBaseline, 2 hours post-dose

Nasal obstruction (congestion) severity was assessed using a NRS ranging in integers from 0 (no nasal obstruction \[congestion\]) to 10 (worst imaginable nasal obstruction \[congestion\]). Higher scores signified worse condition.

Change From Baseline in Nasal Discharge at 2 Hours Post-DoseBaseline, 2 hours post-dose

Nasal discharge severity was assessed using a NRS ranging in integers from 0 (no nasal discharge) to 10 (worst imaginable nasal discharge). Higher scores signified worse condition.

Percentage of Participants With Headache Pain Relief at 2 Hours Post-Dose2 hours post-dose

Headache pain relief was defined as a headache pain level of none or mild at 2 hours post-dose on a 4-point Likert scale (0 = None; 1 = Mild; 2 = Moderate; 3 = Severe).

Percentage of Participants Who Used Rescue Medication Within 24 Hours Post-doseThrough 24 hours post-dose

Post 2 hours after dosing with study medication and after the 2-hour assessments were completed on the e-diary, participants were permitted to use the following rescue medications (non-study medications) such as: acetaminophen or aspirin, ibuprofen, naproxen (or any other type of nonsteroidal anti-inflammatory drug \[NSAID\]), oral antihistamines (non- sedating), oral decongestants, topical nasal decongestants, topical nasal anticholinergics.

Trial Locations

Locations (33)

San Diego Clinical Research Center

🇺🇸

La Mesa, California, United States

Velocity Clinical San Diego

🇺🇸

La Mesa, California, United States

National Research Institute

🇺🇸

Panorama City, California, United States

Sacramento Ear Nose and Throat Surgical and Medical Group, Inc.

🇺🇸

Roseville, California, United States

Sharp & Children's MRI Center, LLC (CT scan)

🇺🇸

San Diego, California, United States

Breathe Clear Institute

🇺🇸

Torrance, California, United States

Colorado ENT & Allergy

🇺🇸

Colorado Springs, Colorado, United States

Velocity Clinical Research, New Smyrna Beach

🇺🇸

Edgewater, Florida, United States

The Medici Medical Research, LLC

🇺🇸

Hollywood, Florida, United States

Avantis Clinical Research

🇺🇸

Miami, Florida, United States

Clinovation Research

🇺🇸

Pompano Beach, Florida, United States

Treasure Valley Medical Research

🇺🇸

Boise, Idaho, United States

ChicagoENT

🇺🇸

Chicago, Illinois, United States

Kentuckiana Ear, Nose & Throat

🇺🇸

Louisville, Kentucky, United States

Best Clinical Trials, LLC (Administrative Only)

🇺🇸

New Orleans, Louisiana, United States

George Stanley Walker, MD

🇺🇸

New Orleans, Louisiana, United States

University of Missouri Hospital & Clinics, ENT & Allergy Center of Missouri

🇺🇸

Columbia, Missouri, United States

University of Missouri Healthcare - Investigational Pharmacy

🇺🇸

Columbia, Missouri, United States

University of Missouri Hospital (Radiology)

🇺🇸

Columbia, Missouri, United States

Clinvest Research, LLC

🇺🇸

Springfield, Missouri, United States

St Charles Clinical Research

🇺🇸

Weldon Spring, Missouri, United States

Northwell Health Department of Otolaryngology

🇺🇸

New Hyde Park, New York, United States

Tekton Research, Inc.

🇺🇸

Edmond, Oklahoma, United States

Allergy, Asthma & Clinical Research Center

🇺🇸

Oklahoma City, Oklahoma, United States

Vital Prospects Clinical Research Institute, P.C.

🇺🇸

Tulsa, Oklahoma, United States

Velocity Clinical Research, Grants Pass

🇺🇸

Grants Pass, Oregon, United States

Velocity Clinical Research, Medford

🇺🇸

Medford, Oregon, United States

Velocity Clinical Research, Anderson

🇺🇸

Anderson, South Carolina, United States

Carolina ENT Clinic/CENTRI Inc.

🇺🇸

Orangeburg, South Carolina, United States

Spokane Ear, Nose & Throat/ Columbia Surgical Specialists

🇺🇸

Spokane, Washington, United States

Principle Research Solutions

🇺🇸

Spokane, Washington, United States

Spokane Ear, Nose & Throat / Columbia Surgical Specialists

🇺🇸

Spokane, Washington, United States

Allergy, Asthma & Sinus Center, S.C.

🇺🇸

Greenfield, Wisconsin, United States

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