Biohaven Underscores Depth of Migraine Portfolio with Data from Nurtec® ODT (rimegepant) Long-Term Open Label Study and Phase 3 Zavegepant Trial at 64th Annual Scientific Meeting of the American Headache Society

<br /> Biohaven Underscores Depth of Migraine Portfolio with Data from Nurtec® ODT (rimegepant) Long-Term Open Label Study and Phase 3 Zavegepant Trial at 64th Annual Scientific Meeting of the American Headache Society<br />

PR Newswire


  • 31 new and encore presentations, including three late-breakers and three oral presentations,


    spotlight robust Nurtec ODT, zavegepant and migraine HEOR data

  • Late-breaking submissions showcase new data for Nurtec ODT in Chinese and Korean patients and patterns of medication utilization in adults using it as an acute and preventive treatment

  • Results from long-term studies of Nurtec ODT as a preventive and acute treatment of migraine showed more than 80% of patients achieved ≥50% reduction in moderate or severe monthly migraine days and approximately half experienced a 100% reduction

  • Other oral presentations included safety and efficacy of zavegepant nasal spray as an acute treatment of migraine and an analysis of placebo responses over time in oral migraine preventive trials



NEW HAVEN, Conn.


,


June 9, 2022


/PRNewswire/ — Biohaven Pharmaceutical Holding Company Ltd. (NYSE: BHVN), today announced that it will be presenting 31 abstracts, including three late-breakers and three oral presentations, at the 64

th

annual scientific meeting of the American Headache Society (AHS) being held from

June 9-12

in

Denver, CO.

Biohaven will be showcasing key efficacy and safety data for its calcitonin gene-related peptide (CGRP) platform including full Phase 3 results for zavegepant nasal spray as an acute treatment of migraine; data from a 52-week open label extension study of Nurtec® ODT (rimegepant) evaluating every other day preventive treatment of migraine plus as an as-needed acute treatment – a first of its kind study assessing acute and preventive treatment with one medication; and estimated reductions in monthly migraine days (MMDs) with rimegepant acute treatment. The late-breakers will highlight new data about patterns of medication utilization and migraine frequency for adults using Nurtec ODT as a preventive and acute treatment; results from a Phase 1 trial of Nurtec ODT in healthy Chinese adults; and outcomes of a Phase 3 study of Nurtec ODT conducted in

China

and Korea as an acute treatment of migraine.

Additional posters will share information from a Delphi Panel of migraine experts that established consensus around flexible, individualized migraine treatment and the utility of situational preventive migraine treatment for times when patients have predictable yet unavoidable triggers and for expected situations when migraine prevention is particularly desired, such as important life events. Several health economics and outcomes research (HEOR) posters notably highlight (1) reductions in the prevalence of medication overuse headache following Nurtec ODT initiation, (2) reduced mean monthly quantity of dispensed Nurtec ODT which is potentially reflective of MMD reductions, (3) patient survey studies that illustrate preference for ODT oral formulations versus injectable or IV treatments in prevention, (4) improvements in health-related quality of life with long-term Nurtec ODT treatment, (5) the high interictal burden of migraine, and (6) patient reported attenuation of effect with biologic treatment in prevention.


Elyse Stock

, MD, Chief Medical Officer of Biohaven commented, “The data presented at AHS 2022 highlights Biohaven’s leadership in pioneering migraine-related research and a deep commitment to helping patients who live with this debilitating disease. We are working to expand our migraine portfolio to continue to have a positive impact on the lives of people with migraine and offer the ability to individualize care depending on patient treatment needs. Data from the first of its kind long-term, open-label study for Nurtec ODT showed that it is a safe and effective, all-in-one FDA-approved medication that helped almost half of the subjects achieve 100% reduction in monthly migraine days. Additionally, the FDA has recently accepted for review an NDA for zavegepant nasal spray as potentially another effective treatment option for migraine.”

A complete list of abstracts is available below along with details about the late-breakers and oral presentations by our investigators. Abstracts will also be published in the June edition of

Headache

journal or shared as a supplement along with the main edition.



Abstract Title



Presentation Details



Late-Breakers


Patterns of Medication Utilization and Migraine Frequency in Adults Using

Rimegepant for Both Preventive and Acute Treatment for Migraine: Results

From a 52-Week, Open-Label Extension Study


Efficacy, Safety, and Tolerability of Rimegepant 75 mg Orally Dissolving

Tablet for the Acute Treatment of Migraine: Results from a Phase 3, Double-

Blind, Randomized, Placebo-Controlled Trial in Adults From China and Korea


A Phase 1, Randomized, Placebo-controlled, Single- and Multiple- dose,

Double-blind Study to Evaluate the Pharmacokinetics and Safety of

Rimegepant Orally Disintegrating Tablets 75mg in Healthy Adult Chinese Subjects



Oral Presentations – Saturday, June 11


Efficacy and Safety of Zavegepant Nasal Spray for the Acute Treatment of

Migraine: Results of a Phase 3, Double-Blind, Randomized, Placebo

Controlled Trial


IOR-01


7:30 a.m. – 7:40 a.m.


Dr. Jelena Pavlovic


Increased Placebo Response Over Time in Oral Migraine Preventive Trials: A

Systematic Literature Review and Meta-Analysis


IOR-04


8:00 a.m. – 8:10 a.m.


Dr. Stewart Tepper


Safety and Tolerability of Rimegepant Every Other Day for Preventive

Treatment of Migraine Plus As-Needed for Acute Treatment of Migraine:

Results from a 52-week, Open-label Extension Study


IOR-09


8:50 a.m. – 9 a.m.


Dr. Richard Lipton



Rimegepant Posters – Friday, June 10 and Saturday, June 11


Estimated Change Over Time in Monthly Migraine Days (MMD) with Real-

World Rimegepant Treatment Based on Association of Monthly Pill Use and

MMD in Study BHV3000-201


Poster #P-74


Health Services/Outcomes Research


Real World Evidence of Reduction in Point Prevalence of Medication

Overuse Headache after Migraine Therapy with Rimegepant


Poster #P-90


Health Services/Outcomes Research


Health State Utility Mapping of Rimegepant for the Preventive Treatment of

Migraine: BHV3000-305 Double Blind Treatment Phase and Open Label

Extension Study


Poster #P-124


Health Services/Outcomes Research


Long-term Preventive and Acute Treatment of Migraine with Rimegepant

Improves Health Related Quality of Life


Poster #P-128


Other Clinical Studies


Medication Preference, Satisfaction, and Clinical Improvement Among

Adults Receiving Long-term Treatment with Rimegepant for Migraine


Poster #P-130


Other Clinical Studies


Acute Treatment with Rimegepant 75 mg Offers Improvements in Pain

Severity over 48-hours When Compared with Placebo – Post Hoc results

from a Randomized Placebo-controlled Trial (BHVN-3000-303)


Poster #P-151


Therapeutics


Effects of Long-term Preventive Treatment with Oral Rimegepant 75 mg on

Migraine-Related Disability: A 52-week, Open-label Extension Study


Poster #P-158


Therapeutics


Effects of Rimegepant 75 mg on Monthly Migraine Days; A 52-week Open-l

abel Extension Study


Poster #P-162


Other Clinical Studies


Prevention Benefits of Repeated Acute Treatment with Rimegepant 75 mg –

Simulation Model Validated by an Open-label Safety Study (BHV3000-201)


Poster #P-187


Therapeutics


Successful Treatment of Atypical Trigeminal Neuralgia Pain with Rimegepant,

an Orally Administered Calcitonin Gene-Related Peptide Receptor

Antagonist: A Case Study


Poster #P-201


Therapeutics



Zavegepant Posters – Friday, June 10 and Saturday, June 11


Absorption, Distribution, Metabolism, and Elimination of 5 mg Zavegepant in

Healthy Male Subjects after a Single Intravenous Infusion Dose


Poster #P-112


Headache Education


Concentration-QT Interval Modeling of Intranasally Administered

Zavegepant in Healthy Subjects Shows Absence of QT Prolongation


Poster #P-117


Other Clinical Studies


Effects of Zavegepant and Concomitant Sumatriptan on Blood Pressure and

Pharmacokinetics in Healthy Adult Participants


Poster #P-122


Other Clinical Studies


Safety, Tolerability, and Pharmacokinetics of Single and Multiple Ascending

Doses Zavegepant Nasal Spray in Healthy Adults


Poster #P-142


Other Clinical Studies


Effects of the Strong CYP3A4 and P-glycoprotein Inhibitor Itraconazole on

the Pharmacokinetics of Oral and Intranasal Zavegepant


Poster #P-163


Therapeutics



Migraine and CGRP Posters – Friday, June 10 and Saturday, June 11


Delphi Panel to Establish Consensus Around Flexible, Individualized Migraine

Treatment


Poster #P-59


Headache Education


Patients Report Greater Satisfaction, Quality of Communication, and

Medication-Specific Discussion with Headache Specialists than with Other

Health Care Professionals: Results from a Survey of an Online Migraine

Community


Poster #P-66


Headache Education


Quality of Communication Between Patients and Their Health Care Providers

is Associated with Patient Satisfaction and Treatment Optimization

Outcomes: Results from a Survey of an Online Migraine Community


Poster #P-67


Headache Education


Attitudes and Perspectives About Migraine Among Nonneurologist

Healthcare Providers: Results from a Cross-sectional Survey


Poster #P-70


Health Services/Outcomes Research


Measuring Interictal Burden Amongst Migraine Sufferers: A Descriptive

Survey Study


Poster #P-81


Health Services/Outcomes Research


Patient Preferences for Calcitonin Gene-Related Peptide (CGRP) Inhibitors in

the Preventive Treatment of Migraine: A Discrete Choice Experiment in the

US and Germany


Poster #P-85


Health Services/Outcomes Research


Patterns of Medication Usage Among Adults with Migraine Following Initial

Prescription of a CGRP mAb: A Retrospective Database Cohort Study


Poster #P-87


Health Services/Outcomes Research


Practice Patterns and Management of Migraine Among Nonneurologist

Healthcare Providers: Results from a Cross-Sectional Survey


Poster #P-89


Health Services/Outcomes Research


Real World Treatment Experience and Satisfaction Among Migraine Patients:

A Descriptive Survey Study


Poster #P-94


Health Services/Outcomes Research


Use of Medications for Acute Treatment and Healthcare Resource Utilization

Among Adults with Migraine Before and After At least 3 Months of Initial

Exposure to a CGRP mAb: A Noninterventional, Retrospective Database

Cohort Study


Poster #P-103


Health Services/Outcomes Research


About NURTEC ODT


NURTEC ODT (rimegepant) is the first and only calcitonin gene-related peptide (CGRP) receptor antagonist available in a quick-dissolve ODT formulation that is approved by the U.S. Food and Drug Administration (FDA) for the acute treatment of migraine with or without aura and the preventive treatment of episodic migraine in adults. The activity of the neuropeptide CGRP is thought to play a causal role in migraine pathophysiology. NURTEC ODT is a CGRP receptor antagonist that works by reversibly blocking CGRP receptors, thereby inhibiting the biologic activity of the CGRP neuropeptide. The recommended dose of NURTEC ODT is 75 mg, taken as needed, up to once daily to treat or every other day to help prevent migraine attacks. For more information about NURTEC ODT, visit

www.nurtec.com

. The most common adverse reaction was nausea and abdominal pain/indigestion. Avoid concomitant administration of NURTEC ODT with strong inhibitors of CYP3A4, strong or moderate inducers of CYP3A. Avoid another dose of NURTEC ODT within 48 hours when it is administered with moderate inhibitors of CYP3A4 or potent inhibitors of P-gp.


Indication


NURTEC ODT orally disintegrating tablets is a prescription medicine that is used to treat migraine in adults. It is for the acute treatment of migraine attacks with or without aura and the preventive treatment of episodic migraine. It is not known if NURTEC ODT is safe and effective in children.


Important Safety Information



Do not take NURTEC ODT

if you are allergic to NURTEC ODT (rimegepant) or any of its ingredients.


Before you take NURTEC ODT, tell your healthcare provider (HCP) about all your medical conditions, including if you

:

  • have liver problems,
  • have kidney problems,
  • are pregnant or plan to become pregnant,
  • are breastfeeding or plan to breastfeed.


Tell your HCP about all the medicines you take

, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

NURTEC ODT may cause serious side effects including allergic reactions, trouble breathing and rash. This can happen days after you take NURTEC ODT. Call your HCP or get emergency help right away if you have swelling of the face, mouth, tongue, or throat or trouble breathing. This occurred in less than 1% of patients treated with NURTEC ODT.


The most common side effects of NURTEC ODT

were nausea (2.7%) and stomach pain/indigestion (2.4%). These are not the only possible side effects of NURTEC ODT. Tell your HCP if you have any side effects.


You are encouraged to report side effects of prescription drugs to the FDA.



Visit



www.fda.gov/medwatch



or call 1–800–FDA–1088 or report side effects to Biohaven at 1–833–4NURTEC.


See full



Prescribing Information



and



Patient Information



.


About Zavegepant


Zavegepant is a third generation, high affinity, selective and structurally unique, small molecule CGRP receptor antagonist from Biohaven’s NOJECTION™ Migraine Platform and the only CGRP receptor antagonist in clinical development with both intranasal and oral formulations. The efficacy and safety profile of intranasal zavegepant for the acute treatment of migraine, as compared to placebo, was shown in a randomized controlled Phase 2/3 dose-ranging trial with a total of over 1000 patients who received zavegepant. In this study, zavegepant showed statistical superiority to placebo on the coprimary endpoints of 2-hour freedom from pain and freedom from a patients’ most bothersome symptom (either nausea, photophobia or phonophobia). This was the second zavegepant pivotal clinical trial to meet these coprimary endpoints. The U.S. Food and Drug Administration has accepted a new drug application for zavegepant with a Prescription Drug User Fee Act date in the first quarter of 2023.


About Biohaven


Biohaven is a global commercial-stage biopharmaceutical company with a portfolio of innovative, best-in-class therapies to improve the lives of patients with debilitating neurological and neuropsychiatric diseases, including rare disorders. Biohaven’s Neuroinnovation™ portfolio includes FDA-approved NURTEC® ODT (rimegepant) for the acute and preventive treatment of migraine (EMA-approved as VYDURA®  for the acute treatment of migraine with or without aura, and prophylaxis of episodic migraine in adults who have at least four migraine attacks per month) and a broad pipeline of late-stage product candidates across five distinct mechanistic platforms: CGRP receptor antagonism for the acute and preventive treatment of migraine and other CGRP-mediated diseases; glutamate modulation for obsessive-compulsive disorder and spinocerebellar ataxia; myeloperoxidase (MPO) inhibition for amyotrophic lateral sclerosis; Kv7 ion channel activators for focal epilepsy and neuronal hyperexcitability, and myostatin inhibition for neuromuscular diseases. More information about Biohaven is available at

www.biohavenpharma.com

.

NURTEC, NURTEC ODT and VYDURA are registered trademarks of Biohaven Pharmaceutical Ireland DAC. Neuroinnovation and NOJECTION are trademarks of Biohaven Pharmaceutical Holding Company Ltd.


Forward-looking Statement


This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. The use of certain words, including “believe”, “continue”, “may”, “will”, “anticipate”, “expect” and similar expressions, are intended to identify forward-looking statements. These forward-looking statements involve substantial risks and uncertainties, including statements that are based on the current expectations and assumptions of Biohaven’s management about NURTEC ODT as an acute treatment for patients with migraine and preventive treatment for migraine. Factors that could affect these forward-looking statements include those related to: Biohaven’s ability to effectively commercialize NURTEC ODT, delays or problems in the supply or manufacture of NURTEC ODT, complying with applicable U.S. regulatory requirements, the expected timing, commencement and outcomes of Biohaven’s planned and ongoing clinical trials; the timing of planned interactions and filings with the FDA; the timing and outcome of expected regulatory filings; the potential commercialization of Biohaven’s product candidates; the potential for Biohaven’s product candidates to be first in class or best in class therapies; and the effectiveness and safety of Biohaven’s product candidates. Various important factors could cause actual results or events to differ materially from those that may be expressed or implied by forward-looking statements. Additional important factors to be considered in connection with forward-looking statements are described in the “Risk Factors” section of the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission on

February 25, 2022

, and in Biohaven’s subsequent filings with the Securities and Exchange Commission. The forward-looking statements are made as of the date of this new release, and Biohaven does not undertake any obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.


Biohaven Contact



Jennifer Porcelli


201-248-0741

Vice-President, Investor Relations


[email protected]


Media Contact



Mike Beyer


Sam Brown Inc.


[email protected]


312-961-2502

Cision
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