Tuesday, December 31, 2019

AXS-07 Phase 3 Results for Acute Migraine (Momentum)

Axsome Therapeutics released phase 3 clinical data with AXS-07 for the treatment of acute migraine, for patients with an inadequate response to prior treatments.
The clinical trial met the two co-primary endpoints; Pain-Free at 2 hours after dose, and Absent most Bothersome Symptoms 2 hours after dose versus placebo. The clinical trial can be found here Momentum Phase 3. The trial also compared AXS-07 to Rizatriptan (a well known and effective generic drug for acute migraine) for these tough to treat patients, who have not responded to prior treatments. Comparisons below are AXS-07 versus Rizatriptan.
  • Sustained pain freedom from 2 to 24 hours after dosing.  16.1% vs 11.2%  p=0.038
  • Sustained pain relief from 2 to 24 hours after dosing.  53.3% vs 43.9%  p=0.006
  • Sustained pain relief from 2 to 48 hours after dosing.  46.5% vs 36.5%  p=0.003
  • Rescue medication was used for 23.0% of AXS-07 patients vs 34.7%  p=0.001
  • Patient Global Impression of Change, AXS-07 vs Rizatriptan.                             p=0.022
  • Return to normal function at 24 hours.                                                                      p=0.027
The clinical trial was a success, as AXS-07 above, compared well to the generic acute migraine drug Rizatriptan. The safety profile of AXS-o7 was similar to placebo. The company plans to file an NDA (new drug application) in the second half of 2020.

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