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Trial · NCT05248997

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

NCT05248997, Phase 3, Completed, Pfizer; results first posted 2025-03-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety and Efficacy of BHV-3000 (Rimegepant) Orally Disintegrating Tablet for the Acute Treatment of Chronic Rhinosinusitis. Trials, record NCT05248997. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05248997

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Safety and Efficacy of BHV-3000 (Rimegepant) Orally Disintegrating Tablet for the Acute Treatment of Chronic Rhinosinusitis
NCT number
NCT05248997
Status
Completed
Phases
Phase 3
Enrollment
261 participants, actual
Lead sponsor
Pfizer
Conditions
Chronic Rhinosinusitis (CRS) With and Without Nasal Polyps
Interventions
rimegepant 75 mg ODT, Matching placebo
First posted
2022-02-21
Last updated
2025-03-26
Results first posted
2025-03-26

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange 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.
SecondaryChange 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.
SecondaryChange 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.
SecondaryChange From Baseline in Nasal Discharge at 2 Hours Post-DoseBaseline, 2 hours post-doseNasal 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.
SecondaryPercentage of Participants With Headache Pain Relief at 2 Hours Post-Dose2 hours post-doseHeadache 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).
SecondaryPercentage 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.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in Facial Pain/Pressure/Fullness on NRS at 2 Hours Post-DoseBaseline, 2 hours post-dose
Modified Intent to Treat (mITT) analysis set included randomized participants that received study therapy, had a facial pain/pressure/fullness which reached pain intensity of \>= 6 on the NRS (0-10) prior to administration of treatment and provided at least one post-baseline efficacy data point in the e-diary. All assessments after rescue medication administration were set to missing. Here, Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.
Scores on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Total Nasal Symptom Score (TNSS) at 2 Hours Post-DoseBaseline, 2 hours post-dose
mITT analysis set included randomized participants that received study therapy, had a facial pain/pressure/fullness which reached pain intensity of \>= 6 on the NRS (0-10) prior to administration of treatment and provided at least one post-baseline efficacy data point in the e-diary. All assessments after rescue medication administration were set to missing. Here, Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.
Scores on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Nasal Obstruction (Congestion) at 2 Hours Post-DoseBaseline, 2 hours post-dose
mITT analysis set included randomized participants that received study therapy, had a facial pain/pressure/fullness which reached pain intensity of \>=6 on the NRS (0-10) prior to administration of treatment and provide at least one post-baseline efficacy data point in the e-diary. All assessments after rescue medication administration were set to missing. Here, Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.
Scores on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Nasal Discharge at 2 Hours Post-DoseBaseline, 2 hours post-dose
mITT analysis set included randomized participants that received study therapy, had a facial pain/pressure/fullness which reached pain intensity of \>= 6 on the NRS (0-10) prior to administration of treatment and provide at least one post-baseline efficacy data point in the e-diary. All assessments after rescue medication administration were set to missing. Here, Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.
Scores on a scaleLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants With Headache Pain Relief at 2 Hours Post-Dose2 hours post-dose
mITT analysis set analyzed. Participants who reported a headache pain level of moderate or severe intensity at baseline were assessed. Participants who had missing data at 2 hours post-dose, or who took rescue medication at or before 2 hours post-dose were imputed as failures. Here, Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants Who Used Rescue Medication Within 24 Hours Post-doseThrough 24 hours post-dose
mITT analysis set included randomized participants that received study therapy, had a facial pain/pressure/fullness which reached pain intensity of greater than or equal to (\>=) 6 on the NRS (0-10) prior to administration of treatment and provided at least one post-baseline efficacy data point in the e-diary. Participants who recorded rescue medication use within 24 hours post-dose were considered failures, where failure was the event being analyzed.
Percentage of ParticipantsNUMBER

Results by group12

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in Facial Pain/Pressure/Fullness on NRS at 2 Hours Post-DoseRimegepant 75 mg-2.7095% Confidence Interval -3.16 to -2.25Scores on a scale
Change From Baseline in Facial Pain/Pressure/Fullness on NRS at 2 Hours Post-DosePlacebo-2.6195% Confidence Interval -3.06 to -2.17Scores on a scale
Change From Baseline in Total Nasal Symptom Score (TNSS) at 2 Hours Post-DoseRimegepant 75 mg-7.0495% Confidence Interval -8.16 to -5.91Scores on a scale
Change From Baseline in Total Nasal Symptom Score (TNSS) at 2 Hours Post-DosePlacebo-6.7495% Confidence Interval -7.85 to -5.64Scores on a scale
Change From Baseline in Nasal Obstruction (Congestion) at 2 Hours Post-DoseRimegepant 75 mg-2.4895% Confidence Interval -2.91 to -2.05Scores on a scale
Change From Baseline in Nasal Obstruction (Congestion) at 2 Hours Post-DosePlacebo-2.2595% Confidence Interval -2.67 to -1.82Scores on a scale
Change From Baseline in Nasal Discharge at 2 Hours Post-DoseRimegepant 75 mg-1.8195% Confidence Interval -2.22 to -1.41Scores on a scale
Change From Baseline in Nasal Discharge at 2 Hours Post-DosePlacebo-1.8595% Confidence Interval -2.25 to -1.45Scores on a scale
Percentage of Participants With Headache Pain Relief at 2 Hours Post-DoseRimegepant 75 mg59.495% Confidence Interval 47.8 to 71.0Percentage of Participants
Percentage of Participants With Headache Pain Relief at 2 Hours Post-DosePlacebo55.695% Confidence Interval 44.7 to 66.4Percentage of Participants

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRimegepant 75 mg131
Overall StudySTARTEDPlacebo130
Overall StudyTreatedRimegepant 75 mg99
Overall StudyTreatedPlacebo105
Overall StudyCOMPLETEDRimegepant 75 mg98
Overall StudyCOMPLETEDPlacebo104
Overall StudyNOT COMPLETEDRimegepant 75 mg33
Overall StudyNOT COMPLETEDPlacebo26

Adverse events20

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersRimegepant099
otherDiarrhoeaGastrointestinal disordersPlacebo1105
otherNauseaGastrointestinal disordersRimegepant099
otherNauseaGastrointestinal disordersPlacebo1105
otherAspartate aminotransferase increasedInvestigationsRimegepant199
otherAspartate aminotransferase increasedInvestigationsPlacebo0105
otherBlood creatine phosphokinase increasedInvestigationsRimegepant199
otherBlood creatine phosphokinase increasedInvestigationsPlacebo0105
otherElectrocardiogram PR shortenedInvestigationsRimegepant099
otherElectrocardiogram PR shortenedInvestigationsPlacebo1105

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRimegepant099
Total, all-cause mortalityPlacebo0105
Total, other adverse eventsRimegepant499
Total, other adverse eventsPlacebo5105
Total, serious adverse eventsRimegepant099
Total, serious adverse eventsPlacebo0105

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
41779821DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Rimegepant vs Placebo: deaths from any causeTrial comparisons
Rimegepant vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05248997

GET https://conductscience.org/api/trials/v1/NCT05248997/registered