BHV3500-203: Phase 2/3: Double-Blind, Randomized, Placebo Controlled, Safety and Efficacy Trial of Zavegepant (BHV-3500) Intranasal (IN) for Hospitalized Patients With COVID-19 Requiring Supplemental Oxygen

Amali et al., NCT04346615, BHV-3500, NCT04346615, May 2024
Late treatmentDouble-blind RCT · NCT04346615 · 47 patients · USA
Zavegepant for COVID-19
BHV-3500 Amali et al. NCT04346615 · May 2024
Outcome
Improvement
Relative Risk · 95% CI
Mortality
-168%2.68 · 0.34 to >9
ICU admission
-25%1.25 · 0.38–4.14
Recovery
-11%1.11 · 0.84–1.47
00.511.52+
← Zavegepant
reduces riskZavegepant
increases risk →
Higher mortality with zavegepant
Not statistically significant · p = 0.4
RCT 47 hospitalized COVID-19 patients in the USA showing no significant differences with zavegepant treatment.
Standard of Care (SOC) for COVID-19 in the study country, the USA, is very poor with very low average efficacy for approved treatments1. Only expensive, high-profit treatments were approved for early treatment. Low-cost treatments were excluded, reducing the probability of early treatment due to access and cost barriers, and eliminating complementary and synergistic benefits seen with many low-cost treatments.
Important missing comments or errors? Let us know.
risk of death, 167.9% higher, RR 2.68, p = 0.40, treatment 5 of 28 (17.9%), control 1 of 15 (6.7%).
risk of ICU admission, 25.0% higher, RR 1.25, p = 1.00, treatment 7 of 28 (25.0%), control 3 of 15 (20.0%).
risk of no recovery, 11.1% higher, RR 1.11, p = 0.47, treatment mean 5.0 (±1.81) n=20, control mean 4.5 (±1.86) n=11, relative 6-point scale score, day 15.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Amali et al., 2 May 2024, Double Blind Randomized Controlled Trial, placebo-controlled, USA, preprint, 1 author, trial NCT04346615 (history) (BHV-3500). Contact: ClinicalTrials.gov_Inquires@pfizer.com.
$0 $500 $1,000+ Efficacy vs. cost for COVID-19 treatment protocols c19early.org October 2026 USA Angola Colombia Kenya Mozambique Myanmar South Africa Peru Philippines Vietnam Japan Argentina Nepal Iran Bangladesh Ethiopia Ghana Germany Mexico South Korea United Kingdom Saudi Arabia Algeria Morocco Yemen Poland Uzbekistan India China Venezuela DR Congo Madagascar Thailand Uganda Egypt Nigeria Taiwan Fiji Zambia Bosnia-Herzegovina Jordan Georgia Switzerland Dominican Republic Bolivia Côte d'Ivoire Eritrea Togo Bulgaria Greece Slovakia Iceland New Zealand Trinidad and Tobago Mongolia Czechia Belarus Israel Haiti North Macedonia Hong Kong Qatar Panama Serbia USA favored high-profit treatments.The average efficacy of treatments was very low.High-cost protocols reduce early treatment, andforgo complementary/synergistic benefits. More effective More expensive 75% 50% 25% ≤0%
$0 $500 $1,000+ Efficacy vs. cost for COVID-19treatment protocols worldwide c19early.org October 2026 USA Angola Colombia Kenya Mozambique Myanmar South Africa Peru Philippines Vietnam Japan Argentina Nepal Iran Bangladesh Ethiopia Ghana Germany Mexico South Korea United Kingdom Saudi Arabia Algeria Morocco Yemen Poland Uzbekistan India China Venezuela DR Congo Madagascar Thailand Uganda Egypt Taiwan Fiji Zambia Jordan Georgia Switzerland Dominican Rep. Bolivia Côte d'Ivoire Eritrea Togo Sri Lanka Bulgaria Greece Slovakia New Zealand Trinidad and Tobago Mongolia Czechia Belarus Israel North Macedonia Hong Kong Qatar Panama Serbia USA favored high-profit treatments.The average efficacy was very low.High-cost protocols reduce early treatment,and forgo complementary/synergistic benefits. More effective More expensive 75% 50% 25% ≤0%
Zavegepant is a small molecule calcitonin gene-related peptide (CGRP) receptor antagonist.
Late treatment
is less effective
Please send us corrections, updates, or comments. c19early involves the extraction of 200,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. IMA and WCH provide treatment protocols.
  or use drag and drop   
Submit    
Post
Share
@CovidAnalysis
FAQ
Public domain CC0 1.0