Evidence map›Paper›PMID 34363701›Full record

Trial reportHeadache2021

STOP 301: A Phase 3, open-label study of safety, tolerability, and exploratory efficacy of INP104, Precision Olfactory Delivery (POD

Timothy R Smith, Paul Winner, Sheena K Aurora, Maria Jeleva, Jasna Hocevar-Trnka, Stephen B Shrewsbury

Open access · hybridAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Headache, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Nose-to-brain drug delivery: from bench to bedside.Translational neurodegeneration · 2025
    Review
  7. Article
  8. The Gut-brain Connection and Episodic Migraine: an Update.Current pain and headache reports · 2023
    Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. New Approaches to Shifting the Migraine Treatment Paradigm.Frontiers in pain research (Lausanne, Switzerland) · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Timothy R SmithDepartment of Research, StudyMetrix Research, St. Peters, MO, USA.
Paul WinnerPalm Beach Headache Center, West Palm Beach, FL, USA.
Sheena K AuroraMedical Affairs, Impel NeuroPharma, Seattle, WA, USA.ORCID 0000-0002-4534-4937
Maria JelevaMedical Affairs, Impel NeuroPharma, Seattle, WA, USA.
Jasna Hocevar-TrnkaMedical Affairs, Impel NeuroPharma, Seattle, WA, USA.
Stephen B ShrewsburyMedical Affairs, Impel NeuroPharma, Seattle, WA, USA.
Impel Neuropharma (United States) · USNeuroMetrix (United States) · USPalm Beach Neurology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report the safety, tolerability, exploratory efficacy, and patient acceptability of INP104 for the acute treatment of migraine from the Phase 3 STOP 301 trial.

backgroundDihydroergotamine (DHE) has long been used to treat migraine, but intravenous administration is invasive, frequently associated with adverse events (AEs), and not suitable for at-home administration. INP104 is an investigational drug device that delivers DHE mesylate to the upper nasal space using a Precision Olfactory Delivery technology and was developed to overcome the shortcomings of available DHE products.

methodsSTOP 301 was an open-label, 24-week safety study, with a 28-week extension period. After a 28-day screening period where patients used their "best usual care" to treat migraine attacks, patients were given INP104 (1.45 mg) to self-administer nasally with self-recognized attacks. The primary objective of this study was to assess safety and tolerability, with a specific focus on nasal mucosa and olfactory function. Exploratory objectives included efficacy assessments of migraine measures and a patient acceptability questionnaire.

resultsA total of 360 patients entered the 24-week treatment period, with 354 patients dosing at least once. INP104-related treatment-emergent AEs were reported by 36.7% (130/354) of patients, and 6.8% (24/354) discontinued treatment due to AEs over 24 weeks. No new safety signals were observed following delivery to the upper nasal space. Pain freedom, the most bothersome symptom freedom, and pain relief at 2 h post-INP104 were self-reported by 38.0% (126/332), 52.1% (173/332), and 66.3% (167/252) of patients, respectively. A low recurrence rate at 24 and 48 h was observed (7.1% [9/126] and 14.3% [18/126], respectively). Most patients found INP104 easy to use and preferred it over their current therapy.

conclusionsINP104 has the potential to deliver rapid symptom relief, without injection, that is well tolerated and suitable for outpatient use. Results suggest INP104 may be a promising treatment for patients with migraine.

Indexed as

Drug Delivery SystemsOutcome Assessment, Health CareAdministration, IntranasalAdultDihydroergotamineEquipment DesignFemaleHumansMaleMiddle AgedVasoconstrictor AgentsDihydroergotamineVasoconstrictor AgentsdihydroergotamineefficacymigrainePrecision Olfactory Deliverysafety/tolerabilityupper nasal space

Identifiers

PMID34363701
PMCPMC9292844
OpenAlexW3188984716

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.