TheraRadar
Data updated: May 26, 2026

ZOMIG (zolmitriptan)

Serotonin 1b Receptor Agonists Trial Activity: Mature
CNS Approved 1997-11-25

ZOMIG Nasal Spray is indicated for the acute treatment of migraine with or without aura in adults and pediatric patients 12 years of age and older. Limitations of Use Only use ZOMIG if a clear diagnosis of migraine has been established. If a patient has no response to ZOMIG treatment for the first migraine attack, reconsider the diagnosis of migraine before ZOMIG is administered to treat any subsequent attacks. Safety and effectiveness of ZOMIG have not been established for cluster headache.

Source: FDA Label • AMNEAL

Development Insights

AstraZeneca conducting 3 trials (60%)
3 indications explored (Focused)
migraine headache (3 trials)
acute migraine headache (1 trials)
migraine (1 trials)
6
Indications
--
Phase 3 Trials
1
Priority Reviews
28
Years on Market

Details

Status
Prescription
First Approved
1997-11-25
Routes
NASAL, ORAL
Dosage Forms
SPRAY, TABLET

Companies

Active Ingredient: ZOLMITRIPTAN

ZOMIG Approval History

1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
50 FDA actions from 1997 to 2018 · 4 indication expansions
Dec 2018 SUPPL
Label · Labeling
Jun 2015 SUPPL
Efficacy
Mar 2014 SUPPL
Mfg · Manufacturing (CMC)

What ZOMIG Treats

6 FDA approvals

Originally approved for its first indication in 1997 . Covers 6 distinct patient populations.

  • Other (6)
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Clinical Trial Registry

3 trials
Trial Sponsor ID Phase Status Title
NCT03145467 2015TPF039 Ph 4 completed Comparison of Oral Paracetamol and Zolmitriptan Efficacy in the Treatment of Acute Migraine in Emergency Department
NCT02609945 TRIP-AM-1035 Ph 1 completed Safety and Pharmacokinetics (PK) Study of Single Ascending Doses of CVT-427 (Zolmitriptan Inhalation Powder) In Healthy Adults
NCT01211145 TEENZ results posted D1220C00001 Ph 4 completed Zomig - Treatment of Acute Migraine Headache in Adolescents
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Active Pipeline

Pro

Ongoing clinical trials by development phase

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Key Completed Trials

Pro

Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ZOMIG FDA Label Details

Indications & Usage

FDA Label (PDF)

ZOMIG Nasal Spray is indicated for the acute treatment of migraine with or without aura in adults and pediatric patients 12 years of age and older. Limitations of Use Only use ZOMIG if a clear diagnosis of migraine has been established. If a patient has no response to ZOMIG treatment for the first migraine attack, reconsider the diagnosis of migraine before ZOMIG is administered to treat any subsequent attacks. ZOMIG is not indicated for the prevention of migraine attacks. Safety and effectiveness of ZOMIG have not been established for cluster headache. Not recommended in patients with moderat...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment