FDA Partial Clinical Hold on Biohaven Epilepsy Drug

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FDA has issued a partial clinical hold on Biohaven’s opakalim (BHV-7000) due to “nonclinical characterization of certain metabolites” documented in rodent testing, according to the company.

“It was determined that there was insufficient information related to a specific metabolite to assess risks of that metabolite to human subjects at this time,” the company says in a financial filing. “Thus, FDA instructed the company to pause new enrollment until additional clarifying nonclinical studies are completed, and issued a partial clinical hold letter on 9/4 that pauses new patient enrollment pending the results of additional nonclinical data regarding the metabolite.”

Biohaven says dosing continues for all patients already randomized across the BHV-7000 program. BHV7000-303, a pivotal study in refractory focal epilepsy, is fully enrolled and randomized, it says, adding that dosing continues and topline data remain on track for later this year.

Last year, Biohaven faced FDA scrutiny and had its NDA rejected for troriluzole and its use in treating spinocerebellar ataxia, which it complained about in an 11/2025 press release (see story). An FDA complete response letter concluded that the submission failed to demonstrate substantial evidence of effectiveness.

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