Updates in the Clinical Science of CGRP Antagonism for the Treatment of Migraine
Introduction Migraine
Introduction Migraine Treatments
What Is CGRP?
Function of CGRP
CGRP Pathophysiology Effect of Infusion of hα-CGRP
Small Molecules (Gepants) vs mAbs
Initial CGRP Antagonists (Gepants)
Other CGRP Antagonists (Gepants)
Ubrogepant Trial Design and Results
Clinical Implications of Small Molecule CGRP Antagonists Gepants
Gepants vs Triptans
mAbs
Immunogenicity Potential for mAbs
CGRP mAbs
ALD403 Study Design
ALD403 Study Results
Galcanezumab Study Design
Galcanezumab Study Results
TEV-48125 Study Design
TEV-48125 Study Results
TEV-48125 Study Design
TEV-48125 Post Hoc Analysis in Chronic Migraine
Erenumab Study Design and Results in Episodic Migraine
Erenumab Study Design in Chronic Migraine
Erenumab Study Results in Chronic Migraine
Summary mAbs
Breakthrough Headache
Triptan Targets
Potential but Unknown Cardiovascular and Cerebrovascular Risks With CGRP Blockade
GCRP Receptor Complex
Conclusions
Abbreviations