Ubrogepant to treat migraine

Copyright 2020 Clarivate Analytics..

Migraine is the primary headache disorder affecting a significant population worldwide. Ubrogepant is an orally bioavailable calcitonin gene-related peptide (CGRP) receptor antagonist (gepant) approved by the U.S. Food and Drug Administration (FDA) for the acute treatment of migraine headaches with or without aura in adults. Ubrogepant is the first oral CGRP receptor antagonist approved for the acute treatment of migraine. CGRP is an important key mediator of migraine pain; CGRP levels have been shown to be significantly higher during a migraine attack. Two pivotal phase III clinical trials (ACHIEVE I and ACHIEVE II) demonstrated effectiveness and safety of ubrogepant in acute migraine attacks. Ubrogepant can be administered as 50- and 100-mg tablets, with a maximum dose of 200 mg within 48 h. Besides minimizing pain, the drug is equally effective in alleviating migraine-associated symptoms such as nausea, photophobia and sound sensitivity. Unlike other gepants, ubrogepant is free from hepatotoxicity at the therapeutic doses. In certain cases (1 in 5), a full relief of pain was achieved with a single dose of the drug. The molecule is not effective as a preventive migraine therapy. The present review discusses the background, preclinical and clinical pharmacology, indication and safety of ubrogepant for the treatment of migraine attacks.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:56

Enthalten in:

Drugs of today (Barcelona, Spain : 1998) - 56(2020), 7 vom: 10. Juli, Seite 459-467

Sprache:

Englisch

Beteiligte Personen:

Dhir, A [VerfasserIn]

Links:

Volltext

Themen:

AD0O8X2QJR
Antimigraine drugs
Aura
Calcitonin Gene-Related Peptide Receptor Antagonists
Calcitonin gene-related peptide (CGRP) antagonists
Gepants
Journal Article
Migraine headaches
Pyridines
Pyrroles
Treatment of pain
Ubrogepant

Anmerkungen:

Date Completed 23.10.2020

Date Revised 23.10.2020

published: Print

Citation Status MEDLINE

doi:

10.1358/dot.2020.56.7.3157311

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312256434