scholarly journals A CGRP receptor antagonist peptide formulated for nasal administration to treat migraine

Author(s):  
Bengt Mentzer ◽  
Andrew F. Russo ◽  
Zhongming Zhang ◽  
Adisa Kuburas ◽  
Patrick M. Killoran ◽  
...  
Author(s):  
S. Padmaja ◽  
J. Mohan

Migraine is a mysterious disorder characterized by pulsating head ache, which is actually characterized to one side and comes in attacks which will be lasting for about 3-48 hours and can be associated with nausea,vomiting,sensitivity to sound,flashes of light,vertigoand diarrhoea [1]. Most of the drugs which are in current use for actue migraine like triptans, treats the disorder symptomatically. A novel group of drugs has been in research for the migraine which treats the disorder pathologically. Calcitonin gene – related peptide (CGRP) has a major role in the pathophysiology of the disorder and hence CGRP receptor antagonist, known as Gepants are in the research process [2]. Gepants are being studied for the efficacy of treating acute migraine [2]. This article will be a review article about the drug – Ubrogepant, which is approved for treatment of migraine with acute attacks in adults [3].


2021 ◽  
Vol 46 (4) ◽  
pp. 281
Author(s):  
F. Cipolla ◽  
M. Capi ◽  
L. Lionetto ◽  
D. De Bernardini ◽  
V. De Angelis ◽  
...  

2012 ◽  
Vol 3 (4) ◽  
pp. 337-341 ◽  
Author(s):  
Guanglin Luo ◽  
Ling Chen ◽  
Charles M. Conway ◽  
Rex Denton ◽  
Deborah Keavy ◽  
...  

Cephalalgia ◽  
2015 ◽  
Vol 36 (2) ◽  
pp. 148-161 ◽  
Author(s):  
Tony W Ho ◽  
Andrew P Ho ◽  
Yang (Joy) Ge ◽  
Christopher Assaid ◽  
Regina Gottwald ◽  
...  

Aim The aim of this article is to evaluate the safety and efficacy of perimenstrual telcagepant, a CGRP receptor antagonist, for headache prophylaxis. Methods We conducted a randomized, double-blind, placebo-controlled, six-month trial in women with migraine for ≥3 months who experienced perimenstrual headaches. Women were randomized to telcagepant 140 mg or placebo (2:1 ratio) for seven consecutive days perimenstrually. Safety was assessed by adverse events and laboratory tests. The primary efficacy endpoint was mean monthly headache days in the subset of women reporting perimenstrual migraine (−2 days to +3 days of menses onset) and ≥5 moderate or severe migraines per month prior to entering the trial. Results Telcagepant was generally well tolerated: 66/2660 (2.5%) on telcagepant and 36/1326 (2.7%) on placebo discontinued because of a clinical adverse event. The percentages of patients with clinical adverse events, laboratory adverse events, or discontinuation because of a laboratory adverse event were also similar between treatments. Alanine aminotransferase elevations ≥3× normal occurred in 0.6% of women on telcagepant and 0.4% on placebo. Three women on telcagepant vs none on placebo had alanine aminotransferase elevations ≥8× normal. In the efficacy subset there was no significant effect of telcagepant ( n = 887) vs placebo ( n = 447) in mean monthly headache days (treatment difference −0.5 day (95% CI: −1.1, 0.1)). However, telcagepant was associated with a reduction in on-drug headache days (treatment difference −0.4 day (95% CI: –0.5, –0.2), nominal p < 0.001). Conclusions Telcagepant 140 mg taken perimenstrually for seven days was generally well tolerated, but was associated with transaminase elevations . Telcagepant did not reduce monthly headache frequency, but did reduce perimenstrual headaches.


2014 ◽  
Vol 24 (12) ◽  
pp. 2744-2748 ◽  
Author(s):  
Bireshwar Dasgupta ◽  
Edward Kozlowski ◽  
Daniel R. Schroeder ◽  
John R. Torrente ◽  
Cen Xu ◽  
...  

2010 ◽  
Vol 69 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Simon R. Sinclair ◽  
Stefanie A. Kane ◽  
Bart J. Van der Schueren ◽  
Alan Xiao ◽  
Kenneth J. Willson ◽  
...  

Neurology ◽  
2014 ◽  
Vol 83 (11) ◽  
pp. 958-966 ◽  
Author(s):  
T. W. Ho ◽  
K. M. Connor ◽  
Y. Zhang ◽  
E. Pearlman ◽  
J. Koppenhaver ◽  
...  

Cephalalgia ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 437-451 ◽  
Author(s):  
Christopher S Walker ◽  
Ann C Raddant ◽  
Michael J Woolley ◽  
Andrew F Russo ◽  
Debbie L Hay

Background Calcitonin gene-related peptide (CGRP) is a neuropeptide that acts in the trigeminovascular system and is believed to play an important role in migraine. CGRP activates two receptors that are both present in the trigeminovascular system; the CGRP receptor and the amylin 1 (AMY1) receptor. CGRP receptor antagonists, including olcegepant (BIBN4096BS) and telcagepant (MK-0974), can treat migraine. This study aimed to determine the effectiveness of these antagonists at blocking CGRP receptor signalling in trigeminal ganglia (TG) neurons and transfected CGRP and AMY1 receptors in Cos7 cells, to better understand their mechanism of action. Methods CGRP stimulation of four intracellular signalling molecules relevant to pain (cAMP, CREB, p38 and ERK) were examined in rat TG neurons and compared to transfected CGRP and AMY1 receptors in Cos7 cells. Results In TG neurons, olcegepant displayed signal-specific differences in antagonism of CGRP responses. This effect was also evident in transfected Cos7 cells, where olcegepant blocked CREB phosphorylation more potently than expected at the AMY1 receptor, suggesting that the affinity of this antagonist can be dependent on the signalling pathway activated. Conclusions CGRP receptor antagonist activity appears to be assay-dependent. Thus, these molecules may not be as selective for the CGRP receptor as commonly reported.


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