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Papers of the Week


Papers: 4 May 2019 - 10 May 2019


Pharmacology/Drug Development

PAIN TYPE:
Migraine/Headache


2019 Aug


Expert Rev Neurother


19


8

Fremanezumab as a preventive treatment for episodic and chronic migraine.

Authors

Bigal ME, Walter S, Rapoport AM
Expert Rev Neurother. 2019 Aug; 19(8):719-728.
PMID: 31043094.

Abstract

The importance of calcitonin gene-related peptide (CGRP) in migraine pathogenesis is well established. Fremanezumab is a humanized IgG2a monoclonal antibody that binds to CGRP. Areas covered: In this paper we review the development of fremanezumab, from early development into approval. The authors focus on the efficacy and safety of fremanezumab in both migraine stages. The authors highlight studies conducted in special populations and focus on unique aspects of its development, as well as on clinical pearls supported by the data. Expert opinion: Fremanezumab was shown to be effective in episodic and chronic migraine, with a monthly and quarterly dose of administration, as monotherapy and add-on therapy. As with other monoclonal antibodies, anti-CGRP onset of action was remarkably quick, and the effect seems to be maintained over time. No overt safety concerns emerged from the clinical studies, although long term surveillance is necessary.