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Published in: Neurological Sciences 1/2017

01-05-2017 | NEUROBIOLOGY OF HEADACHE

The role of anti-CGRP antibodies in the pathophysiology of primary headaches

Authors: Piero Barbanti, Cinzia Aurilia, Luisa Fofi, Gabriella Egeo, Patrizia Ferroni

Published in: Neurological Sciences | Special Issue 1/2017

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Abstract

Calcitonin gene-related peptide (CGRP), a potent vasodilator and pain-signaling neuropeptide, is a validated therapeutic target for migraine and cluster headache. Four anti-CGRP monoclonal antibodies (mAbs) have been developed, representing the first specific, mechanism-based, migraine prophylactic treatment. CGRP mAbs demonstrated good efficacy coupled to excellent tolerability and safety in 5 phase II clinical trials. Notably, CGRP mAbs induced complete migraine remission in a patients’ subset. To date, more than 20 phase III trials using CGRP mAbs for of episodic and chronic migraine and cluster headache prevention are ongoing. Future investigations will shed light on migraine endophenotypes predictive of good CGRP mAbs responsiveness and provide answers on their long-term cardiovascular safety.
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Metadata
Title
The role of anti-CGRP antibodies in the pathophysiology of primary headaches
Authors
Piero Barbanti
Cinzia Aurilia
Luisa Fofi
Gabriella Egeo
Patrizia Ferroni
Publication date
01-05-2017
Publisher
Springer Milan
Published in
Neurological Sciences / Issue Special Issue 1/2017
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-017-2907-8

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